Help-seeking characteristics of Chinese- and English-speaking Australians accessing Internet-delivered cognitive behavioural therapy for depression
- 477 Downloads
Internet treatments may overcome barriers and improve access to mental health services for people who do not access professional help. It may be particularly beneficial for Chinese Australians, a group that tends to delay and underutilize face-to-face treatments. This study explored the appeal of Internet therapy to Chinese- and English-speaking Australians with depression who accessed Internet-delivered cognitive behavioural therapy (iCBT) programs.
Data collected from previous randomised controlled trials of iCBT depression programs were used. Using a matched samples design, 55 Chinese- and 55 English-speaking iCBT participants with depression were matched on age, gender, and depression screener scores. They were compared on their symptom severity, previous help-seeking patterns, and reasons for seeking Internet treatment.
The Chinese-speaking participants had significantly milder depressive symptoms and were less likely to have previously sought professional help compared to the English-speaking participants (all ps < 0.05). Both groups endorsed similar number of reasons for seeking iCBT, and the most common reasons related to reduced structural barriers. However, the Chinese-speaking participants were more likely to seek iCBT due to lack of knowledge about face-to-face treatment (p = 0.005), while the English-speaking participants were more likely to report not benefiting from traditional help (p = 0.030).
The attraction of iCBT appears to be the reduction of structural barriers to treatment. iCBT may reduce treatment delay and increase access to Chinese Australians who have not sought professional help. English-speaking Australians are seeking iCBT as an additional means of getting help.
KeywordsChinese Australian Help-seeking Internet-delivered cognitive behavioural therapy (iCBT) Depression
The authors gratefully acknowledge Ms Anna Mackenzie for administrative support in accessing the databases.
Conflict of interest
Isabella Choi was supported by the National Health and Medical Research Council Postgraduate Scholarship (Primary Health Care). On behalf of all authors, the corresponding author states that there is no conflict of interest.
- 1.Bromet E, Andrade LH, Hwang I, Sampson NA, Alonso J, de Girolamo G, de Graaf R, Demyttenaere K, Hu C, Iwata N, Karam AN, Kaur J, Kostyuchenko S, Lépine J-P, Levinson D, Matschinger H, Mora ME, Oakley Browne MA, Posada-Villa J, Viana MC, Williams DR, Kessler RC (2011) Cross-national epidemiology of DSM-IV major depressive episode. BMC Med. doi: 10.1186/1741-7015-9-90 PubMedCentralPubMedGoogle Scholar
- 7.Abe-Kim J, Takeuchi D, Hong S, Zane N, Sue S, Spencer MS, Appel H, Nicdao E, Alegria M (2007) Use of mental health-related services among immigrant and US-born Asian Americans: results from the National Latino and Asian American Study. Am J Public Health 97:91–98PubMedCentralPubMedCrossRefGoogle Scholar
- 16.Australian Bureau of Statistics (2012) Cultural diversity in Australia. Australian Bureau of Statistics. http://www.abs.gov.au/AUSSTATS/abs@.nsf/Latestproducts/2071.0Main%20Features902012%E2%80%932013?opendocument&tabname=Summary&prodno=2071.0&issue=2012%962013&num=&view. Accessed 13th March 2013
- 19.Hsu LKG, Wan YM, Chang H, Summergrad P, Tsang BYP, Chen H (2008) Stigma of depression is more severe in Chinese Americans than Caucasian Americans. Psychiatry 71:210–218Google Scholar
- 34.Spence J, Titov N, Solley K, Dear BF, Johnston L, Wootton B, Kemp A, Andrews G, Zou J, Lorian C, Choi I (2011) Characteristics and treatment preferences of people with symptoms of posttraumatic stress disorder: an internet survey. PLoS One 6(7):e21864. doi: 10.1371/journal.pone.0021864 PubMedCentralPubMedCrossRefGoogle Scholar
- 36.Lu SH, Dear BF, Johnston L, Wootton BM, Titov N (2013) An internet survey of emotional health, treatment seeking and barriers to accessing mental health treatment among Chinese-speaking international students in Australia. Couns Psychol Q 1–13Google Scholar
- 42.So E, Kam I, Leung C, Chung D, Liu Z, Fong S (2003) The Chinese-bilingual SCID-I/P Project: stage 1-reliability for mood disorders and schizophrenia. Hong Kong J Psychiatry 13:7–18Google Scholar
- 43.Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, Hergueta T, Baker R, Dunbar GC (1998) The Mini-International neuropsychiatric interview (MINI): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry 59(S20):22–33PubMedGoogle Scholar