Aldridge
Aldridge
Aldridge
The Keep
5-2012
Department of Psychology
College of Sciences
Eastern Illinois University
BACHELOR OF ARTS
May, 2012
By
Brooke S. Aldridge
Thesis Advisor:
Committee Members:
An investigation into Help Seeking 2
Help seeking attitudes have been of significant interest to psychologists over the years.
The reason for this interest is the overall tendency for individuals with mental health problems to
not seek professional help. According to the 1999 Surgeon General's Report (U.S. Department of
Health and Human Services, 1999) approximately 28% of the adult population experienced
mental health problems in a year. Among those with mental health problems, however, only 15%
sought professional help (Kessler et al., 1996; Regier, Narrow, Rae, Manderscheid, Locke &
Goodwin, 1993). In the pursuit to understand this phenomenon, gender and culture have been
identified as reliable predictors of attitudes towards seeking help. Another possible factor is an
individual's emotional intelligence, though it has received little recognition. It remains unclear
how emotional intelligence, gender, and culture may combine together to affect help seeking
behavior.
While emotional intelligence (EI) has been a heavily researched topic in the last decade,
very little research has been conducted in which help seeking and emotional intelligence are
examined together. Dean and Ciarrochi (2002) have examined these two variables and found that
adolescents who were low in emotional awareness, and who were poor at identifying, describing,
and managing their emotions, were the least likely to seek help from nonprofessional sources and
had the highest intention of refusing help from everyone. An explanation for this could be that
skill at managing and describing emotions leads to better social support, and better social
support, in turn, leads to greater intention to seek help ( Dean & Ciarrochi, 2002).
Gender has also been identified as reliable predictors of attitudes towards seeking help.
For example, in a classic study by Fischer and Turner (1970), it was found that there are strong
gender differences in help-seeking, with females being more open to seeking professional help.
An investigation into Help Seeking 3
Other research has shown that men who exhibit stereotypically masculine attitudes are restricted
emotionality and who express limited affection towards other men, are less likely to seek
Ethnicity has also been shown to play an important role in the attitudes of individuals
towards help seeking behavior. Part of this is explained by the differences between ethnicities in
defining what constitutes a psychological problem. Cauce et al. (2002, pg. 4 7) posit that
"contextual and cultural factors likely underlie, at least to some extent, the differences between
epidemiologically assessed need and perceived need across ethnic groups". Of course, this all
depends on how the individual interprets their own cultural values when it comes to seeking
help. On this matter, Sue (1999) asserts that cultural factors within individuals are important in
Help seeking has been a heavily researched topic over the years; however, there have
been very few studies on the relationship between EI and help seeking behavior. This study was
conducted to further understand the relationship between EI and help seeking while also
considering the effects of gender and cultural differences. It is hypothesized that EI may serve to
help explain the relationship between gender, culture, and help seeking attitudes. When
considering the present variables, it is important to review the literature to ascertain how these
concepts have developed and how they have and will be studied.
Help-Seeking
First, there must be a differentiation between help seeking attitudes and behaviors. The
Collins English Dictionary (2012) describes attitudes as "the way a person views something or
tends to behave towards it, often in an evaluative way". In terms of help seeking attitudes, it
would be the way a person views or feels about seeking mental health care. The Collins English
An investigation into Help Seeking 4
reference to help seeking, behavior would be the act of seeking mental health care.
There are several factors that may either impede or facilitate help seeking attitudes and
behavior. For instance, an individual who seeks professional help must not fear being
stigmatized. There is evidence that the degree of stigma can vary on the basis of person,
problem, and cultural influences, and that individuals seek less help for problems that are
associated with greater negative judgment by others (Kushner & Sher, 1991, pg.198-199).
Though fear of stigma has been cited as a prominent variable in help seeking studies, there are
many other factors that may impede help seeking that are equally as important. A study by
Kushner & Sher (1989) examined approach (e.g., mental distress, pressure from others) and
avoidance (e.g., treatment fears, cost) tendencies and how these tendencies influenced decisions
to seek help. Kushner & Sher found that as people became more fearful of treatment, they also
became more psychologically distressed, which led to the increased likelihood of seeking
services.
Another aspect of help seeking attitudes may be the lingering psychological effects of
previous encounters with professional mental help. If an individual has had a bad experience
with help seeking in the past, then that individual is more likely to have a negative association
with help seeking and therefore will be less likely to seek help in the future. For example, Asian
Americans with previous counseling experience expressed greater willingness to see a counselor
for both personal and academic problems than did those with no prior counseling experience.
This was attributed to those individuals finding counseling to be a worthwhile experience, and
thus, being more willing to seek counseling in the future (Atkinson, Lowe, & Matthews, 1995).
An investigation into Help Seeking 5
Past studies by Fischer and Turner (1970, 1972) have suggested that social class,
education level, religion, and even college major may have some amount of influence on help
seeking behaviors and attitudes. In 1972, Fischer and Cohen conducted a study examining help
seeking attitudes among 989 high school and college students. Their results showed that the
higher the education level of the individual (i.e., junior/senior vs freshman/sophomore), the more
positive the attitudes toward seeking professional mental help. The same study found that
students in the social sciences and more specifically psychology were more in favor of seeking
Lastly, one must consider the relationship between the therapist and client that may
influence help seeking attitudes. Studies have shown that individuals report a more positive
association with help seeking when the therapist demonstrated competency in the client's culture
based values (Cauce et. al., 2002). This may then lead to continued use of mental health services.
For example, clients who perceived their own etiology beliefs (i.e., the origin of their
psychological problem) as similar to those of their counselors regarded their counselors as more
credible and trustworthy, rated the counseling services as more effective, and desired future
counseling more than did those who perceived dissimilarity (Atkinson, Worthington, Dana, &
Good, 1991; Islein & Addis, 2003; Worthington & Atkinson, 1996).
Emotional Intelligence
In order to define emotional intelligence, one must start at the first emergence of the
concept. Thorndike first introduced his idea of social intelligence in the 1930s (Thorndike &
Stein, 1937). His idea of social intelligence was essentially an assessment of one's ability to
understand and manage people. This first idea has evolved into what we now refer to as
may seem. Multiple models of emotional intelligence have appeared since the 1930's. One of
those models is the mixed construct model. Introduced by Daniel Goleman (Chemis et. al, 2006),
the mixed construct model basically portrays emotional intelligence as a variety of different
competencies and skills. The main ideas for this model are self-awareness, self-regulation, social
awareness, and relationship management. Another prominent model is the trait model (Brannick
et.al, 2009). This model suggests that emotional intelligence isn't really a form of intelligence at
sophisticated information processing about one's own and others' emotions and the ability to use
this information as a guide to thinking and behavior (Mayer, Salovey, & Caruso, 2008). Mayer,
intellectual functioning that enriches human interactions and that it is a group of related mental
abilities.
Emotional intelligence has also been shown to be a factor in help seeking attitudes.
Although there are few studies that examine the relationship between emotional intelligence and
help seeking attitudes. Dean and Ciarrochi (2001) conducted three studies specifically examining
this relationship, all using the ability model created by Salovey and Mayer. Their goal was to
ascertain whether level of emotional intelligence was related to help seeking behavior. They
originally hypothesized that those with less emotional intelligence would be more likely to seek
help because of their low ability to manage and communicate their emotions. What they found
was that the opposite was true. Dean and Ciarrochi (2001) found that, for seniors in high school,
those higher in emotional intelligence tended to have more favorable attitudes toward seeking
professional mental health services. This may be due to the fact that those who are better able to
An investigation into Help Seeking 7
identify their emotions also know when they need assistance to regulate those emotions. Through
further study, the authors found that the relationship was reversed when examining individuals
thirteen years of age and younger, i.e., those with more difficulty identifying and describing their
emotions were more likely to seek professional mental health (Dean & Ciarrochi, 2001).
Culture
Culture has been found to be a significant predictor of help seeking attitudes. Though
culture, as it refers to those from other countries, will not be a variable in the present study, it
will be included in the second phase of the study and therefore it is important to review culture
and help seeking attitudes. Generally, those from Western cultures have more positive attitudes
towards help seeking than those from Eastern cultures. For example, in a study examining
acculturation effects, it was observed that in Chinese populations, cultural values may be in
conflict with the expectations in counseling (Chen & Mak, 2008). This may be due to Chinese
culture placing more value on self restraint as opposed to emotional expression (Chen & Mak,
2008). This conclusion was reached after having 747 undergraduates from the United State of
America, Hong Kong, and mainland China complete questionnaires regarding lay beliefs about
Along with general cultural effects, one must also consider how stigma may have a
significant effect on help seeking attitudes in different cultures. As mentioned earlier, stigma has
repeatedly been recognized as a significant barrier to help seeking. This has been show to be true
in Asian cultures as well. In a study by Shea and Yeh (2008), 219 Asian American undergraduate
and graduate students completed multiple questionnaires including an Asian Value Scale, a scale
assessing stigma associated with receiving psychological help, and the Attitudes toward Seeking
Professional Psychological Help (ATSPPH). Their biggest finding was that Asian American
An investigation into Help Seeking 8
students may find seeking professional psychological help contradictory to their belief system
due to significant differences between the Asian and Western perspectives of self, general,
human experiences, and conceptions of psychological problems (Shea & Yeh, 2008). They also
found that those students who reported a higher level of perceived stigma often had more
negative help seeking attitudes. They attributed this stigma to the discrepancy between Western
counseling practices and traditional Asian cultural values that encourage individuals to save face
Gender
Gender has also been shown to be related to emotional intelligence and help seeking
attitudes. With regards to help seeking, women generally have more positive attitudes toward
seeking mental health services. A study by Leong & Zachar (1999) showed that women had
greater recognition of the need for help, greater confidence in mental health practitioners, and
more interpersonal openness when measuring help seeking attitudes with the ATSPPH. In
another study, psychological openness (i.e., acknowledging psychological problems and being
willing to seek professional help) was identified as a component of help seeking attitudes
(Mackenzie et al., 2006). Specifically the study stated that women exhibited more intentions to
seek help from mental health professionals than men despite previous experience with help
seeking. This finding was attributed to women having more positive attitudes concerning
Additionally, gender has been identified as an important factor when studying emotional
intelligence. It has been shown that women typically score higher on indices of emotional
intelligence than men. More specifically, women score higher than men on general EI, and excel
especially in interpersonal skills and emotional self-awareness (Palmer et al., 2003). This may be
An investigation into Help Seeking 9
due to the fact that women are more capable of perceiving emotions, regulating others' emotions,
and utilizing emotions for building relationships than men (Ciarrochi et al., 2001). Also, men,
when compared to women, are generally considered more restricted in emotionality and tend to
have less meaningful relationships with other men (Good & Wood, 1995). This may be an
explanation for why male participants typically score lower scores on indices of emotional
intelligence.
Present Study
In summary, other studies have found that generally women are more likely to seek help
and tend to score higher on indices of emotional intelligence (Deane & Ciarrochi, 2001). Also,
individuals from Western cultures tend to have more positive help seeking attitudes than those in
Eastern cultures (Shea & Yeh, 2008; Chen & Mak, 2008). Though these studies have given
psychologists a greater knowledge of help seeking attitudes and emotional intelligence, there are
still unanswered questions in this area. For instance, none of these studies have specifically
examined the differences between Indians and Americans when considering help seeking
attitudes or emotional intelligence. More importantly, no study has previously looked at how
emotional intelligence might mediate the relationship between cultural differences and help
seeking attitudes. Now that the literature has been reviewed, the main goals of this study may be
presented.
In the second phase of this study we will be aiming to understand the relationship
between gender, culture, and help seeking attitudes and whether those relationships can be
explained by emotional intelligence. Data will be collected in Indian and compared with data
obtained from American college students. In the present study, we aim to examine the same
variables and possible relationships in American college students. I hypothesize that females
An investigation into Help Seeking 10
(Leong & Zachar, 1999) will have more favorable attitudes toward seeking help because they
have been found to have higher emotional intelligence which enables them to be more aware of
when they need help with their psychological problems. Also, we wish to examine the
relationship between help seeking and emotional intelligence. Consistent with Dean and
Ciarrochi' s (2001) findings, I hypothesize that those individuals with higher emotional
intelligence will have more favorable attitudes towards seeking help. The final goal of this
looking at American college students, and Indian college students in the second phase of this
study.
Methods
Particip ants
The participants in phase A were 77 college students from Eastern Illinois University.
The participants from Eastern Illinois University were recruited from the Introduction to
Psychology pool of subjects. Out of 77 participants there were 29 male and 48 female. The
average age was 19. Most of the participants identified themselves as Caucasian (n=44), African
American (n=26), and Latino/a (n=6). Also, 26 individuals reported that they had personally
received prior counseling and 26 reported that a member of their family had received prior
counseling.
Materials
The questionnaires that were chosen for this study were the Inventory of Attitudes
Towards Seeking Mental Health Services and the Schutte Self Report Emotional Intelligence
Test. The IASMHS is an abbreviated version of the ATSPPH developed by Fischer and Turner
(1970). The Inventory of Attitudes toward Seeking Mental Health Services (IASMHS)
An investigation into Help Seeking 11
(Mackenzie, 2004) will measure participants attitudes toward help seeking with 24 self-report
Likert scale items using a 1(agree) to 5 (disagree) scale for responses. Participants will also
complete the Schutte Self-Report Emotional Intelligence Test (SSEIT) (Schutte, 1998). The
SSEIT is a 33-item self-report measure using a 1 (strongly agree) to 5 (strongly disagree) scale
for responses. Each score is computed and then added together to give the total score for the
participant with higher scores on SSEIT and IASMHS denoting more emotionally intelligent
participants and more positive attitudes toward seeking help, respectively. The SSEIT measures
Procedures
In Phase A, this study examined sex and minority status (minority or non-minority
American college students) as the independent variables. In Phase B the study will be a 2X2
factorial design with sex and culture (American vs Indian college students) being the
independent variables. The dependent variables were emotional intelligence a.11d help seeking
attitudes. Participants completed the questionnaires via an online survey website. They first
viewed and read the informed consent form and then pressed the "I accept" button to affirm their
consent to participate. Then they completed the demographic survey which asked them their age,
gender, ethnic background, and other questions that were devised specifically for this study.
After the demographics, they completed the SSEIT that measured their emotional intelligence,
and the IASMHS, that measured help seeking attitudes. After these questionnaires were
completed, the participants received the debriefing form which explained the reasons for the
Results
An investigation into Help Seeking 12
Participants' scores were computed for each of the separate measures according to the
procedures outlined above. To assess if participants with higher scores on the emotional
intelligence measure would have more positive attitudes towards seeking professional mental
health services, a Pearson's r was conducted on emotional intelligence and help seeking attitude
scores. At an alpha level of .05, results show that the higher the scores on the SSEIT, the higher
the score on IASMHS, r(73)= .354, p=.002. This is consistent with my hypothesis that the more
emotionally intelligent an individual is, the more positive attitudes they will have towards
intelligence, t-tests for independent means were conducted with the independent variable being
participant sex and the dependent variables being the SSEIT score and IASMHS score. The
hypothesis that women (M= 96.74, SD= 9.46) would score significantly higher on the IASMHS
than men (M= 93.41, SD = 8.04) was not supported, t(73) = 1.588, p = 1.24 . Also, the
hypothesis that women (M = 124. 79, SD= 13 .69) would score significantly higher on the SSEIT
than men (M= 127 .79, SD= 13.69) was not supported, t(71) = .803, p = .425.
To assess minority group differences on measures of help seeking attitudes and emotional
intelligence, t-tests for independent means were conducted with the independent variable being
minority status and the dependent variables being the SSEIT score and IASMHS score
respectively. Non-minority participants (M= 95.13, SD= 9.18) did not score significantly higher
on the IASMHS than minority participants (M = 95.70, SD= 8.98), t(72) = .265, p = .792.
Although the minority participants (M= 129.40, SD= 12.63) did not score significantly higher
on the SSEIT than non-minority participants (M= 123.32, SD = 14.94), the finding did approach
between minority and non-minorities, t-tests for independent means were also conducted
separately for male and female participants who were minorities or non-minorities. For these
analyses, two separate t-tests were conducted for men and women separately with the
independent variable being minority status and the dependent variable being emotional
intelligence. It was found that female minority participants (M= 129.10, SD = 12.07) did rate
the independent variables being gender and minority status and the dependent variable being
emotional intelligence. At an alpha level of .05, results show that there was no significant
interaction between gender and minority status, F(l, 72) = .411, p = .523. There was also no
significant main effect of gender, F(l, 72) = .864, p = .356. Likewise, there was no significant
main effect of minority status, F(l, 72) = 2.96, p = .09. However, it is important to recognize that
the trend in the data shows that, based on the means of emotional intelligence scores, minority
men (M= 130.12, SD = 4.67) and minority women (M= 129.10, SD= 2.99) scored higher than
non-minority men (M= 126.32, SD= 3.22) or non-minority women (M= 120.74, SD= 2.99).
conducted with the independent variables being gender and minority status and the dependent
variable being help seeking attitudes. At an alpha level of .05, results show that there was no
significant interaction between gender and minority status, F(l, 74) = .320, p = .574. There was
also no significant main effect of gender, F(l, 74) = 2.314, p = .133, and no significant main
attitudes and emotional intelligence, t-tests for independent means were conducted with the
independent variable being if the participants had received previous counseling and the
dependent variables being the SSEIT score and IASMHS score. Those who had previous
experience with counseling (M = 101.34, SD = 7.36) did score significantly higher on the
IASMHS than those who did not have previous experience with counseling (M = 92.65, SD =
8.49), t(72) = 4.35,p <.001. However, those who did have previous experience with counseling
(M = 127.14, SD = 14.63) did not score significantly higher on the SSEIT than those who did not
have previous experience with counseling (M= 125.02, SD = 14.09), t(70) = .590,p = .557.
Discussion
The aim of this study was to understand the relationship between gender, minority status,
and help seeking attitudes and whether those relationships can be explained by emotional
minority status and emotional intelligence and help seeking attitudes. All of these variables have
been previously examined but never before have they been examined together.
The first question this study set out to answer was whether there was a relationship
between emotional intelligence and help seeking. I hypothesized that there would be a positive
correlation between the two. This hypothesis was supported. The correlation showed that the
more emotionally intelligent an individual is, the more likely they are to have positive help
seeking attitudes. This is firmly in keep with previous research that has found a relationship
between emotional intelligence and help seeking attitudes (Dean & Ciarrochi, 2001).
The second question in this study was whether men and women would differ with respect
to emotional intelligence and help seeking attitudes. I hypothesize that women would be more
An investigation into Help Seeking 15
emotionally intelligent and have more favorable attitudes towards seeking professional mental
health treatment. Surpisingly, my hypothesis was not supported by the data. In fact, there was
very little difference between genders with respect to help seeking attitudes. This was unusual
because multiple studies that have researched help seeking attitudes have found that women have
more favorable help seeking attitudes (Fischer & Turner, 1970; Leong & Zachar, 1999). Also,
when examining the means, men had higher emotionally intelligence scores than females. This
of course may be due to the small sample size in this study and the small number of men who
participated. Another possible explanation is that it is becoming more socially acceptable for
men to act more feminine. In other words, men are becoming less emotionally restricted and are
becoming more psychologically open, both of which are areas at which women have excelled at
previously. It has become acceptable for men to exhibit feminine characteristics including
sensitivity, devotion and showing emotions (Hevrdejs, 2003), these men have, "embraced
customs and attitudes once deemed the province of women" (Hevrdejs, 2003 pp. 2).With this
shift in emotionality in men, they may be more aware of their emotions, more aware of when
they need to seek help, and have more positive attitudes towards seeking help. We also found
that minority women had significantly higher emotional intelligence scores as compared to non
minority women. This is likely due to the aforementioned explanation of minorities having
The third question was whether or not minority students would differ from non-minority
students with respect to emotional intelligence. Although the t-test was not significant (p=.06),
there was a trend in the data indicating a difference between minority and non-minority students.
It would be interesting to examine this further with a larger group of minority students and
subgroups.
An investigation into Help Seeking 16
The fourth and final question was whether minority status and gender would interact with
respect to emotional intelligence and help seeking. It was found that there were no significant
interactions with respect to emotional intelligence or help seeking. However, the main effect of
minority status did approach significance when examining emotional intelligence. Given these
results, we decided to further assess the differences between minority and non-minority students
with respect to emotional intelligence. We found that participants in the minority group tended to
be more emotionally intelligent than those in the non-minority group. Because of the limited
research on minority status and emotional intelligence it is hard to form an explanation as to this
outcome. One possible explanation for this is that minorities may perceive having less "power"
in this society and because of this they must be more "emotionally intelligent" so they can
recognize the emotions of those higher in authority and use this knowledge to guide their
behaviors so as to engender greater success in the workplace, social interactions, etc. Social
psychologists have done research in this area and found that since Caucasian individuals are
generally accepted as having more institutional power, minority groups are forced to "develop
strategies that will confer efficacy on preferred patterns of behavior and developed abilities"
(Jones, 1986, p. 307). Increased emotional intelligence may be one of these strategies that helps
confer efficacy.
Though it was not one of the primary study questions, we also examined whether
previous mental health treatment would be related to help seeking attitudes and emotional
intelligence scores. It was found that previous experience with counseling was positively
correlated with help seeking attitudes. In other words, those who had had previous experience
with counseling for mental health problems had much more favorable attitudes towards seeking
professional mental health. This may be because their previous experiences were positive and
An investigation into Help Seeking 17
therefore they view help seeking in a more positive light than those who have not previously had
experience with counseling services. Another explanation could be that those who originally
have more positive attitudes towards seeking professional mental health treatment are more
likely to seek help. It would be beneficial for future studies to also evaluate whether those who
have had previous counseling experience had positive experiences and how helpful they found
The biggest limitation in this study was the small number of participants and the makeup
of the sample. A greater number of participants would have provided the power to do certain
analyses, e.g., test for mediation effects and analyze the subscales of the IASMHS. Furthermore,
most of the participants were Caucasian and most were around the ages of 18-20 which makes it
hard to generalize the results of this study. Also, the sample was composed of relatively few men
which reflects the nature of the introduction to psychology pool of participants that was used.
Also, it is important to recognize the limitations of using self report questionnaires. Some
participants may have been engaging in self enhancing behavior by filling out the questionnaires
in a biased way.
With these limitations being stated, there are some areas that would benefit from future
research. First, future research should endeavor to examine these variables and their relationships
with a larger and more generalizable participant pool. Second, it would be interesting to further
examine the differences between non-minority and minority individuals with respect to
emotional intelligence. This would be especially interesting to examine with specific emphasis
on the differences between females in both categories with respect to emotional intelligence.
Third, the possible relationship between prior help seeking behaviors should be examined with
An investigation into Help Seeking 18
respect to help seeking attitudes as well as emotional intelligence. It would also be interesting to
see what relationship might exist between these variables and participant's or family' s prior help
seeking behaviors. Also, it would be intriguing to see if there exists an interaction between
previous history with counseling and ethnicity. Lastly, researchers should investigate these
relationships and whether they still hold true when studying other cultures. This will actually be
Phase B of this project. We will be gather data from India regarding emotional intelligence, help
seeking attitudes and religious affiliation and compare it to our American sample.
Implications
This study has many implications for psychologists. As I stated earlier, all barriers to help
seeking are interesting to psychologists and this study is unique in the fact that it examines
emotional intelligence as a type of barrier to seeking professional mental health treatment. The
less emotionally intelligent an individual is, the less favorable attitudes they will hold towards
seeking mental health treatment so psychology needs to take steps to encourage psychological
openness and less restricted emotionality so that those who need the help are more likely to
receive it.
Conclusion
In this study I found that there is a relationship between emotional intelligence and help
seeking attitudes. Also, it seems that individuals in a minority group, especially women, are more
adept at recognizing, managing, and utilizing their emotions. Hopefully with more participants,
further analyses can be conducted to further assess these relationships and better understand the
factors which facilitate or hinder obtaining professional help for psychological issues.
An investigation into Help Seeking 19
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Figure 1. Mean emotional intelligence scores for participants by minority and gender.