Introduction: Existing data suggest that American adults experience added emotional difficulties amid the coronavirus disease outbreak. Psychotherapy can help mitigate mental health concerns; still, many individuals with unmet mental health needs refrain from professional help-seeking. According to theory of reasoned action, negative help-seeking attitudes are key barriers to engagement with mental health services. Given that individuals with severe distress are more likely to seek therapy than individuals with mild psychopathology symptoms, greater initial and increasing levels of internalizing symptoms amid the coronavirus outbreak likely are linked to increasingly favorable attitudes toward professional help-seeking. Method: In the early months of the coronavirus pandemic, American community adults, N = 831 [49.0% Asian Americans], Mage = 46.78, 50.2% women, were recruited for a panel survey study conducted over the course of three weeks. At each time point, participants completed questionnaires to assess their internalizing symptoms associated with depression and anxiety as well as their openness to and perceived value/need in treatment seeking. Results: Very few participants—especially Asian Americans —were seeking counseling during the study period. Latent growth curve results showed a general decline in internalizing symptoms, and no changes in openness to and perceived need in professional help-seeking. Whereas there were no time-varying correlations between internalizing symptoms and help-seeking attitudes, individuals with greater baseline internalizing symptoms generally were more open to seeking professional help and perceived less value in mental health services. Sensitivity analyses showed patterns in the Asian American subsample similar to those in the overall sample. Discussion: Implications for research and clinical practice are discussed.

中文翻译：

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冠状病毒大流行期间内在化症状和求助态度的短期变化

简介：现有数据表明，在冠状病毒病爆发期间，美国成年人经历了更多的情绪困难。心理治疗可以帮助减轻心理健康问题；尽管如此，许多心理健康需求未得到满足的人仍不愿寻求专业帮助。根据理性行动理论，消极的求助态度是参与心理健康服务的主要障碍。鉴于患有严重痛苦的人比患有轻度精神病理学症状的人更有可能寻求治疗，在冠状病毒爆发期间，更大的初始症状和不断增加的内化症状可能与对寻求专业帮助的态度越来越好有关。方法：在冠状病毒大流行的最初几个月，美国社区成年人，N = 831 [49.0% 亚裔美国人]，Mage = 46.78，50.2% 的女性被招募参加为期三周的小组调查研究。在每个时间点，参与者都完成了问卷调查，以评估他们与抑郁和焦虑相关的内化症状，以及他们对寻求治疗的开放性和感知价值/需求。结果：在研究期间，很少有参与者——尤其是亚裔美国人——寻求咨询。潜在增长曲线结果显示内化症状普遍下降，对专业寻求帮助的开放性和感知需求没有变化。虽然内化症状和寻求帮助的态度之间没有随时间变化的相关性，但基线内化症状较大的个体通常更愿意寻求专业帮助，并且认为心理健康服务的价值较低。敏感性分析显示亚裔美国人子样本中的模式与整体样本中的模式相似。讨论：讨论了对研究和临床实践的影响。