Optimistic bias in help-seeking intentions and behaviors for depressive symptoms

Abstract

The present study investigated the effect of optimistic bias on help-seeking intentions and behaviors in relation to health care professionals and nonprofessionals for depressive symptoms. In addition, the study tested the hypothesis that seeking help from professionals poses a greater threat for self-esteem than from non-professionals. A questionnaire survey (N = 462) using clinical vignettes was conducted with university students. The results suggested that optimistic bias had an impact on help-seeking intentions and behaviors directed towards both health care professionals and nonprofessionals. There seemed to be a relatively stronger threat to self-esteem in help-seeking involving nonprofessionals and a weaker threat in help-seeking involving professionals, contrary to previous studies. The results were explained by the threat to self-esteem and equity theories. Understanding the rationale of optimistic bias and symptom recognition in the helpseeking process may provide relevant information to bridge the service gap in the treatment of depression.