Expressed Emotion as Moderator Between Openness to Experience and Help-Seeking Attitude Towards Telepsychology of Filipino Generation Zoomers

Erice Sampaga Barcelon, Princess Kayla Escalante Abril, Ma. Patricia Romero Alcaraz, Maryrose Elaine Mendoza Tripoli, Arianne Espiritu Autriz

Abstract


This study aimed to explore whether expressed emotion moderates Generation Z's openness to experience and help-seeking attitude toward telepsychology and the extent to which the expressed emotion modifies that relationship. A total of 395 people belonging to the said generation participated in an online survey accomplished through Google Forms. The study used a correlational research method that focused on moderation to examine the relationship between Generation Z's openness to experience and their attitude toward telepsychology. Hence, this study sought to increase Generation Z's knowledge of mental health, including Philippine mental health conditions, as they develop a sense of responsibility, reduce ambiguity through telepsychology platforms, and improve their communication skills, which are crucial for ideal emotional socialization. Results have shown that expressed emotion does not seem to have a noticeable effect on Generation Z's attitudes toward seeking help through telepsychology. Nevertheless, there was a favorable correlation between being open to new experiences and having a willingness to seek help through telepsychology. The study adds to the growing body of knowledge on the mental health dynamics of Filipino Generation Z, and it offers beneficial information for the generation, professionals in mental healthcare, educators, and policymakers looking for enhanced support systems and interventions that meet the specific psychological needs of Filipino Generation Zoomers.

Keywords: expressed emotion; generation z; help-seeking attitude; openness to experience; telepsychology

Keywords


expressed emotion; generation z; help-seeking attitude; openness to experience; telepsychology

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References


Alarcon, G. M., Capiola, A., & Pfahler, M. D. (2021). The role of human personality on trust in human-robot interaction. In Elsevier eBooks (pp. 159–178). https://doi.org/10.1016/b978-0-12-819472-0.00007-1

Al Omari, O., Khalaf, A., Al Sabei, S., Al Hashmi, I., Al Qadire, M., Joseph, M., & Damra, J. (2022). Facilitators and barriers of mental health help-seeking behaviours among adolescents in Oman: a cross-sectional study. Nordic Journal of Psychiatry, 1–11. https://doi.org/10.1080/08039488.2022.2038666

American Psychological Association (2015). APA Dictionary of Psychology (2nd ed., p. 417). American Psychological Association 750 First Street, NE Washington, DC 20002

American Student Assistance. (2021). ASA whitepaper: How gen z approaches decision-making. https://www.asa.org/research/how-gen-z-approaches-decision-making-asas-new-whitepaper-dives-into-young-peoples-thought- processes/

Antonio, C & Rivera, A. (2017). Mental health stigma among Filipinos: time for a paradigm shift.

Bacıoğlu, S and Kocabıyık,O . (2019). Counseling trainees’ views towards usage online counseling in psychological services.

Bethune, S. (2019). Gen Z more likely to report mental health concerns.

Big Five Personality Tests. (2022). Truity. https://www.truity.com/view/tests/big-five- personality

Blaisdell, P. (2021). Why Telehealth for Colleges and Universities is the Right Choice. Brown GW. Experiences of discharged chronic schizophrenic mental hospital patients in various types of living groups.

Cekici, F. (2019). The relationships between the big five personality traits and attitudes towards seeking professional psychological help in mental health counselor candidates: Mediating effect of cognitive flexibility.

Chapin, A & McClure,K.(2020). An examination into the factors of stigma toward help seeking attitudes in college student Athletes.

Chiappelli et.al. (2021). Stressful life events and openness to experience: Relevance to depression. https://www.sciencedirect.com/science/article/pii/S016503 2721009174

Chiauzzi E, Clayton A, Huh-Yoo J. (2020). Video conferencing-based telemental health: important questions for the covid-19 era from clinical and patient- centered perspectives jmir ment health. 7(12)

Coe,E., Doy, A., Enomoto, K.,Healy, C., (2023). Gen Z mental health: The impact of tech and social media.

Cooper, N. (2022). Convenience sampling - tips and advantages in quantitative research. The Academic Papers UK.

Cuncic, A. (2021). Why gen Z is more open to talking about their mental health. https://www.verywellmind.com/why-gen-z-is-more-open-to-talking-about-their- mental-health-5104730

Di Carlo F., Sociali A., Picutti E., Pettorruso M., Vellante F., Verrastro V., Martinotti G., di Giannantonio M. (2021). Telepsychiatry and other cutting‐edge technologies in COVID‐19 pandemic: bridging the distance in mental health assistance. Int. J. Clin. Pract. ;75(1)

Doll, C. M., Michel, C., Rosen, M., Osman, N., Schimmelmann, B. G., & Schultze- Lutter, F. (2021). Predictors of help-seeking behaviour in people with mental health problems: a 3-year prospective community study. BMC Psychiatry, 21(1).https://doi.org/10.1186/s12888-021-03435-4

Eguia, K & Capio, C. (2022, January 12). Teletherapy for children with developmental disorders during the COVID-19 pandemic in the Philippines: A mixed-methods evaluation from the perspectives of parents and therapists.

Fisk M., Livingstone A., Pit S.W. (2020). Telehealth in the context of COVID-19: changing perspectives in Australia, the United Kingdom, and the United States. J. Med. Internet Res; 22(6)

Gali,C. (2022). History of telemedicine. https://blog.curogram.com/history-of- telemedicine

Hayes, A. F. (2018). Introduction to mediation, moderation, and conditional process analysis. a regression-based approach (2nd ed.). New York, NY The Guilford Press. - References - Scientific Research Publishing. (n.d.). https://www. scirp.org/reference/ReferencesPapers.aspx?ReferenceID=24175 17

Hinojosa-Marqués, L., Domínguez-Martínez, T., Kwapil, T. R., & Barrantes-Vidal, N. (2019). Ecological validity of expressed emotion in early psychosis. Frontiers in Psychiatry, 10.https://doi.org/10.3389/fpsyt.2019.00854 59

Howren, M. B., Castagna, N., & Katz, P. R. (2021). Openness to use of telehealth during and after the COVID-19 pandemic in a sample of rural older adults in a federally qualified health center. Journal of the American Medical Directors Association, 22(9), 1856–1857.https://doi.org/10.1016/j.jamda.2021.06.028

Icenogle, G., Steinberg, L., Duell, N., Chein, J., Chang, L., Chaudhary, N., Di Giunta, L., Dodge, K. A., Fanti, K. A., Lansford, J. E., Oburu, P., Pastorelli, C., Skinner, S. M., Takash, H. M. S., & Bacchini, D. (2019). Adolescents’ cognitive capacity reaches adult levels prior to their psychosocial maturity: evidence for a “maturity gap” in a multinational, cross-sectional sample. Law And Human Behavior, 43(1), 69–85.https://doi.org/10.1037/lhb0000315

Kumar, A., Srivastava, M., Ranjan, L. K., & Bhattacharjee, D. (2021). Perceived social support and self-stigma among schizophrenia and BPAD patients with psychiatric hospitalization. International Journal of Indian Psychology, 9(1).https://doi.org/10.25215/0901.155

Lim, A. G. (2023). Big five personality traits: the 5-factor model of personality. Simply Psychology. lity.html https://www.simplypsychology.org/big-five- persona

Martinez, A.B., Co, M., Lau, J. et al. Filipino help-seeking for mental health problems and associated barriers and facilitators: a systematic review. Soc Psychiatry Psychiatr Epidemiol 55, 1397–1413 (2020).https://doi.org/10.1007/s00127- 020-01937-2

Mazza, C., Formica, F., Ferracuti, S., Ricci, E., Colasanti, M., Biondi, S., … Roma, P. (2022). High expressed emotion (HEE), assessed using the five-minute speech sample (fmss), as a predictor of psychiatric relapse in patients with schizophrenia and major depressive disorder: a meta-analysis and meta- regression. Journal of Clinical Medicine, 11(21), 6533. https://doi.org/10.3390/ jcm11216533

McCord, C., Bernhard, P., Walsh, M., Rosner, C., & Console, K. (2020). A consolidated model for telepsychology practice. Journal of Clinical Psychology, 76(6).https://doi.org/10.1002/jclp.22954

McLeod, S. (2021). Social influence. Simply Psychology.

Ng et.al. (2020). High level of expressed emotions in the family of people with schizophrenia: has a covert abrasive behaviors component been overlooked? https://www.sciencedirect.com/science/article/pii/S2405844020322842

O’Brien M., McNicholas F. The use of telepsychiatry during COVID-19 and beyond. Ir. J. Psychol. Med. 2020;37(4):250–255. Orji, L. (2021, June). Help-seeking attitude for mental health among young adults: psycho-educational intervention [review of help-seeking attitude for mental health among young adults: psycho-educational intervention]. Christopher University Mowe, Ogun State, Nigeria.

Park, S., Jeon, M., Lee, Y., Ko, Y.-M., & Kim, C. E. (2018). Influencing factors of attitudes toward seeking professional help for mental illness among Korean adults. International Journal of Social Psychiatry, 64(3), 286–292.https://doi.org/10.1177/0020764018760952

Pierce, B. S., Perrin, P. B., & McDonald, S. A. (2020). Path analytic modeling of psychologists’ openness to performing clinical work with telepsychology: a national study. Journal of ClinicalPsychology.https://doi.org/10.1002/jclp.22851

Quiring, J.S. (2020, January). Telepsychiatry exposure, interest, and intention touse among young psychiatrists in the Philippines. https://phjpsy chiatry.org/ articles-and-issues/pjp-2020/telepsychiatry- exposure-interest-and- intention to-use-among-young-psychiatrists-in-the- philippines/

Rala, CJ et al. (2021). Factors bridging the satisfaction of generational gap in Philippine healthcare system telemedicine use. http://ieomsociety.org/proceedings/2021monterrey/433.pdf

Ramalho R., Adiukwu F., Gashi Bytyçi D., El Hayek S., Gonzalez-Diaz J.M., Larnaout A., Grandinetti P., Kundadak G.K., Nofal M., Pereira-Sanchez V., Pinto da Costa M., Ransing R., Schuh Teixeira A.L., Shalbafan M., Soler-Vidal J., Syarif Z., Orsolini L. Telepsychiatry and healthcare access inequities during the COVID-19 pandemic. Asian J. Psychiatry. 2020;53

Rath, N., & Mohapatra, S. (2021). Expressed emotion in psychiatric disorders. Eastern Journal of Psychiatry, 16 (1-2), 17–22.https://doi.org/10.5005/ejp-16- 1--2 17

Regions of the Philippines – PhilAtlas. (n.d.). Www.philatlas.com. https://www.philatlas.com/regions.html

Sadath, A., Kumar, R. L., & Karlsson, M. (2019). Expressed emotion research in india: a narrative review. Indian Journal of Psychological Medicine, 41(1), 18–26.https://doi.org/10.4103/ijpsym.ijpsym_235_18

Samari, E., Teh, W. C., Roystonn, K., Devi, F., Cetty, L., Shahwan, S., & Subramaniam, M. (2022). Perceived mental illness stigma among family and friends of young people with depression and its role in help-seeking: a qualitative inquiry. BMC Psychiatry, 22(1).https://doi.org/10.1186/s12888-022- 03754-0

Samuel,R & Kamenetsky, S. (2022). Help-seeking preferences and factors associated with attitudes toward seeking mental health services among first year undergraduates.https://files.eric.ed.gov/fulltext/EJ1350851.pdf

Schatzberg, A. (2022). Gen Z’s Demands for mental health care. Valant.https://www.valant.io/resources/blog/gen-zs-demands-for-mental- health-care- understanding-the-new-generation/ 61

Stanford University. (2022). Why asking for help is hard, but people want to help more than we realize | Stanford News. Stanford News. https://news.stanford. edu/2022/09/08/asking-help-hard-people-want-help- realize

Stratton, S. J. (2021). Population research: convenience sampling strategies. Prehospital and Disaster Medicine, 36(4), 373–374. Cambridge. https://doi.org/10.1017/S1049023X21000649

Subingsubing, K (2023). Cost, stigma keeping Filipinos off mental health services. https://newsinfo.inquirer.net/1758682/cost-stigma-keeping-filipinos- off- mental-health-services Sugarman DE, Horvitz LE, Greenfield SF, Busch AB. Clinicians' Perceptions of Rapid Scale-up of Telehealth Services in Outpatient Mental Health Treatment. Telemed J E Health. 2021 Dec;27(12):1399-1408.

Sutton, J., PhD. (2023). What is openness to experience & how do we measure it? PositivePsychology.com. https://positivepsychology.com/openness-to- experience/Tanaka, C., Tuliao, M. T. R., Tanaka, C., Tuliao, M.T.R.,

Tanaka, E. et al. A qualitative study on the stigma experienced by people with mental health problems and epilepsy in the Philippines. BMC Psychiatry 18, 325 (2018). https://doi.org/10.1186/s12888- 018-1902-9

Tanaka, E., Yamashita, T., & Matsuo, H. (2018). A qualitative study on the stigma experienced by people with mental health problems and epilepsy in the Philippines. BMC Psychiatry, 18(1). https://doi.org/10.1186/s12888-018-1902

Tesfaye, Y., Agenagnew, L., Tucho, G. T., Anand, S. A., Birhanu, Z., Ahmed, G., Getenet, M., & Yitbarek, K. (2020). Attitude and help-seeking behavior of the community towards mental health problems.

There May Be a Generation Gap in Telehealth’s Future | AHA. (2021). Www.aha.org. https://www.aha.org/aha-center-health-innovation-market-scan/2021-06-29-there-may-be-generation-gap-telehealths-future

Torres, L et.al (2020). Assessing the psychometric properties of the attitudes toward seeking professional psychological help scale-short from (atspph- sf) among latino adults. https://journals.sagepub.com/doi/10.1177/1073191119899470?fbclid=IwAR0H4PYiElAHtd8I8lp1HcmK-

Varker, T., Brand, R.M., Ward, J., Terhaag, S., & Phelps, A. (2018). Efficacy of synchronous telepsychology interventions for people with anxiety, depression, posttraumatic stress disorder, and adjustment disorder: A rapid evidence assessment. Psychological Services. Advance online publication.http://dx.doi.org/10.1037/ser000023 62

Vejano, J.M.G., Ibarondo, H.I.S., Diaz, P.K.M., & Barcos, A.J.S., (2021). Attitude and help-seeking behavior of gen z towards mental health: an assessment. Universitas, 9(2), 1–1. https://www.ejournals.ph/article.php?id=17650

Wang,J., Guangzhe.F., Xinyi,S. ,Aoyi, T., Wei, S., (2022). Factors influencing attitude towards cyber-counseling among China’s Generation Z: a structural equation model. https://www.sciencedirect.com/science/article/pii/0883941722000838

Orcena, A et.al (2021). How to handle family members who deny mental illness. evolve treatment centers. https://evolvetreatment.com/blog/family-denies-mental- illness/

Worthington, A. K. (2021). Theory of planned behavior. Ua.pressbooks.pub. https://ua.pressbooks.pub/persuasiontheoryinaction/chapter/theory-of- planned-behavior/

Yimam, et.al (2022). Expressed emotion of caregivers among schizophrenia patients visiting Jimma University Medical Center Psychiatry Outpatient Unit, Southwest Ethiopia. https://pubmed.ncbi.nlm.nih.gov/35850769/

Yu, J., & Bekerian, D. A. (2023). Telemental health and diverse populations amid Covid-19. Encyclopedia, 3(1), 267–278. https://doi.org/10.3390/encyclo pedia3010017




DOI: https://doi.org/10.18860/psikoislamika.v21i1.26753

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