Gender Role Conflict, Psychological Distress and Help Seeking Attitudes among Iranian Men

Authors
Mehdi Chamikarpour 1
Hamid Yaghubi 2
Mohammad Sanati 2
Behrouz Dolatshahee 2
Hojjatollah Farahani 2
1 دانشگاه شاهد
2 University of Tehran
Abstract
The main purpose of the present study was to investigate the relationship between gender role conflict and the severity of symptoms of mental disorders and the attitude towards help-seeking in Iranian men. 302 male students of three universities, namely University of Social Welfare and Rehabilitation Sciences, Tehran University and Shahid-Beheshti University, completed a questionnaire including demographic characteristics, the gender role conflict scale (O’Neil et al. 1986), Brief Symptoms Inventory (Derogatis et al., 1983), and the short form of the Attitudes Toward Seeking Professional Psychological Help Scale (Fischer et al., 1995). The results of simultaneous regression analysis showed that psychological distress had the most positive relationship with the factors of "work-family conflict", "restrictive emotionality" and "success, power, competition", respectively, and the attitude towards help-seeking has the most negative relationship with " restrictive emotionality " and "success, power, competition" factors, respectively. Also, the proposed structural model of the present study about the effects of the masculine gender role conflict on psychological distress from two direct and indirect paths (through the negative effect on help-seeking attitude) had a good fit. Thus, it seems that the masculine gender role conflict increases the severity of psychological distress through a negative effect on the help-seeking attitude.
Keywords
Over-masculinity
Mental Disorders
Counseling &
Psychotherapy
Help-seeking
1. Addis, M.E., Mahalik, J.R. Men, Masculinity, and the Contexts of Help Seeking. Journal of Psychology of Men & Masculinity. 2003; 58(1):5-14.
2. Baima, G. O. Spiritual well-being as a mediator/moderator between male gender role conflict and psychological distress in a veteran sample. ProQuest Information & Learning, Dissertation Abstracts International: Section B: The Sciences and Engineering. 2013; 74(3-B(E)). Electronic Format.
3. Batty, Z. Masculinity and depression: Men's subjective experience of depression, coping and preferences for therapy and gender role conflict. ProQuest Information & Learning, Dissertation Abstracts International Section C: Worldwide. 2018; 75(1-C). Electronic Format.
4. Abdi, B., Shahraray, M., Farahani, M-N. Examining the Relationship between Sex and Gender Roles with Fear of Succuss in Students. Iranian Journal of Psychology. 1384; 9(2):199-214. [Persian].
5. Blashill, A. J., Vander Wal, J. S. Gender role conflict as a mediator between social sensitivity and depression in a sample of gay men. International Journal of Men’s Health. 2010; 9(1):26-39.
6. Blazina, C., Settle, A. G., Eddins, R. Gender Role Conflict and Separation-Individuation Difficulties: Their Impact on College Men's Loneliness. Journal of Men's Studies. 2008; 16(1):69-81.
7. Blazina, C., Watkins, C. E. Masculine gender role conflict: Effects on college men’s psychological well-being, chemical substance usage, and attitudes toward help-seeking. Journal of Counseling Psychology. 1996; 43:461-465.
8. Chamikarpour, M., Pourshahbaz, A., Dolatshahee, B., Moshtagh, N. Gender Role Conflict and Personality in Men: Using Cloninger's Seven-factors Model. Iranian Journal of Personality & Individual Differences. 1395; 5(13):9-31. [Persian].
9. Chamikarpour, M., Pourshahbaz, A., Dolatshahee, B., Moshtagh, N. Gender Role Conflict, Character Development and Personality Layers in Men. Iranian Journal of Contemporary Psychology. 1389; 5:253-255. [Persian].
10. Chamikarpour, M., Pourshahbaz, A., Dolatshahee, B., Moshtagh, N. Psychometric Properties of Persian Form of Gender Role Conflict Scale (GRCS). Iranian Journal of Knowledge & Research in Applied Psychology. 1391; 13(1):49-60. [Persian].
11. Chamikarpour, M., Pourshahbaz, A., Dolatshahee, B., Moshtagh, N. Relationship of Gender Role Conflict with Personality Dimensions in Men, based on Cloninger's Seven-Factors Model of Personality. (M.A Thesis, University of social Welfare and Rehabilitation Sciences, 1389). [Persian].
12. Chao, Q., Yang, X., Luo, C. Boy crisis? Sex differences in self-injurious behaviors and the effects of gender role conflicts among college students in China. American Journal of Men's Health. 2016; 10(6): N1-N10.
13. Cole, B. P., Ingram, P. B. Where do I turn for help? Gender role conflict, self-stigma, and college men’s help-seeking for depression. Psychology of Men & Masculinities. 2020; 21(3):441-452.
14. Coleman, A., O’Neil, J., Ferris, A. M. The Mediation Effect between Everyday Discrimination, Gender Role Conflict, Emotional Eating, and Obesity in African American Fathers and Sons. Psychology of Men & Masculinities. 2019; 20(2):182–193.
15. Davis, J. M., Liang, C. T. H. A Test of the Mediating Role of Gender Role Conflict: Latino Masculinities and Help-Seeking Attitudes. Psychology of Men & Masculinity. 2015; 16(1):23–32.
16. Derogatis, L.R., Lipman, R.S., & Covi, L. SCL-90: An outpatient psychiatric rating scale—Preliminary Report. Psychopharmacol. Bull. 1973; 9:13–28.
17. Derogatis, L. R., & Melisaratos, N. The Brief Symptom Inventory: An introductory report. Psychological Medicine. 1983; 13:595–605.
18. Elhai, J.D., Patrick, S.L., Anderson, S., Simons, J.S., Frueh, B.C. Gender- and trauma-related predictors of use of mental health treatment services among primary care patients. Psychiatric Services. 2006b; 57:1505–1509.
19. Elhai, J. D., Schweinle, W., Anderson, S. M. Reliability and validity of the Attitudes toward Seeking Professional Psychological Help Scale-Short Form. Psychiatry Research. 2008; 159:320–329.
20. Farahani, M-N., Kormi-Nouri, R. Concepts of Health and Disease in Individualistic and Collective Cultures: A Cross-Cultural Study. Iranian Journal of Research in Psychological Health. 1394; 9(4):1-10. [Persian].
21. Fischer, A. R. Parental Relationship Quality and Masculine Gender-Role Strain in Young Men: Mediating Effects of Personality, Journal of Counseling Psychologist. 2007; 35(2):328.
22. Fischer, E. H., & Farina, A. Attitudes toward seeking professional psychological help: A shortened form and considerations for research. Journal of College Student Development. 1995; 36(4):368–373.
23. Fischer, E. H., & Turner, J. L. Orientations to seeking professional help: development and research utility of an attitudes scale. Journal of Consulting & Clinical Psychology. 1970; 35:79–90.
24. Sommers-Flanagan, J., & Sommers-Flanagan, R. Clinical interviewing (3rd Ed.). John Wiley & Sons Inc. 2003; Translated into Persian by Avadisians, H., Gahan, N., Barati-Sade F., & Arab-Ghahestani D. Roshd Pub Co, Tehran, 1396.
25. Galligan, S. B., Barnett, R. V., Brennan, M. A., Israel, G. D. Understanding the Link between Gender Role Conflict, Resilience, and Propensity for Suicide in Adolescent and Emerging Adult Males. International Journal of Men’s Health. 2010; 9(3):201-210.
26. Gilbar, O., Wester, S. R., & Ben-Porat, A. The Effects of Gender Role Conflict Restricted Emotionality on the Association between Exposure to Trauma, Posttraumatic Stress Disorder and Intimate Partner Violence Severity. Psychology of Men & Masculinities. 2020; Advance online publication. http://dx.doi.org/10.1037/men0000266.
27. Good, G. E., Robertson, J. M., O'Neil, J. M., Fitzgerald, L. F., DeBord, K. A., Stevens, M. A., Bartels, K. M., & Braverman, D. G. Male gender role conflict: Psychometric Properties and relations to distress. Journal of Counseling Psychology. 1995; 42:3-10.
28. Goodwin, M. E. Gender role conflict, depression, and personality's effect on help seeking behaviors, attitudes, and academic performance. ProQuest Information & Learning, Dissertation Abstracts International Section A: Humanities and Social Sciences. 2009; 70(1-A):88.
29. Gottert, A., Barrington, C., McNaughton-Reyes, H. L., Maman, S., MacPhail, C., Lippman, S. A., Kahn, K., Twine, R., Pettifor, A. Gender Norms, Gender Role Conflict/Stress and HIV Risk Behaviors among Men in Mpumalanga, South Africa. Journal of AIDS and Behavior. 2018; 22:1858–1869.
30. Graef, S. T., Tokar, D. M., Kaut, K. P. Relations of Masculinity Ideology, Conformity to Masculine Role Norms, and Masculine Gender Role Conflict to Men’s Attitudes Toward and Willingness to Seek Career Counseling. Psychology of Men & Masculinity. 2010; 11(4):319–333.
31. Guvensel, K., Dixon, A., Chang, C., Dew, B. The relationship among gender role conflict, normative male alexithymia, men’s friendship discords with other men, and psychological well-being. Journal of Men's Studies. 20018; 26(1):56-76.
32. Hadjeasgari, C. Risk factors for eating disorders in adolescent males: Attachment, mentalization, and gender role conflict. ProQuest Information & Learning, Dissertation Abstracts International: Section B: The Sciences and Engineering. 2018; 78(10-B(E)), Electronic Format.
33. Hajloo, N., Azizi, R., Moghaddasi, Kh. Contribution of Gender Role Conflict in Prediction of Students General Health. Iranian Journal of Knowledge & Research in Applied Psychology. 1394; 16(2):93-100. [Persian].
34. Hayes, J.A., Mahalik, J.R. Gender Role Conflict and psychological distress in male counseling center clients. Journal of Psychology of Men & Masculinity. 2000; 1(2):116-125.
35. James, S. D. Gender role conflict, attachment style, interpersonal problems, and help seeking in adult men (Doctoral dissertation, University of Alberta). Dissertation Abstracts International. 2005; 44/03.
36. Jana-Masri, A. Gender role conflict and attitudes toward seeking professional help in Egypt. ProQuest Information & Learning, Dissertation Abstracts International. 2011; 72:3-B, 1797.
37. Kim, J. Y. Relationship of gender role conflict and acculturation to willingness to seek psychological help among Asian American and European American men (Doctoral dissertation, University of Southern California, 2008).
38. Land, L. N. The influence of parental bonding, male gender role conflict, and affect regulation on adult attachment avoidance: Predictors of men's discomfort with intimacy. ProQuest Information & Learning, Dissertation Abstracts International Section A: Humanities and Social Sciences. 2009; 69(9-A):3465.
39. Liu, W. M., Iwamoto, D. K. Asian American Men’s Gender Role Conflict: The Role of Asian Values, Self-Esteem, and Psychological Distress. Psychology of Men & Masculinity. 2006; 7(3):153–164.
40. Mahalik, J.R., Cournoyer, R.J., De Franc, W., Cherry, M., Napolitano, J.M. Men’s Gender Role Conflict and use of psychological defenses. Journal of Counseling Psychology. 1998; 45(3):247-255.
41. Malebranche, D. J., Gvetadze, R., Millett, G. A., Sutton, M. Y. The Relationship between Gender Role Conflict and Condom Use Among Black MSM. Journal of AIDS and Behavior. 2012; 16:2051–2061.
42. Mamaghani, J., Javanmard, Gh. Standardization of a Brief Symptom Inventory (BSI) for Diagnostic Aims in Consultant and Therapeutic Situations. Iranian Journal of Modern Psychological Researches. 1386; 14(56):129-144. [Persian].
43. Manning, N. N., Gender role conflict among formerly incarcerated and college Black males: The mediating effects of racial identity on psychological distress. ProQuest Information & Learning, Dissertation Abstracts International: Section B: The Sciences and Engineering. 2012; 72(11-B):7056.
44. Monk, D., Ricciardelli, L. A. Three Dimensions of the Male Gender Role as Correlates of Alcohol and Cannabis Involvement in Young Australian Men. Psychology of Men & Masculinity. 2003; 4(1):57–69.
45. Mortazavi, Sh. The Relationship between National Culture Values, Gender Roles and Work-Family Conflicts in a Sample of Administrative Employees of Shahid-Beheshti University. Iranian Journal of Applied Psychology. 1385; 1(1):4-20. [Persian].
46. Murray, T., Lewis, W. Gender-Role Conflict and Men’s Body Satisfaction: The Moderating Role of Age. Psychology of Men & Masculinity. 2014; 15(1):40–48.
47. Murtagh, A. Male gender role conflict and its effects on the therapeutic relationship. Bachelors Final Year Project, Dublin Business School. 2012.
48. O'Beaglaoich, C., McCutcheon, J., Conway, P. F., Hanafin, J., Morrison, T. G. Adolescent suicide ideation, depression and self-Esteem: Relationships to a new measure of gender role conflict. Frontiers in Psychology. 2020; 11, Electronic Format.
49. O’Neil, J. M. Patterns of Gender Role Conflict and Strain: Sexism and Fear of Femininity in Men’s lives. Journal of The Personnel and Guidance. 1981b; 203-210.
50. O’Neil, J.M., Helms, B.J., Gable, R.K., David, L., Wrightsman, L.S. Gender Role Conflict Scale: College Men’s Fear of Feminity. Journal of Sex Roles. 1986; 14(5/6).
51. Rajabi, Gh., Panahi. H., KhojastehMehr, R. Study of Model Relationship Male Gender Role Conflict on Depression, Self-Esteem and Marital Satisfaction Women with Mediating Criticizing Husbands. Iranian Journal of Psychological Methods and Models. 1395; 7(25):11-24. [Persian].
52. Rebecca, M., Hefner, R., & Oleshansky, B. A model of sex-role transcendence. Journal of Social Issues. 1976; 32(3):197–206.
53. Rivera-Perez, Y. G. Men’s Gender Role Conflict as a Moderator of the Relationship between Substance Use Severity and Emotion Regulation Difficulties (Doctoral dissertation, Fielding Graduate University, 2018), ProQuest Number: 10745728.
54. Rochlen, A. B., & Hill, C. E. Gender Role Conflict and the Process and Outcome of Dream Work with Men. Journal of Dreaming. 2005; 15(4):227–239.
55. Schwartz, J.P., Buboltz, W.C., Seemann, E., Flye, A. Personality Style: Predictors of Masculine Gender Role Conflict in male prison inmates. Journal of Psychology of Men & Masculinity. 2004; 5(1):59-64.
56. Schwartz, J.P., Waldo, M., Daniel, D. Gender-Role Conflict and Self-Esteem: Factors Associated With Partner Abuse in Court-Referred Men. Journal of Psychology of Men & Masculinity. 2005; 6(2):109-113.
57. Serna, G. S. The confounding role of personality in the relation to gender role conflict and substance abuse and sexual aggression against women (Doctoral dissertation, The University of Akron, 2004).
58. Settle, A. G. Gender role conflict as a predictor of date rape variables in African American men. ProQuest Information & Learning, Dissertation Abstracts International: Section B: The Sciences and Engineering. 2010; 70(8-B), 5185.
59. Sharifi, M., Abolfathi Momtaz, Y., Alizadeh, T., Zanjari, N., Mohammadi Safa, N. Psychometric Properties of the Attitudes toward Receiving Professional Psychological Servises Scale in a Sample of Iranian Older Adults. Iranian Shenakht Journal of Psychology and Psychiatry. 1398; 6(5):83-95. [Persian].
60. Shepherd, C. B., Rickard, K. M. Drive for Muscularity and Help-Seeking: The Mediational Role of Gender Role Conflict, Self-Stigma, and Attitudes. Psychology of Men & Masculinity. 2012; 13(4):379–392.
61. Shuman, W, A. How social norms moderate the association between gender role conflict and grief cognitions. ProQuest Information & Learning, Dissertation Abstracts International: Section B: The Sciences and Engineering. 2021; 82(3-B), Electronic Format.
62. Spendelow, J. S., Joubert, H. E. Does experiential avoidance mediate the relationship between gender role conflict and psychological distress? American Journal of Men's Health. 2018; 12(4):688-695.
63. Spence, J. T., Helmreich, R. L. Masculinity and femininity: Their psychological dimensions, correlates, and antecedents. Austin, TX: University of Texas Press. 1978.
64. Steinfeldt, J. A., Steinfeldt, M. C. Gender role conflict, athletic identity, and help-seeking among high school football players. Journal of Applied Sport Psychology. 2010; 22(3):262-273.
65. Tokar, D.M., Fischer, A.R., Schaub, M., Moradi, B. Masculine Gender Roles and Counseling-Related Variables: Links with and Mediation by Personality, Journal of Counseling psychology. 2000; 47(3):380-393.
66. Topp, C. W., Ostergaard, S. D., Sondergaard, S., & Bech, P. The WHO-5 Well-Being Index: A systematic review of the literature. Psychotherapy and Psychosomatics. 2015; 84(3):167–176.
67. Tsan, J. Y. Gender role conflict and message framing: Effects on psychological help seeking behavior. ProQuest Information & Learning, Dissertation Abstracts International: Section B: The Sciences and Engineering. 2010; 70(8-B):5190.
68. Wahto, R., Swift, J. K. Labels, gender-role conflict, stigma, and attitudes toward seeking psychological help in men. American Journal of Men's Health. 2016; 10(3):181-191.
69. Wester, S. R., Arndt, D., Sedivy, S. K., Arndt, L. Male Police Officers and Stigma Associated With Counseling: The Role of Anticipated Risks, Anticipated Benefits and Gender Role Conflict. Psychology of Men & Masculinity. 2010; 11(4):286–302.
70. Zamarripa, M.X., Wampold, B.E., Gregory, E. Male Gender Role Conflict, Depression and Anxiety: Clarification and Generalizability to Woman. Journal of Counseling psychology. 2003; 50(3):333-338.