Table 3.
Loadings for the 8-Factor Exploratory Solution of Perceived Barriers to Psychological Treatment Items
Factors |
Corrected item-total correlation | ||||||||
---|---|---|---|---|---|---|---|---|---|
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | ||
1. Stigma | |||||||||
24. Concerns about being judged | 0.73 | 0.11 | 0.05 | 0.03 | −0.02 | −0.03 | −0.05 | 0.12 | 0.69 |
27. Concerns about documentation in insurance | 0.61 | −0.09 | 0.00 | 0.02 | 0.09 | 0.19 | 0.08 | −0.11 | 0.70 |
22. Stigma of family/friends knowing | 0.53 | 0.18 | 0.04 | 0.02 | 0.06 | 0.12 | 0.08 | −0.15 | 0.74 |
23. Discomfort talking to someone I don’t know | 0.53 | 0.05 | 0.28 | −0.05 | 0.10 | 0.04 | 0.00 | 0.06 | 0.67 |
25. Counselor would not care about mea | 0.47 | 0.14 | −0.07 | 0.35 | 0.10 | −0.14 | 0.06 | 0.05 | 0.73 |
26. Counseling means I can’t solve problems myselfa | 0.46 | −0.13 | 0.22 | −0.01 | 0.32 | 0.00 | 0.05 | 0.03 | 0.58 |
20. Being seen while emotionala | 0.39 | 0.23 | 0.34 | 0.04 | −0.01 | 0.01 | −0.07 | 0.08 | 0.65 |
2. Lack of motivation | |||||||||
19. Difficulty motivating self | 0.02 | 0.94 | 0.02 | 0.00 | 0.00 | 0.00 | 0.04 | 0.02 | 0.70 |
18. Lack of energy or motivation | 0.04 | 0.48 | 0.24 | 0.05 | 0.09 | 0.08 | 0.15 | −0.06 | 0.70 |
3. Emotional concerns | |||||||||
16. Concerns about upsetting feelings in counseling | 0.02 | 0.00 | 0.90 | 0.01 | 0.01 | 0.03 | 0.04 | 0.04 | 0.72 |
17. Talking about problems makes them worse | 0.05 | 0.12 | 0.72 | 0.10 | 0.06 | 0.04 | 0.01 | 0.00 | 0.74 |
20. Being seen while emotionala | 0.39 | 0.23 | 0.34 | 0.04 | −0.01 | 0.01 | −0.07 | 0.08 | 0.63 |
4. Negative evaluation of therapy | |||||||||
12. Distrust counselors | 0.03 | 0.04 | 0.04 | 0.70 | 0.16 | −0.02 | −0.03 | 0.14 | 0.59 |
11. Bad experiences with counselors | 0.01 | 0.00 | 0.11 | 0.79 | −0.09 | 0.09 | 0.16 | −0.08 | 0.78 |
13. Would not expect counseling to be helpfula | 0.02 | 0.14 | 0.00 | 0.44 | 0.47 | 0.04 | −0.08 | 0.06 | 0.68 |
25. Counselor would not care about mea | 0.47 | 0.14 | −0.07 | 0.35 | 0.10 | −0.14 | 0.06 | 0.05 | 0.65 |
5. Misfit of therapy to needs | |||||||||
13. Would not expect counseling to be helpfula | 0.02 | 0.14 | 0.00 | 0.44 | 0.47 | 0.04 | −0.08 | 0.06 | 0.57 |
14. Attending counseling would feel self-indulgent | 0.06 | 0.08 | 0.17 | 0.10 | 0.56 | −0.02 | 0.01 | 0.14 | 0.59 |
21. My problems are not bad enough | 0.06 | −0.02 | 0.01 | −0.07 | 0.69 | 0.12 | 0.12 | −0.03 | 0.65 |
26. Counseling means I can’t solve problems myselfa | 0.46 | −0.13 | 0.22 | −0.01 | 0.32 | 0.00 | 0.05 | 0.03 | 0.52 |
6. Time constraints | |||||||||
4. Interference from daily responsibilities | 0.00 | 0.00 | 0.09 | −0.01 | 0.07 | 0.80 | −0.03 | 0.05 | 0.55 |
7. Difficulties getting time off work | 0.02 | 0.02 | −0.10 | 0.08 | −0.05 | 0.67 | −0.04 | 0.05 | 0.55 |
7. Participation restrictions | |||||||||
9. Physical symptoms (fatigue, pain, breathing problems) | −0.01 | 0.10 | 0.00 | 0.04 | 0.02 | 0.01 | 0.83 | 0.01 | 0.79 |
8. Difficulty walking or getting around | −0.01 | −0.05 | 0.05 | 0.01 | 0.01 | −0.06 | 0.92 | 0.04 | 0.78 |
10. Illness making it hard to leave home | 0.04 | 0.08 | −0.06 | 0.12 | 0.04 | 0.08 | 0.50 | 0.12 | 0.60 |
1. Problems with transportation | 0.10 | 0.23 | −0.18 | −0.07 | −0.03 | 0.17 | 0.43 | 0.11 | 0.55 |
8. Availability of services | |||||||||
5. Lack of available counseling/psychotx | −0.03 | 0.02 | 0.02 | −0.04 | 0.02 | 0.06 | 0.07 | 0.88 | 0.58 |
6. Don’t know how to find counselor/therapist | 0.16 | −0.09 | 0.02 | 0.31 | −0.07 | 0.09 | 0.07 | 0.44 | 0.58 |
Eigenvalues | 9.82 | 2.39 | 1.51 | 1.31 | 0.98 | 0.91 | 0.87 | 0.74 | |
Chronbach’s alpha (total PBPT α = .92) | 0.89 | 0.82 | 0.83 | 0.84 | 0.77 | 0.71 | 0.84 | 0.73 | |
Items excluded | |||||||||
15. Anxiety about going far from home | |||||||||
3. Cost of psychotherapy | |||||||||
2. Caregiving responsibilities |
PBPT = perceived barriers to psychological treatment.
Indicates items that load onto two scales. These items are counted in the scoring of both scales, but are counted only once in the total PBPT score.