Influence of temperament and personality on help-seeking and mental health service use

Article


Spence, R. 2026. Influence of temperament and personality on help-seeking and mental health service use. American Journal of Qualitative Research. 10 (1), pp. 182-197. https://doi.org/10.29333/ajqr/17384
TypeArticle
TitleInfluence of temperament and personality on help-seeking and mental health service use
AuthorsSpence, R.
Abstract

Understanding what factors facilitate help-seeking and mental health service use is crucial given the economic and personal costs involved. Temperament and personality traits have been shown to influence the likelihood of accessing mental health services but the mechanisms driving this association remain unclear. In the current study, 29 young adults were interviewed regarding their help-seeking behavior and attitudes. Participants were chosen based on temperament and personality (disposition) profile, developed from a latent class analysis (LCA) that demonstrated four groups. Resilient: individuals with high positive affect, agreeableness and conscientiousness, Reserved: high agreeableness and conscientious, moderate inhibition and low negative affect Overcontrolled: high negative affect and inhibition, and low positive affect and Undercontrolled: high negative affect, low agreeableness and conscientiousness and moderate extraversion. Results suggest the disposition styles may influence help-seeking preferences and be associated with how young adults engage with mental health services. Therefore, disposition may be useful for services to take into account when considering how young people seek help for problems and connect with services.

Sustainable Development Goals3 Good health and well-being
Middlesex University ThemeHealth & Wellbeing
Research GroupCentre for Abuse, Trauma and Suicide Studies (CATS)
PublisherCenter for Ethnic and Cultural Studies
JournalAmerican Journal of Qualitative Research
ISSN
Electronic2576-2141
Publication dates
Print07 Nov 2025
Online2026
Publication process dates
Accepted29 Aug 2025
Deposited08 Sep 2025
Output statusAccepted
Publisher's version
License
File Access Level
Open
Copyright Statement

Copyright © 2026 by Author/s and Licensed by CECS Publications, United States. This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Digital Object Identifier (DOI)https://doi.org/10.29333/ajqr/17384
Permalink -

https://repository.mdx.ac.uk/item/2q5333

  • 513
    total views
  • 1
    total downloads
  • 7
    views this month
  • 0
    downloads this month

Export as

Related outputs

Environmental risk factors for railway suicide: a nationwide analysis of England's mainline network (2019-2021)
Marzano, L., Brown, S., Spence, R., Joyner, L., Norman, H., Fields, B., Barbin, A., Kruger, I. and Hart, S.M. 2025. Environmental risk factors for railway suicide: a nationwide analysis of England's mainline network (2019-2021). Archives of Suicide Research. https://doi.org/10.1080/13811118.2025.2595428
A comparison of ‘only-once’ and repeat male and female sex offence suspects
Spence, R., Crivatu, I., Davies, K. and Horvath, M. 2025. A comparison of ‘only-once’ and repeat male and female sex offence suspects. Journal of Sexual Aggression. https://doi.org/10.1080/13552600.2025.2559946
RUDI: an evidence-based police-centric guide for approaching the development of algorithmic models in policing
Sayer, H, Polajnar, T. and Spence, R. 2025. RUDI: an evidence-based police-centric guide for approaching the development of algorithmic models in policing. The Police Journal: Theory, Practice and Principles. https://doi.org/10.1177/0032258X251372357
Types of domestic violence and abuse-flagged offenses and their associations: a quantitative exploration using English police data
Crivatu, I., Barbin, A., Horvath, M., Davies, K. and Spence, R. 2025. Types of domestic violence and abuse-flagged offenses and their associations: a quantitative exploration using English police data. Criminal Justice and Behavior. https://doi.org/10.1177/00938548251343816
Content moderator mental health and associations with coping styles: replication and extension of previous studies
Spence, R. and DeMarco, J. 2025. Content moderator mental health and associations with coping styles: replication and extension of previous studies. Behavioral Sciences. 15 (4), p. 487. https://doi.org/10.3390/bs15040487
Content moderator mental health and associations with coping styles: replication and extension of previous studies
Spence, R. and DeMarco, J. 2025. Content moderator mental health and associations with coping styles: replication and extension of previous studies. https://doi.org/10.20944/preprints202502.0160.v1
Exploring the use of Virtual Reality to enhance rapid decompression from occupational stress during short wellness breaks for content moderators
Spence, R., Campbell, N., Woofenden, T. and DeMarco, J. 2025. Exploring the use of Virtual Reality to enhance rapid decompression from occupational stress during short wellness breaks for content moderators. https://doi.org/10.21203/rs.3.rs-5684444/v1
'Understanding domestic violence and abuse: victim, suspect and crime predictors of police outcomes'
Barbin, A., Crivatu, I., Davies, K., Horvath, M.A.H. and Spence, R. 2025. 'Understanding domestic violence and abuse: victim, suspect and crime predictors of police outcomes'. Journal of Family Violence. https://doi.org/10.1007/s10896-024-00802-z
Issues with using police data to investigate offending: a research perspective
Spence, R. and Crivatu, I 2025. Issues with using police data to investigate offending: a research perspective. The Police Journal: Theory, Practice and Principles. 98 (3), pp. 618-633. https://doi.org/10.1177/0032258x251313944
How does news coverage of suicide affect suicidal behaviour at a high-frequency location? A 7-year time series analysis
Marzano, L., Spence, R., Marsh, I., Barbin, A. and Kruger, I. 2024. How does news coverage of suicide affect suicidal behaviour at a high-frequency location? A 7-year time series analysis. BMJ Public Health. 3 (1). https://doi.org/10.1136/bmjph-2024-002136
Content moderator coping strategies: associations with psychological distress, secondary trauma and wellbeing
Spence, R., Martellozzo, E. and DeMarco, J. 2024. Content moderator coping strategies: associations with psychological distress, secondary trauma and wellbeing. Journal of Media Psychology: Theories, Methods, and Applications. https://doi.org/10.1027/1864-1105/a000454
Content moderator mental health, secondary trauma, and well-being: a cross-sectional study
Spence, R., Bifulco, A., Bradbury, P., Martellozzo, E. and DeMarco, J. 2024. Content moderator mental health, secondary trauma, and well-being: a cross-sectional study. Cyberpsychology, Behavior, and Social Networking. 27 (2), pp. 149-155. https://doi.org/10.1089/cyber.2023.0298
Supporting digital key workers: addressing the challenges faced by content moderators during and after the COVID-19 pandemic
Martellozzo, E., Bleakley, P., Bradbury, P., Spence, R. and DeMarco, J. 2024. Supporting digital key workers: addressing the challenges faced by content moderators during and after the COVID-19 pandemic. International Journal of Technology, Policy and Management. 24 (2), pp. 212-228. https://doi.org/10.1504/IJTPM.2024.137818
The psychological impacts of content moderation on content moderators: a qualitative study
Spence, R., Bifulco, A., Bradbury, P., Martellozzo, E. and DeMarco, J. 2023. The psychological impacts of content moderation on content moderators: a qualitative study. Cyberpsychology: Journal of Psychosocial Research on Cyberspace. 17 (4). https://doi.org/10.5817/cp2023-4-8
Moderating online child sexual abuse material (CSAM): does self-regulation work, or is greater state regulation needed?
Bleakley, P., Martellozzo, E., Spence, R. and DeMarco, J. 2023. Moderating online child sexual abuse material (CSAM): does self-regulation work, or is greater state regulation needed? European Journal of Criminology. 21 (2), pp. 231-250. https://doi.org/10.1177/14773708231181361
Content moderators’ strategies for coping with the stress of moderating content online
Spence, R., Harrison, A., Bradbury, P., Bleakley, P., Martellozzo, E. and DeMarco, J. 2023. Content moderators’ strategies for coping with the stress of moderating content online. Journal of Online Trust and Safety. 1 (5), pp. 1-18. https://doi.org/10.54501/jots.v1i5.91
Impacts of the COVID-19 pandemic on reporting of rape, serious sexual offences, and domestic abuse in one English police force
Spence, R., Horvath, M., Dalton, C. and Davies, K. 2022. Impacts of the COVID-19 pandemic on reporting of rape, serious sexual offences, and domestic abuse in one English police force. Journal of Gender-Based Violence. 6 (2), pp. 242-260. https://doi.org/10.1332/239868021X16425806897258
Understanding sexual violence and factors related to police outcomes
Davies, K., Spence, R., Cummings, E., Cross, M. and Horvath, M. 2022. Understanding sexual violence and factors related to police outcomes. Frontiers in Psychology. 13, pp. 1-13. https://doi.org/10.3389/fpsyg.2022.977318
Criminal court sentencing: the case for specialist ‘young adult’ courts
Ward, J. and Spence, R. 2022. Criminal court sentencing: the case for specialist ‘young adult’ courts. The British Journal of Criminology: An International Review of Crime and Society. 63 (4), pp. 1041-1057. https://doi.org/10.1093/bjc/azac076
The moderation effect of secure attachment on the relationship between positive events and wellbeing
Spence, R., Kagan, L., Nunn, S., Bailey-Rodriguez, D., Fisher, H., Hosang, G. and Bifulco, A. 2022. The moderation effect of secure attachment on the relationship between positive events and wellbeing. PsyCh Journal. 11 (4), pp. 541-549. https://doi.org/10.1002/pchj.546
Life events, depression and supportive relationships affect academic achievement in university students
Spence, R., Kagan, L., Nunn, S., Bailey-Rodriguez, D., Fisher, H., Hosang, G. and Bifulco, A. 2022. Life events, depression and supportive relationships affect academic achievement in university students. Journal of American College Health. 70 (7), pp. 1931-1935. https://doi.org/10.1080/07448481.2020.1841776
Understanding trauma in children and young people in the school setting
Spence, R., Kagan, L., Kljakovic, M. and Bifulco, A. 2021. Understanding trauma in children and young people in the school setting. Educational and Child Psychology. 38 (1), pp. 87-98.
The child attachment style interview (Child-ASI) and depression: preliminary findings
Bifulco, A., Jacobs, C., Oskis, A., Bunn, A. and Spence, R. 2021. The child attachment style interview (Child-ASI) and depression: preliminary findings. Educational and Child Psychology. 38 (1), pp. 62-74.
Life events and emotional disorder revisited: research and clinical applications
Bifulco, A., Spence, R. and Kagan, L. 2020. Life events and emotional disorder revisited: research and clinical applications. London, UK Routledge.
Partner violence in women - associations with childhood maltreatment, attachment style and major depression
Bifulco, A., Damiani, R., Jacobs, C., Bunn, A. and Spence, R. 2019. Partner violence in women - associations with childhood maltreatment, attachment style and major depression. Maltrattamento E Abuso All’infanzia: Rivista Interdisciplinare. 21 (2), pp. 13-28. https://doi.org/10.3280/MAL2019-002002
Lifetime trauma, adversity and emotional disorder in older age women
Bifulco, A., Jacobs, C., Oskis, A., Cavana, F. and Spence, R. 2019. Lifetime trauma, adversity and emotional disorder in older age women. Maltrattamento E Abuso All’infanzia: Rivista Interdisciplinare. 21 (2), pp. 29-43. https://doi.org/10.3280/mal2019-002003
A contextual approach to trauma experience: lessons from life events research
Spence, R., Kagan, L. and Bifulco, A. 2019. A contextual approach to trauma experience: lessons from life events research. Psychological Medicine. 49 (9), pp. 1409-1413. https://doi.org/10.1017/s0033291719000850
The long-term effects of childhood financial hardship mediated by physical abuse, shame, and stigma on depression in women
Spence, R., Nunn, S. and Bifulco, A. 2019. The long-term effects of childhood financial hardship mediated by physical abuse, shame, and stigma on depression in women. Maltrattamento E Abuso All’infanzia: Rivista Interdisciplinare. 21 (1), pp. 55-72. https://doi.org/10.3280/MAL2019-001005
Characteristics of severe life events, attachment style, and depression – Using a new online approach
Bifulco, A., Kagan, L., Spence, R., Nunn, S., Bailey-Rodriguez, D., Hosang, G., Taylor, M. and Fisher, H. 2019. Characteristics of severe life events, attachment style, and depression – Using a new online approach. British Journal of Clinical Psychology. 58 (4), pp. 427-439. https://doi.org/10.1111/bjc.12221
Web-based measure of life events using Computerized Life Events and Assessment Record (CLEAR): preliminary cross-sectional study of reliability, validity, and association with depression
Bifulco, A., Spence, R., Nunn, S., Kagan, L., Bailey-Rodriguez, D., Hosang, G., Taylor, M. and Fisher, H. 2019. Web-based measure of life events using Computerized Life Events and Assessment Record (CLEAR): preliminary cross-sectional study of reliability, validity, and association with depression. JMIR Mental Health. 6 (1). https://doi.org/10.2196/10675
Factors associated with variation in hospital use at the end of life in England
Bardsley, M., Georghiou, T., Spence, R. and Billings, J. 2019. Factors associated with variation in hospital use at the end of life in England. BMJ Supportive & Palliative Care. 9 (2), pp. 167-174. https://doi.org/10.1136/bmjspcare-2015-000936
Attachment style, loneliness and depression in older age women
Spence, R., Jacobs, C. and Bifulco, A. 2020. Attachment style, loneliness and depression in older age women. Aging and Mental Health. 24 (5), pp. 837-839. https://doi.org/10.1080/13607863.2018.1553141
Adolescent attachment style in residential care: the attachment style interview and vulnerable attachment style questionnaire
Bifulco, A., Jacobs, C., Ilan-Clarke, Y., Spence, R. and Oskis, A. 2017. Adolescent attachment style in residential care: the attachment style interview and vulnerable attachment style questionnaire. The British Journal of Social Work. 47 (7), pp. 1870-1883. https://doi.org/10.1093/bjsw/bcw117
Help-seeking in emerging adults with and without a history of mental health referral: a qualitative study
Spence, R., Owens-Solari, M. and Goodyer, I. 2016. Help-seeking in emerging adults with and without a history of mental health referral: a qualitative study. BMC Research Notes. 9 (1). https://doi.org/10.1186/s13104-016-2227-8
Measuring life events and their association with clinical disorder: a protocol for development of an online approach
Spence, R., Bunn, A., Nunn, S., Hosang, G., Kagan, L., Fisher, H., Taylor, M. and Bifulco, A. 2015. Measuring life events and their association with clinical disorder: a protocol for development of an online approach. JMIR Research Protocols. 4 (3), p. e83. https://doi.org/10.2196/resprot.4085
Focus on: antidepressant prescribing trends in the prescribing of antidepressants in primary care
Spence, R., Roberts, A., Ariti, C. and Bardsley, M. 2014. Focus on: antidepressant prescribing trends in the prescribing of antidepressants in primary care. Nuffield Trust.
The longitudinal psychometric properties of the EAS temperament survey in adolescence
Spence, R., Owens, M. and Goodyer, I. 2013. The longitudinal psychometric properties of the EAS temperament survey in adolescence. Journal of Personality Assessment. 95 (6), pp. 633-639. https://doi.org/10.1080/00223891.2013.819513
Item response theory and validity of the NEO-FFI in adolescents
Spence, R., Owens, M. and Goodyer, I. 2012. Item response theory and validity of the NEO-FFI in adolescents. Personality and Individual Differences. 53 (6), pp. 801-807. https://doi.org/10.1016/j.paid.2012.06.002
Clinical and economic outcomes from the UK pilot psychiatric services for personality-disordered offenders
Fortune, Z., Barrett, B., Armstrong, D., Coid, J., Crawford, M., Mudd, D., Rose, D., Slade, M., Spence, R., Tyrer, P. and Moran, P. 2011. Clinical and economic outcomes from the UK pilot psychiatric services for personality-disordered offenders. International Review of Psychiatry. 23 (1), pp. 61-69. https://doi.org/10.3109/09540261.2010.545989
An evaluation of new services for personality-disordered offenders: staff and service user perspectives
Fortune, Z., Rose, D., Crawford, M., Slade, M., Spence, R., Mudd, D., Barrett, B., Coid, J., Tyrer, P. and Moran, P. 2010. An evaluation of new services for personality-disordered offenders: staff and service user perspectives. International Journal of Social Psychiatry. 56 (2), pp. 186-195. https://doi.org/10.1177/0020764009105281