Social Comparisons of Psychological Distress by Boarding House Residents: Self-Evaluations of Mental Health and Healthcare Need

Abstract

Boarding house residents (BHRs), like the wider homeless population, are multiply disadvantaged and have disproportionately high levels of mental ill-health. Social comparison processes that involve comparing one's mental health to others, may lead BHRs to minimize their mental health problems and needs. This cross-sectional study examined BHRs' evaluations of their psychological distress compared to three social reference groups and the significance of these to their felt need for help with distress. Fifty-seven, mostly male, BHRs in New South Wales participated in structured face-to-face interviews that included an objective measure of distress (K10). There was no evidence that psychological distress was underestimated due to social comparison processes. Objective distress produced the strongest prediction of participants' desire for help. Participants reported substantially higher distress than the Australian normative sample and 58% had clinically significant distress. Of these BHRs, 42% indicated that they did not want any help for their distress, which highlights the need for strategies to better engage this group.