Evidence map›Paper›PMID 41823373›Full record

ArticleJournal of marital and family therapy2026

"We Don't Stay Where We Feel Weak": Experiences of Men Discontinuing Mental Health Services in Türkiye.

Sinan Akçay, Bilge Akar, Özlem Köse

Abstract read
In one paragraph

Article in Journal of marital and family therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Sinan AkçayDepartment of Social Work, Selçuk University, Konya, Türkiye.
Bilge AkarDepartment of Social Services and Counselling, Beykent University, İstanbul, Türkiye.
Özlem KösePrivate Practice, Montreal, Quebec, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Men continue to underutilize and disengage from mental health services, highlighting the need to understand this pattern. This study explored Turkish men's experiences of discontinuing mental health treatment using a descriptive qualitative design. In-depth interviews were conducted with 13 men who had ended therapy. Thematic analysis revealed three themes: the process of initiating treatment, experiences in the treatment process, and reasons for discontinuing treatment. Findings showed that hegemonic masculinity shaped men's engagement with care, as masculine norms often conflicted with recognizing mental illness, seeking help, and engaging in emotional disclosure during treatment. Even when symptoms were acknowledged, doubts about treatment effectiveness, cost, stigma, difficulty accepting mental illness, fear of failure, and concerns about being negatively evaluated by clinicians contributed to disengagement. The study calls for gender-sensitive, accessible services, clinician training in relational and cultural responsiveness, and structured approaches that align with men's values and support sustained engagement.

Indexed as

MasculinityMental DisordersMental Health ServicesPatient Acceptance of Health CareAdultHumansMaleMen's Health ServicesMiddle AgedQualitative ResearchTurkeyYoung Adultdiscontinuation of therapyhelp‐seeking behaviormasculinity and mental healthmen's mental healthqualitative research

Identifiers

PMID41823373
PMCPMC13409197

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.