Perceived need and help-seeking in adults with mood, anxiety, or substance use disorders.
TLDR
Mood disorders, comorbid mood and anxiety disorders, and mental disorders associated with impairment in role functioning or suicidality were strong predictors of perceived need, and various sociodemographic and attitudinal factors appeared to be associated with perception of need, help-seeking, and participants' choices of professionals.Abstract:
Background A majority of adults with common mental disorders do not seek professional help. To better understand why not, we examined the correlates of various stages of help-seeking, including perceived need for professional help, seeking such help, and from which professionals participants sought help. Methods The sample for this study comprised 1792 participants in the National Comorbidity Survey, conducted from 1990-1992, who were diagnosed with a 12-month DSM-III-R mood, anxiety, or substance disorder. In this sample, we assessed correlates of perceived need for professional help, seeking professional help among those with a need, and, among those who did seek professional help, seeking help from mental health professionals. Results Mood disorders, comorbid mood and anxiety disorders, and mental disorders associated with impairment in role functioning or suicidality were strong predictors of perceived need. Psychopathology was also associated with the decision to seek help from mental health professionals, but not with the decision to seek professional help overall. After controlling for the nature and severity of psychopathology, various sociodemographic and attitudinal factors appeared to be associated with perception of need, help-seeking, and participants' choices of professionals. Conclusions Unmet need for mental health care is a serious public health problem. Meeting this need requires expanding our attention beyond psychopathology to various evaluations and decisions that affect help-seeking. Our results suggest the importance of attitude and behavior change strategies in reducing the gap between need and care.read more
Citations
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Twelve-Month Use of Mental Health Services in the United States Results From the National Comorbidity Survey Replication
Philip S. Wang,Michael Lane,Mark Olfson,Harold Alan Pincus,Kenneth B. Wells,Ronald C. Kessler +5 more
TL;DR: Most people with mental disorders in the United States remain either untreated or poorly treated, and interventions are needed to enhance treatment initiation and quality.
Journal ArticleDOI
Failure and Delay in Initial Treatment Contact After First Onset of Mental Disorders in the National Comorbidity Survey Replication
Philip S. Wang,Patricia A. Berglund,Mark Olfson,Harold Alan Pincus,Kenneth B. Wells,Ronald C. Kessler +5 more
TL;DR: Failure to make initial treatment contact and delay among those who eventually make treatment contact are both associated with early age of onset, being in an older cohort, and a number of socio-demographic characteristics (male, married, poorly educated, racial/ethnic minority).
Journal ArticleDOI
Stigma and help seeking for mental health among college students
TL;DR: One of the first empirical studies of the association of help-seeking behavior with both perceived public stigma and people’s own stigmatizing attitudes (personal stigma) is conducted, finding that perceived stigma was considerably higher than personal stigma.
Journal ArticleDOI
Help-seeking and access to mental health care in a university student population.
TL;DR: Even in an environment with universal access to free short-term psychotherapy and basic health services, most students with apparent mental disorders did not receive treatment and initiatives to improve access to mental health care for students have the potential to produce substantial benefits.
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Attention Bias Modification Treatment: A Meta-Analysis Toward the Establishment of Novel Treatment for Anxiety
Yuko Hakamata,Shmuel Lissek,Yair Bar-Haim,Jennifer C. Britton,Nathan A. Fox,Ellen Leibenluft,Monique Ernst,Daniel S. Pine +7 more
TL;DR: Attention Bias Modification Treatment shows promise as a novel treatment for anxiety, and the precise role for ABMT in the broader anxiety-disorder therapeutic armamentarium should be considered.
References
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