Help-Seeking for Emotional Problems in Major DepressionFindings of the 2006 Estonian Health Survey

被引：0
作者：
Anne Kleinberg
Anu Aluoja
Veiko Vasar
机构：
[1] Tartu University Psychiatry Clinic,
来源：
Community Mental Health Journal | 2013年 / 49卷
关键词：
Emotional problems; Major depression; Help-seeking; Use of services; Treatment gap;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
To study help-seeking among the general population and people with major depression. 12-month help-seeking for emotional problems was assessed in a cross-sectional 2006 Estonian Health Survey. Non-institutionalized individuals aged 18–84 years (n = 6,105) were interviewed. A major depressive episode was assessed using the Mini-International Neuropsychiatric Interview. The factors associated with help-seeking, received help, and health service use were analyzed. The prevalence of 12-month help-seeking for emotional symptoms was 4.8%. The rate of 12-month help-seeking in the depressed sample was 34.1%. Depressed people used non-mental health services 1.5–3 times more than non-depressed persons even when adjusted for the chronic somatic disorder. Only one third of depressed persons sought help, which was most of all associated with severity of depression. Underdiagnosis and undertreatment of depression leads to an increased use of expensive but non-specific health services by depressed persons.
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页码：427 / 432
页数：5
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[1]  
Alonso J(2004)Use of mental health services in Europe: Results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project Acta Psychiatrica Scandinavica Supplement 420 47-54
[2]  
Angermeyer MC(1997)Consequences of major and minor depression in later life: A study of disability, well-being and service utilization Psychological Medicine 27 1397-1409
[3]  
Bernert S(2002)Depression in primary care. A nationwide epidemiological survey Family Practice 19 397-400
[4]  
Bruffaerts R(2000)Psychiatric morbidity, service use and need for care in the general population: Results of the Netherlands Mental Health Survey and Incidence Study American Journal of Public Health 90 602-607
[5]  
Brugha TS(2000)General medical and specialty mental health service use for major depression International Journal of Psychiatry in Medicine 30 127-143
[6]  
Bryson H(2000)GP frequent attendance in Liverpool and Granada: The impact of depressive symptoms British Journal of General Practice 50 361-365
[7]  
Beekman AT(2008)Major depression, depression treatment and quality of primary medical care General Hospital Psychiatry 30 20-25
[8]  
Deeg DJ(2007)Major depression in individuals with chronic medical disorders: Prevalence, correlates and association with health resource utilization, lost productivity and functional disability General Hospital Psychiatry 29 409-416
[9]  
Braam AW(2007)Correlates of mental health service use intensity in the National Comorbidity Survey and National Comorbidity Survey Replication Psychiatric Service 58 1108-1115
[10]  
Smit JH(2003)Major depressive episode and health care use among adolescents and young adults Social Psychiatry and Psychiatric Epidemiology 38 366-372
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