Adolescent Primary Care Patients’ Preferences for Depression Treatment

Jaycox, Lisa H.; Asarnow, Joan Rosenbaum; Sherbourne, Cathy D.; Rea, Margaret; LaBorde, Anne P.; Wells, Kenneth B.

doi:10.1007/s10488-006-0033-7

Cited by 70 publications

(53 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Female adolescents did not differ, compared with their male counterparts, in terms of preferences for medication treatment over counselling. 16 Therefore, the type of service provider adolescents and young adults with depression and suicidality see for treatment may be a result of the providers' preferences rather than the preferences of the patients themselves.…”

Section: Resultsmentioning

confidence: 99%

Mental Health Service Use among Adolescents and Young Adults with Major Depressive Disorder and Suicidality

Cheung

Dewa

2007

Can J Psychiatry

View full text Add to dashboard Cite

Objectives: Despite being recognized as a serious public health concern, suicidality among adolescents and young adults is frequently missed, and completed suicide remains the second leading cause of death for young Canadians. With such close links between depression, suicidality, and completed suicide, any intervention must address all 3 of these issues. However, to develop effective interventions, we must understand the types and rates of mental health service use among adolescents and young adults. This study examines service use rates in young Canadians with depression and suicidality and the influence of sex on the types of service provider chosen. Methods: We used data from the Canadian Community Health Survey: Mental Health and Well-Being. Our sample included 619 individuals, aged 15 to 24 years, who screened positive for depression and suicidality in the past 12 months. We examined mental health service use rates in general and by provider type. Results: Among adolescents aged 15 to 18 years with depression, 40% had not used any mental health services. This rate was higher for adolescents with suicidality at 50%. In young adults aged 19 to 24 with depression, 42% had not used any mental health services. Among young adults with suicidality, 48% had not accessed services. Female adolescents and young adults were more likely to receive services from nonspecialty mental health providers. Conclusions: In Canada, many adolescents and young adults with depression and suicidality do not receive mental health services. Further, there may be a preferential treatment of young men by mental health specialists. Further research is needed to understand the quality of care received by these young Canadians and the factors influencing service use.

show abstract

Section: Resultsmentioning

confidence: 99%

Mental Health Service Use among Adolescents and Young Adults with Major Depressive Disorder and Suicidality

Cheung

Dewa

2007

Can J Psychiatry

View full text Add to dashboard Cite

show abstract

“…Among a population of adolescent primary care patients, 50% preferred psychotherapy, 22% preferred antidepressants, and 28% preferred to ''wait it out.'' (Jaycox et al 2006) Female adolescents prefer psychotherapy over antidepressants more strongly than males (Jaycox et al 2006). Previous experience with depression treatment and depressive symptom severity predict general preference for any active treatment over waiting it out (Gum et al 2006;Cooper et al 2003).…”

Section: Introductionmentioning

confidence: 99%

“…Jaycox and colleagues found that despite a preference for psychotherapy, adolescent primary care patients fear rejection by peers if they saw a mental health professional (Jaycox et al 2006).…”

Section: Introductionmentioning

confidence: 99%

Adolescents’ Attitudes and Opinions about Depression Treatment

Bradley

McGrath

Brannen

et al. 2009

Community Ment Health J

View full text Add to dashboard Cite

The purpose of this study was to determine adolescent preferences for depression treatment. Adolescents (n = 156) completed a survey that included: their preferences for type of depression treatment and the method of delivering it; their perception of the importance of side effects of depression treatments and a rating of their willingness to seek treatment if they were depressed. A screen for depressive symptoms (CES-D10) was also completed. Adolescents showed higher preference for psychotherapy than antidepressants. Greater severity of depression symptoms, perceived social support for the particular treatment modality, and general willingness to seek treatment predicted greater preference for psychotherapy than for antidepressants. Family doctors, psychiatrists, and psychologists were the preferred treatment providers, and adolescents preferred that treatment be delivered in a private office. Weight gain was the most deterring side effect of antidepressants for girls and loss of sex drive for boys. Adolescents' preference for psychological therapy suggests that broader availability of psychotherapy may enhance help-seeking and compliance in depression treatment in this vulnerable population.

show abstract

“…This is especially concerning given difficulties referring to specialty mental health. 3,11,12 Consistent with youth and parent pre ferences for nonpharmacologic treatments such as psychotherapy, [13][14][15] we examined whether a viable alternative could be effectively delivered in primary care: brief cognitive behavioral therapy (CBT). Although primary care CBT has been tested with depressed adolescents in several previous trials, 13,16,17 none specifically examined the effects of CBT in patients unreceptive to pharmacotherapy.…”

mentioning

confidence: 99%