Correlates of a perceived need for mental health assistance and differences between those who do and do not seek help

Rabinowitz, Jonathan; Gross, Revital; Feldman, Dina

doi:10.1007/s001270050125

Cited by 83 publications

(66 citation statements)

References 10 publications

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“…Several national surveys have found a lack of concordance between the presence of a psychiatric disorder and the receipt of treatment services (19, 20). Most individuals with these disorders neither receive treatment for them nor perceive a need for it (21,22).…”

Section: Introductionmentioning

confidence: 99%

Effects of Sexual Orientation and Gender on Perceived Need for Treatment by Persons With and Without Mental Disorders

Grella¹,

Cochran²,

Greenwell³

et al. 2011

Psychiatric Services

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Objective Research has shown that some individuals with sexual minority status have a higher prevalence of psychiatric disorders (both mental health and substance use) and also tend to seek treatment at higher rates as compared with similar heterosexuals. Relationships among treatment need and treatment use, however, are not well understood. This paper examines the relationship of sexual orientation and gender to perceptions of need and unmet need for treatment among individuals with and without mental health or substance use disorders. Methods Data were obtained from a probability sample of California residents that oversampled for sexual minorities (unweighted N = 2,079). Bivariate analyses compared perceived treatment need and treatment use among groups defined by sexual orientation, gender, and presence of a mood, anxiety, or substance use disorder. Logistic regression models were fit predicting absence of treatment among those who perceived a need for it (unmet need), testing the interactive effects of gender, disorder, and sexual orientation and controlling for socio-demographics. Results Sexual minority women had about half the odds of unmet need for treatment compared with other women, but there was no interaction between sexual minority status and unmet treatment need for men. Among individuals without any of the disorders measured, sexual minorities had lower odds of unmet need for treatment compared with others. Heterosexual men and women were most likely to have unmet treatment needs. Conclusions Sexual orientation and gender differentially influence treatment utilization, particularly among those who do not have a diagnosed disorder but perceive a need for treatment. Diagnostic criteria appear to be less relevant to understanding treatment use among sexual minorities.

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Section: Introductionmentioning

confidence: 99%

Effects of Sexual Orientation and Gender on Perceived Need for Treatment by Persons With and Without Mental Disorders

Grella¹,

Cochran²,

Greenwell³

et al. 2011

Psychiatric Services

View full text Add to dashboard Cite

show abstract

“…Increased attention has also recently been paid to selfperceived need for mental health treatment in the community (12,(24)(25)(26)(27)(28). This concept takes into account theoretical models of HS.…”

mentioning

confidence: 99%

Perceived Need for Mental Health Treatment in a Nationally Representative Canadian Sample

et al. 2005

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Objective: The optimal method of determining how many people in the general population need help for emotional problems remains unclear. This study aimed to examine the prevalence and correlates of self-perceived need for mental health services (that is, help seeking and perceived need) in a large, population-based sample.Methods: Data came from the Canadian Community Health Survey 1.2 (n = 36 816, respondent age 15 years and over, and response rate 77%). Respondents were asked whether they had sought help in the past year from any professional for emotional problems and whether they felt they needed help for emotional symptoms but had not sought treatment. The Composite International Diagnostic Interview (CIDI) was used to make DSM-IV mental disorder diagnoses. Results:The past-year prevalences of help seeking and perceived need were 8.7% and 2.9%, respectively. After adjusting for the presence of DSM-IV disorders assessed in the survey, sociodemographic factors, illness severity, social supports, and the presence of physical health conditions were associated with help seeking and perceived need. Independent of DSM diagnoses, sociodemographics, and social supports, perceived need and help seeking were associated with increased levels of distress, disability, and suicidal ideation and attempts.

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“…Thus, among all 18 contextual factors, as mentioned above, we found statistically significant differences between users and family members for A) Housing or the environment and B) Personal finances; and for C) Water or nutrition, this time in terms of male-female differences [10]. At the other end of the spectrum, the least statistically significant differences are for D).…”

Section: Item Of the Cfqmentioning

confidence: 55%

“…Moreover, symptoms of depression for men are often expressed through somatic symptoms like fatigue or sleep problems [8][9][10][11][12][13][14][15], for which people commonly show up in general practice.…”

Section: Discussionmentioning

confidence: 99%

Gender Differences to the Contextual Factors Questionnaire and Implications for General Practice

Pelletier¹

2017

J Gen Pract

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The purpose of this study was to contribute to the revision of the International Classification of Diseases (ICD-10) by exploring how mental health service users and their relatives conceive the influence of the contextual factors, as described in Chap. 21 of the ICD-10, on a) the onset of a mental or behavioral disorder; b) the resurgence of such a disorder; and c) the recovery process. In individual interviews, the 18 main categories of contextual factors proposed by the ICD-11 (beta draft) were discussed through the Contextual Factors Questionnaire (CFQ) by 28 participants who completed the CFQ individually. This paper presents the results from a t-test that was performed on the data set to assess whether the means for two groups who completed the CFQ were statistically different from each other (p≤ 0.05). On one hand, we found significant differences between users and family members for A) Housing or the environment (p=0.01), and B) Personal finances (p=0.04); and for C) Water or nutrition (p=0.05) between male and female participants, on the other hand. In light of the fact that Social or cultural environments were considered to be the most influential of all 18 contextual factors by all aggregated participants, this suggests that male-female differences are related to social norms concerning gender, rather than discrete biological sex categories.

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Correlates of a perceived need for mental health assistance and differences between those who do and do not seek help

Abstract: A majority of people who feel that they need help for mental health problems do not get help.

Cited by 83 publications

References 10 publications

Effects of Sexual Orientation and Gender on Perceived Need for Treatment by Persons With and Without Mental Disorders

Effects of Sexual Orientation and Gender on Perceived Need for Treatment by Persons With and Without Mental Disorders

Perceived Need for Mental Health Treatment in a Nationally Representative Canadian Sample

Gender Differences to the Contextual Factors Questionnaire and Implications for General Practice

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