Perceived needs for mental health care and barriers to treatment across age groups

Forbes, Miriam K.; Crome, Erica; Sunderland, Matthew; Wuthrich, Viviana M.

doi:10.1080/13607863.2016.1193121

Cited by 42 publications

(25 citation statements)

References 27 publications

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“…For instance, approximately only one in five study participants in the European study of the Epidemiology of Mental Disorders with a 12-month prevalence of a mental disorder reported having used health services in the previous year [82]. Seeking mental health care is strongly related to age, with older adults showing a lower perceived need for treatment [81,83]. Males are also less likely to seek health care [82].…”

Section: Discussionmentioning

confidence: 99%

Traffic Noise and Mental Health: A Systematic Review and Meta-Analysis

Hegewald

Schubert

Freiberg

et al. 2020

IJERPH

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Recent evidence suggests that traffic noise may negatively impact mental health. However, existing systematic reviews provide an incomplete overview of the effects of all traffic noise sources on mental health. We conducted a systematic literature search and summarized the evidence for road, railway, or aircraft noise-related risks of depression, anxiety, cognitive decline, and dementia among adults. We included 31 studies (26 on depression and/or anxiety disorders, 5 on dementia). The meta-analysis of five aircraft noise studies found that depression risk increased significantly by 12% per 10 dB LDEN (Effect Size = 1.12, 95% CI 1.02–1.23). The meta-analyses of road (11 studies) and railway traffic noise (3 studies) indicated 2–3% (not statistically significant) increases in depression risk per 10 dB LDEN. Results for road traffic noise related anxiety were similar. We did not find enough studies to meta-analyze anxiety and railway or aircraft noise, and dementia/ cognitive impairment and any traffic noise. In conclusion, aircraft noise exposure increases the risk for depression. Otherwise, we did not detect statistically significant risk increases due to road and railway traffic noise or for anxiety. More research on the association of cognitive disorders and traffic noise is required. Public policies to reduce environmental traffic noise might not only increase wellness (by reducing noise-induced annoyance), but might contribute to the prevention of depression and anxiety disorders.

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Section: Discussionmentioning

confidence: 99%

Traffic Noise and Mental Health: A Systematic Review and Meta-Analysis

Hegewald

Schubert

Freiberg

et al. 2020

IJERPH

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“…Individuals’ perception of barriers and facilitators to care has been shown to vary with differing sociodemographic and clinical characteristics,14 20–23 as well as with past experiences such as child abuse 24. Such gradations in perceiving barriers to care may be mediated through variations in psychological distress levels that result from variations in individuals’ clinical presentation and past experiences and additionally, past experiences can be a proxy for prior positive or negative encounters with mental health services.…”

Section: Introductionmentioning

confidence: 99%

Differences between the Canadian military’s Regular and Reserve Forces in perceived need for care, mental health services use and perceived sufficiency of care: a cross-sectional survey

Boulos

Fikretoglu

2019

BMJ Open

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ObjectiveThe primary objective was to explore differences in perceived need for care (PNC), mental health services use (MHSU) and perceived sufficiency of care (PSC) between Canadian Armed Forces Regular Force (RegF) and Reserve Force (ResF) personnel with an objective need for mental health services.DesignData came from the 2013 Canadian Armed Forces Mental Health Survey, a cross-sectional survey of serving personnel (n=72 629). Analyses were among those with an Afghanistan deployment and an identified mental disorder (population n=6160; sampled n=868). Logistic regression compared PNC, MHSU and PSC between RegF and ResF. Covariate-adjusted marginal prevalence difference estimates were computed.Primary outcome measureThe primary outcomes were PNC, MHSU and PSC. Each had three service categories, including an aggregate ‘any’ of the three: (1) information about problems, treatments or services; (2) medication and (3) counselling.ResultsResF had an 10.5% (95% CI −16.7% to −4.4%) lower perceived need for medication services but PNC differences were not significant for other service categories. MHSU tended to be lower for ResF; 9.1% (95%CI −15.5% to −2.6%) lower for medication, 5.4% (95% CI −11.5% to 0.7%) lower, with marginal significance, for counselling and 11.3% (95% CI −17.3% to −5.2%) lower for the ‘any’ service category. Additionally, ResF tended to have a lower fully met need for care; 13.4% (95% CI −22.1% to −4.6%) lower for information, 15.3% (95% CI −22.9% to −7.6%) lower for counselling and 14.6% (95% CI −22.4% to −6.8%) lower for the ‘any’ service category.ConclusionsOur findings suggest MHSU and PSC differences between Canadian RegF and ResF personnel that are not fully accounted for by PNC differences. Deficits in ResF members’ perceptions of the sufficiency of information services and counselling services suggest perceived, or experienced, barriers to care beyond any PNC barriers. Additional research assessing barriers to mental healthcare is warranted.

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“…Anxiety disorders remain largely underdiagnosed and undertreated in older adults . Almost a third of older adults diagnosed with a severe anxiety disorder reported that they do not perceive the need to receive treatment . It is possible that older adults with severe anxiety disorders who are not seeking treatment have insufficient knowledge of these disorders or of potential treatment options, as older adults have been shown to have a lower mental health literacy of anxiety disorders than younger adults .…”

Section: Introductionmentioning

confidence: 99%

Association of age and gender with anxiety disorders in older adults: A systematic review and meta‐analysis

Grenier

Payette

Günther

et al. 2018

Int J Geriat Psychiatry

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Objectives:To provide an estimate of 12-month and lifetime prevalence of Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) anxiety disorders in older adults based on published studies on this topic and to identify the impact of gender and age. Methods/Design:A systematic review and meta-analysis was performed. Six databases were searched, and manual searches through reference lists of selected articles and reviews were performed. When the information was available, summary effects were calculated for the prevalence of each anxiety disorder and for every age and gender subgroups. Summary odd ratios (OR) were calculated to compare the prevalence of an anxiety disorder according to age and gender.Results: A total of 6464 studies were identified, and 16 studies were included in the meta-analyses. Prevalence was significantly higher in women than men for generalized anxiety disorder (12 month OR = 6.10, P = 0.001; lifetime OR = 1.96, P = 0.001), 12month social anxiety disorder (OR = 2.07, P = 0.01), and lifetime post-traumatic stress disorder (OR = 1.93, P = 0.002). The prevalence of specific phobia was significantly lower in both the 75 to 84 and 85 years and above age groups when compared with the 65 to 74 years age group (OR = 0.70, P = 0.004 and OR = 0.63, P = 0.01, respectively). Conclusions:Our results suggest that the tendency for women to experience a greater prevalence of anxiety disorders remains present in older adults. Specific phobia was the only disorder to be less frequent with advancing age. This is likely to change with the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria because this new DSM version now indicates that fear of falling is a possible type of specific phobia and fear of falling is generally more frequent in the oldest age groups.

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Perceived needs for mental health care and barriers to treatment across age groups

Abstract: These results highlight that age needs to be considered in strategies for improving engagement and efficacy of mental health services, as well as the need for further research to understand what drives age differences in perceived need for mental health care.

Cited by 42 publications

References 27 publications

Traffic Noise and Mental Health: A Systematic Review and Meta-Analysis

Traffic Noise and Mental Health: A Systematic Review and Meta-Analysis

Differences between the Canadian military’s Regular and Reserve Forces in perceived need for care, mental health services use and perceived sufficiency of care: a cross-sectional survey

Association of age and gender with anxiety disorders in older adults: A systematic review and meta‐analysis

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