Perspectives of young people on depression: awareness, experiences, attitudes and treatment preferences

Hickie, Ian B.; Luscombe, Georgina; Davenport, Tracey A; Burns, Jane; Highet, Nicole

doi:10.1111/j.1751-7893.2007.00042.x

Cited by 40 publications

(30 citation statements)

References 15 publications

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“…Instead, it reflects the specific preconditions of the measure of a clinician-diagnosed depression reported by the respondent. Thus, our findings supposedly mirror to a large part the lack of any health professional contact in people with mood disorders [37] and the fact that young adults are less likely to use professional health services due to mental health problems [38–40] than older adults, but prefer seeking help rather from family or friends [41]. Additionally, low numbers of physician contacts are reported for younger adults [42], reducing the odds for a physician to detect depression [8, 43].…”

Section: Discussionmentioning

confidence: 90%

Respondents’ report of a clinician-diagnosed depression in health surveys: comparison with DSM-IV mental disorders in the general adult population in Germany

et al. 2017

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BackgroundRespondents’ report of a previously diagnosed depression by a health professional is frequently used to estimate depression prevalence. This study contributes to a better understanding of survey results based on this measure by comparing it with a comprehensive standardized diagnostic interview.MethodsData came from the cross-sectional nationwide German Health Interview and Examination Survey for Adults (DEGS1) and its mental health module (DEGS1-MH, n = 4483). In DEGS1, participants were asked whether they have been diagnosed with depression by a physician or psychotherapist (last 12-month). DSM-IV-based 12-month major depressive disorder (MDD) and other mental disorders were assessed with the German version of the Composite International Diagnostic Interview (CIDI). Time lag between both assessments was 6 weeks (median).Results73.4% of participants reporting clinician-diagnosed depression met criteria for any mental disorder in the CIDI (any affective disorder: 51.8%, any anxiety disorder: 54.7%). The proportion of participants reporting a clinician-diagnosed depression who met MDD criteria was highest among those aged 18–29 years (62.6%) and decreased with age (65–79 years: 29.8%). Among participants with MDD, the proportion with clinician-diagnosed depression was 33.0%, highest among those aged 45–64 years (49.3%) and lowest among those aged 18–29 years (22.7%) and 30–44 years (20.3%). MDD severity was positively associated with clinician-diagnosed depression.ConclusionsRespondents’ report of a clinician-diagnosed depression and major depression assessed with the CIDI substantially differ. Concordance of both measures varies with age and severity of depressive symptoms. Health surveys should assess a range of depression indicators in order to cover a wide spectrum.Electronic supplementary materialThe online version of this article (doi:10.1186/s12888-017-1203-8) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 90%

Respondents’ report of a clinician-diagnosed depression in health surveys: comparison with DSM-IV mental disorders in the general adult population in Germany

et al. 2017

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“…Previous research has consistently found and documented that young adults prefer to handle mental health problems on their own and eschew the mental health system [37,38,47]. However, this previous work has not highlighted or investigated why this might be.…”

Section: Discussionmentioning

confidence: 96%

“…These findings strongly imply that the mental health care system should invest in efforts to educate others (lay people and mental health professionals alike) to create more welcoming, supportive environments that also facilitate choice in care. For example, not everyone wants medication [43,47,50] and it is imperative that there be engaged choice in treatment options, as this leads to higher treatment adherence and improved outcomes [51,52]. Efforts should also focus on creating and developing resources that allow young adults to feel connected (eg, blogging and informal supports).…”

Section: Discussionmentioning

confidence: 99%

What Are Young Adults Saying About Mental Health? An Analysis of Internet Blogs

Marcus¹,

Westra²,

Eastwood³

et al. 2012

J Med Internet Res

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BackgroundDespite the high prevalence of mental health concerns, few young adults access treatment. While much research has focused on understanding the barriers to service access, few studies have explored unbiased accounts of the experiences of young adults with mental health concerns. It is through hearing these experiences and gaining an in-depth understanding of what is being said by young adults that improvements can be made to interventions focused on increasing access to care.ObjectiveTo move beyond past research by using an innovative qualitative research method of analyzing the blogs of young adults (18–25 years of age) with mental health concerns to understand their experiences.MethodsWe used an enhanced Internet search vehicle, DEVONagent, to extract Internet blogs using primary keywords related to mental health. Blogs (N = 8) were selected based on age of authors (18–25 years), gender, relevance to mental health, and recency of the entries. Blogs excerpts were analyzed using a combination of grounded theory and consensual qualitative research methods.ResultsTwo core categories emerged from the qualitative analysis of the bloggers accounts: I am powerless (intrapersonal) and I am utterly alone (interpersonal). Overall, the young adult bloggers expressed significant feelings of powerlessness as a result of their mental health concerns and simultaneously felt a profound sense of loneliness, alienation, and lack of connection with others.ConclusionsThe present study suggests that one reason young adults do not seek care might be that they view the mental health system negatively and feel disconnected from these services. To decrease young adults’ sense of powerlessness and isolation, efforts should focus on creating and developing resources and services that allow young adults to feel connected and empowered. Through an understanding of the experiences of young adults with mental health problems, and their experiences of and attitudes toward receiving care, we provide some recommendations for improving receptivity and knowledge of mental health care services.

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“…Combined treatments (ie, medication and psychotherapy) may also be popular with patients 32,59. However, patients often endorse nonempirically supported treatments, such as herbal supplements, self-help books, relaxation, or talking with a friend, and many people may have negative attitudes toward mental health professionals in general 4,55,60…”

Section: What Do Patients Think Is Helpful?mentioning

confidence: 99%

Should treatment for depression be based more on patient preference?

Winter¹,

Barber²

2013

PPA

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Patient treatment preferences are of growing interest to researchers, clinicians, and patients. In this review, an overview of the most commonly recommended treatments for depression is provided, along with a brief review of the evidence supporting their efficacy. Studies examining the effect of patient treatment preferences on treatment course and outcome are summarized. Existing literature on what treatment options patients tend to prefer and believe to be helpful, and what factors may affect these preferences, is also reviewed. Finally, clinical implications of research findings on patient preferences for depression management are discussed. In summary, although our knowledge of the impact of patient preferences on treatment course and outcome is limited, knowing and considering those preferences may be clinically important and worthy of greater study for evidence-based practice.

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Perspectives of young people on depression: awareness, experiences, attitudes and treatment preferences

Abstract: Aim: Ascertaining current knowledge and attitudes towards depression among young people is vital for developing campaigns promoting community awareness and early intervention.

Cited by 40 publications

References 15 publications

Respondents’ report of a clinician-diagnosed depression in health surveys: comparison with DSM-IV mental disorders in the general adult population in Germany

Respondents’ report of a clinician-diagnosed depression in health surveys: comparison with DSM-IV mental disorders in the general adult population in Germany

What Are Young Adults Saying About Mental Health? An Analysis of Internet Blogs

Should treatment for depression be based more on patient preference?

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