Reasons and determinants of help-seeking in people with a subclinical depression

Zoonen, Kim van; Kleiboer, Annet; Beekman, Aartjan T.F.; Smit, Jan; Boerema, A. M.; Cuijpers, Pim

doi:10.1016/j.jad.2014.10.062

Cited by 47 publications

(31 citation statements)

References 61 publications

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“…The association between neuroticism and MHSU found in our data has already been established in prior studies [9, 15, 37]. In previous results, neuroticism was related to MHSU [9] and increased number of mental health visits [15] in general population.…”

Section: Discussionsupporting

confidence: 89%

“…In previous results, neuroticism was related to MHSU [9] and increased number of mental health visits [15] in general population. In addition, among people with a subclinical depression, a greater level of neuroticism was associated with a greater tendency to perceive need for psychological care [37]. Given that neuroticism predicts more severe and impaired depressive symptoms [13], people who are high on neuroticism may actually experience more distressing symptoms which lead to greater professional help seeking.…”

Section: Discussionmentioning

confidence: 99%

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A cross-sectional study about associations between personality characteristics and mental health service utilization in a Korean national community sample of adults with psychiatric disorders

Park¹,

Lee

Seong

et al. 2017

BMC Psychiatry

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BackgroundPersonality traits are not only associated with psychiatric symptoms, but also with treatment seeking behavior. Our purpose was to examine the relationship between mental health service utilization and personality characteristics in a nationwide community sample of Korean adults.MethodOf the 6022 subjects aged 18–74 years who participated in the Korean Epidemiologic Catchment Area study, 1544 (25.6%) with a lifetime diagnosis of any DSM-IV psychiatric disorder were analyzed. Diagnostic assessments were based on the Composite International Diagnostic Interview and personality constructs were measured by Big Five Personality Inventory-10.ResultsOf the 1544 participants, 275 (17.8%) had used mental health services. Multivariate analyses revealed positive associations between mental health service utilization and both neuroticism and openness, and an inverse association between mental health service utilization and agreeableness.ConclusionsThese findings suggest that specific personality traits may have a role in treatment-seeking behaviors for mental health problems independent of the psychiatric disorder.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

A cross-sectional study about associations between personality characteristics and mental health service utilization in a Korean national community sample of adults with psychiatric disorders

Park¹,

Lee

Seong

et al. 2017

BMC Psychiatry

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“…So far, we know from findings of Van Zoonen et al [44] that within their sample of minor depressive people from the general population, only 27% received help and from Topuzoğlu et al [43] we know that only 24.8% of people with major depression from the general population received minimally adequate treatment. Furthermore we know from Bühler et al [9] that within their sample of older, long-term unemployed with mental illness, 61% did not receive a disorder specific treatment or any treatment at all, whereas only 9% were treated in accordance to the guidelines.…”

Section: Discussionmentioning

confidence: 99%

Minor depression in older, long-term unemployed people seeking vocational support

et al. 2017

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BackgroundPrevalence rates of minor and major depression vary from 0.7 to 6.8 (minor) and 3.8 to 10.9 (major) for the general population. Twenty-two percent of older, long-term unemployed people suffer from major depression. However, the prevalence rate of minor depression (depression on a subthreshold level with less than 5, but more than 1 depression symptom) in this population is unknown. The first aim of this study is to identify that prevalence rate, because we already know that minor depression increases the risk of developing a major depression and this in turn reduces the chances of reemployment what increases social and individual costs at the same time. The second aim is to find out whether there are symptoms that distinguish the different groups “no depression”, “minor depression” and “major depression” in this population. In contrast to the general population, the most frequent symptoms within major and minor depression in older, long-term unemployed people are unknown so far.MethodsA total of 234 long-term unemployed people (response rate 59%) were included in a study within a project of the Department of Psychiatry and Psychotherapy at the University of Leipzig and an unemployment agency. Based on the results of the Patient Health Questionnaire, the participants were classified as non depressive, minor depressive or major depressive. Descriptive statistics and chi-square tests were performed to identify whether there are symptoms stated by the participants that are more frequent than others, and if the classified groups differ in this regard.ResultsFifty percent had no depression, 15.6% had a minor depression and 34.4% were suffering from major depression. Difficulty with concentration is the symptom that differentiated the last two groups the most. Fatigue, depressed mood and anhedonia were the symptoms that distinguished participants with minor depression the most from participants with no depression. Main limitations are: The sample was determined by programme conditions, e.g. not all potentially available people participated. The sample may therefore not be representative for the general long-term unemployed. Due to limited resources the PHQ 9 was used instead of a clinical interview to assess minor and major depression.ConclusionsResults indicate that minor depression in older, long-term unemployed persons is significant, as, almost 16% of the participants were affected in the study. Especially when fatigue is present for a period of more than 2 weeks, people should be informed about the option to consult a primary care physician or professionals from the unemployment agency in order to prevent the possible onset of major depression.Electronic supplementary materialThe online version of this article (doi:10.1186/s12888-017-1404-1) contains supplementary material, which is available to authorized users.

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“…Moreover, online interventions have the potential to overcome many of the barriers to help-seeking that depressed individuals have reported in the past, including: cost, a shortage of trained professionals, concerns about anonymity, convenience, perceived stigma, and ease of accessibility [19][20][21][55][56][57]. For the past two decades, a large number of internet-based interventions for depression have been developed and tested [58][59][60][61], and meta-analyses have indicated that such online interventions can be effective at reducing depressive symptomatology [58,[62][63][64][65].…”

Section: Online Psychological Interventions For Depressionmentioning

confidence: 99%

“…Moreover, elevated depressive symptomatology is a significant risk factor for developing major depression [9][10][11], and has been associated with increased cardiovascular morbidity and mortality [12][13][14][15], risk of disability [16], and carries an estimated annual economic cost of $210.5 billion [17]. However, the majority of Americans with elevated symptoms of depression go untreated or undertreated [18]; many individuals lack access to treatment or do not utilize available services [19][20][21].…”

Section: Introductionmentioning

confidence: 99%

A Self-Paced, Web-Based, Positive Emotion Skills Intervention for Reducing Symptoms of Depression: Protocol for Development and Pilot Testing of MARIGOLD (Preprint)

Cheung¹,

Addington²,

Bassett³

et al. 2018

Preprint

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Background: Living with elevated symptoms of depression can have debilitating consequences for an individual's psychosocial and physical functioning, quality of life, and healthcare utilization. A growing body of evidence demonstrates that skills for increasing positive emotion can be helpful to individuals with depression. Although online interventions to reduce negative emotion in individuals with depression are available, these interventions frequently suffer from poor retention and adherence, and do not capitalize on the potential benefits of increasing positive emotion.

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Reasons and determinants of help-seeking in people with a subclinical depression

Cited by 47 publications

References 61 publications

A cross-sectional study about associations between personality characteristics and mental health service utilization in a Korean national community sample of adults with psychiatric disorders

A cross-sectional study about associations between personality characteristics and mental health service utilization in a Korean national community sample of adults with psychiatric disorders

Minor depression in older, long-term unemployed people seeking vocational support

A Self-Paced, Web-Based, Positive Emotion Skills Intervention for Reducing Symptoms of Depression: Protocol for Development and Pilot Testing of MARIGOLD (Preprint)

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