Seeking Help From the Internet During Adolescence

Gould, Madelyn S.; Munfakh, Jimmie Lou Harris; Lubell, Keri; Kleinman, Marjorie; Parker, Simon B.

doi:10.1097/00004583-200210000-00007

Cited by 210 publications

(182 citation statements)

References 36 publications

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“…30,31 Seventy-fi ve percent to 80% of adolescents and young adults have Internet access and use the Internet to search for health information, usually in the early stages of care seeking (ie, considering seeking or accepting treatment). [32][33][34][35] In this study, using results from an Internet survey of 10,962 young adults, we developed a multivariate model of intent to not accept a diagnosis of depression, based on the theory of reasoned action as revised by Howland and Hagger 27,28 ( Figure 1). As we measured intention using the Internet in circumstances separate from possible action, we use the term intent to describe our outcome variable.…”

Section: Not Accepting Depression Diagnosismentioning

confidence: 99%

“…[32][33][34][35] In this study, using results from an Internet survey of 10,962 young adults, we developed a multivariate model of intent to not accept a diagnosis of depression, based on the theory of reasoned action as revised by Howland and Hagger 27,28 ( Figure 1). As we measured intention using the Internet in circumstances separate from possible action, we use the term intent to describe our outcome variable.…”

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confidence: 99%

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Beliefs and Attitudes Associated With the Intention to Not Accept the Diagnosis of Depression Among Young Adults

Voorhees

Fogel

Houston

et al. 2005

The Annals of Family Medicine

109

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PURPOSE Negative attitudes and beliefs about depression treatment may prevent many young adults from accepting a diagnosis and treatment for depression. We undertook a study to determine the association between depressive symptom severity, beliefs about and attitudes toward treatment, subjective social norms, and past behavior on the intent not to accept a physician's diagnosis of depression. METHODSWe conducted a cross-sectional study of 10,962 persons aged 16 to 29 years who participated and had positive screening results on the Center for Epidemiologic Studies Depression (CES-D) score in an Internet-based public health depression screening program. Participants reported whether they would accept their physician's diagnosis of depression. Based on the theory of reasoned action, we developed a multivariate model of the factors that predict intent not to accept a diagnosis of depression.RESULTS Twenty-six percent of the participants stated their intent not to accept their physician's diagnosis of depression. Disagreeing that medications are effective in treating depression (strongly disagree, odds ratio ( OR ) = 6.5, 95% confi dence interval (CI), 4.6-9.3), that there is a biological cause for depression (strongly disagree, OR = 1.9, 95% CI, 1.3-2.7), and agreeing that you would be embarrassed if your friends knew you had depression were associated with the intent not to accept a diagnosis of depression (strongly agree, OR = 2.3, 95% CI, 1.8-2.9). Beliefs and attitudes, subjective social norms, and past behavior explained most of the variance in this model (84%).CONCLUSIONS Negative beliefs and attitudes, subjective social norms, and lack of past helpful treatment experiences are associated with the intent to not accept the diagnosis of depression and may contribute to low rates of treatment among young adults. INTRODUCTIONT wenty-fi ve percent of young adults will experience a depressive episode by age 24 years, the highest incidence rate of any adult agegroup.1-3 Although depression during this critical period may increase the likelihood of substance abuse, impair work and relationship function, and negatively infl uence an individual' s subsequent development, 1,4-11 fewer than 20% of young adults with depression receive high-quality care. 12Lack of health insurance coverage and affi liation with a primary care physician do not fully explain these low treatment rates. 13,14 Obtaining treatment for depression is a multistage process that includes self-evaluation of need for care, seeking services, and fi nally accepting a diagnosis and treatment for the disorder, which is substantially infl uenced by patient attitudes. 15,16 Patient reluctance to accept diagnosis and treatment for depression has been identifi ed by primary care physicians as a major barrier to implementing 17 and may be associated with poor quality of care and outcomes. [18][19][20][21][22][23][24] Why patients refuse the diagnosis and treatment for depression remains poorly understood, however.The theory of reasoned action, which ha...

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Section: Not Accepting Depression Diagnosismentioning

confidence: 99%

mentioning

confidence: 99%

Beliefs and Attitudes Associated With the Intention to Not Accept the Diagnosis of Depression Among Young Adults

Voorhees

Fogel

Houston

et al. 2005

The Annals of Family Medicine

109

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“…The targeted populations consisted of youth, defined for the purpose of this study as [12][13][14][15][16][17][18][19][20][21][22] th grades in the 7 schools (3 public and 4 private) located in the geographical area of the Youth Clinic. The officials of one school declined allowing us to invite their students to participate in our study.…”

Section: Populationsmentioning

confidence: 99%

“…As a result, they tend to bypass formal health structures and seek informal help when faced with health concerns [7,9,13]. They seek help not only from parents and friends, but also from the internet [14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Needs Assessment for a University-based Youth Clinic in Beirut, Lebanon: A Mixed Quantitative and Qualitative Study

Maroun¹,

Kahi²,

Chemaly

et al. 2013

TOPHJ

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This study aims to evaluate the needs, interests, and barriers to using the services of a university-based Youth Clinic in an inner city area of Beirut-Lebanon. The population consisted of 12-22 year old students of schools and universities located in the targeted area, and of other stakeholders active in the targeted area. We conducted a survey of 629 school students; a survey of 295 first year university students; a focus group with parents and educators; and interviews with organizations. Results indicated that the preferred means of service delivery for school and university students was an Internet site for youth health. Their top topic of interest was diet and nutrition. Their preferred location for meeting the clinic's staff was the clinic itself. School students preferred being accompanied by friends, university students preferred being on their own. The top barrier for the students was the 'feelings of embarrassment and annoyance'. Parents, educators, and organizations representatives reported a lack of health related services and activities specialized for the youth. They expressed an urgent need for social and psychological support and for counseling services. Their top topics of interest were parents-youth relationship, sexual education, smoking, diet and nutrition. Their mostly discussed barrier was the services' cost. While students valued a health Internet site and were mostly interested in the topic of diet and nutrition, parents and educators expressed the need for social and psychological support and for counseling services. Youth Clinics should assess and tailor their services to the need of their local community.

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“…16 Because more than half of all adolescents already use the Internet to seek health information, the Internet is ideally suited for delivery of a behavior change intervention for youth. [33][34][35][36] While there are strong theoretical and empirical rationales for a selfdirected combined primary care Internet-based intervention, there is currently no such intervention available for emerging adults.…”

mentioning

confidence: 99%

Development and Process Evaluation of a Primary Care Internet-Based Intervention to Prevent Depression in Emerging Adults

Voorhees

Ellis

Gollan³

et al. 2007

Prim. Care Companion J. Clin. Psychiatry

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Seeking Help From the Internet During Adolescence

Cited by 210 publications

References 36 publications

Beliefs and Attitudes Associated With the Intention to Not Accept the Diagnosis of Depression Among Young Adults

Beliefs and Attitudes Associated With the Intention to Not Accept the Diagnosis of Depression Among Young Adults

Needs Assessment for a University-based Youth Clinic in Beirut, Lebanon: A Mixed Quantitative and Qualitative Study

Development and Process Evaluation of a Primary Care Internet-Based Intervention to Prevent Depression in Emerging Adults

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