Subjective well-being as a determinant of individuals’ responses to symptoms: a biopsychosocial perspective

Rosen, Raymond C.; Hatzichristou, D.

doi:10.1111/j.1742-1241.2009.02183.x

Cited by 24 publications

(19 citation statements)

References 72 publications

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“…Seeking help for depression and other mental health problems is thought to progress through several stages including subjective experience of symptoms, assessment of their significance and potential consequences, evaluation of whether the symptoms require intervention, and weighing the benefits and costs of various treatment options (29). Comorbid psychiatric disorders may act early in this process to increase, and sometimes to decrease, perceived need for treatment (30).…”

Section: Discussionmentioning

confidence: 99%

“…Comorbid psychiatric disorders may act early in this process to increase, and sometimes to decrease, perceived need for treatment (30). In one study, individuals with past year comorbid mood and anxiety disorders were more likely than their counterparts with mood disorders alone to perceive a need for mental health treatment (29). …”

Section: Discussionmentioning

confidence: 99%

“…Results are reported, respectively, as hazard ratios and adjusted hazard ratios with associated 95% confidence intervals. Standard errors and 95% confidence limits for all analyses were estimated using SUDAAN (29). …”

Section: Methodsmentioning

confidence: 99%

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Influence of Comorbid Mental Disorders on Time to Seeking Treatment for Major Depressive Disorder

et al. 2012

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Background Although treatment of depression has increased in recent years, long delays commonly separate disorder onset from first treatment contact. Objectives This study evaluates the effects of psychiatric comorbidities and socio-demographic characteristics on lifetime treatment seeking and speed to first treatment contact for major depressive disorder (MDD). Measures A cross-sectional epidemiological survey including retrospective structured assessments of DSM-IV MDD and other psychiatric disorders, respondent age at disorder onset, and age at first treatment contact. Subjects A nationally representative sample of 5,958 adults aged ≥18 years residing in households and group quarters who met lifetime criteria for MDD. Data Analysis The percentage of respondents with lifetime MDD who reported ever seeking treatment is reported overall and stratified by sociodemographic characteristics. Unadjusted and adjusted hazard ratios are presented of time to first depression treatment seeking by sociodemographic characteristics and comorbid psychiatric disorders. Results A majority (61.3%) of respondents with MDD reported having sought treatment for depression at some point in their lives. Time to first depression treatment contact was significantly related to the occurrence of comorbid panic disorder (AHR=2.01, 95%CI=1.69–2.39), generalized anxiety disorder (AHR=1.55, 95%CI=1.33–1.81), drug dependence (AHR=1.54, 95%CI=1.06–2.26), dysthymic disorder (AHR=1.54, 95%CI=1.35–1.76), and PTSD (AHR=1.34, 95%CI=1.13–1.59) and inversely related to male sex (AHR=0.74, 95%CI=0.66–0.82) and black race/ethnicity (AHR=0.69, 95%CI=0.59–0.81). Conclusion Comorbid psychiatric disorders, especially panic, generalized anxiety, substance use, and dysthymic disorders, appear to play an important role in accelerating treatment seeking for MDD. Outreach efforts should include a focus on depressed individuals without complicating psychiatric comorbidities.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Influence of Comorbid Mental Disorders on Time to Seeking Treatment for Major Depressive Disorder

et al. 2012

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“…Based on the biopsychosocial model, healthcare professionals should not only consider signs and symptoms, but should be concerned with biological, psychological and social factors as determinants of health and illness [17]. Social capital regards the characteristics of social organization that enhance the efficacy and efficiency of society, such as trust and relationship networks [18].…”

Section: Introductionmentioning

confidence: 99%

Is There an Association between Traumatic Dental Injury and Social Capital, Binge Drinking and Socioeconomic Indicators among Schoolchildren?

Paiva

Silva

et al. 2015

PLoS ONE

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ObjectivesTraumatic dental injury is defined as trauma caused by forces on a tooth with variable extent and severity. The aim of the present study was to investigate the prevalence of traumatic dental injury and its association with overjet, lip protection, sex, socioeconomic status, social capital and binge drinking among 12-year-old students.Research Design and MethodA cross-sectional study was conducted with a sample of 633 12-year-old students. Data were collected through a clinical exam and self-administered questionnaires. Socioeconomic status was determined based on mother’s schooling and household income. The Social Capital Questionnaire for Adolescent Students and Alcohol Use Disorders Identification Test (AUDIT-C) were used to measure social capital and binge drinking, respectively.ResultsThe prevalence of traumatic dental injury was 29.9% (176/588). Traumatic dental injury was more prevalent among male adolescents (p = 0.010), those with overjet greater than 5 mm (p < 0.001) and those with inadequate lip protection (p < 0.001). In the multiple logistic regression analysis, overjet [OR = 3.80 (95% CI: 2.235–6.466), p < 0.0001], inadequate lip protection [OR = 5.585 (95% CI: 3.654–8.535), p < 0.0001] and binge drinking [OR = 1.93 (95% CI: 1.21–3.06), p = 0.005] remained significantly associated with traumatic dental injury.ConclusionsThe present findings suggest that a high level of total social capital and trust are not associated with TDI in adolescents, unlike binge drinking. The effects of social and behavioral factors on TDI are not well elucidated. Therefore, further research involving other populations and a longitudinal design is recommended.

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“…Receiving treatment for one disorder may also promote treatment seeking for other disorders. Along with benefiting from the monitoring afforded by regular contact with a health professional, individuals in treatment may have increased access to other treatment providers, greater willingness to seek help for distress, and improved insight regarding when mental health treatment is needed (51,56). …”

Section: Discussionmentioning

confidence: 99%

First Treatment Contact for ADHD: Predictors of and Gender Differences in Treatment Seeking

Dakwar¹,

Levin²,

Olfson³

et al. 2014

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Objectives For attention-deficit hyperactivity disorder (ADHD), treatment seeking is a critical first step in treatment initiation and remains insufficiently understood. The aims of this study were to estimate ADHD treatment-seeking probabilities over the lifetime and to identify predictors of treatment seeking for ADHD separately for males and females. Methods Data were drawn from 2001 to 2005 as part of the National Epidemiologic Survey on Alcohol and Related Conditions, a two-wave face-to-face survey conducted by the National Institute on Alcohol Abuse and Alcoholism (N=34,653). Results The lifetime cumulative probability of ADHD treatment seeking was estimated at 55%. Males identifying as African American, with less than 12 years of education, or paranoid personality disorder or in an older cohort (>30 years old) at the time of interview were more likely to experience delays, whereas males with comorbid alcohol dependence, dysthymic disorder, borderline personality disorder, or histrionic personality disorder were less likely. Among females, older age (>44 years) was the only predictor of a delay to first treatment seeking, whereas bipolar disorder was associated with more rapid treatment seeking. Age of onset had opposite effects on treatment-seeking delays by gender; males but not females with early-onset ADHD were more likely to experience treatment-seeking delays. Conclusions A large proportion of persons with ADHD do not seek treatment. Furthermore, treatment seeking by males was affected by a greater number of identifiable characteristics, suggesting that males might be more responsive to efforts directed toward expediting treatment entry. Future research should explore how to facilitate early access to treatment for individuals with ADHD.

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Subjective well-being as a determinant of individuals’ responses to symptoms: a biopsychosocial perspective

Abstract: The proposed framework opens a new window to patient centred care. Research to evaluate the proposed framework may improve the quality of clinical care and overall patient satisfaction.

Cited by 24 publications

References 72 publications

Influence of Comorbid Mental Disorders on Time to Seeking Treatment for Major Depressive Disorder

Influence of Comorbid Mental Disorders on Time to Seeking Treatment for Major Depressive Disorder

Is There an Association between Traumatic Dental Injury and Social Capital, Binge Drinking and Socioeconomic Indicators among Schoolchildren?

First Treatment Contact for ADHD: Predictors of and Gender Differences in Treatment Seeking

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