Versorgungsepidemiologie psychischer Störungen

Thom, Julia; Bretschneider, Julia; Kraus, Nils; Handerer, Josua; Jacobi, Frank

doi:10.1007/s00103-018-2867-z

Cited by 40 publications

(16 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Potentially, with respect to a rather high percentage of students with academic degrees (38.3% bachelor or above) the academic background may have buffered such gender effects. Although this gender imbalance is quite usual for psychological surveys and women are more likely to access mental health services [ 70 , 71 ], it should be mentioned that studies like ours provide few insights into online help-seeking determinants especially of young men [ 72 ]. Nevertheless, the stress levels of participants indicate that we have reached a relevant target group with a need for support that has not been aware of eMHSs but is quite open to this intervention approach.…”

Section: Discussionmentioning

confidence: 99%

Exploring the influence of testimonial source on attitudes towards e-mental health interventions among university students: Four-group randomized controlled trial

et al. 2021

View full text Add to dashboard Cite

Electronic mental health services (eMHSs) offer additional options for the dissemination of psychological interventions for university students. Still, many university students are reluctant to use eMHSs. Narrative messages may help increase the awareness and acceptance of quality-approved programs. However, little is known about the usefulness of narrative messages to improve attitudes towards eMHSs. In this experiment, we thus aimed to explore in how far different ways of targeting information to students affect their attitudes towards eMHSs for stress prevention and therapy, and to identify potential determinants of attitude change. N = 451 students (Mean = 32.6 years, SD = 10.2, 75% female, 7% with eMHS experience) were randomly assigned to one of four study arms involving information designed to induce different levels of perceived similarity. While the active control condition only received general information (arm 1, “information only”, n = 116), the other experimental arms were additionally exposed to testimonials on specific eMHSs either addressing an unspecified audience (arm 2, n = 112), employees (arm 3, n = 115) or working university students (arm 4, n = 108). Two-way ANOVA revealed no impact of information on the alteration of attitudes towards eMHSs for stress coping (d = 0.20). Only a small effect of target-group specific testimonials on attitudes towards online therapies was identified at post-intervention (d = 0.29). Regression analyses demonstrated significant influences of source credibility and perceived similarity on attitudes for preventative eMHSs (ps<0.01), as well as a partial mediation effect of perceived similarity in favor of testimonials targeted to students (95% CI [0.22, 0.50]). Overall, this study indicated no meaningful impact of information on attitudes and limited evidence for benefits of tailored narrative messages. Since attitudes were already positive at baseline, further research with a representative student sample mimicking real-world decision scenarios is needed to gain an in-depth understanding of acceptance-facilitating message features that may contribute to promote the adoption of evidence-based eMHSs.

show abstract

Section: Discussionmentioning

confidence: 99%

Exploring the influence of testimonial source on attitudes towards e-mental health interventions among university students: Four-group randomized controlled trial

et al. 2021

View full text Add to dashboard Cite

show abstract

“…For instance, antidepressant drug consumption more than doubled between 2000 and 2015 in many OECD-countries (13). In Germany, there have been constant increases of psychiatric hospital beds and in-patient case-numbers from 2007 to 2016 (14). Also, disability pensions due to mental disorders have increased in many countries (15)(16)(17).…”

Section: Introduction: Scope Of the Problemmentioning

confidence: 99%

Psychiatrization of Society: A Conceptual Framework and Call for Transdisciplinary Research

Beeker¹,

Mills

Bhugra

et al. 2021

Front. Psychiatry

View full text Add to dashboard Cite

Purpose: Worldwide, there have been consistently high or even rising incidences of diagnosed mental disorders and increasing mental healthcare service utilization over the last decades, causing a growing burden for healthcare systems and societies. While more individuals than ever are being diagnosed and treated as mentally ill, psychiatric knowledge, and practices affect the lives of a rising number of people, gain importance in society as a whole and shape more and more areas of life. This process can be described as the progressing psychiatrization of society.Methods: This article is a conceptual paper, focusing on theoretical considerations and theory development. As a starting point for further research, we suggest a basic model of psychiatrization, taking into account its main sub-processes as well as its major top-down and bottom-up drivers.Results: Psychiatrization is highly complex, diverse, and global. It involves various protagonists and its effects are potentially harmful to individuals, to societies and to public healthcare. To better understand, prevent or manage its negative aspects, there is a need for transdisciplinary research, that empirically assesses causes, mechanisms, and effects of psychiatrization.Conclusion: Although psychiatrization has highly ambivalent effects, its relevance mainly derives from its risks: While individuals with minor disturbances of well-being might be subjected to overdiagnosis and overtreatment, psychiatrization could also result in undermining mental healthcare provision for the most severely ill by promoting the adaption of services to the needs and desires of the rather mild cases. On a societal level, psychiatrization might boost medical interventions which incite individual coping with social problems, instead of encouraging long-term political solutions.

show abstract

“…In another study, Batterham and Calear 36 concluded that reluctance for seeking support face-to-face can be also associated with an unwillingness to use e-mental health services. Thom et al 82 argued that stable prevalence rates of mental disorders and insufficient utilization rates—despite notable improvements in the provision of mental healthcare service over the past two decades in Germany—indicate the ineffectiveness of prevention in its current form. 82 Furthermore, there is a remarkable delay between the onset of a mental disorder and subsequent utilization of healthcare services (eg, an estimated 7 years for any mood disorder in Germany).…”

Section: Discussionmentioning

confidence: 99%

“…Thom et al 82 argued that stable prevalence rates of mental disorders and insufficient utilization rates—despite notable improvements in the provision of mental healthcare service over the past two decades in Germany—indicate the ineffectiveness of prevention in its current form. 82 Furthermore, there is a remarkable delay between the onset of a mental disorder and subsequent utilization of healthcare services (eg, an estimated 7 years for any mood disorder in Germany). 83 Potentially, e-mental health services can help to reduce this gap in target groups with positive attitudes toward digital self-help.…”

Section: Discussionmentioning

confidence: 99%

Exploring User-Related Drivers of the Early Acceptance of Certified Digital Stress Prevention Programs in Germany

Apolinário-Hagen

Hennemann²,

Kück

et al. 2020

Health�Serv�Insights

View full text Add to dashboard Cite

Electronic mental health services represent innovative instruments to increase the dissemination of stress programs in primary prevention. However, little is known about facilitators of their uptake. This study aimed to explore determinants of the acceptance of centrally certified digital stress coping programs and preferences for service delivery modes among adult members of German statutory health insurances. Participants completed a multi-construct 45-item questionnaire covering acceptance of digital stress prevention (behavioral use intention) and potential predictors we assessed using hierarchical regression analysis—(1) socio-demographic variables and time spent online, (2) openness to experience, (3) perceived stress, and (4) attitudes toward e-mental health. Preferences in terms of the willingness to use online, face-to-face and blended programs were analyzed using paired t-tests. Participants (N = 171, 66% female, 18-69 years) reported a moderate acceptance of digital stress management ( M = 2.76, SD = 1.16, range: 1-5). We identified younger age (ß = -0.16, P = .009), openness to experience (ß = 0.17, P = .003), and positive attitudes (ß = 0.61, P < .001) as predictors of acceptance ( R2 = .50, P < .001). Face-to-face was preferred over online (d = 0.40) and blended (d = 0.33), and blended over stand-alone online delivery mode (d = 0.19; all P < .001). Our findings indicate that promoting favorable attitudes toward digital stress prevention through tailored information may be a starting point to facilitate their adoption.

show abstract

Versorgungsepidemiologie psychischer Störungen

Cited by 40 publications

References 45 publications

Exploring the influence of testimonial source on attitudes towards e-mental health interventions among university students: Four-group randomized controlled trial

Exploring the influence of testimonial source on attitudes towards e-mental health interventions among university students: Four-group randomized controlled trial

Psychiatrization of Society: A Conceptual Framework and Call for Transdisciplinary Research

Exploring User-Related Drivers of the Early Acceptance of Certified Digital Stress Prevention Programs in Germany

Contact Info

Product

Resources

About