Perceived need for mental health care, findings from 
the Australian National Survey of Mental Health 
and Well-being

Meadows, Graham; Burgess, Philip; Fossey, Ellie; Harvey, Carol

doi:10.1017/s003329179900207x

Cited by 82 publications

(56 citation statements)

References 11 publications

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“…3,5,44,45 People with anxiety only were least likely to seek help. These patterns of service use revealed here generally coincide with findings from similar studies occurring in Europe, 3,46 Canada, 5 the United States, and Australia, 47 suggesting that service use for affective disorders is relatively uniform across countries.…”

Section: Discussionsupporting

confidence: 85%

Comparing Mental Health of Francophones in Canada, France, and Belgium: 12-Month and Lifetime Rates of Mental Health Service Use (Part 2)

et al. 2010

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Objectives: To compare 12-month and lifetime service use for common mental disorders in 4 francophone subsamples using data from national mental health surveys in Canada, Quebec, France, and Belgium. This is the second article in a 2-part series comparing mental disorders and service use prevalence of French-speaking populations. Methods: Comparable World Mental Health-Composite International Diagnostic Interviews (WMH-CIDI) were administered to representative samples of adults (aged 18 years and older) in Canada during 2002 and in France and Belgium from 2001 to 2003. Two groups of francophone adults in Canada, in Quebec (n = 7571) and outside Quebec (n = 500), and respondents in Belgium (n = 389) and France (n = 1436) completed the French version of the population survey. Prevalence rates of common mental health service use were examined for major depressive episodes and specific anxiety disorders (that is, agoraphobia, social phobia, and panic disorder). Results: Overall, most francophones with mental disorders do not seek treatment. Canadians consulted more mental health professionals than their European counterparts, with the exception of psychiatrists. Conclusions: Patterns of service use are similar among francophone populations. Variations that exist may be accounted for by differences in health care resources, health care systems, and health insurance coverage.

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Section: Discussionsupporting

confidence: 85%

Comparing Mental Health of Francophones in Canada, France, and Belgium: 12-Month and Lifetime Rates of Mental Health Service Use (Part 2)

et al. 2010

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“…[18][19][20][21][22][23][24] Why patients refuse the diagnosis and treatment for depression remains poorly understood, however.…”

Section: Not Accepting Depression Diagnosismentioning

confidence: 99%

“…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 has been used to predict a variety of health behaviors, provides a theoretical framework for understanding why many patients will not accept their physician' s diagnosis of depression. [25][26][27] According to the theory of reasoned action, intention is the critical determinant of behavior.…”

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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

110

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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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“…From these findings, some leaders in the field of psychiatric epidemiology have suggested that a large proportion of individuals diagnosed with mental disorders may suffer from transient or mild symptoms that do not require treatment (5,6). Conversely, community surveys have repeatedly demonstrated that a significant proportion of individuals seek or perceive a need for treatment without meeting criteria for a mental disorder (12)(13)(14)(15). These individuals could have a past mental disorder, a subthreshold mental disorder (16)(17)(18)(19)(20), or a disorder that was not assessed in the survey.…”

mentioning

confidence: 99%

Perceived Need for Mental Health Treatment in a Nationally Representative Canadian Sample

et al. 2005

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Objective: The optimal method of determining how many people in the general population need help for emotional problems remains unclear. This study aimed to examine the prevalence and correlates of self-perceived need for mental health services (that is, help seeking and perceived need) in a large, population-based sample.Methods: Data came from the Canadian Community Health Survey 1.2 (n = 36 816, respondent age 15 years and over, and response rate 77%). Respondents were asked whether they had sought help in the past year from any professional for emotional problems and whether they felt they needed help for emotional symptoms but had not sought treatment. The Composite International Diagnostic Interview (CIDI) was used to make DSM-IV mental disorder diagnoses. Results:The past-year prevalences of help seeking and perceived need were 8.7% and 2.9%, respectively. After adjusting for the presence of DSM-IV disorders assessed in the survey, sociodemographic factors, illness severity, social supports, and the presence of physical health conditions were associated with help seeking and perceived need. Independent of DSM diagnoses, sociodemographics, and social supports, perceived need and help seeking were associated with increased levels of distress, disability, and suicidal ideation and attempts.

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Perceived need for mental health care, findings from the Australian National Survey of Mental Health and Well-being

Cited by 82 publications

References 11 publications

Comparing Mental Health of Francophones in Canada, France, and Belgium: 12-Month and Lifetime Rates of Mental Health Service Use (Part 2)

Comparing Mental Health of Francophones in Canada, France, and Belgium: 12-Month and Lifetime Rates of Mental Health Service Use (Part 2)

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

Perceived Need for Mental Health Treatment in a Nationally Representative Canadian Sample

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