Public Beliefs About the Helpfulness of Interventions for Depression: Effects on Actions Taken When Experiencing Anxiety and Depression Symptoms

Jorm, Anthony F.; Medway, Jo; Christensen, Helen; Korten, A. E.; Jacomb, P. A.; Rodgers, Bryan

doi:10.1080/j.1440-1614.2000.00761.x

Cited by 167 publications

(128 citation statements)

References 17 publications

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“…Jorm et al (2000) have found accumulating evidence for the link between better mental health literacy and more positive attitudes to seeking professional help and service use. So far, mental health literacy has been measured as objective knowledge of mental health-related facts.…”

Section: Introductionmentioning

confidence: 99%

Shame, perceived knowledge and satisfaction associated with mental health as predictors of attitude patterns towards help-seeking

Rüsch

Müller

Ajdacic-Gross

et al. 2013

Epidemiol Psychiatr Sci

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Aims.To examine stigma- and knowledge-related barriers to help-seeking among members of the general population.Methods.In a representative survey of young to middle-aged Swiss adults (n = 8875), shame about a potential own mental illness, perceived knowledge about and satisfaction with one's mental health, psychiatric symptoms and attitudes towards help-seeking were assessed.Results.A latent profile analysis of all participants yielded two groups with different attitudes towards help-seeking. Relative to the majority, a one-in-four subgroup endorsed more negative attitudes towards seeking professional help, including psychiatric medication, and was characterized by more shame, less perceived knowledge, higher satisfaction with their mental health, younger age, male gender and lower education. Among participants with high symptom levels (n = 855), a third subgroup was reluctant to seek help in their private environment and characterized by high symptoms as well as low satisfaction with their mental health.Conclusions.Shame as an emotional proxy of self-stigma as well as poor subjective mental health literacy may be independent barriers to help-seeking. Interventions to increase mental health service use could focus on both variables and on those individuals with more negative views about professional help, in the general public as well as among people with a current mental illness.

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Section: Introductionmentioning

confidence: 99%

Shame, perceived knowledge and satisfaction associated with mental health as predictors of attitude patterns towards help-seeking

Rüsch

Müller

Ajdacic-Gross

et al. 2013

Epidemiol Psychiatr Sci

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“…The finding that depressed patients strongly prefer psychotherapy compared to medication, which was even more accentuated in the subgroup of previously depressed and currently nondepressed patients, is supported by previous studies. 6,7,[12][13][14][15][16][17] Our result, that depressed patients frequently attribute improved well-being to psychotherapy, but rarely to antidepressant medication, might partially explain the preference for psychotherapy. Other study results indicate that this preference might go back to the patients' belief that emotional problems are most frequently caused by alterable factors, such as interpersonal problems, work-related problems, and health problems.…”

Section: Discussionmentioning

confidence: 99%

“…Within the subgroup of previously depressed and currently nondepressed patients, 31% preferred psychotherapy and 0% antidepressant medication (w 2 =11.9, Po.001). anxiety, worries, depression, lack of self-confidence 12 (14) 8 (9) Non-satisfactory medical care 9 (10) 3 (3) Nothing/don't know z‰ 7 (8) 28 ( Ã Assessed with open-ended question: ''Was there something that impaired your emotional well-being? ''…”

Section: Preference For Psychotherapy or Antidepressant Medication Inmentioning

confidence: 99%

“…Existing studies are focused on patient acceptance of psychotherapy or antidepressant medication, 6,7,[12][13][14][15][16] as opposed to considering alternative treatment approaches and self-management techniques that patients with depression might consider helpful in improving their well-being. To our knowledge, our study is the first to investigate subjective treatment preferences that include alternative approaches and self-management techniques.…”

mentioning

confidence: 99%

“…6,7,[12][13][14][15][16][17] A German general population survey suggests that the preference for psychotherapy is based on the idea that this treatment provides an opportunity for personal exchange and problem solving. 13 Many patients, who want their physician to help them with emotional problems, do not meet standard criteria for depressive disorders.…”

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confidence: 99%

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Medical Patients' Attitudes Toward Emotional Problems and Their Treatment. What Do They Really Want?

2006

J Gen Intern Med

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Efficacy and Safety of Auricular Acupuncture for Depression

de Oliveira Rodrigues,

Menezes,

Machado Ribeiro Silotto

et al. 2023

JAMA Netw Open

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ImportanceDepression is a leading cause of disability worldwide, and there is increasing interest in nonpharmacological treatments. Auricular acupuncture (AA) is a simple, low-cost, and well-tolerated option, but further studies are needed to establish its efficacy and safety.ObjectiveTo estimate the efficacy and safety of auricular acupuncture as a treatment for depression.Design, Setting, and ParticipantsThis randomized clinical trial was conducted at 4 university research centers in Brazil, from March to July 2023. Eligible patients were adults aged 18 to 50 years whose score on the Patient Health Questionnaire–9 (PHQ-9) indicated moderate depression (score 10-14) or moderately severe depression (score 15-19). Exclusion criteria included previous application of AA, risk of suicidal ideation, or severe depression (PHQ-9 score &gt;20). An intent-to-treat analysis and modified intent-to-treat analysis were conducted.InterventionParticipants were randomized into 2 treatment groups, which included specific AA (SA) and nonspecific AA (NSA). Both groups received 12 sessions of AA with semipermanent needles with daily stimulation twice a week over 6 weeks and were followed-up for 3 months. All participants continued with their usual care for ethical reasons. The SA group’s treatment protocol consisted of 6 acupuncture points on the auricular pavilion chosen according to the diagnosis of depression by traditional Chinese medicine (Shenmen, subcortex, heart, lung, liver, and kidney). The NSA group’s acupuncture points were the external ear, the cheek and face area, and 4 nonspecific points in the helix region unassociated with mental health symptoms. A locator device was used to confirm which areas had neuroreactive points.Main Outcomes and MeasuresThe primary outcome was a reduction of at least 50% in the PHQ-9 score (ie, depression recovery) at 3 months. Secondary outcomes included depression recovery at 4 and 6 weeks; depression remission (PHQ-9 score &lt; 5) at 4 weeks, 6 weeks, and 3 months); and adverse events.ResultsA total of 304 participants were screened, and 74 participants (62 women [84%]; median [IQR] age, 29 [23-27] years) were included in the intention-to-treat analysis, with 37 participants randomized to each group (SA and NSA). A total of 47 participants (64%) were followed-up through 3 months. The results showed no statistically significant difference in depressive recovery between the groups at 3 months (14 of 24 participants in the SA group [58%] vs 10 of 23 participants in the NSA group [43%]; risk ratio [RR], 1.34; 95% CI, 0.76-2.45; P = .38). The proportions of depression recovery and remission at 4 and 6 weeks based on the PHQ-9 were higher in the SA group (except for depression recovery at 6 weeks) with no statistically significant differences. However, a statistically significant difference was observed in symptom remission at 3 months (11 of 24 participants in the SA group [46%] vs 3 of 23 participants in the NSA group [13%]; RR, 1.99; 95% CI, 1.16-3.34; P = .02) in favor of SA. There were no significant differences in adverse event rates between the groups, evidencing the intervention’s safety. Most participants reported mild pain at the needle application site (33 patients [94%] in the SA group vs 32 patients [91%] in the NSA group). Five participants dropped out of the study due to adverse events.Conclusions and RelevanceThe results of this randomized clinical trial suggest that SA over 6 weeks is safe. Although there was no statistically significant difference between groups for the primary efficacy outcome, patients receiving SA did experience greater symptom remission at 3 months. A larger sample size and longer intervention are needed to further evaluate the efficacy of SA for depression.Trial RegistrationClinicalTrials.gov Identifier: NCT05855421

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Public Beliefs About the Helpfulness of Interventions for Depression: Effects on Actions Taken When Experiencing Anxiety and Depression Symptoms

Cited by 167 publications

References 17 publications

Shame, perceived knowledge and satisfaction associated with mental health as predictors of attitude patterns towards help-seeking

Shame, perceived knowledge and satisfaction associated with mental health as predictors of attitude patterns towards help-seeking

Medical Patients' Attitudes Toward Emotional Problems and Their Treatment. What Do They Really Want?

Efficacy and Safety of Auricular Acupuncture for Depression

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