Treatment seeking for depression: role of depressive symptoms and comorbid psychiatric diagnoses

Fort, Guillaume Galbaud du; Newman, Stephen C.; Boothroyd, Lucy J.; Bland, Roger

doi:10.1016/s0165-0327(98)00052-4

Cited by 49 publications

(53 citation statements)

References 28 publications

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“…For example, the 12-month treatment rates in the National Comorbidity Survey (NCS) and the National Comorbidity Survey Replication (NCS-R) differed markedly (27.7% vs. 57.3%), with this large increase over time being consistent with trend data from the National Medical Expenditures Survey for changes between 1987 and 1997 (Olfson et al 2002;Kessler et al 2003). As in our study, several previous studies (Kessler et al 1999(Kessler et al , 2003Spijker et al 2001;Wang 2004) assessed treatment-seeking for any mental health problem, whereas others (Angst 1998;Galbaud du Fort et al 1999) assessed treatment-seeking for depression. When questions regarding treatment-seeking were not specific for depression, treatment rates may be overestimated.…”

Section: Discussionsupporting

confidence: 84%

“…Some of the discrepancies across studies may be related to differences in the diagnostic criteria of MDD, the study period or the definition of treatment. Several previous studies used DSM-III-R criteria (Angst 1998;Galbaud du Fort et al 1999;Kessler et al 1999;Spijker et al 2001), whereas others (Kessler et al 2003;Wang 2004), including ours used DSM-IV criteria to diagnose MDD. Moreover, the recent growth in the medical service market may have affected the differences in treatment rates between older and more recent studies.…”

Section: Discussionmentioning

confidence: 98%

“…When questions regarding treatment-seeking were not specific for depression, treatment rates may be overestimated. In addition, our study and several previous studies (Angst 1998;Galbaud du Fort et al 1999;Spijker et al 2001;Wang 2004) assessed only treatment by a doctor or other mental health professionals, whereas other studies (Kessler et al 1999(Kessler et al , 2003 also included treatment by human service and religious professionals. Indeed, we found that only 10 patients reported going to a nurse other than one in a mental health specialty setting, an acupuncturist, an herbalist, a pharmacist or a spiritual or religious advisor for mental health problems.…”

Section: Discussionmentioning

confidence: 99%

“…Rates of treatment-seeking behavior are even lower in Asian countries. For example, the 12-month treatment rate of individuals diagnosed with MDD during the previous 12 months was 24.3% in Hong Kong (Lee et al 2007), compared with 57.3% in the US (Kessler et al 2003), and the lifetime treatment rate of individuals with MDD was 33.1% in Beijing, China (Ma et al 2009), compared with 64.0% in Canada (Galbaud du Fort et al 1999).…”

Section: Introductionmentioning

confidence: 99%

“…The US National Comorbidity Survey Replication reported that the number of psychiatric comorbidities was significantly related to the treatment of individuals with MDD (Kessler et al 2003). Comorbid mania (Galbaud du Fort et al 1999), panic disorder (Bucholz and Dinwiddie 1989;Galbaud du Fort et al 1999;Roy-Byrne et al 2000), and obsessivecompulsive disorder (Bucholz and Dinwiddie 1989) have been associated with treatment seeking in individuals with MDD. Investigating the symptoms and comorbid conditions associated with treatment-seeking for MDD may assist healthcare providers and policy makers in identifying individuals who may need treatment but do not seek professional help, as well as understanding the characteristics of patients with MDD in the clinical setting.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of Treated and Untreated Major Depressive Disorder in a Nationwide Sample of Korean Adults

Park

Cho

Bae

et al. 2011

Community Ment Health J

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We examined factors associated with lifetime treatment of major depressive disorder (MDD) in a nationwide sample of Korean adults. Of the 6,510 subjects aged 18-64 years who participated in the Korean Epidemiologic Catchment Area study, 362 (5.6%) with a lifetime diagnosis of MDD were analyzed. Diagnostic assessments were based on the Korean version of the Composite International Diagnostic Interview administered by lay interviewers. Of the 362 respondents with a lifetime diagnosis of MDD, 117 (32.3%) had been treated for psychiatric problems. Treated individuals with MDD were more likely to have chronic episode(s), more symptoms of depression, insomnia, and suicidal ideation, and were less likely to have feelings of guilt. In addition, treated individuals were more likely to have comorbid anxiety disorders, especially obsessive-compulsive disorder, post-traumatic stress disorder, and generalized anxiety disorder. Treatment-seeking by individuals with MDD is affected by socio-cultural factors such as misconception and stigma of mental illness, as well as severity of depression and comorbid conditions.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Comparison of Treated and Untreated Major Depressive Disorder in a Nationwide Sample of Korean Adults

Park

Cho

Bae

et al. 2011

Community Ment Health J

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Use of health services for major depressive and anxiety disorders in Finland

et al. 2008

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Factors associated with people suffering from major depressive disorder (MDD) or anxiety disorders seeking or receiving treatment are not well known. In the Health 2000 Study, a representative sample (n=6005) of Finland's general adult (≥30 years) population was interviewed with the M‐CIDI for mental disorders and health service use for mental problems during the last 12 months. Predictors for service use among those with DSM‐IV MDD (n=298) or anxiety disorders (n=242) were assessed. Of subjects with MDD, anxiety disorders, or both, 34%, 36%, and 59% used health services, respectively. Greater severity and perceived disability, psychiatric comorbidity, and living alone predicted health care use for MDD subjects, and greater perceived disability, psychiatric comorbidity, younger age, and parent's psychiatric problems for anxiety disorder subjects. The use of specialist‐level mental health services was predicted by psychiatric comorbidity, but not characteristics of the disorders per se. Perceived disability and comorbidity are factors influencing the use of mental health services by both anxiety disorder and MDD subjects. However, still only approximately one‐half of those suffering from even severe and comorbid disorders use health services for them. Depression and Anxiety 0:1–11, 2007. © 2007 Wiley‐Liss, Inc.

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Fear of Dying in Panic Attacks Predicts Suicide Attempt in Comorbid Depressive Illness: Prospective Evidence From the National Epidemiological Survey on Alcohol and Related Conditions

et al. 2012

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Treatment seeking for depression: role of depressive symptoms and comorbid psychiatric diagnoses

Cited by 49 publications

References 28 publications

Comparison of Treated and Untreated Major Depressive Disorder in a Nationwide Sample of Korean Adults

Comparison of Treated and Untreated Major Depressive Disorder in a Nationwide Sample of Korean Adults

Use of health services for major depressive and anxiety disorders in Finland

Fear of Dying in Panic Attacks Predicts Suicide Attempt in Comorbid Depressive Illness: Prospective Evidence From the National Epidemiological Survey on Alcohol and Related Conditions

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