Use of health services for major depressive episode in Finland

Hämäläinen, Jüha; Isometsä, Erkki; Laukkala, Tanja; Kaprio, Jaakko; Poikolainen, Kari; Heikkinen, Martti; Lindeman, Sari; Aro, Hillevi

doi:10.1016/s0165-0327(02)00342-7

Cited by 66 publications

(64 citation statements)

References 40 publications

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“…Among those who do seek professional treatment for depression, the severity of the condition and presence of comorbidities appear to be key factors in the decision to seek treatment [7][8][9][10]. This pattern is consistent with Andersen's Behavioral Model of Health Services Use because in his conceptual model, perceived and evaluated need is the strongest predictor of service use [11].…”

Section: Introductionsupporting

confidence: 70%

Social Support and Health Service Use in Depressed Adults: Findings From the National Health and Nutrition Examination Survey

Andrea

Siegel

Teo

2016

General Hospital Psychiatry

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Section: Introductionsupporting

confidence: 70%

Social Support and Health Service Use in Depressed Adults: Findings From the National Health and Nutrition Examination Survey

Andrea

Siegel

Teo

2016

General Hospital Psychiatry

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“…Thus, for persons with an anxiety disorder the proportion seeking treatment may be lower overall, although considerable variation may be present among different disorders. In an earlier Finnish study [Laukkala et al, 2001;Hämäläinen et al, 2004] the proportion of subjects in the general population with a major depressive episode who used any health services for their depression during the past 12 months was slightly smaller, 28%. Due to lack of information about comorbidity and some methodological differences, these estimates are not fully comparable.…”

Section: Discussionmentioning

confidence: 92%

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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“…In addition, most employers provide their employees with various medical services. In spite of good access to public health care, in a recent Finnish study, only 59% of even those suffering from the most severe major depressive episodes had used health services for depression (38). In a recent report of the Organisation for Economic Co-operation and Development, the employed population in Finland was suggested to have better access to general practitioners due to occupational health care than the nonemployed (39).…”

Section: Discussionmentioning

confidence: 99%