Functioning mediates help-seeking for mental problems in the general population

European Psychiatry : the Journal of the Association of European Psychiatrists
Chantal MichelFrauke Schultze-Lutter

Abstract

Absent or delayed help-seeking is considered to aggravate the immense personal and societal burden caused by mental disorders. Therefore, we cross-sectionally examined rates and clinical and sociodemographic moderators of early help-seeking for current clinician-assessed non-psychotic mental problems/disorders in the community. Altogether, 2683 individuals of the Swiss Canton Bern (16-40 years old, response rate 63.4%) were interviewed by telephone for current axis-I problems/disorders using the Mini-International Neuropsychiatric Interview, for psychosocial functioning using the Social and Occupational Functioning Assessment Scale, and for help-seeking for mental problems. In total, 1122 (41.8%) reported mental problems. Of these, 769 (68.5%) affirmed any one screening question and 353 (31.5%) fulfilled criteria for any current axis-I disorder, and 396 (35.3%) reported any lifetime help-seeking (28.3% sought help in the past and 7.0% were in current treatment). In path analyses, current help-seeking was associated mainly by type and number of mental problems/disorders mediated by functional impairment, in addition to older age, no current partner, and past treatment. Our cross-sectional data indicate a gap in help-seeking for ...Continue Reading

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Citations

Oct 7, 2019·European Psychiatry : the Journal of the Association of European Psychiatrists·Chantal MichelFrauke Schultze-Lutter
May 17, 2019·European Psychiatry : the Journal of the Association of European Psychiatrists·T FormánekP Winkler
Jul 19, 2019·Social Psychiatry and Psychiatric Epidemiology·Mythily SubramaniamSiow Ann Chong

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