nach oben

Community Mental Health Journal

Erschienen in:

01.10.2011 | Original Paper

Attitudes Toward Help-Seeking and Duration of Untreated Mental Disorders in a Sectorized Athens Area of Greece

verfasst von: Michael G. Madianos, Aphroditi Zartaloudi, George Alevizopoulos, Theofanis Katostaras

Erschienen in: Community Mental Health Journal | Ausgabe 5/2011

Einloggen, um Zugang zu erhalten

Abstract

The purpose of the present study was to investigate the association of opinions towards seeking psychiatric help with the duration of untreated mental disorders in a sectorized Athens area, served by a Community Mental Health Centre. The sample consisted of 134 individuals who had sought help from health or mental health non sectorized services prior to their visit to the Centre (group A) and 156 individuals whose visit to the Center was their first ever contact with a mental health service (group B). Opinions were assessed by the “Attitudes Toward Seeking Professional Psychological Help scale. Both groups were selected from a total of 1,008 individuals who had visited the Centre in four consecutive years. The duration of untreated mental disorders was found to be shorter in group A compared to group B. Males and females of both groups, who had visited the Centre in a time period shorter than 12 months since the onset of their psychopathology, expressed more positive views towards help-seeking, compared to their counterparts with longer duration of untreated mental disorder. The variables of gender (females), age at symptom onset (younger) and education (higher) predicted a shorter duration without psychiatric treatment and more positive views about the necessity of help-seeking. More severe type of diagnoses was associated with shorter durations before accessing care. Our findings underline that mental health awareness programs are clearly required in order to strengthen the early recognition of the need for help- seeking. The development of liaison and outreach activities could also prevent prolonged delays in psychiatric treatment.

Addington, J., van Mastrigt, S., Hutchinson, J., & Addington, D. (2002). Pathways to care: Help seeking behaviour in first episode psychosis. Acta Psychiatrica Scandinavica, 106, 358–364.PubMedCrossRef

Addis, M., & Mahalik, J. (2003). Man, masculinity and the contexts of help seeking. American Psychologist, 58, 5–14.PubMedCrossRef

Amaddeo, F., Zambello, F., Tansella, M., & Thornicroft, G. (2001). Accessibility and pathways to psychiatric care in a community based mental—health system. Social Psychiatry and Psychiatric Epidemiology, 36, 500–507.PubMedCrossRef

Angermeyer, M., & Matchinger, H. (1996). The effect of diagnostic labeling on the lay theory regarding schizophrenic disorders. Social Psychiatry and Psychiatric Epidemiology, 31, 316–320.PubMedCrossRef

Angermeyer, M., Matschinger, H., & Riedel-Heller, S. (1999). Whom to ask for help in case of a mental disorder? Preferences of the lay public. Social Psychiatry and Psychiatric Epidemiology, 35, 202–210.CrossRef

Atkinson, D. R., Whitely, S., & Gim, R. (1990). Asian-American acculturation and preferences for help-providers. Journal of College Student Development, 31, 155–161.

Boey, K. W. (1998). Psychosocial factors associated with seeking psychiatric treatment: A study on adolescents in Shanghai. International Medical Journal, 5, 293–298.

Burns, T., Eichenberger, A., Eich, D., Ajdacic-Gross, V., Angst, J., & Rössler, W. (2003). Which individuals with affective symptoms seek help? Results from the Zurich epidemiological study. Acta Psychiatrica Scandinavica, 108, 419–426.PubMedCrossRef

Carlton, P. A., & Deane, F. P. (2000). Impact of attitudes and suicidal ideation on adolescents’ intentions to seek professional psychological help. Journal of Adolescence, 23, 35–45.PubMedCrossRef

Chen, E. Y., Dunn, E. L., Miao, M. Y., Yeung, W., Wong, C., Chan, W., et al. (2005). The impact of family experience on the duration of untreated psychosis (DUP) in Hong Kong. Social Psychiatry and Psychiatric Epidemiology, 40, 350–356.PubMedCrossRef

Fan, B. Y., Yeh, E. K., Lee, S. I., & Lin, S. S. (1993). The medical care seeking behavior of psychiatric patients. Public Health, 20, 83–98.

Fischer, E. H., & Farina, A. (1995). Attitudes toward seeking professional psychological help: A shortened form and considerations for research. Journal of College Student Development, 36, 368–373.

Fischer, E. H., & Turner, J. L. (1970). Orientations to seeking professional help: Development and research utility of an attitude. Journal of Consulting and Clinical Psychology, 35, 79–90.PubMedCrossRef

Fisher, L. J., & Goldney, R. D. (2003). Differences in community mental health literacy in older and younger Australians. International Journal of Geriatric Psychiatry, 18, 33–40.PubMedCrossRef

Hall, L. E., & Tucker, C. M. (1985). Relationships between ethnicity, conceptions of mental illness and attitudes toward seeking psychological help. Psychological Reports, 57, 907–916.PubMedCrossRef

Hinson, J. A., & Swanson, J. L. (1993). Willingness to seek help as a function of self-disclosure and problem severity. Journal of Counseling and Development, 71, 28–42.

Horowitz, A., & Uttaro, T. (1998). Age and mental health services. Community Mental Health Journal, 34, 275–287.CrossRef

Jaycox, L. H., Asarnow, J. R., Sherbourne, C. D., Rea, M. M., LaBorde, A. P., & Wells, K. B. (2006). Adolescent primary care patients’ preferences for depression treatment. Administration and Policy in Mental Health and Mental Health Services Research, 33, 198–207.PubMedCrossRef

Karastergiou, A., Mastrogianni, A., Georgiadou, E., Kotrotsios, S., & Mavratziotou, K. (2005). The reform of the Greek mental health services. Journal of Mental Health, 14, 197–203.CrossRef

Keating, F., & Robertson, D. (2004). Fear, black people and mental illness: A vicious circle? Health and Social Care in the Community, 12, 439–447.PubMedCrossRef

Kelly, A. E., & Achter, J. A. (1995). Self-concealment and attitudes toward counseling in university students. Journal of Counseling Psychology, 42, 40–46.CrossRef

Kelly, C. M., & Jorm, A. F. (2007). Stigma and mood disorders. Current Opinion in Psychiatry, 20, 13–16.PubMedCrossRef

Kendler, K. (1995). Is seeking treatment for depression predicted by a history of depression in relatives? Implications for family studies of affective disorder. Psychological Medicine, 25, 807–814.PubMedCrossRef

Leaf, P. J., Livingston, M. M., Tischler, G. L., Weissman, M. M., Holzer, C. E., & Myers, J. K. (1985). Contact with health professionals for the treatment of psychiatric and emotional problems. Medical Care, 23, 1322–1337.PubMedCrossRef

Leong, F. T. L., & Zachar, P. (1999). Gender and opinions about mental illness as predictors of attitudes toward seeking professional psychological help. British Journal of Guidance and Counseling, 27, 123–132.CrossRef

Lincoln, C., & McGorry, P. (1995). Who cares? Pathways to psychiatric care for young people experiencing a first episode of psychosis. Psychiatric Services, 46, 1166–1171.PubMed

Lopez, F. G., Melendez, M. C., Sayer, E. M., Berger, E., & Wyssman, J. (1998). Internal working models, self-reported problems and help—seeking attitudes among college students. Journal of Counseling Psychology, 45, 79–83.CrossRef

Mackenzie, C. S., Gekoski, W. L., & Knox, V. J. (2007). Age, gender, and the underutilization of mental health services: The influence of help-seeking attitudes. Aging and Mental Health, 10, 574–582.CrossRef

Madianos, M., & Christodoulou, G. (2007). Reform of the mental health care system in Greece 1984–2006. International Psychiatry, 4, 16–19.

Madianos, M., & Economou, M. (1999). The impact of a community mental health center on psychiatric hospitalizations in two Athens areas. Community Mental Health Journal, 35, 313–323.PubMedCrossRef

Madianos, M. G., Economou, M., Dafni, O., Koukia, E., Palli, A., & Rogakou, E. (2004). Family disruption, economic hardship and psychological distress in schizophrenia: Can they be measured? European Psychiatry, 19, 408–414.PubMedCrossRef

Madianos, M. G., Economou, M., Hatjiandreou, M., Papageorgiou, A., & Rogakou, E. (1999). Changes in public attitudes towards mental illness in the Athens area (1979/1980–1994). Acta Psychiatrica Scandinavica, 99, 73–78.PubMedCrossRef

Madianos, M. G., Madianou, D., & Stefanis, C. N. (1993). Help-seeking behaviour for psychiatric disorder from physicians or psychiatrists in Greece. Social Psychiatry and Psychiatric Epidemiology, 28, 285–291.PubMedCrossRef

Madianos, M. G., Zartaloudi, A., Kallergis, G., & Alevizopoulos, G. (2008). Duration of untreated mental disorders and help-seeking in a sectorized Athens area. Primary Care and Community Psychiatry, 13, 148–154.

McGlashan, T., & Johannessen, J. (1996). Early detection and intervention with schizophrenia: Rationale. Schizophrenia Bulletin, 22, 201–222.PubMed

McGorry, P., Edwards, J., Mihalopoulos, C., Harrigan, S., & Jackson, H. (1996). EPPIC: an evolving system of early detection and optimal management. Schizophrenia Bulletin, 22, 305–326.PubMed

Mechanic, D. (2003). Is the Prevalence of mental disorders a good measure of the need of services? Health Affairs, 22, 8–20.PubMedCrossRef

Morissey, S. C. (2000). Addressing the mental health concerns of international students. Journal of Counseling and Development, 78, 137–144.

Nickerson, K. J., Helms, J. E., & Terrell, F. (1994). Cultural mistrust, opinions about mental illness and black student’s attitudes toward seeking psychological help from white counselors. Journal of Counseling Psychology, 41, 378–385.CrossRef

Norman, R. M. G., Malla, A. K., & Manchanda, R. (2007). Delay in treatment for psychosis. Its relation to family history. Social Psychiatry and Psychiatric Epidemiology, 42, 174–179.CrossRef

Norman, R. M. G., Townsend, L., & Malla, A. K. (2001). Duration of untreated psychosis and cognitive functioning in first episode patients. British Journal of Psychiatry, 179, 340–345.PubMedCrossRef

Norusis, M. (2005). SPSS13.0. Guide to data analysis. Upper Saddle River, NJ: Prentice Hall.

Riedel-Heller, S. G., Matschinger, H., & Angermeyer, M. C. (2005). Mental disorders—who and what might help? Help-seeking and treatment preferences of the lay public. Social Psychiatry and Psychiatric Epidemiology, 40, 167–174.PubMedCrossRef

Segal, D. L., Coolidge, F. L., Mincic, M. S., & O’Riley, A. (2007). Beliefs about mental illness and willingness to seek help: A cross-sectional study. Ageing and Mental Health, 9, 363–367.

Steel, Z., McDonald, R., Silove, D., Bauman, A., Sandford, P., Herron, J., et al. (2006). Pathways to the first contact with specialist mental health care. Australian and New Zealand Journal of Psychiatry, 40, 347–354.PubMedCrossRef

Sue, S., & Morishima, J. K. (1982). The mental health of Asian Americans. San Francisco, CA: Jossey-Bass.

Surgenor, L. J. (1985). Attitudes toward seeking professional psychological help. New Zealand Journal of Psychology, 14, 27–33.

Tata, S., & Leong, F. T. L. (1994). Individualism, collectivism, social network orientation and acculturation as predictors of attitudes toward seeking professional psychological help among Chinese Americans. Journal of Counseling Psychology, 41, 280–287.CrossRef

Tracey, T. J., Sherry, P., & Keitel, M. (1986). Distress environment fit and self-efficacy: A casual model. American Journal of Community Psychology, 14, 657–676.PubMedCrossRef

Van Wijngaarden, B., Schene, A. H., & Koeter, M. W. J. (2004). Family caregiving in depression: impact on caregivers’ daily life, distress, and help seeking. Journal of Affective Disorders, 81, 211–222.PubMedCrossRef

Verdoux, H., Cougnard, A., Grolleau, S., Besson, R., & Delcroix, F. (2005). How do general practitioners manage subjects with early schizophrenia and collaborate with mental health professionals? A postal survey in South-Western France. Social Psychiatry and Psychiatric Epidemiology, 40, 892–898.PubMedCrossRef

Wong, D. F. K. (2007). Uncovering sociocultural factors influencing the pathway to care of Chinese caregivers with relatives suffering from early psychosis in Hong Kong. Culture, Medicine and Psychiatry, 31, 51–71.PubMedCrossRef

Titel: Attitudes Toward Help-Seeking and Duration of Untreated Mental Disorders in a Sectorized Athens Area of Greece
verfasst von: Michael G. Madianos
Aphroditi Zartaloudi
George Alevizopoulos
Theofanis Katostaras
Publikationsdatum: 01.10.2011
Verlag: Springer US
Erschienen in: Community Mental Health Journal / Ausgabe 5/2011
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-011-9404-y

Neu im Fachgebiet Psychiatrie

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

23.04.2024 Depression antepartal oder postpartal Nachrichten

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

22.04.2024 DGIM 2024 Kongressbericht

Die Kombination aus Medikamenten und Psychotherapie gilt als effektivster Ansatz bei Depressionen. Das ist bei betagten Menschen nicht anders, trotz Besonderheiten.

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

22.04.2024 DGIM 2024 Nachrichten

Um Menschen nach der Flucht aus einem Krisengebiet bestmöglich medizinisch betreuen zu können, ist es gut zu wissen, welche Erkrankungen im jeweiligen Herkunftsland häufig sind. Dabei hilft eine Internetseite der CDC (Centers for Disease Control and Prevention).

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Live-Webinar "Chronische Unterbauch- und Viszeralschmerzen in der Praxis managen"

Springer Medizin

Attitudes Toward Help-Seeking and Duration of Untreated Mental Disorders in a Sectorized Athens Area of Greece

Abstract

Neu im Fachgebiet Psychiatrie

Demenzkranke durch Antipsychotika vielfach gefährdet

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

Update Psychiatrie

Live-Webinar "Chronische Unterbauch- und Viszeralschmerzen in der Praxis managen"

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 5/2011

A Comparison Study of Psychological, Family Function Marital and Life Satisfactions of Polygamous and Monogamous Women in Jordan

Reassessing the High Proportion of Involuntary Psychiatric Hospital Admissions in South Korea

Suicidal Ideation, Plans, and Attempts Among Rural Young Chinese: The Effect of Suicide Death by a Family Member or Friend

The Conceptual Model and Guiding Principles of a Supported-Education Program for Orthodox Jewish Persons with Severe Mental Illness

Interaction Between Pre- and Post-Migration Factors on Depressive Symptoms in New Migrants to Hong Kong from Mainland China

Recent Findings in the Effectiveness Testing of an Interdisciplinary Training Program in Mental Health Promotion

Neu im Fachgebiet Psychiatrie

Demenzkranke durch Antipsychotika vielfach gefährdet

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

Update Psychiatrie