Skip to main content
Erschienen in: Social Psychiatry and Psychiatric Epidemiology 6/2011

01.06.2011 | Original Paper

Symptom recognition and help seeking for depression in young adults: a vignette study

verfasst von: Emily Klineberg, Lucy Biddle, Jenny Donovan, David Gunnell

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 6/2011

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Many young people with psychological problems do not seek help. Recognition of problems and knowledge of appropriate sources of help may increase the likelihood of help seeking. This study aimed to explore whether young adults recognised depressive symptoms in a vignette, and how they thought a young person might respond to these symptoms.

Methods

A postal survey was sent to 3,004 young people aged 16–24 in SW England. The survey included a two-part vignette; the first part depicted mild depressive symptoms, and the second part depicted severe depressive symptoms. Open-ended questions exploring symptom recognition and illness behaviour were answered by 1,125 respondents.

Results

Severe depressive symptoms were recognised by 61.4% of respondents. Young men, particularly those from deprived backgrounds were less likely than women to recognise a mental health problem. Men were also less likely to suggest seeing a doctor than women. 64.7% of the respondents who recognised a mental health problem suggested seeing a doctor, however, only 16.4% thought a severely depressed person actually would see a doctor.

Conclusions

Whilst the majority of young people recognised symptoms of severe depression, the gap between perceived options for help and proposed help seeking behaviour is clinically relevant. The sociodemographic groups at greatest risk of suicide are the least likely to recognise depression, highlighting a need to develop interventions targeting men, particularly those from deprived backgrounds.
Literatur
1.
Zurück zum Zitat Biddle L, Gunnell D, Sharp D, Donovan JL (2004) Factors influencing help seeking in mentally distressed young adults: a cross-sectional survey. Br J Gen Pract 54:248–253PubMed Biddle L, Gunnell D, Sharp D, Donovan JL (2004) Factors influencing help seeking in mentally distressed young adults: a cross-sectional survey. Br J Gen Pract 54:248–253PubMed
2.
Zurück zum Zitat Oliver MI, Pearson N, Coe N, Gunnell D (2005) Help-seeking behaviour in men and women with common mental health problems: cross-sectional study. Br J Psychiatry 186:297–301PubMedCrossRef Oliver MI, Pearson N, Coe N, Gunnell D (2005) Help-seeking behaviour in men and women with common mental health problems: cross-sectional study. Br J Psychiatry 186:297–301PubMedCrossRef
3.
Zurück zum Zitat Bebbington PE, Meltzer H, Brugha TS, Farrell M, Jenkins R, Ceresa C, Lewis G (2000) Unequal access and unmet need: neurotic disorders and the use of primary care services. Psychol Med 30:1359–1367PubMedCrossRef Bebbington PE, Meltzer H, Brugha TS, Farrell M, Jenkins R, Ceresa C, Lewis G (2000) Unequal access and unmet need: neurotic disorders and the use of primary care services. Psychol Med 30:1359–1367PubMedCrossRef
4.
Zurück zum Zitat Möller-Leimkühler AM (2002) Barriers to help-seeking by men: a review of sociocultural and clinical literature with particular reference to depression. J Affect Disord 71:1–9PubMedCrossRef Möller-Leimkühler AM (2002) Barriers to help-seeking by men: a review of sociocultural and clinical literature with particular reference to depression. J Affect Disord 71:1–9PubMedCrossRef
5.
Zurück zum Zitat Vanheusden K, van der Ende J, Mulder CL, van Lenthe FJ, Verhulst FC, Mackenbach JP (2009) Beliefs about mental health problems and help-seeking behavior in Dutch young adults. Soc Psychiatry Psychiatr Epidemiol 44:239–246PubMedCrossRef Vanheusden K, van der Ende J, Mulder CL, van Lenthe FJ, Verhulst FC, Mackenbach JP (2009) Beliefs about mental health problems and help-seeking behavior in Dutch young adults. Soc Psychiatry Psychiatr Epidemiol 44:239–246PubMedCrossRef
6.
Zurück zum Zitat Vanheusden K, van der Ende J, Mulder CL, van Lenthe FJ, Verhulst FC, Mackenbach JP (2008) The use of mental health services among young adults with emotional and behavioural problems: equal use for equal needs? Soc Psychiatry Psychiatr Epidemiol 43:808–815PubMedCrossRef Vanheusden K, van der Ende J, Mulder CL, van Lenthe FJ, Verhulst FC, Mackenbach JP (2008) The use of mental health services among young adults with emotional and behavioural problems: equal use for equal needs? Soc Psychiatry Psychiatr Epidemiol 43:808–815PubMedCrossRef
7.
Zurück zum Zitat Jorm AF, Korten AE, Jacomb PA, Christensen H, Rodgers B, Pollitt P (1997) “Mental health literacy”: a survey of the public’s ability to recognise mental disorders and their beliefs about the effectiveness of treatment. Med J Aust 166:182–186PubMed Jorm AF, Korten AE, Jacomb PA, Christensen H, Rodgers B, Pollitt P (1997) “Mental health literacy”: a survey of the public’s ability to recognise mental disorders and their beliefs about the effectiveness of treatment. Med J Aust 166:182–186PubMed
8.
Zurück zum Zitat Wright A, Jorm AF, Harris MG, McGorry PD (2007) What’s in a name? Is accurate recognition and labelling of mental disorders by young people associated with better help-seeking and treatment preferences? Soc Psychiatry Psychiatr Epidemiol 42:244–250PubMedCrossRef Wright A, Jorm AF, Harris MG, McGorry PD (2007) What’s in a name? Is accurate recognition and labelling of mental disorders by young people associated with better help-seeking and treatment preferences? Soc Psychiatry Psychiatr Epidemiol 42:244–250PubMedCrossRef
9.
Zurück zum Zitat Farrer L, Leach L, Griffiths KM, Christensen H, Jorm AF (2008) Age differences in mental health literacy. BMC Public Health 8:125PubMedCrossRef Farrer L, Leach L, Griffiths KM, Christensen H, Jorm AF (2008) Age differences in mental health literacy. BMC Public Health 8:125PubMedCrossRef
10.
Zurück zum Zitat Burns JR, Rapee RM (2006) Adolescent mental health literacy: young people’s knowledge of depression and help seeking. J Adolesc 29:225–239PubMedCrossRef Burns JR, Rapee RM (2006) Adolescent mental health literacy: young people’s knowledge of depression and help seeking. J Adolesc 29:225–239PubMedCrossRef
11.
Zurück zum Zitat Cotton SM, Wright A, Harris MG, Jorm AF, McGorry PD (2006) Influence of gender on mental health literacy in young Australians. Aust N Z J Psychiatry 40:790–796PubMed Cotton SM, Wright A, Harris MG, Jorm AF, McGorry PD (2006) Influence of gender on mental health literacy in young Australians. Aust N Z J Psychiatry 40:790–796PubMed
12.
Zurück zum Zitat Barney LJ, Griffiths KM, Jorm AF, Christensen H (2006) Stigma about depression and its impact on help-seeking intentions. Aust N Z J Psychiatry 40:51–54PubMed Barney LJ, Griffiths KM, Jorm AF, Christensen H (2006) Stigma about depression and its impact on help-seeking intentions. Aust N Z J Psychiatry 40:51–54PubMed
13.
Zurück zum Zitat Jorm AF, Medway J, Christensen H, Korten AE, Jacomb PA, Rodgers B (2000) Public beliefs about the helpfulness of interventions for depression: effects on actions taken when experiencing anxiety and depression symptoms. Aust N Z J Psychiatry 34:619–626PubMed Jorm AF, Medway J, Christensen H, Korten AE, Jacomb PA, Rodgers B (2000) Public beliefs about the helpfulness of interventions for depression: effects on actions taken when experiencing anxiety and depression symptoms. Aust N Z J Psychiatry 34:619–626PubMed
14.
Zurück zum Zitat O’Cathain A, Thomas KJ (2004) “Any other comments?” Open questions on questionnaires—a bane or a bonus to research? BMC Med Res Methodol 4:25PubMedCrossRef O’Cathain A, Thomas KJ (2004) “Any other comments?” Open questions on questionnaires—a bane or a bonus to research? BMC Med Res Methodol 4:25PubMedCrossRef
15.
Zurück zum Zitat Townsend P, Phillimore P, Beattie A (1988) Health and deprivation: inequality and the North. Croom Helm, London Townsend P, Phillimore P, Beattie A (1988) Health and deprivation: inequality and the North. Croom Helm, London
16.
Zurück zum Zitat Office of National Statistics (2000) Standard occupational classification (volumes 1 and 2). The Stationery Office, London Office of National Statistics (2000) Standard occupational classification (volumes 1 and 2). The Stationery Office, London
17.
Zurück zum Zitat Goldberg D, Williams P (1988) A user’s guide to the general health questionnaire. NFER-Nelson, Windsor, pp 1–129 Goldberg D, Williams P (1988) A user’s guide to the general health questionnaire. NFER-Nelson, Windsor, pp 1–129
18.
Zurück zum Zitat Hawton K, Houston K, Shepperd R (1999) Suicide in young people. Study of 174 cases, aged under 25 years, based on coroners’ and medical records. Br J Psychiatry 175:271–276PubMedCrossRef Hawton K, Houston K, Shepperd R (1999) Suicide in young people. Study of 174 cases, aged under 25 years, based on coroners’ and medical records. Br J Psychiatry 175:271–276PubMedCrossRef
19.
Zurück zum Zitat Vanheusden K, Mulder CL, van der EJ, van Lenthe FJ, Mackenbach JP, Verhulst FC (2008) Young adults face major barriers to seeking help from mental health services. Patient Educ Couns 73:97–104 Vanheusden K, Mulder CL, van der EJ, van Lenthe FJ, Mackenbach JP, Verhulst FC (2008) Young adults face major barriers to seeking help from mental health services. Patient Educ Couns 73:97–104
20.
Zurück zum Zitat Meltzer H, Bebbington P, Brugha T, Farrell M, Jenkins R, Lewis G (2003) The reluctance to seek treatment for neurotic disorders (Reprinted from Journal of Mental Health, vol 9, pages 319–327, 2000). Int Rev Psychiatry 15:123–128PubMedCrossRef Meltzer H, Bebbington P, Brugha T, Farrell M, Jenkins R, Lewis G (2003) The reluctance to seek treatment for neurotic disorders (Reprinted from Journal of Mental Health, vol 9, pages 319–327, 2000). Int Rev Psychiatry 15:123–128PubMedCrossRef
21.
Zurück zum Zitat Riedel-Heller SG, Matschinger H, Angermeyer MC (2005) Mental disorders-who and what might help? Help-seeking and treatment preferences of the lay public. Soc Psychiatry Psychiatr Epidemiol 40:167–174PubMedCrossRef Riedel-Heller SG, Matschinger H, Angermeyer MC (2005) Mental disorders-who and what might help? Help-seeking and treatment preferences of the lay public. Soc Psychiatry Psychiatr Epidemiol 40:167–174PubMedCrossRef
22.
Zurück zum Zitat Kelly CM, Jorm AF, Wright A (2007) Improving mental health literacy as a strategy to facilitate early intervention for mental disorders. Med J Aust 187:S26–S30PubMed Kelly CM, Jorm AF, Wright A (2007) Improving mental health literacy as a strategy to facilitate early intervention for mental disorders. Med J Aust 187:S26–S30PubMed
23.
Zurück zum Zitat Sherwood C (2007) Help-seeking for depression: the role of beliefs attitudes and mood. Behav Cogn Psychother 35:541–554CrossRef Sherwood C (2007) Help-seeking for depression: the role of beliefs attitudes and mood. Behav Cogn Psychother 35:541–554CrossRef
24.
Zurück zum Zitat Lauber C, Nordt C, Falcato L, Rossler W (2001) Lay recommendations on how to treat mental disorders. Soc Psychiatry Psychiatr Epidemiol 36:553–556PubMedCrossRef Lauber C, Nordt C, Falcato L, Rossler W (2001) Lay recommendations on how to treat mental disorders. Soc Psychiatry Psychiatr Epidemiol 36:553–556PubMedCrossRef
25.
Zurück zum Zitat Biddle L, Donovan J, Sharp D, Gunnell D (2007) Explaining non-help-seeking amongst young adults with mental distress: a dynamic interpretive model of illness behaviour. Sociol Health Illn 29:983–1002PubMedCrossRef Biddle L, Donovan J, Sharp D, Gunnell D (2007) Explaining non-help-seeking amongst young adults with mental distress: a dynamic interpretive model of illness behaviour. Sociol Health Illn 29:983–1002PubMedCrossRef
26.
Zurück zum Zitat Angermeyer MC, Matschinger H, Riedel-Heller SG (2001) What to do about mental disorder—help-seeking recommendations of the lay public. Acta Psychiatr Scand 103:220–225PubMedCrossRef Angermeyer MC, Matschinger H, Riedel-Heller SG (2001) What to do about mental disorder—help-seeking recommendations of the lay public. Acta Psychiatr Scand 103:220–225PubMedCrossRef
27.
Zurück zum Zitat Patel V, Flisher AJ, Hetrick S, McGorry P (2007) Mental health of young people: a global public-health challenge. Lancet 369:1302–1313PubMedCrossRef Patel V, Flisher AJ, Hetrick S, McGorry P (2007) Mental health of young people: a global public-health challenge. Lancet 369:1302–1313PubMedCrossRef
28.
Zurück zum Zitat Sharp W, Hargrove DS, Johnson L, Deal WP (2006) Mental health education: an evaluation of a classroom based strategy to modify help seeking for mental health problems. J Coll Stud Dev 47:419–438CrossRef Sharp W, Hargrove DS, Johnson L, Deal WP (2006) Mental health education: an evaluation of a classroom based strategy to modify help seeking for mental health problems. J Coll Stud Dev 47:419–438CrossRef
Metadaten
Titel
Symptom recognition and help seeking for depression in young adults: a vignette study
verfasst von
Emily Klineberg
Lucy Biddle
Jenny Donovan
David Gunnell
Publikationsdatum
01.06.2011
Verlag
Springer-Verlag
Erschienen in
Social Psychiatry and Psychiatric Epidemiology / Ausgabe 6/2011
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-010-0214-2

Weitere Artikel der Ausgabe 6/2011

Social Psychiatry and Psychiatric Epidemiology 6/2011 Zur Ausgabe

Update Psychiatrie

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