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Related Experiment Videos

Women's help-seeking patterns for depression.

M P Van Hook1

  • 1School of Social Work, University of Central Florida, Orlando 32816-3358, USA.

Social Work in Health Care
|September 11, 1999
PubMed
Summary

Primary care settings often miss depression diagnoses, particularly in women of color. This study highlights barriers and effective interventions within these clinics, emphasizing the need for better community education and screening.

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Area of Science:

  • Primary Care Medicine
  • Mental Health Services Research
  • Health Disparities

Background:

  • Depression diagnosis and treatment are often inadequate in primary care.
  • Women of color disproportionately utilize primary care for mental health but face diagnostic challenges.

Purpose of the Study:

  • To investigate depression prevalence, help-seeking behaviors, and barriers in a diverse primary care population.
  • To identify effective interventions and inform community education and screening strategies.

Main Methods:

  • A confidential questionnaire was administered to 321 women (Black, Hispanic, White) in four Florida primary care clinics.
  • Data collected included depression prevalence, depressive symptoms, and experiences seeking help.

Main Results:

  • 10% of participants reported recent major depression; 26.7% had depressive symptoms in the past two years.
  • Depressed women were more likely to report recent physical violence.
  • Family, friends, and clinics were primary help sources; clinic staff and psychosocial interventions were perceived as helpful.
  • Barriers included perceived mental health/general health separation and stigma across all groups.

Conclusions:

  • Primary care settings require improved depression identification and management, especially for underserved women.
  • Addressing stigma and integrating mental and general health services are crucial.
  • Community education and enhanced screening protocols are recommended to improve care access and outcomes.

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