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Factors affecting help-seeking during depression in a community sample.

M A Dew1, L O Dunn, E J Bromet

  • 1Department of Psychiatry, University of Pittsburgh, PA 15213.

Journal of Affective Disorders
|May 1, 1988
PubMed
Summary

Many with depression do not seek help. Those who consult mental health specialists show greater impairment and fewer resources than others, suggesting a need for improved access to care.

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Area of Science:

  • Mental Health
  • Psychiatry
  • Public Health

Background:

  • Understanding factors influencing help-seeking behavior for depression is crucial for effective public health interventions.
  • Previous research has limited insight into the specific characteristics differentiating individuals who seek professional help for depression from those who do not.

Purpose of the Study:

  • To investigate clinical and psychosocial predictors of help-seeking behavior in community residents experiencing depressive episodes.
  • To differentiate between individuals who sought professional help versus those who did not.
  • To examine factors influencing the choice of professional consultation (mental health specialists vs. nonpsychiatric physicians).

Main Methods:

  • Longitudinal data from 96 female subjects experiencing a depressive episode were analyzed.

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  • Preexisting psychiatric and psychosocial characteristics were assessed alongside features of the recent depressive episode.
  • Cross-validation was performed using a smaller sample of male community residents.

    • Main Results:

    • Less than half of the participants sought professional help for their depressive episodes.
    • Few variables distinguished between individuals who sought help and those who did not.
    • Individuals consulting mental health specialists exhibited greater clinical impairment and fewer psychosocial assets compared to those consulting nonpsychiatric physicians or seeking no help.

    Conclusions:

    • Help-seeking for depression is complex, with a significant portion of individuals not accessing professional care.
    • Clinical severity and psychosocial resources appear to play a role in the type of professional consulted, with more impaired individuals seeking specialized mental health care.
    • Further research is needed to understand barriers and facilitators to seeking appropriate mental health support.