Details der Publikation - Trends in non-help-seeking for mental disorders in Germany between 1997–1999 and 2009

Trends in non-help-seeking for mental disorders in Germany between 1997–1999 and 2009–2012: a repeated cross-sectional study

Purpose This study sought to examine trends in non-help-seeking for mental disorders among persons with a prevalent mental disorder (12-month prevalence) in Germany between 1997–1999 and 2009–2012. Methods We examined data from 1909 persons aged 18–65 years who participated in two independent, repeated cross-sectional surveys (German National Interview and Examination Study 1997–1999, German Health Interview and Examination Survey for Adults 2009–2012) conducted 12 years apart. Prevalent mental disorders (12-month prevalence) were determined using the Composite International Diagnostic Interview, which included information on lifetime help-seeking for mental health problems. Correlates of self-reported help-seeking were analyzed according to Andersen’s Behavioral Model. Multivariable Poisson regression models were used to assess time trends in the directly standardized and model-adjusted prevalence of non-help-seeking across strata of socio-economic and clinical variables. Results The proportion of people with a prevalent mental disorder who have never sought help in their lifetime decreased significantly from 62% (95% CI 58.7–64.7) to 57% (95% CI 52.2–60.9) between 1997–1999 and 2009–2012 in adults aged 18–65 years in Germany. Downward trends in non-help-seeking occurred in all investigated strata and reached statistical significance in women, in people who were living alone, people with medium educational level, people living in middle-sized communities, people with non-statutory health insurance, smokers, and people with co-existing somatic conditions. Conclusion Despite a downward trend over the course of 12 years, a large proportion of people suffering from mental disorders are still not seeking treatment in Germany. Further efforts to increase uptake of help-seeking for mental disorders in hard-to-reach groups are warranted to continue this trend..

Medienart:	E-Artikel

Erscheinungsjahr:	2017
Erschienen:	2017

Enthalten in:	Zur Gesamtaufnahme - volume:52
Enthalten in:	Social psychiatry and psychiatric epidemiology - 52(2017), 8 vom: 29. Apr., Seite 1005-1013

Sprache:	Englisch

Beteiligte Personen:	Brandstetter, Susanne [VerfasserIn] Dodoo-Schittko, Frank [VerfasserIn] Speerforck, Sven [VerfasserIn] Apfelbacher, Christian [VerfasserIn] Grabe, Hans-Jörgen [VerfasserIn] Jacobi, Frank [VerfasserIn] Hapke, Ulfert [VerfasserIn] Schomerus, Georg [VerfasserIn] Baumeister, Sebastian E. [VerfasserIn]

Links:	Volltext [lizenzpflichtig]

BKL:	44.91$jPsychiatrie$jPsychopathologie 44.11$jPräventivmedizin
Themen:	Help-seeking Mental disorders Mental health Trends

RVK:	RVK Klassifikation ELIB24 ELIB33

Anmerkungen:	© Springer-Verlag Berlin Heidelberg 2017

doi:	10.1007/s00127-017-1384-y

funding:
Förderinstitution / Projekttitel:

PPN (Katalog-ID):	OLC209677800X

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520			\|a Purpose This study sought to examine trends in non-help-seeking for mental disorders among persons with a prevalent mental disorder (12-month prevalence) in Germany between 1997–1999 and 2009–2012. Methods We examined data from 1909 persons aged 18–65 years who participated in two independent, repeated cross-sectional surveys (German National Interview and Examination Study 1997–1999, German Health Interview and Examination Survey for Adults 2009–2012) conducted 12 years apart. Prevalent mental disorders (12-month prevalence) were determined using the Composite International Diagnostic Interview, which included information on lifetime help-seeking for mental health problems. Correlates of self-reported help-seeking were analyzed according to Andersen’s Behavioral Model. Multivariable Poisson regression models were used to assess time trends in the directly standardized and model-adjusted prevalence of non-help-seeking across strata of socio-economic and clinical variables. Results The proportion of people with a prevalent mental disorder who have never sought help in their lifetime decreased significantly from 62% (95% CI 58.7–64.7) to 57% (95% CI 52.2–60.9) between 1997–1999 and 2009–2012 in adults aged 18–65 years in Germany. Downward trends in non-help-seeking occurred in all investigated strata and reached statistical significance in women, in people who were living alone, people with medium educational level, people living in middle-sized communities, people with non-statutory health insurance, smokers, and people with co-existing somatic conditions. Conclusion Despite a downward trend over the course of 12 years, a large proportion of people suffering from mental disorders are still not seeking treatment in Germany. Further efforts to increase uptake of help-seeking for mental disorders in hard-to-reach groups are warranted to continue this trend.
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700	1		\|a Jacobi, Frank \|4 aut
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700	1		\|a Schomerus, Georg \|4 aut
700	1		\|a Baumeister, Sebastian E. \|4 aut
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Trends in non-help-seeking for mental disorders in Germany between 1997–1999 and 2009–2012: a repeated cross-sectional study

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