Doll, Carolin M., Michel, Chantal, Rosen, Marlene, Osman, Naweed, Schimmelmann, Benno G. and Schultze-Lutter, Frauke (2021). Predictors of help-seeking behaviour in people with mental health problems: a 3-year prospective community study. BMC Psychiatry, 21 (1). LONDON: BMC. ISSN 1471-244X

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Abstract

Background The majority of people with mental illness do not seek help at all or only with significant delay. To reduce help-seeking barriers for people with mental illness, it is therefore important to understand factors predicting help-seeking. Thus, we prospectively examined potential predictors of help-seeking behaviour among people with mental health problems (N = 307) over 3 years. Methods Of the participants of a 3-year follow-up of a larger community study (response rate: 66.4%), data of 307 (56.6%) persons with any mental health problems (age-at-baseline: 16-40 years) entered a structural equation model of the influence of help-seeking, stigma, help-seeking attitudes, functional impairments, age and sex at baseline on subsequent help-seeking for mental health problems. Results Functional impairment at baseline was the strongest predictor of follow-up help-seeking in the model. Help-seeking at baseline was the second-strongest predictor of subsequent help-seeking, which was less likely when help-seeking for mental health problems was assumed to be embarrassing. Personal and perceived stigma, and help-seeking intentions had no direct effect on help-seeking. Conclusions With only 22.5% of persons with mental health problems seeking any help for these, there was a clear treatment gap. Functional deficits were the strongest mediator of help-seeking, indicating that help is only sought when mental health problems have become more severe. Earlier help-seeking seemed to be mostly impeded by anticipated stigma towards help-seeking for mental health problems. Thus, factors or beliefs conveying such anticipated stigma should be studied longitudinally in more detail to be able to establish low-threshold services in future.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Doll, Carolin M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Michel, ChantalUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rosen, MarleneUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Osman, NaweedUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schimmelmann, Benno G.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schultze-Lutter, FraukeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-594892
DOI: 10.1186/s12888-021-03435-4
Journal or Publication Title: BMC Psychiatry
Volume: 21
Number: 1
Date: 2021
Publisher: BMC
Place of Publication: LONDON
ISSN: 1471-244X
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
QUALITY-OF-LIFE; CLINICAL-SIGNIFICANCE; GENERAL-POPULATION; PERCEIVED NEED; DSM-IV; STIGMA; RISK; PREVALENCE; ATTITUDES; ASSOCIATIONMultiple languages
PsychiatryMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/59489

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