GPs' Role in the Detection of Psychological Problems of Young People: a Population-based Study

Overview

Journal Br J Gen Pract

Specialty Public Health

Date 2009 Sep 19

PMID 19761659

Citations 26

Authors

Aurelie Mauerhofer

Andre Berchtold

Pierre-Andre Michaud

Joan-Carles Suris

Affiliations

Soon will be listed here.

Abstract

Background: Among young people, about one in three females and one in five males report experiencing emotional distress but 65-95% of them do not receive help from health professionals.

Aim: To assess the differences among young people who seek help and those who do not seek help for their psychological problems, considering the frequency of consultations to their GP and their social resources.

Design Of Study: School survey.

Setting: Post-mandatory school.

Method: Among a Swiss national representative sample of 7429 students and apprentices (45.6% females) aged 16-20 years, 1931 young people reported needing help for a problem of depression/sadness (26%) and were included in the study. They were divided into those who sought help (n = 256) and those who did not (n = 1675), and differences between them were assessed.

Results: Only 13% of young people needing help for psychological problems consulted for that reason and this rate was positively associated with the frequency of consultations to the GP. However, 80% of young people who did not consult for psychological problems visited their GP at least once during the previous year. Being older or a student, having a higher depression score, or a history of suicide attempt were linked with a higher rate of help seeking. Moreover, confiding in adults positively influenced the rate of help seeking.

Conclusion: The large majority of young people reporting psychological problems do not seek help, although they regularly consult their GP. While young people have difficulties in tackling issues about mental health, GPs could improve the situation by systematically inquiring about this issue.

Citing Articles

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References

Kushner R . Barriers to providing nutrition counseling by physicians: a survey of primary care practitioners. Prev Med. 1995; 24(6):546-52. DOI: 10.1006/pmed.1995.1087. View

Andrews G, Henderson S, Hall W . Prevalence, comorbidity, disability and service utilisation. Overview of the Australian National Mental Health Survey. Br J Psychiatry. 2001; 178:145-53. DOI: 10.1192/bjp.178.2.145. View

Kataoka S, Zhang L, Wells K . Unmet need for mental health care among U.S. children: variation by ethnicity and insurance status. Am J Psychiatry. 2002; 159(9):1548-55. DOI: 10.1176/appi.ajp.159.9.1548. View

Kraus B, Stronski S, Michaud P . Training needs in adolescent medicine of practising doctors: a Swiss national survey of six disciplines. Med Educ. 2003; 37(8):709-14. DOI: 10.1046/j.1365-2923.2003.01565.x. View

Armsden G, Greenberg M . The inventory of parent and peer attachment: Individual differences and their relationship to psychological well-being in adolescence. J Youth Adolesc. 2013; 16(5):427-54. DOI: 10.1007/BF02202939. View

West P, Sweeting H . Fifteen, female and stressed: changing patterns of psychological distress over time. J Child Psychol Psychiatry. 2003; 44(3):399-411. DOI: 10.1111/1469-7610.00130. View

Wright M . Pediatric injury prevention. Preparing residents for patient counseling. Arch Pediatr Adolesc Med. 1997; 151(10):1039-43. DOI: 10.1001/archpedi.1997.02170470073013. View

Zwaanswijk M, Verhaak P, van der Ende J, Bensing J, Verhulst F . Consultation for and identification of child and adolescent psychological problems in Dutch general practice. Fam Pract. 2005; 22(5):498-506. DOI: 10.1093/fampra/cmi045. View

Gasquet I, Chavance M, Ledoux S, Choquet M . Psychosocial factors associated with help-seeking behavior among depressive adolescents. Eur Child Adolesc Psychiatry. 1998; 6(3):151-9. DOI: 10.1007/BF00538987. View

10.

Samargia L, Saewyc E, Elliott B . Foregone mental health care and self-reported access barriers among adolescents. J Sch Nurs. 2006; 22(1):17-24. DOI: 10.1177/10598405060220010401. View

11.

Boyd C, Francis K, Aisbett D, Newnham K, Sewell J, Dawes G . Australian rural adolescents' experiences of accessing psychological help for a mental health problem. Aust J Rural Health. 2007; 15(3):196-200. DOI: 10.1111/j.1440-1584.2007.00884.x. View

12.

Kann L, Brener N, Warren C, Collins J, Giovino G . An assessment of the effect of data collection setting on the prevalence of health risk behaviors among adolescents. J Adolesc Health. 2002; 31(4):327-35. DOI: 10.1016/s1054-139x(02)00343-9. View

13.

Biros M, Hick K, Cen Y, Mann J, Gaetz A, Hansen R . Occult depressive symptoms in adolescent emergency department patients. Arch Pediatr Adolesc Med. 2008; 162(8):769-73. DOI: 10.1001/archpedi.162.8.769. View

14.

Jeannin A, Narring F, Tschumper A, Bonivento L, Addor V, Butikofer A . Self-reported health needs and use of primary health care services by adolescents enrolled in post-mandatory schools or vocational training programmes in Switzerland. Swiss Med Wkly. 2005; 135(1-2):11-8. DOI: 10.4414/smw.2005.10846. View

15.

Bijl R, Ravelli A, Van Zessen G . Prevalence of psychiatric disorder in the general population: results of The Netherlands Mental Health Survey and Incidence Study (NEMESIS). Soc Psychiatry Psychiatr Epidemiol. 1998; 33(12):587-95. DOI: 10.1007/s001270050098. View

16.

Zwaanswijk M, van der Ende J, Verhaak P, Bensing J, Verhulst F . Factors associated with adolescent mental health service need and utilization. J Am Acad Child Adolesc Psychiatry. 2003; 42(6):692-700. DOI: 10.1097/01.CHI.0000046862.56865.B7. View

17.

Zwaanswijk M, van der Ende J, Verhaak P, Bensing J, Verhulst F . The different stages and actors involved in the process leading to the use of adolescent mental health services. Clin Child Psychol Psychiatry. 2007; 12(4):567-82. DOI: 10.1177/1359104507080985. View

18.

Gasquet I, Ledoux S, Chavance M, Choquet M . Consultation of mental health professionals by French adolescents with probable psychiatric problems. Acta Psychiatr Scand. 1999; 99(2):126-34. DOI: 10.1111/j.1600-0447.1999.tb07210.x. View

19.

Zwaanswijk M, Verhaak P, Bensing J, van der Ende J, Verhulst F . Help seeking for emotional and behavioural problems in children and adolescents: a review of recent literature. Eur Child Adolesc Psychiatry. 2003; 12(4):153-61. DOI: 10.1007/s00787-003-0322-6. View

20.

Austin P, Tu J . Automated variable selection methods for logistic regression produced unstable models for predicting acute myocardial infarction mortality. J Clin Epidemiol. 2004; 57(11):1138-46. DOI: 10.1016/j.jclinepi.2004.04.003. View