Influence of Mental Health Literacy on Help-seeking Behaviour for Mental Health Problems in the Swiss Young Adult Community: a Cohort and Longitudinal Case-control Study

Overview

Journal Eur Arch Psychiatry Clin Neurosci

Specialties Neurology
Psychiatry

Date 2022 Sep 10

PMID 36088495

Authors

N Osman

C Michel

B G Schimmelmann

L Schilbach

E Meisenzahl

F Schultze-Lutter

Affiliations

Soon will be listed here.

Abstract

Poor knowledge about mental health disorders and their treatment likely contributes to the large treatment gap reported for mental health problems. Therefore, we studied the association between mental health literacy (MHL) and active help-seeking in a community sample. Participants were recruited from an add-on questionnaire study to the 'Bern Epidemiological At-Risk' (BEAR) study on 16-40-year-old community subjects of the Swiss canton Bern. At baseline, data of N = 1504, and at 3-year follow-up, data of N = 535 were available. Based on an unlabelled case vignette (on depression or schizophrenia), MHL was assessed by the questionnaire of Angermeyer and colleagues. Cross-sectional and longitudinal baseline predictors of help-seeking were analysed using path analyses. Additionally, sensitivity analyses of the prospective model were computed for sex, vignette, and baseline mental health problems/disorders. Cross-sectionally, help-seeking was associated with non-endorsement of biogenetic causal explanations, presence of mental health problems/disorders, help-seeking before baseline, poorer functioning, and lower health satisfaction. The prospective model was similar; yet, help-seeking at follow-up was associated with endorsements of the causal explanation 'biogenetics' and, additionally, 'childhood trauma' but not the presence of baseline mental health problems/disorders. Sensitivity analyses revealed a significant impact on sex, vignette, and mental health problems/disorders. For example, actual functional problems were predictive in males, while health satisfaction was predictive in females. Our findings indicate that future studies on drivers of help-seeking should assess very large community samples with case vignettes on different mental disorders to examine appropriate subgroups and their likely interaction to address group-specific factors in awareness campaigns.

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References

Demyttenaere K, Bruffaerts R, Posada-Villa J, Gasquet I, Kovess V, Lepine J . Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. JAMA. 2004; 291(21):2581-90. DOI: 10.1001/jama.291.21.2581. View

Wang P, Angermeyer M, Borges G, Bruffaerts R, Chiu W, de Girolamo G . Delay and failure in treatment seeking after first onset of mental disorders in the World Health Organization's World Mental Health Survey Initiative. World Psychiatry. 2008; 6(3):177-85. PMC: 2174579. View

Angermeyer M, Van der Auwera S, Carta M, Schomerus G . Public attitudes towards psychiatry and psychiatric treatment at the beginning of the 21st century: a systematic review and meta-analysis of population surveys. World Psychiatry. 2017; 16(1):50-61. PMC: 5269489. DOI: 10.1002/wps.20383. View

McKay M, Cannon M, Chambers D, Conroy R, Coughlan H, Dodd P . Childhood trauma and adult mental disorder: A systematic review and meta-analysis of longitudinal cohort studies. Acta Psychiatr Scand. 2020; 143(3):189-205. DOI: 10.1111/acps.13268. View

Doll C, Michel C, Rosen M, Osman N, Schimmelmann B, Schultze-Lutter F . Predictors of help-seeking behaviour in people with mental health problems: a 3-year prospective community study. BMC Psychiatry. 2021; 21(1):432. PMC: 8414662. DOI: 10.1186/s12888-021-03435-4. View

Doll C, Michel C, Betz L, Schimmelmann B, Schultze-Lutter F . The Important Role of Stereotypes in the relation between Mental Health Literacy and Stigmatization of Depression and Psychosis in the Community. Community Ment Health J. 2021; 58(3):474-486. PMC: 8860791. DOI: 10.1007/s10597-021-00842-5. View

Speerforck S, Schomerus G, Matschinger H, Angermeyer M . Treatment recommendations for schizophrenia, major depression and alcohol dependence and stigmatizing attitudes of the public: results from a German population survey. Eur Arch Psychiatry Clin Neurosci. 2016; 267(4):341-350. DOI: 10.1007/s00406-016-0755-9. View

Graf von Reventlow H, Kruger-Ozgurdal S, Ruhrmann S, Schultze-Lutter F, Heinz A, Patterson P . Pathways to care in subjects at high risk for psychotic disorders - a European perspective. Schizophr Res. 2014; 152(2-3):400-7. DOI: 10.1016/j.schres.2013.11.031. View

Michel C, Schnyder N, Schmidt S, Groth N, Schimmelmann B, Schultze-Lutter F . Functioning mediates help-seeking for mental problems in the general population. Eur Psychiatry. 2018; 54:1-9. DOI: 10.1016/j.eurpsy.2018.06.009. View

10.

Robillos E, Lale R, Wooldridge J, Heller R, Sarkin A . Gender and the relative importance of mental health satisfaction domains. Eval Program Plann. 2013; 43:9-15. DOI: 10.1016/j.evalprogplan.2013.10.003. View

11.

Jorm A, Christensen H, Griffiths K . The public's ability to recognize mental disorders and their beliefs about treatment: changes in Australia over 8 years. Aust N Z J Psychiatry. 2006; 40(1):36-41. DOI: 10.1080/j.1440-1614.2006.01738.x. View

12.

Svensson B, Hansson L . How mental health literacy and experience of mental illness relate to stigmatizing attitudes and social distance towards people with depression or psychosis: A cross-sectional study. Nord J Psychiatry. 2015; 70(4):309-13. DOI: 10.3109/08039488.2015.1109140. View

13.

Rusch N, Muller M, Ajdacic-Gross V, Rodgers S, Corrigan P, Rossler W . Shame, perceived knowledge and satisfaction associated with mental health as predictors of attitude patterns towards help-seeking. Epidemiol Psychiatr Sci. 2013; 23(2):177-87. PMC: 6998175. DOI: 10.1017/S204579601300036X. View

14.

Link B, Yang L, Phelan J, Collins P . Measuring mental illness stigma. Schizophr Bull. 2005; 30(3):511-41. DOI: 10.1093/oxfordjournals.schbul.a007098. View

15.

Angermeyer M, Matschinger H . Lay beliefs about mental disorders: a comparison between the western and the eastern parts of Germany. Soc Psychiatry Psychiatr Epidemiol. 1999; 34(5):275-81. DOI: 10.1007/s001270050144. View

16.

Wright A, Harris M, Wiggers J, Jorm A, Cotton S, Harrigan S . Recognition of depression and psychosis by young Australians and their beliefs about treatment. Med J Aust. 2005; 183(1):18-23. DOI: 10.5694/j.1326-5377.2005.tb06881.x. View

17.

Li C . Confirmatory factor analysis with ordinal data: Comparing robust maximum likelihood and diagonally weighted least squares. Behav Res Methods. 2015; 48(3):936-49. DOI: 10.3758/s13428-015-0619-7. View

18.

Schultze-Lutter F, Michel C, Ruhrmann S, Schimmelmann B . Prevalence and clinical relevance of interview-assessed psychosis-risk symptoms in the young adult community. Psychol Med. 2017; 48(7):1167-1178. PMC: 6088777. DOI: 10.1017/S0033291717002586. View

19.

Schomerus G, Matschinger H, Angermeyer M . Public beliefs about the causes of mental disorders revisited. Psychiatry Res. 2006; 144(2-3):233-6. DOI: 10.1016/j.psychres.2006.05.002. View

20.

van Brakel W . Measuring health-related stigma--a literature review. Psychol Health Med. 2006; 11(3):307-34. DOI: 10.1080/13548500600595160. View