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Social Psychiatry and Psychiatric Epidemiology
Published in: Social Psychiatry and Psychiatric Epidemiology 6/2012

01-06-2012 | Original Paper

Labels used by young people to describe mental disorders: which ones predict effective help-seeking choices?

Authors: Annemarie Wright, Anthony F. Jorm, Andrew J. Mackinnon

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 6/2012

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Abstract

Purpose

Mental disorders are common in young people, yet many do not seek help. Being able to label the problem may facilitate effective help-seeking, but it is not clear which labels are best. This study aims to examine which labels commonly used by young people are associated with a preference for recommended sources of help and treatment.

Method

A national telephone survey was conducted with a randomly selected sample of 2,802 Australian young people aged 12–25 years. Respondents were read out one of three vignettes describing symptoms of a mental disorder, and asked a series of questions regarding labelling of the problem described and related help-seeking preferences and beliefs. Binary logistic regression analyses were used to measure the association between type of label used and help-seeking preferences and beliefs.

Results

Use of the accurate label to describe the problem in the vignette predicted a preference for recommended sources of help with greater consistency than any other labels commonly used by young people. Inaccurate mental health labels did predict some preferences for recommended sources of help and treatment, but not to the extent of the accurate label. Lay labels such as “stress”, “paranoid” and “shy” predicted less intention to seek any help for the problem described in the vignette.

Conclusions

Labelling a disorder accurately does predict a preference for recommended sources of help and a belief in the helpfulness of recommended treatments. Importantly, it is also apparent that some commonly used lay labels cannot do this and indeed may limit appropriate help-seeking and treatment acceptance.
Literature
1.
Amminger GP, Harris MG, Conus P, Lambert M, Elkins KS, Yuen HP, McGorry PD (2006) Treated incidence of first-episode psychosis in the catchment area of EPPIC between 1997 and 2000. Acta Psychiatr Scand 114:337–345PubMedCrossRef
2.
Australian Bureau of Statistics (2007) National survey of mental health and wellbeing, 2007. Confidentialised Unit Record File (CURF) No 2826
3.
Kessler RC, Angermeyer M, Anthony JC, De Graaf R, Demyttenaere K, Gasquet I, De Girolamo G, Gluzman S, Gureje O, Haro JM, Kawakami N, Karam A, Levinson D, Medina Mora ME, Oakley Browne MA, Posada-Villa J, Stein DJ, Adley Tsang CH, Aguilar-Gaxiola S, Alonso J, Lee S, Heeringa S, Pennell B-E, Berglund P, Gruber MJ, Petukhova M, Chatterji S, Ustun TB (2007) Lifetime prevalence and age-of-onset distributions of mental disorders in the World Health Organization’s World Mental Health Survey Initiative. World Psychiatry 6:168–176PubMed
4.
5.
Slade T, Johnston A, Oakley Browne MA, Andrews G, Whiteford H (2009) 2007 National Survey of Mental Health and Wellbeing: methods and key findings. Aust N Z J Psychiatry 43:594–605PubMedCrossRef
6.
Verger P, Guagliardo V, Gilbert F, Rouillon F, Kovess-Masfety V (2010) Psychiatric disorders in students in six French universities: 12-month prevalence, comorbidity, impairment and help-seeking. Soc Psychiatry Psychiatr Epidemiol 45:189–199PubMedCrossRef
7.
The WHO World Mental Health Survey Consortium (2004) Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. J Am Med Assoc 291:2581–2590
8.
Schimmelmann BG, Conus P, Cotton S, McGorry P, Lambert M (2007) Pre-treatment, baseline, and outcome differences between early onset and adult-onset psychosis in an epidemiological cohort of 636 first-episode patients. Schizophr Res 95:1–8PubMedCrossRef
9.
Wang PS, Angermeyer M, Borges G, Bruffaerts R, Chiu WT, de Girolamo G, Fayyad J, Gureje O, Haro JM, Huang YQ, Kessler RC, Kovess V, Levinson D, Nakane Y, Browne MAO, Ormel JH, Posada-Villa J, Aguilar-Gaxiola S, Alonso J, Lee S, Heeringa S, Pennell BE, Chatterji S, Ustun TB (2007) 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 6:177–185PubMed
10.
O’Callaghan E, Turner N, Renwick L, Jackson D, Sutton M, Foley SD, McWilliams S, Behan C, Fetherstone A, Kinsella A (2010) First episode psychosis and the trail to secondary care: help-seeking and health-system delays. Soc Psychiatry Psychiatr Epidemiol 45:381–391PubMedCrossRef
11.
Gasquet I, Chavance M, Ledoux S, Choquet M (1997) Psychosocial factors associated with help-seeking behavior among depressive adolescents. Eur Child Adolesc Psychiatry 6:151–159PubMed
12.
Zwaanswijk M, Verhaak PFM, Bensing JM, van der Ende J, Verhulst FC (2003) Help seeking for emotional and behavioural problems in children and adolescents––a review of recent literature. Eur Child Adolesc Psychiatry 12:153–161PubMedCrossRef
13.
Sheffield JK, Fiorenza E, Sofronoff K (2004) Adolescents’ willingness to seek psychological help: promoting and preventing factors. J Youth Adolesc 33:495–507CrossRef
14.
15.
Wright A, Jorm AF, Harris MG, McGorry PD (2007) What’s in a name? Is accurate recognition and labelling of mental disorders by young people associated with better help-seeking and treatment preferences? Soc Psychiatry Psychiatr Epidemiol 42:244–250PubMedCrossRef
16.
Angel RJ, Thoits P (1987) The impact of culture on the cognitive structure of illness. Cult Med Psychiatry 11:465–494PubMedCrossRef
17.
Vogel DL, Wester SR, Larson LM, Wade NG (2006) An information-processing model of the decision to seek professional help. Prof Psychol Res Pr 37:398–406CrossRef
18.
Biddle L, Donovan J, Sharp D, Gunnell D (2007) Explaining non-help-seeking amongst young adults with mental distress: a dynamic interpretive model of illness behaviour. Sociol Health Illn 29:983–1002PubMedCrossRef
19.
D’Arcy C, Brockman J (1976) Changing public recognition of psychiatric symptoms? Blackfoot revisited. J Health Soc Behav 17:302–310PubMedCrossRef
20.
Link BG, Cullen FT, Struening EL, Shrout PE, Shrout PE, Dohrenwend BP (1989) A modified labeling theory approach to mental disorders: an empirical assessment. Am Sociol Rev 54:400–423CrossRef
21.
Jorm AF (2000) Mental health literacy: public knowledge and beliefs about mental disorders. Br J Psychiatry 177:396–401PubMedCrossRef
22.
Thompson A, Issakidis C, Hunt C (2008) Delay to seek treatment for anxiety and mood disorders in an Australian clinical sample. Behav Change 25:71–84CrossRef
23.
Haller DM, Sanci LA, Sawyer SM, Patton GC (2009) The identification of young people’s emotional distress: a study in primary care. Br J Gen Pract 59:e61–e70PubMedCrossRef
24.
Angermeyer M, Holzinger A, Matschinger H (2009) Mental health literacy and attitude towards people with mental illness: a trend analysis based on population surveys in the eastern part of Germany. Eur Psychiatry 24:225–232PubMedCrossRef
25.
Goldney RD, Dunn KI, Dal Grande E, Crabb S, Taylor A (2009) Tracking depression-related mental health literacy across South Australia: a decade of change. Aust N Z J Psychiatry 43:476–483PubMedCrossRef
26.
Wright A, Jorm AF (2009) Labels used by young people to describe mental disorders: factors associated with their development. Aust N Z J Psychiatry 43:946–955CrossRef
27.
Lubman DI, Hides L, Jorm AF, Morgan AJ (2007) Health professionals’ recognition of co-occurring alcohol and depressive disorders in youth: a survey of Australian general practitioners, psychiatrists, psychologists and mental health nursesusing case vignettes. Aust N Z J Psychiatry 41:830–835PubMedCrossRef
28.
Jorm AF, Morgan AJ, Wright A (2008) A comparison of clinician, youth and parent beliefs about helpfulness of interventions for early psychosis. Psychiatr Serv 59:1115–1120PubMedCrossRef
29.
Jorm AF, Morgan AJ, Wright A (2008) Interventions that are helpful for depression and anxiety in young people: a comparison of clinicians’ beliefs with those of youth and their parents. J Affect Disord 111:227–234PubMedCrossRef
30.
Biddle L, Gunnell D, Sharp D, Donovan JL (2004) Factors influencing help seeking in mentally distressed young adults: a cross-sectional survey. Br J Gen Pract 54:248–253PubMed
31.
Hsu L, Alden LE (2008) Cultural influences on willingness to seek treatment for social anxiety in Chinese- and European-heritage students. Cultur Divers Ethnic Minor Psychol 14:215–223PubMedCrossRef
32.
Jorm AF, Wright A, Morgan AJ (2007) Beliefs about appropriate first aid for young people with mental disorders: findings from an Australian national survey of youth and parents. Early Interv Psychiatry 1:61–70PubMedCrossRef
33.
American Psychiatric Association (1994) Diagnostic and statistical manual for mental disorders: 4th edition (DSM-IV). American Psychiatric Association, Washington
34.
Jorm AF, Korten AE, Jacomb PA, Christensen H, Rodgers B, Pollitt P (1997) “Mental health literacy”: a survey of the public’s ability to recognise mental disorders and their beliefs about the effectiveness of treatment. Med J Aust 166:182–186PubMed
35.
Wright A, Harris MG, Wiggers JH, Jorm AF, Cotton SM, Harrigan SM, Hurworth RE, McGorry PD (2005) Recognition of depression and psychosis by young Australians and their beliefs about treatment. Med J Aust 183:18–23PubMed
36.
Rosenthal JA (1996) Qualitative descriptors of strength of association and effect size. J Soc Serv Res 21:37–59CrossRef
37.
Ajzen I (1991) The theory of planned behaviour. Organ Behav Hum Decis Process 50:179–211CrossRef
38.
Wilson CJ, Deane FP, Marshall KL, Dalley A (2008) Reducing adolescents’ perceived barriers to treatment and increasing help-seeking intentions: effects of classroom presentations by general practitioners. J Youth Adolesc 37:1257–1269CrossRef
39.
Klineberg E, Biddle L, Donovan J, Gunnell D (2010) Symptom recognition and help seeking for depression in young adults: a vignette study. Soc Psychiatry Psychiatr Epidemiol. doi:10.​1007/​s00127-010-0214-2
40.
Raviv A, Raviv A, Vago-Gefen I, Fink AS (2009) The personal service gap: factors affecting adolescents’ willingness to seek help. J Adolesc 32:483–499PubMedCrossRef
Metadata
Title
Labels used by young people to describe mental disorders: which ones predict effective help-seeking choices?
Authors
Annemarie Wright
Anthony F. Jorm
Andrew J. Mackinnon
Publication date
01-06-2012
Publisher
Springer-Verlag
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 6/2012
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-011-0399-z

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