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Social Psychiatry and Psychiatric Epidemiology
Published in: Social Psychiatry and Psychiatric Epidemiology 2/2010

Open Access 01-02-2010 | Original Paper

Are attitudes towards mental health help-seeking associated with service use? Results from the European Study of Epidemiology of Mental Disorders

Authors: M. ten Have, R. de Graaf, J. Ormel, G. Vilagut, V. Kovess, J. Alonso, the ESEMeD/MHEDEA 2000 Investigators

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 2/2010

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Abstract

Objective

To investigate the prevailing attitudes towards mental health help-seeking in Europe, their correlates, and whether these attitudes are associated with actual service use for mental health problems.

Method

Data were derived from the European Study of Epidemiology of Mental Disorders, a survey representative of the adult population of six countries: Belgium, France, Germany, Italy, the Netherlands and Spain (n = 8,796). The World Mental Health Composite International Diagnostic Interview was used to assess attitudes and DSM-IV diagnoses. The attitudes referred to beliefs that the respondents would seek professional help when faced with a serious emotional problem, would feel comfortable talking about personal problems with a professional, would not be embarrassed if friends knew about the professional help, and respondents’ perceived effectiveness of mental health care.

Results

Almost a third of the respondents held the view that professional care was worse than or equal to no help when faced with serious emotional problems. Female gender, being younger than 65 years of age, high income, living in Spain or Italy, presence of mood disorder and previous service use were associated with at least two of the four assessed attitudes towards mental health help-seeking. All four attitudes were significantly associated with mental health care use, also after adjustment for previous service use.

Conclusion

The low perceived effectiveness of professional care calls for serious action aiming to improve the visibility and credibility of the mental health care sector.
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Metadata
Title
Are attitudes towards mental health help-seeking associated with service use? Results from the European Study of Epidemiology of Mental Disorders
Authors
M. ten Have
R. de Graaf
J. Ormel
G. Vilagut
V. Kovess
J. Alonso
the ESEMeD/MHEDEA 2000 Investigators
Publication date
01-02-2010
Publisher
Springer-Verlag
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 2/2010
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-009-0050-4

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