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Published in: Social Psychiatry and Psychiatric Epidemiology 11/2013

01-11-2013 | Original Paper

Personality-related factors as predictors of help-seeking for depression: a population-based study applying the Behavioral Model of Health Services Use

Authors: Georg Schomerus, Katja Appel, Peter J. Meffert, Melanie Luppa, Ronald M. Andersen, Hans J. Grabe, Sebastian E. Baumeister

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 11/2013

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Abstract

Background

Although the prevalence of mental disorders and the demand for mental health services are increasing, little is known about the impact of personality-related factors on help-seeking among depressive individuals. We, therefore, investigated the relationship between the “Big Five” personality traits, resilience, alexithymia, childhood neglect or abuse, and help-seeking among depressive individuals.

Methods

We used data from 354 persons with a diagnosis of major depression from the population-based cohort study of health in Pomerania within the theoretical framework of the Andersen Behavioral Model of Health Services Use.

Results

Using stepwise regression techniques, we found that older age, higher education, more perceived social support, presence of childhood abuse, higher levels of conscientiousness, lower levels of resilience, and more severe depression were associated with help-seeking for depression. In contrast, gender, extraversion, openness, agreeableness, neuroticism, and alexithymia did not significantly predict help-seeking. In addition, no evidence for gender-specific effects was observed.

Conclusion

Personality-related predisposing factors are important predictors of help-seeking. The influence of resilience on help-seeking among depressed individuals merits further exploration.
Literature
1.
go back to reference Andersen RM (1995) Revisiting the behavioral model and access to medical care: does it matter? J Health Soc Behav 36:1–10PubMedCrossRef Andersen RM (1995) Revisiting the behavioral model and access to medical care: does it matter? J Health Soc Behav 36:1–10PubMedCrossRef
2.
go back to reference Andersen RM (2008) National health surveys and the behavioral model of health services use. Med Care 46:647–653PubMedCrossRef Andersen RM (2008) National health surveys and the behavioral model of health services use. Med Care 46:647–653PubMedCrossRef
3.
go back to reference Bagby RM, Parker JDA, Taylor GJ (1994) The twenty-item Toronto Alexithymia Scale–I. Item selection and cross-validation of the factor structure. J Psychosom Res 38:23–32PubMedCrossRef Bagby RM, Parker JDA, Taylor GJ (1994) The twenty-item Toronto Alexithymia Scale–I. Item selection and cross-validation of the factor structure. J Psychosom Res 38:23–32PubMedCrossRef
4.
go back to reference Berkman LF, Syme SL (1979) Social networks, host resistance, and mortality: a nine-year follow-up study of Alameda County residents. Am J Epidemiol 109:186–204PubMed Berkman LF, Syme SL (1979) Social networks, host resistance, and mortality: a nine-year follow-up study of Alameda County residents. Am J Epidemiol 109:186–204PubMed
5.
go back to reference Bernstein DP, Stein JA, Newcomb MD, Walker E, Pogge D, Ahluvalia T, Stokes J, Handelsman L, Medrano M, Desmond D (2003) Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child Abuse Negl 27:169–190 Bernstein DP, Stein JA, Newcomb MD, Walker E, Pogge D, Ahluvalia T, Stokes J, Handelsman L, Medrano M, Desmond D (2003) Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child Abuse Negl 27:169–190
6.
go back to reference Bradley EH, McGraw SA, Curry L, Buckser A, King KL, Kasl SV, Andersen R (2002) Expanding the Andersen model: the role of psychosocial factors in long-term care use. Health Serv Res 37:1221–1242PubMedCrossRef Bradley EH, McGraw SA, Curry L, Buckser A, King KL, Kasl SV, Andersen R (2002) Expanding the Andersen model: the role of psychosocial factors in long-term care use. Health Serv Res 37:1221–1242PubMedCrossRef
7.
go back to reference Bruffaerts R, Demyttenaere K, Hwang I, Chiu W-T, Sampson N, Kessler RC, Alonso J, Borges G, de Girolamo G, de Graaf R, Florescu S, Gureje O, Hu C, Karam EG, Kawakami N, Kostyuchenko S, Kovess-Masfety V, Lee S, Levinson D, Matschinger H, Posada-Villa J, Sagar R, Scott KM, Stein DJ, Tomov T, Viana MC, Nock MK (2011) Treatment of suicidal people around the world. Br J Psychiatry 199:64–70PubMedCrossRef Bruffaerts R, Demyttenaere K, Hwang I, Chiu W-T, Sampson N, Kessler RC, Alonso J, Borges G, de Girolamo G, de Graaf R, Florescu S, Gureje O, Hu C, Karam EG, Kawakami N, Kostyuchenko S, Kovess-Masfety V, Lee S, Levinson D, Matschinger H, Posada-Villa J, Sagar R, Scott KM, Stein DJ, Tomov T, Viana MC, Nock MK (2011) Treatment of suicidal people around the world. Br J Psychiatry 199:64–70PubMedCrossRef
8.
go back to reference Burns T, Eichenberger A, Eich D, Ajdacic-Gross V, Angst J, Rossler W (2003) Which individuals with affective symptoms seek help? Results from the Zurich epidemiological study. Acta Psychiatr Scand 108:419–426PubMedCrossRef Burns T, Eichenberger A, Eich D, Ajdacic-Gross V, Angst J, Rossler W (2003) Which individuals with affective symptoms seek help? Results from the Zurich epidemiological study. Acta Psychiatr Scand 108:419–426PubMedCrossRef
9.
go back to reference Campbell-Sills L, Cohan SL, Stein MB (2006) Relationship of resilience to personality, coping, and psychiatric symptoms in young adults. Behav Res Ther 44:585–599PubMedCrossRef Campbell-Sills L, Cohan SL, Stein MB (2006) Relationship of resilience to personality, coping, and psychiatric symptoms in young adults. Behav Res Ther 44:585–599PubMedCrossRef
10.
go back to reference Chapman BP, Fiscella K, Kawachi I, Duberstein PR (2010) Personality, socioeconomic status, and all-cause mortality in the United States. Am J Epidemiol 171:83–92PubMedCrossRef Chapman BP, Fiscella K, Kawachi I, Duberstein PR (2010) Personality, socioeconomic status, and all-cause mortality in the United States. Am J Epidemiol 171:83–92PubMedCrossRef
11.
go back to reference Costa PT Jr, McCrae RR (1995) Domains and facets: hierarchical personality assessment using the revised NEO personality inventory. J Pers Assess 64:21–50PubMedCrossRef Costa PT Jr, McCrae RR (1995) Domains and facets: hierarchical personality assessment using the revised NEO personality inventory. J Pers Assess 64:21–50PubMedCrossRef
12.
go back to reference Costa PT, McCrae RR (1992) Revised Neo Personality Inventory (Neo PI-R) and Neo Five-Factor Inventory (Neo-FFI). Psychological Assessment Resources, Odessa Costa PT, McCrae RR (1992) Revised Neo Personality Inventory (Neo PI-R) and Neo Five-Factor Inventory (Neo-FFI). Psychological Assessment Resources, Odessa
13.
go back to reference Dhingra SS, Zack M, Strine T, Pearson WS, Balluz L (2010) Determining prevalence and correlates of psychiatric treatment with Andersen’s behavioral model of health services use. Psychiatr Serv 61:524–528PubMedCrossRef Dhingra SS, Zack M, Strine T, Pearson WS, Balluz L (2010) Determining prevalence and correlates of psychiatric treatment with Andersen’s behavioral model of health services use. Psychiatr Serv 61:524–528PubMedCrossRef
14.
go back to reference Fasoli DR, Glickman ME, Eisen SV (2010) Predisposing characteristics, enabling resources and need as predictors of utilization and clinical outcomes for veterans receiving mental health services. Med Care 48:288–295PubMedCrossRef Fasoli DR, Glickman ME, Eisen SV (2010) Predisposing characteristics, enabling resources and need as predictors of utilization and clinical outcomes for veterans receiving mental health services. Med Care 48:288–295PubMedCrossRef
15.
go back to reference Fredrickson BL, Tugade MM, Waugh CE, Larkin GR (2003) What good are positive emotions in crisis? A prospective study of resilience and emotions following the terrorist attacks on the United States on September 11th, 2001. J Pers Soc Psychol 84:365PubMedCrossRef Fredrickson BL, Tugade MM, Waugh CE, Larkin GR (2003) What good are positive emotions in crisis? A prospective study of resilience and emotions following the terrorist attacks on the United States on September 11th, 2001. J Pers Soc Psychol 84:365PubMedCrossRef
16.
go back to reference Fydrich T, Sommer G, Tydecks S, Brähler E (2009) Fragebogen zur sozialen Unterstützung (F-SozU): Normierung der Kurzform (K-14) [Social Support Questionnaire (F-SozU): standardization of short form (K-14)]. Z Med Psychol 18:43–48 Fydrich T, Sommer G, Tydecks S, Brähler E (2009) Fragebogen zur sozialen Unterstützung (F-SozU): Normierung der Kurzform (K-14) [Social Support Questionnaire (F-SozU): standardization of short form (K-14)]. Z Med Psychol 18:43–48
17.
go back to reference Goodwin RD, Hoven CW, Lyons JS, Stein MB (2002) Mental health service utilization in the United States. Soc Psychiatry Psychiatr Epidemiol 37:561–566PubMedCrossRef Goodwin RD, Hoven CW, Lyons JS, Stein MB (2002) Mental health service utilization in the United States. Soc Psychiatry Psychiatr Epidemiol 37:561–566PubMedCrossRef
18.
go back to reference Grabe HJ, Baumeister SE, John U, Freyberger HJ, Völzke H (2009) Association of mental distress with health care utilization and costs: a 5-year observation in a general population. Soc Psychiatry Psychiatr Epidemiol 44:835–844PubMedCrossRef Grabe HJ, Baumeister SE, John U, Freyberger HJ, Völzke H (2009) Association of mental distress with health care utilization and costs: a 5-year observation in a general population. Soc Psychiatry Psychiatr Epidemiol 44:835–844PubMedCrossRef
19.
go back to reference Grabe HJ, Frommer J, Ankerhold A, Ulrich C, Gröger R, Franke GH, Barnow S, Freyberger HJ, Spitzer C (2008) Alexithymia and outcome in psychotherapy. Psychother Psychosom 77:189–194PubMedCrossRef Grabe HJ, Frommer J, Ankerhold A, Ulrich C, Gröger R, Franke GH, Barnow S, Freyberger HJ, Spitzer C (2008) Alexithymia and outcome in psychotherapy. Psychother Psychosom 77:189–194PubMedCrossRef
20.
go back to reference Grabe HJ, Schwahn C, Appel K, Mahler J, Schulz A, Spitzer C, Fenske K, Barnow S, Lucht M, Freyberger HJ (2010) Childhood maltreatment, the corticotropine releasing hormone receptor gene and adult depression in the general population. Am J Med Genet B Neuropsychiatr Genet 153:1483–1493 Grabe HJ, Schwahn C, Appel K, Mahler J, Schulz A, Spitzer C, Fenske K, Barnow S, Lucht M, Freyberger HJ (2010) Childhood maltreatment, the corticotropine releasing hormone receptor gene and adult depression in the general population. Am J Med Genet B Neuropsychiatr Genet 153:1483–1493
21.
go back to reference Grabe HJ, Schwahn C, Mahler J, Appel K, Schulz A, Spitzer C, Fenske K, Barnow S, Freyberger HJ, Teumer A, Petersmann A, Biffar R, Rosskopf D, John U, Völzke H (2012) Genetic epistasis between the brain-derived neurotrophic factor Val66Met polymorphism and the 5-HTT promoter polymorphism moderates the susceptibility to depressive disorders after childhood abuse. Prog Neuropsychopharmacol Biol Psychiatry 36:264–270PubMedCrossRef Grabe HJ, Schwahn C, Mahler J, Appel K, Schulz A, Spitzer C, Fenske K, Barnow S, Freyberger HJ, Teumer A, Petersmann A, Biffar R, Rosskopf D, John U, Völzke H (2012) Genetic epistasis between the brain-derived neurotrophic factor Val66Met polymorphism and the 5-HTT promoter polymorphism moderates the susceptibility to depressive disorders after childhood abuse. Prog Neuropsychopharmacol Biol Psychiatry 36:264–270PubMedCrossRef
22.
go back to reference Grabe HJ, Spitzer C, Freyberger HJ (2001) Alexithymia and the temperament and character model of personality. Psychother Psychosom 70:261–267PubMedCrossRef Grabe HJ, Spitzer C, Freyberger HJ (2001) Alexithymia and the temperament and character model of personality. Psychother Psychosom 70:261–267PubMedCrossRef
23.
go back to reference Grabe HJ, Spitzer C, Freyberger HJ (2004) Alexithymia and personality in relation to dimensions of psychopathology. Am J Psychiatry 161:1299–1301PubMedCrossRef Grabe HJ, Spitzer C, Freyberger HJ (2004) Alexithymia and personality in relation to dimensions of psychopathology. Am J Psychiatry 161:1299–1301PubMedCrossRef
24.
go back to reference Hofner B, Hothorn T, Kneib T, Schmid M (2011) A Framework for Unbiased Model Selection Based on Boosting. J Comput Graph Stat 20:956–971CrossRef Hofner B, Hothorn T, Kneib T, Schmid M (2011) A Framework for Unbiased Model Selection Based on Boosting. J Comput Graph Stat 20:956–971CrossRef
25.
26.
go back to reference Jorm AF, Kelly CM, Wright A, Parslow RA, Harris MG, McGorry PD (2006) Belief in dealing with depression alone: results from community surveys of adolescents and adults. J Affect Disord 96:59–65PubMedCrossRef Jorm AF, Kelly CM, Wright A, Parslow RA, Harris MG, McGorry PD (2006) Belief in dealing with depression alone: results from community surveys of adolescents and adults. J Affect Disord 96:59–65PubMedCrossRef
27.
go back to reference Kawachi I, Kennedy BP (1997) The relationship of income inequality to mortality: does the choice of indicator matter? Soc Sci Med 45:1121–1127PubMedCrossRef Kawachi I, Kennedy BP (1997) The relationship of income inequality to mortality: does the choice of indicator matter? Soc Sci Med 45:1121–1127PubMedCrossRef
28.
go back to reference Killien MG (1993) Returning to work after childbirth: considerations for health policy. Nurs Outlook 41:73–78PubMed Killien MG (1993) Returning to work after childbirth: considerations for health policy. Nurs Outlook 41:73–78PubMed
29.
go back to reference Klineberg E, Biddle L, Donovan J, Gunnell D (2011) Symptom recognition and help seeking for depression in young adults: a vignette study. Soc Psychiatry Psychiatr Epidemiol 46:495–505PubMedCrossRef Klineberg E, Biddle L, Donovan J, Gunnell D (2011) Symptom recognition and help seeking for depression in young adults: a vignette study. Soc Psychiatry Psychiatr Epidemiol 46:495–505PubMedCrossRef
30.
go back to reference Korner A, Geyer M, Roth M, Drapeau M, Schmutzer G, Albani C, Schumann S, Brahler E (2008) Personality assessment with the NEO-Five-Factor Inventory: the 30-Item-Short-Version (NEO-FFI-30). Psychother Psychosom Med Psychol 58:238–245PubMedCrossRef Korner A, Geyer M, Roth M, Drapeau M, Schmutzer G, Albani C, Schumann S, Brahler E (2008) Personality assessment with the NEO-Five-Factor Inventory: the 30-Item-Short-Version (NEO-FFI-30). Psychother Psychosom Med Psychol 58:238–245PubMedCrossRef
31.
go back to reference Kovess-Masfety V, Alonso J, Brugha TS, Angermeyer MC, Haro JM, Sevilla-Dedieu C (2007) Differences in lifetime use of services for mental health problems in six European countries. Psychiatr Serv 58:213PubMedCrossRef Kovess-Masfety V, Alonso J, Brugha TS, Angermeyer MC, Haro JM, Sevilla-Dedieu C (2007) Differences in lifetime use of services for mental health problems in six European countries. Psychiatr Serv 58:213PubMedCrossRef
32.
go back to reference Luppa M, Gentzsch K, Angermeyer MC, Weyerer S, König HH, Riedel-Heller SG (2011) Gender-specific predictors of institutionalisation in the elderly–results of the Leipzig longitudinal study of the aged (LEILA 75+). Psychiatr Prax 38:185–189PubMedCrossRef Luppa M, Gentzsch K, Angermeyer MC, Weyerer S, König HH, Riedel-Heller SG (2011) Gender-specific predictors of institutionalisation in the elderly–results of the Leipzig longitudinal study of the aged (LEILA 75+). Psychiatr Prax 38:185–189PubMedCrossRef
33.
go back to reference Mackenbach JP (2010) New trends in health inequalities research: now it’s personal. Lancet 376:854–855PubMedCrossRef Mackenbach JP (2010) New trends in health inequalities research: now it’s personal. Lancet 376:854–855PubMedCrossRef
34.
go back to reference McWilliams LA, Cox BJ, Enns MW, Clara IP (2006) Personality correlates of outpatient mental health service utilization. Soc Psychiatry Psychiatr Epidemiol 41:357–363PubMedCrossRef McWilliams LA, Cox BJ, Enns MW, Clara IP (2006) Personality correlates of outpatient mental health service utilization. Soc Psychiatry Psychiatr Epidemiol 41:357–363PubMedCrossRef
35.
go back to reference Mills V, Van Hooff M, Baur J, McFarlane AC (2012) Predictors of mental health service utilisation in a non-treatment seeking epidemiological sample of Australian adults. Community Ment Health J 48:511–521PubMedCrossRef Mills V, Van Hooff M, Baur J, McFarlane AC (2012) Predictors of mental health service utilisation in a non-treatment seeking epidemiological sample of Australian adults. Community Ment Health J 48:511–521PubMedCrossRef
36.
go back to reference Pescosolido BA, Boyer CA (1999) How do people come to use mental health services? Current knowledge and changing perspectives. In: Horwitz AV, Scheid A (eds) Handbook for the study of mental health: Social contexts, theories, and systems. Cambridge University Press, Cambridge, pp 392–414 Pescosolido BA, Boyer CA (1999) How do people come to use mental health services? Current knowledge and changing perspectives. In: Horwitz AV, Scheid A (eds) Handbook for the study of mental health: Social contexts, theories, and systems. Cambridge University Press, Cambridge, pp 392–414
37.
go back to reference Pescosolido BA, Wright ER, Alegria M, Vera M (1998) Social networks and patterns of use among the poor with mental health problems in Puerto Rico. Med Care 36:1057–1072PubMedCrossRef Pescosolido BA, Wright ER, Alegria M, Vera M (1998) Social networks and patterns of use among the poor with mental health problems in Puerto Rico. Med Care 36:1057–1072PubMedCrossRef
38.
go back to reference Royston P, Sauerbrei W (2009) Two techniques for investigating interactions between tratment and continous covariates in clinical trials. Stat J 9:230–251 Royston P, Sauerbrei W (2009) Two techniques for investigating interactions between tratment and continous covariates in clinical trials. Stat J 9:230–251
39.
go back to reference Schmidt CO, Ittermann T, Schulz A, Grabe HJ, Baumeister SE (2012) Linear, nonlinear or categorical: how to treat complex associations in regression analyses? Polynomial transformations and fractional polynomials. Int J Public Health (in press) Schmidt CO, Ittermann T, Schulz A, Grabe HJ, Baumeister SE (2012) Linear, nonlinear or categorical: how to treat complex associations in regression analyses? Polynomial transformations and fractional polynomials. Int J Public Health (in press)
40.
go back to reference Schomerus G, Auer C, Rhode D, Luppa M, Freyberger HJ, Schmidt S (2012) Personal stigma, problem appraisal and perceived need for professional help in currently untreated depressed persons. J Affect Disord 139:94–97PubMedCrossRef Schomerus G, Auer C, Rhode D, Luppa M, Freyberger HJ, Schmidt S (2012) Personal stigma, problem appraisal and perceived need for professional help in currently untreated depressed persons. J Affect Disord 139:94–97PubMedCrossRef
41.
go back to reference Schomerus G, Matschinger H, Angermeyer MC (2009) Attitudes that determine willingness to seek psychiatric help for depression: a representative population survey applying the Theory of Planned Behaviour. Psychol Med 39:1855–1865PubMedCrossRef Schomerus G, Matschinger H, Angermeyer MC (2009) Attitudes that determine willingness to seek psychiatric help for depression: a representative population survey applying the Theory of Planned Behaviour. Psychol Med 39:1855–1865PubMedCrossRef
42.
go back to reference Schumacher J, Leppert D, Gunzelmann T, Strauss B, Brähler E (2005) Die Resilienzskala – Ein Fragebogen zur Erfassung der psychischen Widerstandsfähigkeit als Personmerkmal. Z Klin Psychol Psychiatr Psychother 53:16–39 Schumacher J, Leppert D, Gunzelmann T, Strauss B, Brähler E (2005) Die Resilienzskala – Ein Fragebogen zur Erfassung der psychischen Widerstandsfähigkeit als Personmerkmal. Z Klin Psychol Psychiatr Psychother 53:16–39
43.
go back to reference Ten Have M, Oldehinkel A, Vollebergh W, Ormel J (2005) Does neuroticism explain variations in care service use for mental health problems in the general population? Soc Psychiatry Psychiatr Epidemiol 40:425–431PubMedCrossRef Ten Have M, Oldehinkel A, Vollebergh W, Ormel J (2005) Does neuroticism explain variations in care service use for mental health problems in the general population? Soc Psychiatry Psychiatr Epidemiol 40:425–431PubMedCrossRef
44.
go back to reference Ten Have M, Vollebergh W, Bijl R, Ormel J (2002) Combined effect of mental disorder and low social support on care service use for mental health problems in the Dutch general population. Psychol Med 32:311–324CrossRef Ten Have M, Vollebergh W, Bijl R, Ormel J (2002) Combined effect of mental disorder and low social support on care service use for mental health problems in the Dutch general population. Psychol Med 32:311–324CrossRef
45.
go back to reference Viettinghoff E, Glidden DV, Shiboski SC, McCulloch CE (2012) Regression methods in biostatistics. Springer, New YorkCrossRef Viettinghoff E, Glidden DV, Shiboski SC, McCulloch CE (2012) Regression methods in biostatistics. Springer, New YorkCrossRef
46.
go back to reference Völzke H, Alte D, Schmidt CO, Radke D, Lorbeer R, Friedrich N, Aumann N, Lau K, Piontek M, Born G, Havemann C, Ittermann T, Schipf S, Haring R, Baumeister SE, Wallaschofski H, Nauck M, Frick S, Arnold A, Junger M, Mayerle J, Kraft M, Lerch MM, Dorr M, Reffelmann T, Empen K, Felix SB, Obst A, Koch B, Glaser S, Ewert R, Fietze I, Penzel T, Doren M, Rathmann W, Haerting J, Hannemann M, Ropcke J, Schminke U, Jurgens C, Tost F, Rettig R, Kors JA, Ungerer S, Hegenscheid K, Kuhn JP, Kuhn J, Hosten N, Puls R, Henke J, Gloger O, Teumer A, Homuth G, Volker U, Schwahn C, Holtfreter B, Polzer I, Kohlmann T, Grabe HJ, Rosskopf D, Kroemer HK, Kocher T, Biffar R, John U, Hoffmann W (2011) Cohort profile: the study of health in Pomerania. Int J Epidemiol 40:294–307PubMedCrossRef Völzke H, Alte D, Schmidt CO, Radke D, Lorbeer R, Friedrich N, Aumann N, Lau K, Piontek M, Born G, Havemann C, Ittermann T, Schipf S, Haring R, Baumeister SE, Wallaschofski H, Nauck M, Frick S, Arnold A, Junger M, Mayerle J, Kraft M, Lerch MM, Dorr M, Reffelmann T, Empen K, Felix SB, Obst A, Koch B, Glaser S, Ewert R, Fietze I, Penzel T, Doren M, Rathmann W, Haerting J, Hannemann M, Ropcke J, Schminke U, Jurgens C, Tost F, Rettig R, Kors JA, Ungerer S, Hegenscheid K, Kuhn JP, Kuhn J, Hosten N, Puls R, Henke J, Gloger O, Teumer A, Homuth G, Volker U, Schwahn C, Holtfreter B, Polzer I, Kohlmann T, Grabe HJ, Rosskopf D, Kroemer HK, Kocher T, Biffar R, John U, Hoffmann W (2011) Cohort profile: the study of health in Pomerania. Int J Epidemiol 40:294–307PubMedCrossRef
47.
go back to reference Wagnild GM, Young HM (1993) Development and psychometric evaluation of the Resilience Scale. J Nurs Meas 1:165–178PubMed Wagnild GM, Young HM (1993) Development and psychometric evaluation of the Resilience Scale. J Nurs Meas 1:165–178PubMed
48.
go back to reference Wang PS, Aguilar-Gaxiola S, Alonso J, Angermeyer MC, Borges G, Bromet EJ, Bruffaerts R, de Girolamo G, de Graaf R, Gureje O (2007) Use of mental health services for anxiety, mood, and substance disorders in 17 countries in the WHO world mental health surveys. Lancet 370:841–850PubMedCrossRef Wang PS, Aguilar-Gaxiola S, Alonso J, Angermeyer MC, Borges G, Bromet EJ, Bruffaerts R, de Girolamo G, de Graaf R, Gureje O (2007) Use of mental health services for anxiety, mood, and substance disorders in 17 countries in the WHO world mental health surveys. Lancet 370:841–850PubMedCrossRef
49.
go back to reference Wang PS, Angermeyer M, Borges G, Bruffaerts R, Chiu WT, de Girolamo G, Fayyad J, Gureje O, Haro JM, Huang Y (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 Wang PS, Angermeyer M, Borges G, Bruffaerts R, Chiu WT, de Girolamo G, Fayyad J, Gureje O, Haro JM, Huang Y (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
50.
go back to reference WHO (1989) MONICA Psychosocial Optional Study (MOPSY). Suggested measurement instruments. WHO Regional Office for Europe, Copenhagen WHO (1989) MONICA Psychosocial Optional Study (MOPSY). Suggested measurement instruments. WHO Regional Office for Europe, Copenhagen
51.
go back to reference Wittchen HU, Pfister H (1997) DIA-X interviews (M-CIDI). Swets & Zeitlinger, Frankfurt Wittchen HU, Pfister H (1997) DIA-X interviews (M-CIDI). Swets & Zeitlinger, Frankfurt
52.
go back to reference Wittchen HU, Wunderlich U, Gruschwitz S, Zaudig M (1997) SKID-I: Strukturiertes klinisches Interview für DSM-IV. Hogrefe, Göttingen Wittchen HU, Wunderlich U, Gruschwitz S, Zaudig M (1997) SKID-I: Strukturiertes klinisches Interview für DSM-IV. Hogrefe, Göttingen
Metadata
Title
Personality-related factors as predictors of help-seeking for depression: a population-based study applying the Behavioral Model of Health Services Use
Authors
Georg Schomerus
Katja Appel
Peter J. Meffert
Melanie Luppa
Ronald M. Andersen
Hans J. Grabe
Sebastian E. Baumeister
Publication date
01-11-2013
Publisher
Springer Berlin Heidelberg
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 11/2013
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-012-0643-1

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