ArticleSocial psychiatry and psychiatric epidemiology2017
Trends in non-help-seeking for mental disorders in Germany between 1997-1999 and 2009-2012: a repeated cross-sectional study.
Article in Social psychiatry and psychiatric epidemiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.
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Who cites it
33 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Interventions to improve mental help-seeking behaviours in individuals with depressive symptoms: a systematic review and meta-analysis.BMC psychiatry · 2025Pooled it
- The help-seeking process and predictors of mental health care use among individuals with depressive symptoms: a machine learning approach.Frontiers in public health · 2024Trial
- How can the utilisation of help for mental disorders be improved? A quasi-experimental online study on the changeability of stigmatising attitudes and intermediate variables in the process of utilisation.BMC public health · 2021Trial
- Mental disorder symptoms and diagnoses are differently associated with labour market attachment and registered income until midlife: The Northern Finland Birth Cohort 1966.The International journal of social psychiatry · 2025Article
- Attitudes Toward Psychotherapeutic Treatment and Health Literacy in a Large Sample of the General Population in Germany: Cross-Sectional Study.JMIR public health and surveillance · 2025Article
- Article
- Perceived treatment urgency of common mental disorders in the German population.Scientific reports · 2023Article
- Do values and political attitudes affect help-seeking? Exploring reported help-seeking for mental health problems in a general population sample using a milieu framework.Epidemiology and psychiatric sciences · 2023Article
- An explorative cross-sectional analysis of mental health shame and help-seeking intentions in different lifestyles.Scientific reports · 2023Article
- Help-seeking strategies and treatment experiences among individuals diagnosed with Bipolar Spectrum Disorder in Iran: A qualitative study.Transcultural psychiatry · 2023Article
- New directions in male-tailored psychotherapy for depression.Frontiers in psychology · 2023Review
- The effects of causal and self-efficacy beliefs on help-seeking for people with depressive complaints: a quasi-experimental online study.Frontiers in psychiatry · 2023Article
- Article
- Prevalence of Mental Disorders in a German Kidney Transplant Population: Results of a KTx360°-Substudy.Journal of clinical psychology in medical settings · 2022Article
- Gender Differences in Attachment Anxiety and Avoidance and Their Association with Psychotherapy Use-Examining Students from a German University.Behavioral sciences (Basel, Switzerland) · 2022Article
- Suicidal Ideation Among Children and Young Adults in a 24/7 Messenger-Based Psychological Chat Counseling Service.Frontiers in psychiatry · 2022Article
- Predictors of Professional Help-Seeking Intention Toward Depression Among Community-Dwelling Populations: A Structural Equation Modeling Analysis.Frontiers in psychiatry · 2022Article
- Vulnerability of Evacuees Having No One to Consult after the Fukushima Nuclear Disaster: The Fukushima Health Management Survey.International journal of environmental research and public health · 2021Article
- Decline of depressive symptoms in Europe: differential trends across the lifespan.Social psychiatry and psychiatric epidemiology · 2021Article
- Men's Psychotherapy Use, Male Role Norms, and Male-Typical Depression Symptoms: Examining 716 Men and Women Experiencing Psychological Distress.Behavioral sciences (Basel, Switzerland) · 2021Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study sought to examine trends in non-help-seeking for mental disorders among persons with a prevalent mental disorder (12-month prevalence) in Germany between 1997-1999 and 2009-2012.
methodsWe examined data from 1909 persons aged 18-65 years who participated in two independent, repeated cross-sectional surveys (German National Interview and Examination Study 1997-1999, German Health Interview and Examination Survey for Adults 2009-2012) conducted 12 years apart. Prevalent mental disorders (12-month prevalence) were determined using the Composite International Diagnostic Interview, which included information on lifetime help-seeking for mental health problems. Correlates of self-reported help-seeking were analyzed according to Andersen's Behavioral Model. Multivariable Poisson regression models were used to assess time trends in the directly standardized and model-adjusted prevalence of non-help-seeking across strata of socio-economic and clinical variables.
resultsThe proportion of people with a prevalent mental disorder who have never sought help in their lifetime decreased significantly from 62% (95% CI 58.7-64.7) to 57% (95% CI 52.2-60.9) between 1997-1999 and 2009-2012 in adults aged 18-65 years in Germany. Downward trends in non-help-seeking occurred in all investigated strata and reached statistical significance in women, in people who were living alone, people with medium educational level, people living in middle-sized communities, people with non-statutory health insurance, smokers, and people with co-existing somatic conditions.
conclusionDespite a downward trend over the course of 12 years, a large proportion of people suffering from mental disorders are still not seeking treatment in Germany. Further efforts to increase uptake of help-seeking for mental disorders in hard-to-reach groups are warranted to continue this trend.
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