ArticleDer Nervenarzt2019
[Epidemic of depression? : Development of prevalence and help-seeking behaviour].
Article in Der Nervenarzt, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Investigating the effect of eye movement desensitization and reprocessing on internalized stigma in patients with major depressive disorder: a randomized controlled trial.BMC psychiatry · 2026Trial
- 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
- The Seeking Mental Health Care model: prediction of help-seeking for depressive symptoms by stigma and mental illness representations.BMC public health · 2023Trial
- A randomized controlled trial of an interactive digital therapeutic for stress and burnout management.Npj mental health research · 2025Article
- A "Self-Milieux" perspective on help-seeking: examining the impact of a person's sociocultural background on help-seeking in people with untreated depressive symptoms.Social psychiatry and psychiatric epidemiology · 2025Article
- Cost-effectiveness analysis of mHealth applications for depression in Germany using a Markov cohort simulation.NPJ digital medicine · 2024Article
- The revision and factor analytic evaluation of the German version of the depression literacy scale (D-Lit-R German).BMC psychology · 2024Article
- Digital Health Interventions in Depression Care-A Survey on Acceptance from the Perspective of Patients, Their Relatives and Health Professionals.Healthcare (Basel, Switzerland) · 2022Article
- Article
- Prevalence of multimodal treatment in children and adolescents with ADHD in Germany: a nationwide study based on health insurance data.Child and adolescent psychiatry and mental health · 2021Article
- Do patients' resilience and subjective illness representation predict the outcome of a routine inpatient treatment program of major depressive disorder?European archives of psychiatry and clinical neuroscience · 2021Observational
- Indicators for Public Mental Health: A Scoping Review.Frontiers in public health · 2021Article
- Feasibility, effectiveness and safety of the self-management intervention deprexis in routine medical care: Results of an uncontrolled observational study.Internet interventions · 2020Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhile national health insurance companies in Germany have reported increasing frequencies of depression and growing costs since the first reports approximately 20 years ago, the prevalence from epidemiological field studies has remained stable in the general population. This study examined time trends in help-seeking behaviour for depression based on data from the German health monitoring programme at the Robert Koch Institute.
methodsData were obtained from the mental health module of the German Health Interview and Examination Survey for Adults (DEGS1-MH, 2009-2012, 18-65 years, n = 3320) and the mental health supplement of the German National Health Interview and Examination Survey 1998 (GHS-MHS, 1997-1999; 18-65 years, n = 4181). Persons with 12-month major depressive disorder standardized according to DSM IV were identified based on the WHO Composite International Diagnostic Interview (CIDI) and asked for information on service utilization due to mental health problems by type of sector and service provider (GHS-MHS: n = 346, DEGS1-MH: n = 229).
resultsOverall, there were no significant time trends with respect to self-reported service utilization. Help seeking by men with depression increased in making contact with respect to psychotherapy and psychology options. Worrying about stigmatization and lack of knowledge about professional help were identified as individual barriers for help seeking and nearly one quarter reported access barriers.
conclusionOverall, increasing frequencies of depression in the German healthcare system cannot be solely attributed to changes in help-seeking behavior of people with depression. Self-reported barriers of service utilization and divergences between primary and secondary data indicate the need of further evaluation and optimization of mental healthcare provision in Germany.
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