scholarly journals Undiagnosed depression, persistent depressive symptoms and seeking mental health care: analysis of immigrant and non-immigrant participants of the Canadian Longitudinal Study of Aging

2020 ◽  
Vol 29 ◽  
Author(s):  
D. Farid ◽  
P. Li ◽  
D. Da Costa ◽  
W. Afif ◽  
J. Szabo ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Depressive Symptoms ◽  
Longitudinal Study ◽  
Mental Health Care ◽  
Epidemiological Studies ◽  
Logistic Regression Models ◽  
Treatment Of Depression ◽  
Female Immigrants ◽  
The Mean

Abstract Aims Early diagnosis and treatment of depression are associated with better prognosis. We used baseline data of the Canadian Longitudinal Study on Aging (2012–2015; ages 45–85 years) to examine differences in prevalence and predictors of undiagnosed depression (UD) between immigrants and non-immigrants at baseline and persistent and/or emerging depressive symptoms (DS) 18 months later. At this second time point, we also examined if a mental health care professional (MHCP) had been consulted. Methods We excluded individuals with any prior mood disorder and/or current anti-depressive medication use at baseline. UD was defined as the Center for Epidemiological Studies Depression 10 score ⩾10. DS at 18 months were defined as Kessler 10 score ⩾19. The associations of interest were examined in multivariate logistic regression models. Results Our study included 4382 immigrants and 18 620 non-immigrants. The mean age (standard deviation) in immigrants was 63 (10.3) years v. 65 (10.7) years in non-immigrants and 52.1% v. 57.1% were male. Among immigrants, 12.2% had UD at baseline of whom 34.2% had persistent DS 18 months later v. 10.6% and 31.4%, respectively, among non-immigrants. Female immigrants were more likely to have UD than female non-immigrants (odds ratio 1.50, 95% confidence interval 1.25–1.80) but no difference observed for men. The risk of persistent DS and consulting an MHCP at 18 months did not differ between immigrants and non-immigrants. Conclusions Female immigrants may particularly benefit from depression screening. Seeking mental health care in the context of DS should be encouraged.

scholarly journals Community Mental Health Care In Mexico: A Look At The State Of Jalisco, Mexico

2020 ◽  
Author(s):  
Jaime Carmona-Huerta ◽  
David Cardona-Muller ◽  
Sol Durand-Arias ◽  
Rodriguez Allen ◽  
Carmen Guarner-Catalá ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Community Mental Health ◽  
Mental Health Care ◽  
Transportation Cost ◽  
The State ◽  
Community Mental Health Care ◽  
Health Networks ◽  
Prolonged Stay ◽  
The Mean

Abstract Background: Access to mental health care is a worldwide public health challenge. In Mexico an unacceptably high percentage of the population with mental disorders does not receive the necessary treatment, which is mainly due to the lack of access to mental health care. The community mental health care model was created and has been implemented to improve this situation. In order to properly plan and implement this model a precise situational diagnosis of the mental health care network is required, thus this is a first approach to evaluate the community mental health networks in the state of Jalisco. Methods: Two components from the EvaRedCom–TMS instrument were used including a general description and accessibility of the community mental health care network. A geographic and economic accessibility evaluation was carried out for the different regions of the state ranging from scattered rural to urban communities using information gathered from health institutions, telephone interviews and computer applications. Results: Jalisco’s community mental health network includes a total of 31 centers and 0.64 mental health workers for every 10,000 inhabitants >15 years of age. The mean transportation cost required to access mental health care was 16.25 USD. The time needed to reach the closest mental health center in 7 of the 13 analyzed regions was more than 30 minutes and the mean time required to reach a prolonged stay center was 172.7 minutes with transportation cost of 22.3 USD. Some marginalized regions in the state have a mean 114 minutes required to reach the closest mental health care center and 386 minutes to reach a prolonged stay center. Conclusions: This first approach to evaluate the mental health networks in Mexico showed that there are multiple barriers to access its care including an unfavorable number of human resources, long distances and high costs. The identification of Jalisco’s mental health network deficiencies is the first step towards establishing a properly planned community mental health care model within the country.

scholarly journals Chronic Illness and Internalizing Symptomatology in a Transdiagnostic Clinical Sample of Youth

2020 ◽  
Vol 45 (6) ◽  
pp. 633-642
Author(s):  
Elizabeth R Wolock ◽  
Alexander H Queen ◽  
Gabriela M Rodríguez ◽  
John R Weisz
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Depressive Symptoms ◽  
Mental Health Care ◽  
Mental Health Treatment ◽  
Physical Illness ◽  
Treatment Needs ◽  
Health Treatment ◽  
Chronic Physical Illness ◽  
Internalizing Symptomatology

Abstract Objective In research with community samples, children with chronic physical illnesses have shown elevated anxiety and depressive symptoms, compared to healthy peers. Less is known about whether physical illnesses are associated with elevated internalizing symptoms even among children referred for mental health treatment—a pattern that would indicate distinctive treatment needs among physically ill children receiving mental health care. We investigated the relationship between chronic physical illness and internalizing symptomatology among children enrolling in outpatient mental health treatment. Method A total of 262 treatment-seeking children ages 7–15 and their caregivers completed a demographic questionnaire, Child Behavior Checklist, and Youth Self-Report during a pre-treatment assessment. Physical illnesses were identified through caregiver report. Results There was no overall association between the presence/absence of chronic physical illness and parent- or child-reported symptoms. However, number of chronic physical illnesses was related to parent- and child-reported affective symptoms. Children with two or more chronic physical illnesses had more severe depressive symptoms than those with fewer physical illnesses. Conclusion Having multiple chronic illnesses may elevate children’s risk of depression symptomatology, even in comparison to other children seeking mental health care. This suggests a need to identify factors that may exacerbate depression symptoms in physically ill children who are initiating therapy and to determine whether different or more intensive services may be helpful for this group. The findings suggest the potential utility of screening for depression in youth with chronic physical illnesses, as well as addressing mental and physical health concerns during treatment.

A Longitudinal Study of Offset in the Use of Nonpsychiatric Services Following Specialized Mental Health Care

Medical Care ◽  
1983 ◽  
Vol 21 (11) ◽  
pp. 1099-1110 ◽  
Author(s):  
Janet R. Hankin ◽  
Larry G. Kessler ◽  
Irving D. Goldberg ◽  
Donald M. Steinwachs ◽  
Barbara H. Starfield
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Longitudinal Study ◽  
Mental Health Care ◽  
Specialized Mental Health

scholarly journals Associations between self-reported changes in physical activities and sedentary behaviors and changes in mental health during the coronavirus disease 2019 (COVID-19) pandemic: findings from The Irish Longitudinal Study on Ageing (TILDA)

2021 ◽  
Vol 4 ◽  
pp. 103
Author(s):  
Cillian McDowell ◽  
Mark Ward ◽  
Christine McGarrigle ◽  
Aisling O'Halloran ◽  
Sarah Gibney ◽  
...  
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Longitudinal Study ◽  
Perceived Stress ◽  
Depression Scale ◽  
Epidemiological Studies ◽  
Physical Activities ◽  
Sedentary Behaviors ◽  
Sedentary Behaviours ◽  
Do It Yourself

Background: The coronavirus disease 2019 (COVID-19) pandemic and containment strategies employed to limit its spread have profoundly impacted daily life. Emerging evidence shows that mental health worsened compared to pre-pandemic trends. In this study, we examine associations of self-reported changes in physical activities and sedentary behaviors with mental health changes during the COVID-19 pandemic among older Irish adults. Methods: This study used data from Wave 5 (2018) and the COVID-19 study (July–November 2020) of the Irish Longitudinal Study on Ageing (TILDA). Depressive symptoms were measured using the 8-item Centre for Epidemiological Studies Depression Scale; Perceived stress, using the 4‐item Perceived Stress Scale. Participants reported perceived changes in participation in physical activities and sedentary behaviours before and after the outbreak of COVID-19. Linear regressions examined separate associations between changes in physical activities and sedentary behaviours and changes in perceived stress/depressive symptoms. Adjustment included demographics, body mass index, smoking, alcohol, chronic diseases and stress/depressive symptoms at Wave 5. Results: Among 2,645 participants (mean age, 68.2yrs; 56% female), 19.5% (95%CI: 18.2–20.9) reported clinically significant depressive symptoms during the COVID-19 pandemic. Compared to before the pandemic, reduced and no exercise at home and walking were associated with increased depressive symptoms and stress. A reduction in home DIY (do it yourself) was also associated with both depression and stress while doing no DIY at all was associated with increased stress but not depressive symptoms (all p<.05). Reduced hobbies and reading were associated with higher depressive symptoms, and both reduced and increased screen time were associated with increased depressive symptoms. Conclusions: Greater decreases in mental health were seen among those who reported negative changes in their physical and sedentary activities. These findings have important implications for mental health care both as we transition back to normal life and for responses to future pandemics.

scholarly journals Treatment of depression in a low-income primary care setting with colocated mental health care.

2009 ◽  
Vol 27 (2) ◽  
pp. 161-171 ◽  
Author(s):  
Lisa A. Uebelacker ◽  
Marcia Smith ◽  
Angelique W. Lewis ◽  
Ryan Sasaki ◽  
Ivan W. Miller
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Health Care ◽  
Low Income ◽  
Care Setting ◽  
Primary Care Setting ◽  
Treatment Of Depression

scholarly journals COVID-19 and MENtal Health: Addressing Men’s Mental Health Needs in the Digital World

2021 ◽  
Vol 15 (4) ◽  
pp. 155798832110300
Author(s):  
Jennifer M. Ellison ◽  
Andrea R. Semlow ◽  
Emily C. Jaeger ◽  
Derek M. Griffth
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Depressive Symptoms ◽  
Suicidal Ideation ◽  
Mental Health Care ◽  
Health Needs ◽  
Economic Uncertainty ◽  
Mental Health Needs ◽  
Current Technology ◽  
Digital World

The COVID-19 pandemic continues to be a source of stress and have important mental health implications for all persons but may have unique implications for men. In addition to the risk of contracting and dying from COVID-19, the rising COVID-19 death toll, ongoing economic uncertainty, loneliness from social distancing, and other changes to our lifestyles make up the perfect recipe for a decline in mental health. In June 2020, men reported slightly lower rates of anxiety than women, but had higher rates of depressive symptoms and suicidal ideation. As of September 2020, men sought mental health care at a higher rate than women for family and relationships, with year-over-year visits up 5.5 times and total virtual mental health care visits monthly growth in 2020 was up 79% since January. Because men are not a homogeneous group, it is important to implement strategies for groups of men that may have particularly unique needs. In this paper, we discuss considerations for intervening in men’s mental health during and in response to the COVID-19 pandemic, including current technology-based cyberpsychology options.

scholarly journals Facilitating factors and barriers in help-seeking behaviour in adolescents and young adults with depressive symptoms: A qualitative study

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0247516
Author(s):  
Eline Eigenhuis ◽  
Ruth C. Waumans ◽  
Anna D. T. Muntingh ◽  
Marjan J. Westerman ◽  
Marlinde van Meijel ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Young Adults ◽  
Depressive Symptoms ◽  
Mental Health Care ◽  
Help Seeking ◽  
Adolescents And Young Adults ◽  
Easy Access ◽  
Facilitating Factors ◽  
Health Illiteracy

Objective Despite the availability of mental health care, only a minority of depressed adolescents and young adults receive treatment. This study aimed to investigate facilitating factors and barriers in help-seeking behaviour of adolescents and young adults with depressive symptoms, using qualitative research methods. Methods In-depth, semi-structured interviews with 32 participants with current or previous depressive symptoms aged 16 to 24 years using thematic content analysis. Findings Our sample consisted mainly of adolescents who eventually found their way to professional help. Five main themes in help-seeking by adolescents and young adults were identified: (I) Individual functioning and well-being, (II) Health literacy, (III) Attitudinal aspects, (IV) Surroundings, and (V) Accessibility. Prompts to seek treatment were disease burden and poor academic performance. Health illiteracy negatively influenced treatment-seeking behaviour. Attitudinal aspects either hampered (shame, wanting to handle the problem oneself, negative attitudes towards treatment) or facilitated (positive attitudes towards treatment) help-seeking. Furthermore, adolescents’ surroundings (school, family, and peers) appeared to play a critical role in the recognition of depressive symptoms and encouragement to seek help. Barriers regarding accessibility of mental health care were found, whereas direct and easy access to treatment greatly improved mental health care use. Conclusion Facilitating factors can play a critical role in the help-seeking process of depressed adolescents and young adults, and may guide efforts to increase access to mental health care of this vulnerable age group. In particular, recognition and encouragement from school personnel and peers and easy access to care providers positively influenced help-seeking in our sample. Health illiteracy and attitudinal aspects appeared to be important barriers to seeking treatment and public/school campaigns aimed at reducing health illiteracy and stigma might be necessary to improve treatment-seeking and health care utilization in this age group.

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