The Meaning and Predictive Value of Self-rated Mental Health among Persons with a Mental Health Problem

2018 ◽  
Vol 59 (2) ◽  
pp. 200-214 ◽  
Author(s):  
Donna D. McAlpine ◽  
Ellen McCreedy ◽  
Sirry Alang
Keyword(s):  
Mental Health ◽  
Mental Health Problem ◽  
Health Problem ◽  
Predictive Value ◽  
Medical Expenditure Panel Survey ◽  
Medical Model ◽  
Medical Expenditure ◽  
Treatment Interventions ◽  
Using Data ◽  
Traditional Medical Model

Self-rated health is a valid measure of health that predicts quality of life, morbidity, and mortality. Its predictive value reflects a conceptualization of health that goes beyond a traditional medical model. However, less is known about self-rated mental health (SRMH). Using data from the Medical Expenditure Panel Survey ( N = 2,547), we examine how rating your mental health as good—despite meeting criteria for a mental health problem—predicts outcomes. We found that 62% of people with a mental health problem rated their mental health positively. Persons who rated their mental health as good (compared to poor) had 30% lower odds of having a mental health problem at follow-up. Even without treatment, persons with a mental health problem did better if they perceived their mental health positively. SRMH might comprise information beyond the experience of symptoms. Understanding the unobserved information individuals incorporate into SRMH will help us improve screening and treatment interventions.

scholarly journals Relationships between anti-stigma programme awareness, disclosure comfort and intended help-seeking regarding a mental health problem

2017 ◽  
Vol 211 (5) ◽  
pp. 316-322 ◽  
Author(s):  
Claire Henderson ◽  
Emily Robinson ◽  
Sara Evans-Lacko ◽  
Graham Thornicroft
Keyword(s):  
Mental Health ◽  
Mental Health Problem ◽  
Health Problem ◽  
Help Seeking ◽  
Public Awareness ◽  
Professional Help ◽  
Logistic Regression Models ◽  
Prospective Employer ◽  
Nationally Representative ◽  
Using Data

BackgroundAnti-stigma programmes should aim to increase disclosure to those who can support someone with a mental health problem and appropriate professional help-seeking.AimsWe investigated associations among public awareness of England's Time to Change anti-stigma campaign and: (a) comfort envisaged in disclosing a mental health problem to family and friends; (b) comfort in disclosing to an employer; and (c) intended professional help-seeking from a general practitioner, i.e. a physician working in primary care.MethodUsing data from a survey of a nationally representative sample of adults, we created separate logistic regression models to test for campaign awareness and other variables as predictors of comfort in disclosure and intended help-seeking.ResultsWe found positive relationships between campaign awareness and comfort in disclosing to family and friends (odds ratio (OR) = 1.27, 95% CI 1.14–1.43) and to a current or prospective employer (OR = 1.20, 95% CI 1.06–1.35); and likelihood of help-seeking (OR=1.18 95% CI 1.03–1.36).ConclusionsAwareness of an anti-stigma campaign was associated with greater comfort in disclosing a mental health problem and intended help-seeking.

Youth mental health competencies in regional general practice

2020 ◽  
pp. 103985622097005
Author(s):  
Oliver Smith ◽  
Jessica Bergmann ◽  
Ulrich Schall
Keyword(s):  
Mental Health ◽  
Young People ◽  
Mental Health Problem ◽  
Health Problem ◽  
Mental Health Problems ◽  
Young Patients ◽  
Youth Mental Health ◽  
Young Person ◽  
Health Issues ◽  
Hunter Region

Objective: General practitioners (GPs) are key health professionals for referrals to mental health specialists. Youth mental health issues are particularly challenging, requiring a competent assessment and understanding of appropriate referral pathways. We surveyed local GPs about their understanding of youth mental health problems and needs to competently look after young patients. Methods: GPs working in the Hunter region were contacted via email, fax and post over a 6-month period in 2019. Results: Seventy-five GPs participated. They reported 577 of 1698 (34%) of young people seen 2 weeks prior to being surveyed presented with a mental health problem. Predominantly, referrals were to private practice psychologists and Headspace. Almost a third (31%) reported having limited understanding of ‘at-risk mental state’ and are ‘not always comfortable’ when facing a young person with a mental health problem. Nearly all (95%) expressed interest in attending specialised training. GPs identified treatment costs, scarce access to psychiatrists and limited patient engagement as the main obstacles to help young people. Conclusions: Effective treatment of a mental health problem relies on early identification. GPs are seeing young people on a regular basis but don’t feel well equipped for this task and are keen to up-skill, which needs to be addressed by targeted training.

When Being Upset Is Not A Mental Health Problem

Psychiatry ◽  
2004 ◽  
Vol 67 (2) ◽  
pp. 153-157 ◽  
Author(s):  
Simon Wessely
Keyword(s):  
Mental Health ◽  
Mental Health Problem ◽  
Health Problem

The Shape of Demand: What Does It Tell Us about Direct-to-Consumer Marketing of Antidepressants?

2008 ◽  
Vol 8 (2) ◽  
Author(s):  
Chad D. Meyerhoefer ◽  
Samuel H Zuvekas
Keyword(s):  
Medical Expenditure Panel Survey ◽  
Demand Curve ◽  
Medical Expenditure ◽  
Direct To Consumer ◽  
Medication Costs ◽  
True Match ◽  
Promotional Campaign ◽  
Using Data ◽  
Direct To Consumer Advertising ◽  
Consumer Marketing

Abstract Much of the debate surrounding Direct-to-Consumer Advertising (DTCA) of pharmaceuticals centers on whether DTCA conveys useful information to consumers or indiscriminately increases requests for the advertised medication. By identifying how DTCA changes the shape of the demand curve for antidepressants, we seek to infer the promotional objectives of manufacturers. Using data from the 1996-2003 Medical Expenditure Panel Survey (MEPS), we find that advertising shifts the demand curve for antidepressants outward and rotates it counter-clockwise. DTCA increases the probability that an individual will initiate use of antidepressants, particularly when out-of-pocket medication costs are low, but does not necessarily increase utilization levels among those already taking antidepressants. This is consistent with a promotional campaign that seeks to alert consumers to the product's existence, but conveys no real information that would allow them to learn their true match with the product.

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