%0 Journal Article
%T Care-Seeking Pattern among Persons with Depression and Anxiety: A Population-Based Study in Sweden
%A Anna Wallerblad
%A Jette M£żller
%A Yvonne Forsell
%J International Journal of Family Medicine
%D 2012
%I Hindawi Publishing Corporation
%R 10.1155/2012/895425
%X Background. In primary care, a vast majority of patients affected with depression and anxiety present with somatic symptoms. Detection rate of psychiatric symptoms is low, and knowledge of factors influencing care seeking in persons affected by depressive and anxiety disorders on a population level is limited. Objective. This study aims to describe if persons, affected by depression and anxiety disorders, seek care and which type of care they seek as well as factors associated with care seeking. Method. Data derives from a longitudinal population-based study of mental health conducted in the Stockholm County in 1998¨C2010 and the present study includes 8387 subjects. Definitions of anxiety and depressive disorders were made according to DSM-IV criteria, including research criteria, using validated diagnostic scales. 2026 persons (24%) fulfilled the criteria for any depressive or anxiety disorder. Results. Forty-seven percent of those affected by depression and/or anxiety had been seeking care for psychological symptoms within the last year. A major finding was that seeking care for psychological symptoms was associated with having treatment for somatic problems. Conclusions. As a general practitioner, it is of great importance to increase awareness of mild mental illness, especially among groups that might be less expected to be affected. 1. Introduction Mental health problems, such as depression and anxiety disorders, are often underrecognized and untreated. Bijl et al. [1] showed that the prospect of being treated increases with the severity of the illness, but also that half of those affected by a serious mental illness remained untreated. It is easy to understand that a serious condition needs treatment to avoid complications such as suicide, need of inpatient care, and disability. However, studies have shown that the risk of such complications did not differ significantly between mild forms of mental illness compared to moderate forms [2]. In several studies, around half of those affected by psychological distress or psychiatric diagnoses had not been seeking care [3¨C9]. However, even if they seek, the detection rate of psychiatric symptoms is low. A recent meta-analysis of studies regarding general practitioners ability to recognize mild depression showed a detection sensitivity of 56.5% [10]. This emphasizes the importance of further increasing the awareness of mild cases of mental illness. In primary care, a vast majority of patients affected by depression and anxiety present with somatic symptoms [11, 12]. Somatic complaints include changes in
%U http://www.hindawi.com/journals/ijfm/2012/895425/