Summary
This study examines the utilization of health visits for mental health purposes by community respondents with depressive symptoms. Data are drawn from first wave interviews of the Epidemiologic Catchment Area (ECA) project at the Baltimore, Durham, and Los Angeles sites. The results indicate that persons with depressive symptoms, even in the absence of a recent DIS/DSM-III disorder, are at increased risk for making mental health related visits. The risk of visiting a general medical provider or mental health specialist for mental health treatment tends to increase as the number of depressive symptoms increase. Sociodemographic factors including age, racial background, and employment status also influence the risk of making a mental health related visit.
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Anthony JC, Foldstein M, Romanoski AJ, Von Korff M, Nestadt GR, Chahal R, Merchant A, Brown CH, Shapiro S, Kramer M, Gruenberg EM (1985) Comparison of the lay Diagnostic Interview Scheduled and a Standardized Psychiatric Diagnosis Arch Gen Psychiatry 42: 667–675
Barrett JE, Barrett JA, Oxman TE, Gerber PD (1988) The prevalence of psychiatric disorders in a primary care practice. Arch Gen Psychiatry 45: 1100–1106
Blacker CVR, Clare AW (1987) Depressive disorder in primary care. Brit J Psychiatry 150: 737–751
Blazer D, Swartz M, Woodburg M, Manton KG, Hughes D, George LK (1988) Depressive symptoms and depressive diagnoses in a community population. Arch Gen Psychiatry 45: 1078–1084
Boyd JH, Weissman MM, (1981) Epidemiology of affective disorders. Arch Gen Psychiatry 38: 1039–1046
Broadhead WE, Blazer DG, George LK, Tse CK (1989) Depression, disability days, and days lost from work in a prospective epidemiologic survey. JAMA 262: 914–919
Coulehan JL, Schulberg HC, Block MR, Janosky JE, Arena VC (1990) Depressive symptomatology and medical co-morbidity in a primary care clinic. Int J Psychiatry Med 20: 335–347
Daniels ML, Linn LS, Ward N, Leake B (1986) A study of physicians preferences in the management of depression in the general medical setting Gen Hosp Psychiatry 8: 229–235
Dew MA, Bromet EJ, Schulberg HC, Parkinson DK, Curtis EC (1991) Factors affecting service utilization for depression in a white collar population. Soc Psychiatry Psychiatr Epidemiol 26: 230–237
Dew MA, Dunn LO, Bromet EJ, Schulberg HC (1988) Factors affecting help-seeking during depression in a community sample. J Affective Disord 14: 223–234
Eaton WW, Holzer CE, Von Korff M, Anthony JC, Helzer CE, George L, Burnam A, Boyd JH, Kessler LG, Locke BZ (1984) The design of the Epidemiologic Catchment Area surveys: the control and measurement of error. Arch Gen Psychiatry 14: 942–948
Goldberg DP (1982) The concept of a “psychiatric case” in general practice. Soc Psychiatry 17: 61–65
Gullick EL, King LJ (1979) Appropriateness of drugs prescribed by primary care physicians for depressed outpatients. J Affective Disord 1: 55–58
Helzer JE, Robins LN, McEvoy LT, Spitznagel EL, Stoltzman RK, Farmer A, Brockington IF (1985) A comparison of clinical and diagnostic interview schedule diagnoses. Arch Gen Psychiatry 42: 657–666
Keller MB, Lavori PW, Klerman GL, Andreasen NC, Endicott J, Coryell W, Fawcett J, Rice JP (1986) Low levels and lack of predictors of somatotherapy and psychotherapy received by depressed patients. Arch Gen Psychiatry 43: 458–466
Klerman GL (1989) Depressive disorders: further evidence for increased medical morbidity and impairment of social functioning. Arch Gen Psychiatry 46: 856–858
Korff MR von, Anthony JC (1982) The NIMH Diagnostic Interview Scheduled modified to record current mental status. J Affect Disord 4: 365–371
Prestidge BR, Lake CR (1987) Prevalence and recognition of depression among primary care outpatients. J Fam Pract 25: 67–72
Regier DA, Boyd JH, Burke JD, Rae DS, Myers JK, Kramer M, Robins LN, Blazer DG, Hough RL, Eaton WW, Locke BZ (1988a) One-month prevalence of mental disorders in the United States based on five Epidemiologic Catchment Area sites. Arch Gen Psychiatry 45: 977–986
Regier DA, Hirschfeld RMA, Goodwin FK, Burke L, Lazar J, Judd LL (1988b) The NIMH Depression, Awareness, Recognition, and Treatment Program: structure, aims, and scientific basis. Am J Psychiatry 145: 1351–1357
Regier DA, Myers JK, Kramer M, Robins LN, Blazer DG, Hough RL, Eaton WW, Locke BZ (1984) The NIMH Epidemiologic Catchment Area Program: historical context, major objectives, and study population characteristics. Arch Gen Psychiatry 41: 934–941
Roberts RE, Vernon SW (1982) Depression in the community. Arch Gen Psychiatry 39: 1407–1409
Robins LN, Helzer JE, Ratcliff K, Seyfried W (1982) Validity of the Diagnostic Interview Schedule, Version II: diagnoses. Psychol Med 12: 855–870
Robins LN, Helzer JE, Croughan J, Ratcliff KF (1981) The National Institute of Mental Health Diagnostic Interview Survey: its history, characteristics, and validity, Arch Gen Psychiatry 38: 381–389
Shapiro S, Skinner EA, Kessler LG, Von Korff M, German PS, Tischler GL, Leaf PJ, Bemham L, Cottler L, Regier DA (1984) Utilization of health services: three Epidemiologic Catchment Area sites. Arch Gen Psychiatry 41: 971–978
Sireling LI, Paykel ES, Freeling P, Rao BM (1985) Depression in general practice: clinical features and comparison with out-patients. Brit J Psychiatry 147: 119–126
Sussman LK, Robins LN, Earls F (1987) Treatment-seeking for depression by black and white Americans. Soc Sci Med 3: 187–196
Weissman MM, Meyers JK, Thompson WD (1981) Depression and its treatment in a US urban community, 1975–1976. Arch Gen Psychiatry 38: 417–421
Wells KB, Stewart A, Hays RD, Burnam A, Rogers W, Daniels M, Berry S, Greenfield S, Ware J (1989) The functioning and wellbeing of depressed patients: results from the medical outcomes study. JAMA 262: 914–919
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Olfson, M., Klerman, G.L. Depressive symptoms and mental health service utilization in a community sample. Soc Psychiatry Psychiatr Epidemiol 27, 161–167 (1992). https://doi.org/10.1007/BF00789000
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DOI: https://doi.org/10.1007/BF00789000