Social Psychiatry and Psychiatric Epidemiology

, Volume 41, Issue 4, pp 285–293

Explaining service use for mental health problems in the Dutch general population: the role of resources, emotional disorder and functional impairment

  • Margreet ten Have
  • Jurjen Iedema
  • Johan Ormel
  • Wilma Vollebergh

DOI: 10.1007/s00127-005-0028-9

Cite this article as:
Have, M.., Iedema, J., Ormel, J. et al. Soc Psychiat Epidemiol (2006) 41: 285. doi:10.1007/s00127-005-0028-9



To analyse explanations of service use in terms of resources, emotional (mood or anxiety) disorder and functional impairment.


Data was derived from a prospective cohort study in a sample representative (n = 4848) of the Dutch adult general population.


The occurrence of an emotional (mood or anxiety) disorder led to a greater use of services as a partial consequence of the functional impairments that accompanied the disorder, but this applied only to primary care services and not to specialised mental health services. After adjustment for the influence of all other determinants in the model, people with more education and those with higher neuroticism scores were more likely to use specialised services in particular.


Future research could benefit from applying the models derived here to further clarify the use of the two service modalities, as well as to assess additional psychological resources.

Key words

cohort studiesmental disordersmental health servicessocioeconomic factorspersonality

Copyright information

© Steinkopff Verlag Darmstadt 2006

Authors and Affiliations

  • Margreet ten Have
    • 1
  • Jurjen Iedema
    • 2
  • Johan Ormel
    • 3
  • Wilma Vollebergh
    • 1
  1. 1.Netherlands Institute of Mental Health and AddictionUtrechtThe Netherlands
  2. 2.Social and Cultural Planning Office of the NetherlandsDen HaagThe Netherlands
  3. 3.Dept. of PsychiatryUniversity of GroningenGroningenThe Netherlands