What makes people decide who to turn to when faced with a mental health problem Results from a French surveyReportar como inadecuado

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BMC Public Health

, 7:188

First Online: 31 July 2007Received: 09 January 2007Accepted: 31 July 2007DOI: 10.1186-1471-2458-7-188

Cite this article as: Kovess-Masféty, V., Saragoussi, D., Sevilla-Dedieu, C. et al. BMC Public Health 2007 7: 188. doi:10.1186-1471-2458-7-188


BackgroundThe unequal use of mental health care is a great issue, even in countries with universal health coverage. Better knowledge of the factors that have an impact on the pathway to mental health care may be a great help for designing education campaigns and for best organizing health care delivery. The objective of this study is to explore the determinants of help-seeking intentions for mental health problems and which factors influence treatment opinions and the reliance on and compliance with health professionals- advice.

Methods441 adults aged 18 to 70 were randomly selected from the general population of two suburban districts near Paris and agreed to participate in the study response rate = 60.4%. The 412 respondents with no mental health problems based on the CIDI-SF and the CAGE, who had not consulted for a mental health problem in the previous year, were asked in detail about their intentions to seek help in case of a psychological disorder and about their opinion of mental health treatments. The links between the respondents- characteristics and intentions and opinions were explored.

ResultsMore than half of the sample 57.8% would see their general practitioner GP first and 46.6% would continue with their GP for follow-up. Mental health professionals were mentioned far less than GPs. People who would choose their GP first were older and less educated, whereas those who would favor mental health specialists had lower social support. For psychotherapy, respondents were split equally between seeing a GP, a psychiatrist or a psychologist. People were reluctant to take psychotropic drugs, but looked favorably on psychotherapy.

ConclusionGPs are often the point of entry into the mental health care system and need to be supported. Public information campaigns about mental health care options and treatments are needed to educate the public, eliminate the stigma of mental illness and eliminate prejudices.

AbbreviationsCAGE Cut downAnnoyed, Guilty, Eye-opener

CIDI-SFComposite International Diagnostic Interview-Short Form

GPGeneral Practitioner

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2458-7-188 contains supplementary material, which is available to authorized users.

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Autor: Viviane Kovess-Masféty - Delphine Saragoussi - Christine Sevilla-Dedieu - Fabien Gilbert - Agnieszka Suchocka - Nathalie Ar

Fuente: https://link.springer.com/

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