Health beliefs and perceived need for mental health care of anxiety and depression - The patients' perspective explored

Marijn A. Prins*, Peter F. M. Verhaak, Jozien M. Bensing, Klaas van der Meer

*Corresponding author for this work

Research output: Contribution to journalReview articleAcademicpeer-review

171 Citations (Scopus)
889 Downloads (Pure)

Abstract

Patients' illness representations and beliefs about treatment for depression and anxiety, as well as their perceived needs, are important for treatment. A systematic review was conducted of 71 studies describing the beliefs or perceived needs of patients and non-patients. Patients give multi-dimensional explanations for depression and see both psychological and medication treatment as helpful. People who suffer from depression have more positive beliefs about biological etiology and medication treatment than healthy people, or those with less severe depressive symptoms. Anxiety patients view psychological interventions as their best treatment option. Between 49% and 84% of the patients with depression or anxiety perceive a need for treatment, mostly for counseling and medication. All patients prefer psychological treatment forms to medication. A majority of patients view antidepressants as addictive and many perceive stigma and see practical and economic barriers to care. The most vulnerable groups in terms of seeking and receiving mental health care for depression and anxiety seem to be minority groups, as well as younger and older patients. More research is required into the specific needs of anxiety and depression patients. Open communication between patient and provider could lead to valuable improvements in treatment. (c) 2008 Elsevier Ltd. All rights reserved.

Original languageEnglish
Pages (from-to)1038-1058
Number of pages21
JournalClinical Psychology Review
Volume28
Issue number6
DOIs
Publication statusPublished - Jul-2008

Keywords

  • depression
  • anxiety
  • mental health care
  • perceived needs
  • beliefs
  • illness representations
  • TREATMENT PREFERENCES
  • GENERAL-PRACTICE
  • HELP-SEEKING
  • PSYCHOTROPIC MEDICATION
  • PSYCHIATRIC-TREATMENT
  • PATIENTS PERCEPTIONS
  • PATIENTS ATTITUDES
  • MAJOR DEPRESSION
  • PUBLICS ABILITY
  • PANIC DISORDER

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