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Disorder‐specific mental health service use for mood and anxiety disorders: associations with age, sex, and psychiatric comorbidity
Author(s) -
Mackenzie Corey S.,
Reynolds Kristin,
Cairney John,
Streiner David L.,
Sareen Jitender
Publication year - 2012
Publication title -
depression and anxiety
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.634
H-Index - 129
eISSN - 1520-6394
pISSN - 1091-4269
DOI - 10.1002/da.20911
Subject(s) - panic disorder , anxiety , psychiatry , comorbidity , prevalence of mental disorders , mood , generalized anxiety disorder , anxiety disorder , mood disorders , specific phobia , national comorbidity survey , clinical psychology , alcohol use disorder , psychology , mental health , medicine , alcohol , biochemistry , chemistry
Abstract Background The objectives of this study are to examine the prevalence of disorder‐specific mental health service use for mood and anxiety disorders, and relationships between helpseeking and age, sex, and psychiatric comorbidity. Methods The authors used Wave 2 data from the National Epidemiologic Survey of Alcohol and Related Conditions (NESARC), which included 34,653 adults. Cross‐tabulations provided helpseeking prevalence rates for five anxiety disorders and three mood disorders by age and sex, as well as for individuals with and without comorbid anxiety and mood disorders. Logistic regression analyses explored the likelihood of helpseeking among younger and middle‐aged adults in comparison to older adults. Results The prevalence of helpseeking was highest for panic disorder (45.3%) and dysthymia (44.5%) and lowest for specific phobias (7.8%). For each condition except panic disorder service use was most likely among middle‐aged adults and especially unlikely among older individuals. Sex differences in treatment seeking favoring women showed only modest variability with age. Finally, the prevalence of helpseeking was generally lower among individuals without comorbid anxiety or mood disorders, and the hill‐shaped influence of age on service use was attenuated in this pure group. Conclusions The results of this study highlight the highest prevalence of disorder‐specific service use among middle‐aged adults and women, and among individuals with panic disorder and dysthymia. For purposes of identifying groups who are in need of targeted efforts to increase service use, helpseeking was especially unlikely among people suffering from specific phobia, as well as among men and older adults. Depression and Anxiety 0:1–9, 2011. © 2011 Wiley Periodicals, Inc.