Personal Stigma and Use of Mental Health Services Among People with Depression in a General Population in Finland

Esa Aromaa; Asko Tolvanen; Jyrki Tuulari; Kristian Wahlbeck

Disclosures

BMC Psychiatry. 2011;11 

In This Article

Results

The CIDI-SF identified 558 (10.9%) cases of major depression, using a twelve month prevalence definition. Of those 381 (68%) were women and 173 (32%) men. 221 (39.6%) of them had used health services during the last 12 months because of mental health problems. 55 (31.8%) men and 165 (43.3%) women had used mental health services. 140 persons (25%) have been in contact with a primary care health centre, 101 persons (18%) with out-patient specialist mental health care and 58 persons (10%) with a private practitioner. Some of them had sought help from many sources.

Attitudes Connected with Depression

Logistic regression analysis showed that female gender and younger age predicted major depression (Table 2). Also, less desire for social distance and positive attitudes towards antidepressants predicted the occurrence of depression. The "Depression is a matter of will"- scale did not have a statistically significant connection with depression. In this model the Nagelkerke R 2 was 0.07.

Attitudes Connected with Use of Mental Health Services Among People with Depression

In the logistic regression analysis where the use of mental health services was the dependent variable female gender, higher age and more serious degree of depression predicted more active service use among those with depression (Table 3). Less desire for social distance predicted more active service use as well as positive attitudes towards antidepressants. In this model the Nagelkerke R 2 was 0.21.

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