Epidemiologic surveys consistently document high rates of untreated depression, yet why this unmet need exists is only partially understood.
We compared untreated depressed, treated depressed and « healthy » subjects on sociodemographic characteristics, need for treatment, and help-seeking attitudes using household survey data from Ontario, Canada (n=9953).
DSM-III R Major Depression was assessed by structured interview (UM-CIDI), and treatment was defined as seeking formal mental health care.
Need for treatment was assessed using a broad array of clinical, disability, and risk measures.
Depressed (treated and untreated) and « healthy » respondents differed significantly on nearly all comparative measures.
However, the two depressed groups showed few sociodemographic or « need for treatment » differences.
Notably, there were no significant clinical differences although the untreated did report less physical comorbidity (33.9% vs 60.0% treated depressed).
There were, however, several attitudinal differences.
Compared to the treated depressed, untreated respondents were less likely to feel they had a mental health problem (51.6% vs. 78.8%), to say they would seek help for a serious problem (36.6% vs 64.7%) or to feel comfortable consulting a professional (19.0% vs. 43.2%). Limitations : Because the data are cross-sectional, temporal relationships cannot be directly addressed. (...)
Mots-clés Pascal : Etat dépressif, Epidémiologie, Ontario, Canada, Amérique du Nord, Amérique, Prévalence, Facteur sociodémographique, Symptomatologie, Attitude, Santé mentale, Age, Sexe, Statut conjugal, Niveau étude, Statut professionnel, Statut socioéconomique, Homme, Trouble humeur
Mots-clés Pascal anglais : Depression, Epidemiology, Ontario, Canada, North America, America, Prevalence, Sociodemographic factor, Symptomatology, Attitude, Mental health, Age, Sex, Marital status, Education level, Professional status, Socioeconomic status, Human, Mood disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0307182
Code Inist : 002B18B03. Création : 16/11/1999.