Sociodemographic, clinical, and attitudinal characteristics of the untreated depressed in Ontario.
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.