Use of health services for major depressive and anxiety disorders in Finland
Open accessAbstract
Factors associated with people suffering from major depressive disorder (MDD) or anxiety disorders seeking or receiving treatment are not well known. In the Health 2000 Study, a representative sample (n=6005) of Finland's general adult (> or =30 years) population was interviewed with the M-CIDI for mental disorders and health service use for mental problems during the last 12 months. Predictors for service use among those with DSM-IV MDD (n=298) or anxiety disorders (n=242) were assessed. Of subjects with MDD, anxiety disorders, or both, 34%, 36%, and 59% used health services, respectively. Greater severity and perceived disability, psychiatric comorbidity, and living alone predicted health care use for MDD subjects, and greater perceived disability, psychiatric comorbidity, younger age, and parent's psychiatric problems for anxiety disorder subjects. The use of specialist-level mental health services was predicted by psychiatric comorbidity, but not characteristics of the disorders per se. Perceived disability and comorbidity are factors influencing the use of mental health services by both anxiety disorder and MDD subjects. However, still only approximately one-half of those suffering from even severe and comorbid disorders use health services for them.
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Even in high-income countries, only about a third of individuals with anxiety disorders receive any treatment.
“Even in high income countries, only about a third of individuals with anxiety disorders receive any treatment (Alonso et al., 2004; Hamalainen, Isometsa, Sihvo, & Pirkola, 2008), with the exception of the United States, where treatment rates are considerably higher (Olson, Marcus, Wan, & Geissler, 2004).”
From Treatment gap for anxiety disorders is global: Results of the World Mental Health Surveys in 21 countries (2018) · cites this paper as Hamalainen, Isometsa, Sihvo, & Pirkola, 2008
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- Authors
- Hämäläinen, J., Isometsä, E., Sihvo, S., Pirkola, S., & Kiviruusu, O.
- Affiliations
- City of Helsinki (FI)
- University of Helsinki (FI)
- Corresponding author
- Hämäläinen, J.
- Venue
- Depression and Anxiety
- Publisher
- Hindawi Limited
- Published
- 2008-01
- Volume
- 25
- Issue
- 1
- Pages
- 27-37
- ISSN
- 1091-4269 (ISSN-L)
- 1520-6394
- OpenAlex
- W2108346151
- Semantic Scholar
- e6941ba63f482481b27b4fc799e497ffd3ce67e4
- Cited by
- 64
- References
- 56
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 1 · 2023: 3 · 2022: 2 · 2021: 3 · 2020: 2 · 2019: 2 · 2018: 6 · 2017: 4 · 2016: 4 · 2015: 3 · 2014: 5 · 2013: 5 · 2012: 3
- FWCI
- 5.49
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Depression and Anxiety (publishedVersion)
- PubMed (publishedVersion)
- STM:n Hallinnonalan avoin julkaisuarkisto (Julkari) (submittedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- major depressive disorder, anxiety disorders, mental health service utilization, help-seeking, perceived disability, psychiatric comorbidity, treatment severity, living alone, specialist mental health services
- MeSH terms
- Adult, Age Factors, Anxiety Disorders, Child, Major Depressive Disorder, Female, Finland, Health Services, Humans, Male, Mental Health Services, Middle Aged, Patient Acceptance of Health Care, Psychiatric Status Rating Scales, Severity of Illness Index, Sex Factors, Utilization Review, Comorbidity, Logistic Models, Child of Impaired Parents, Age Distribution, Diagnostic and Statistical Manual of Mental Disorders
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