Cited by 169Mental Health Treatment and AccessAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesSubstance Abuse Treatment and Outcomes

Disorder-specific mental health service use for mood and anxiety disorders: Associations with age, sex, and psychiatric comorbidity

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Mackenzie, Corey S., Reynolds, Kristin, Cairney, John, Streiner, David L., Sareen, Jitender·2012·Depression and Anxiety

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.

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Authors
Mackenzie, C. S., Reynolds, K., Cairney, J., Streiner, D. L., & Sareen, J.
Affiliations
  • University of Manitoba (CA)
  • McMaster University (CA)
  • University of Toronto (CA)
Corresponding author
Mackenzie, Corey S.
Venue
Depression and Anxiety
Publisher
Wiley
Published
2011-11-07
Volume
29
Issue
3
Pages
234-242
ISSN
1091-4269 (ISSN-L)
OpenAlex
W1529731596
Cited by
169
References
46
Citations by year
2026: 10 · 2025: 12 · 2024: 18 · 2023: 16 · 2022: 8 · 2021: 18 · 2020: 13 · 2019: 11 · 2018: 14 · 2017: 13 · 2016: 6 · 2015: 9 · 2014: 10 · 2013: 9 · 2012: 2
FWCI
9.17
Type
journal article
Language
en
Open access
Locations
  • Depression and Anxiety (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • Manitoba Health Research Council
  • National Institutes of Health
  • Canadian Institutes of Health Research (152348)
  • National Institute on Alcohol Abuse and Alcoholism (Z01AA000449)
Topics
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Keywords
mental health service utilization, mood disorders, anxiety disorders, panic disorder, dysthymia, specific phobia, psychiatric comorbidity, age differences, sex differences, older adults, middle-aged adults, NESARC
MeSH terms
Adult, Age Factors, Aged, Anxiety Disorders, Female, Humans, Male, Mental Health Services, Middle Aged, Sex Factors, United States, Comorbidity, Prevalence, Panic Disorder, Dysthymic Disorder, Mood Disorders, Young Adult

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