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Cited by 118Mental Health Treatment and AccessAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychology and Mental Health

Service utilisation for anxiety in an Australian community sample

Issakidis, Cathy, Andrews, Gavin·2002·Social Psychiatry and Psychiatric Epidemiology
DOI 10.1007/s001270200009
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Abstract

Background Anxiety is common. Symptoms that meet criteria for an anxiety disorder are also common, disabling and treatable, yet the majority of people who experience symptoms do not seek treatment. This study aimed to examine the rates and correlates of treatment seeking, and the perceived barriers to care among individuals experiencing symptoms of anxiety in the community. Methods The study identified persons who reported anxiety as their principal complaint from the Australian National Survey of Mental Health and Wellbeing (N = 10641). Multivariate logistic regression was used to examine clinical and sociodemographic correlates of service utilisation, effective intervention and perceived need for care. Results Rates of consultation, specialist consultation and perceived need for care were low. Disability, neuroticism and presence of mental disorders were stronger determinants of consultation and perceived need than sociodemographics. Panic disorder was the only anxiety disorder associated with consultation, specialist consultation and effective treatment. Consultation with a mental health specialist as opposed to another health professional was associated with effective treatment for anxiety. The most common reason for not consulting was "I preferred to manage myself". Conclusions Although the more severely symptomatic and comorbid individuals seek treatment for anxiety, a significant number of disabled individuals do not consult. While treatment coverage for panic disorder…

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  • These barriers (desire to help themselves and not thinking severe enough) replicate common barriers found in general adult populations.

    “which both replicate common barriers found in general adult populations (Issakidis and Andrews, 2002; Thompson et al., 2004)”

    From Barriers to treatment for older adults seeking psychological therapy (2015) · cites this paper as Issakidis and Andrews, 2002

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Authors
Issakidis, C., & Andrews, G.
Affiliations
UNSW Sydney (AU)
ORCID
Andrews, Gavin
Venue
Social Psychiatry and Psychiatric Epidemiology
Publisher
Springer Science and Business Media LLC
Published
2002-04
Volume
37
Issue
4
Pages
153-163
ISSN
  • 0933-7954 (ISSN-L)
  • 1433-9285
DOI
10.1007/s001270200009
OpenAlex
W1985690785
Cited by
118
References
6
Citations by year
2026: 1 · 2025: 2 · 2024: 1 · 2023: 3 · 2021: 7 · 2020: 2 · 2019: 3 · 2018: 7 · 2017: 3 · 2016: 5 · 2015: 8 · 2014: 4 · 2013: 9 · 2012: 6
FWCI
7.58
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • Social Psychiatry and Psychiatric Epidemiology (publishedVersion)
  • PubMed (publishedVersion)
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 › Psychology and Mental Health
Keywords
anxiety disorders, treatment seeking, mental health service utilization, barriers to care, perceived need for care, panic disorder, disability, neuroticism, self-management
MeSH terms
Adult, Aged, Anxiety, Anxiety Disorders, Australia, Community Mental Health Services, Female, Humans, Male, Middle Aged, Patient Acceptance of Health Care, Socioeconomic Factors, Multivariate Analysis, Logistic Models

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