Primary care patients with anxiety and depression: Need for care from the patient's perspective
Open accessAbstract
Background Many anxiety and depression patients receive no care, resulting in unnecessary suffering and high costs. Specific beliefs and the absence of a perceived need for care are major reasons for not receiving care. This study aims to determine the specific perceived need for care in primary care patients with anxiety and depression, and examine to what extent these different needs are met.Methods Cross-sectional data were derived from The Netherlands Study of Depression and Anxiety (NESDA). In 622 primary care patients with a current (6-month recency) diagnosis of depression and/or anxiety disorder who recognised their mental health problem themselves, the perceived need for mental health care was measured by the Perceived Need for Care Questionnaire (PNCQ). Possible determinants were measured in the same interview by means of a questionnaire.Results Most patients with anxiety or depression expressed a need for counselling or information. Medication, practical support, skills training and a referral were less often perceived to be needed. Multiple logistic regression analyses revealed that after controlling for age, clinical status and disability, patients' confidence in professional help and their evaluation of received care positively influenced their perception of a need for medication and counselling.Conclusions Although no conclusions can be made about what type of care was specifically not wanted, patients with anxiety or depression mostly want to receive information and counselling. Health professionals should be aware of the fact that there are differences in perceived need for care between subgroups of patients, based on their beliefs and their evaluation of care.
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People with mental health issues make more use of medical provisions and use more medication, even after controlling for physical health status.
“It is generally known that people with mental health issues make more use of medical provisions and use more medication [8,9], even after controlling for physical health status [10].”
From Healthcare utilization in general practice before and after psychological treatment: A follow-up data linkage study in primary care (2014) · cites this paper as [8]
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Biersack, K., Sattel, H. C., Schönweger, P., Kaspar, L., Lehnen, N., Gensichen, J. S., Henningsen, P., & for the POKAL group (2025) · PLoS ONE · doi:10.1371/journal.pone.0293713
Young mothers with experience of out-of-home care and intergenerational risk of child removal
Bryant, C., Bayliss, D. M., O’Donnell, M., Usher, R., & Maclean, M. (2025) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2025.107599
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- Authors
- Prins, M. A., Verhaak, P. F. M., van der Meer, K., Penninx, B. W. J. H., & Bensing, J.
- Affiliations
- Netherlands Institute for Health Services Research (NL)
- Amsterdam UMC Location Vrije Universiteit Amsterdam (NL)
- Corresponding author
- Prins, Marijn A.
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2009-12
- Volume
- 119
- Issue
- 1-3
- Pages
- 163-171
- ISSN
- 0165-0327 (ISSN-L)
- OpenAlex
- W1979658788
- Cited by
- 60
- References
- 39
- Citations by year
- 2025: 7 · 2023: 1 · 2022: 2 · 2021: 2 · 2020: 6 · 2019: 3 · 2018: 4 · 2017: 1 · 2015: 5 · 2014: 4 · 2013: 5 · 2012: 11
- FWCI
- 8.71
- Type
- journal article
- Language
- en
- Open access
- green
- www.nivel.nl
- Licence
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Digital Academic REpository of VU University Amsterdam (Vrije Universiteit Amsterdam) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (submittedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
- Data Archiving and Networked Services (DANS) (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
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Keywords
- anxiety disorders, depression, perceived need for care, help-seeking, primary care, patient beliefs, counseling, medication needs, referral, quality of care evaluation, mental health service utilization
- MeSH terms
- Adolescent, Adult, Aged, Anxiety Disorders, Depressive Disorder, Female, Health Services Needs and Demand, Humans, Health Knowledge, Attitudes, Practice, Male, Mental Health Services, Middle Aged, Netherlands, Primary Health Care, Psychiatric Status Rating Scales, Patient Satisfaction, Young Adult
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