Reasons and determinants of help-seeking in people with a subclinical depression
Open accessAbstract
Background Subclinical depression is common. Although interventions have proven to be effective, participation rates are low. This study first aimed to get more insight in help-seeking and reasons for (not) seeking care. The second aim was to identify characteristics that distinguish people who receive help, those with an unmet need, or no perceived need for care.Methods Respondents with a subclinical depression (n=162) were recruited from the general population. They were eligible for participation if they were aged 18 years or older, scored 20 or higher on the K10 screening instrument for depression, and did not meet the criteria for major depression.Results Of all participants, 27% received help, 33% had an unmet need, and 40% had no perceived need for care. Participants with no perceived need reported not to experience symptoms, were able to solve problems on their own, and could mobilize their own support. They were characterized by lower scores on neuroticism and an older age than those who received care.Limitations The response rate in this study was relatively low which may have caused a selection bias.Conclusion Not all people with subclinical depression may need help for their symptoms, some are able to deal with problems on their own. However, others experience a need for care but do not receive any. Gaining insight into potential barriers for help seeking and receiving in people with an unmet need is important so appropriate measures can be taken to ensure that those who need care get the help they want.
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Older adults prefer group interventions over web-based interventions.
“Older adults prefer group interventions over webbased interventions (Van Zoonen et al., 2015).”
From Blended care in the treatment of subthreshold symptoms of depression and psychosis in emerging adults: A randomised controlled trial of Acceptance and Commitment Therapy in Daily-Life (ACT-DL) (2020) · cites this paper as Van Zoonen et al., 2015
The Discussion reports that respondents with an unmet need for care preferred group interventions over web-based interventions and describes the sample as relatively old. It does not establish this preference for older adults generally; the preference was measured in a specific group of people with subclinical depression. (LLM, conf=0.86)
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Ambiel, R. A. M., Martins, G. H., & Hernández, D. N. (2018) · Temas em Psicologia · doi:10.9788/tp2018.4-10pt · Cited by 3 · see citing works
Electric shortages and mental health in Maracaibo, Venezuela: A cross‐sectional study
Andrade, G. E. (2023) · Journal of Community Psychology · doi:10.1002/jcop.23022 · Cited by 2 · see citing works
Tourism as narrative therapy: Unpacking the emotional and identity mechanisms of affective recovery
Hao, W., & Lee, T. J. (2026) · Journal of Hospitality and Tourism Management · doi:10.1016/j.jhtm.2026.101458 · Cited by 1 · see citing works
Encoding and Measuring Affectionate Messages
Floyd, K. (2018) · Cambridge University Press eBooks · doi:10.1017/9781108653510.004 · Cited by 1 · see citing works
Communicating Affection in Various Relationships
Floyd, K. (2018) · Cambridge University Press eBooks · doi:10.1017/9781108653510.007 · Cited by 1 · see citing works
Rådmark, L., Magnusson, L. H., Horwitz, E. B., & Osika, W. (2017) · doi:10.31231/osf.io/bma9y · Cited by 1 · see citing works
Floyd, K. (2018) · Cambridge University Press eBooks · doi:10.1017/9781108653510.003
Decoding and Responding to Affectionate Messages
Floyd, K. (2018) · Cambridge University Press eBooks · doi:10.1017/9781108653510.006
The Dark Side of Affectionate Communication
Floyd, K. (2018) · Cambridge University Press eBooks · doi:10.1017/9781108653510.010
Looking Back and Looking Ahead
Floyd, K. (2018) · Cambridge University Press eBooks · doi:10.1017/9781108653510.011
Floyd, K. (2018) · Cambridge University Press eBooks · doi:10.1017/9781108653510.012
Affectionate Communication and Mental Wellness
Floyd, K. (2018) · Cambridge University Press eBooks · doi:10.1017/9781108653510.008
Predicting Affectionate Behavior
Floyd, K. (2018) · Cambridge University Press eBooks · doi:10.1017/9781108653510.005
Affectionate Communication and Physical Health
Floyd, K. (2018) · Cambridge University Press eBooks · doi:10.1017/9781108653510.009
(2018) · Cambridge University Press eBooks · doi:10.1017/9781108653510.013
Floyd, K. (2018) · Cambridge University Press eBooks · doi:10.1017/9781108653510.001
An Introduction to Affectionate Communication
Floyd, K. (2018) · Cambridge University Press eBooks · doi:10.1017/9781108653510.002
Floyd, K. (2018) · Cambridge University Press eBooks · doi:10.1017/9781108653510.014
Gellert, P. R., Lech, S., Kessler, E., Herrmann, W., Döpfmer, S., Balke, K., Oedekoven, M., Kuhlmey, A., & Schnitzer, S. (2021) · Research Square · doi:10.21203/rs.3.rs-132622/v1
Why do Adolescents Seek Career Counseling? A Predictor Study of Brazilian Students
Ambiel, R. A. M., Martins, G. H., & Hernández, D. N. (2018) · Temas em Psicologia · doi:10.9788/tp2018.4-10en
Pathways to professional mental care in the Swiss young adult community: a case–control study
Osman, N., Michel, C., Schimmelmann, B., Schilbach, L., Meisenzahl, E. M., & Schultze‐Lutter, F. (2024) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-024-01757-4
Gellert, P., Lech, S., Kessler, E.-M., Herrmann, W., Döpfmer, S., Balke, K., Oedekoven, M., Kuhlmey, A., & Schnitzer, S. (2021) · Figshare · doi:10.6084/m9.figshare.14570717
- Authors
- van Zoonen, K., Kleiboer, A., Beekman, A. T. F., Smit, J. H., Boerema, A. M., & Cuijpers, P.
- Affiliations
- Amsterdam Public Health (NL)
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2015-03
- Volume
- 173
- Pages
- 105-112
- ISSN
- 0165-0327 (ISSN-L)
- OpenAlex
- W1991637876
- Cited by
- 52
- References
- 67
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 4 · 2023: 1 · 2022: 2 · 2021: 8 · 2020: 3 · 2019: 2 · 2018: 20 · 2017: 5 · 2016: 3 · 2015: 1
- FWCI
- 4.44
- Type
- journal article
- Language
- en
- Open access
- green
- pure.amsterdamumc.nl
- Licence
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed (publishedVersion)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
- VU Research Portal (publishedVersion)
- Pure Amsterdam UMC (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Funders
- ZonMW, The Netherlands, (50-51510-98-009)
- 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 › Suicide and Self-Harm Studies
- Keywords
- subthreshold depression, help-seeking, perceived need for care, help-seeking barriers, neuroticism, symptom self-management
- MeSH terms
- Adult, Aged, Aged, 80 and over, Anxiety Disorders, Depression, Female, Humans, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Patient Acceptance of Health Care, Young Adult
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