The DOI matches its Crossref record; 10 of the 10 references it cites were found in a registry or an index.
The reluctance to seek treatment for neurotic disorders
Abstract
In previous papers from the National Survey of Psychiatric Morbidity in Great Britain, we have demonstrated that people with neurotic disorders rarely present their symptoms to primary care physicians and when they do, are quite likely not to be given treatment. In this paper, we examined survey respondents' reports of specific instances of reluctance to seek help in relation to sociodemographic, socio-economic and clinical attributes of our subjects. All people in the National Household Survey assessed as having a neurotic disorder were asked if at any time in the previous year they had avoided seeking appropriate treatment. Clinical measures included diagnosis, symptom severity, and deficits in carrying out tasks of daily living. Of nearly 1400 respondents, a quarter said they had not been to see a doctor at some time in the past year when they or their family felt they should have. The major determinant of this reluctance was symptom severity: more severe cases were more likely to report an episode of reluctance. Reasons included those related to ignorance of neurotic disorders and the effectiveness of treatment and to stigma. The attitudes detected in our subjects with neurotic disorder help to explain why people do not always seek effective help for their mental disorders, and are indicators of a worrying public education gap that will be hard to bridge.
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“Meltzer et al reported in the National Psychiatric Morbidity Survey, that the most common response to how people deal with mental health problems was to try to cope with problems oneself.32”
From Can a self-referral system help improve access to psychological treatments? (2010) · cites this paper as [32]
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“Less than one third of people with neurotic disorders had made contact with their family doctors within the last year for their mental problems (Bebbington et al., 2000a) and indeed, when they do make contact their chance of receiving relevant treatment remains very low (Bebbington et al., 2000c).”
InfluentialSelf-citationPublic attitude towards psychiatric treatment
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Neurotic disorders and the receipt of psychiatric treatment
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Antidepressant Treatment of Depression: A Metaanalysis
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Psychiatric disorder and dysfunction in the UK National Survey of Psychiatric Morbidity
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Self-citationThe efficacy of psychotherapy in non‐bipolar depression: a review
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How stigma interferes with mental health care.
Corrigan, P. (2004) · American Psychologist · doi:10.1037/0003-066x.59.7.614 · Cited by 3,648
Clement, S., Schauman, O., Graham, T., Maggioni, F., Evans-Lacko, S., Bezborodovs, N., Morgan, C., Rüsch, N., Brown, J. S. L., & Thornicroft, G. (2015) · Psychological Medicine · doi:10.1017/s0033291714000129 · Cited by 3,152
Bower, P., & Gilbody, S. (2005) · British Journal of Psychiatry · doi:10.1192/bjp.186.1.11 · Cited by 1,084
Gulliver, A., Griffiths, K. M., & Christensen, H. (2012) · BMC Psychiatry · doi:10.1186/1471-244x-12-157 · Cited by 611
Clement, S., Brohan, E., Jeffery, D., Henderson, C., Hatch, S. L., & Thornicroft, G. (2012) · BMC Psychiatry · doi:10.1186/1471-244x-12-36 · Cited by 314
Metadata
- Authors
- Meltzer, H., Bebbington, P., Brugha, T., Farrell, M., Jenkins, R., & Lewis, G.
- Affiliations
- Office for National Statistics (GB)
- The Royal Free Hospital (GB)
- University of Leicester (GB)
- University of Bristol (GB)
- Venue
- International Review of Psychiatry
- Publisher
- Informa UK Limited
- Published
- 2003-01
- Volume
- 15
- Issue
- 1-2
- Pages
- 123-128
- ISSN
- 0954-0261 (ISSN-L)
- 1369-1627
- OpenAlex
- W2081723733
- Cited by
- 109
- References
- 10
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 2 · 2022: 3 · 2021: 7 · 2020: 3 · 2019: 4 · 2018: 4 · 2017: 3 · 2016: 6 · 2015: 6 · 2014: 6 · 2013: 6 · 2012: 8
- FWCI
- 6.95
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Review of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Leicester Research Archive (University of Leicester) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Disorders
- Keywords
- neurosis, help-seeking, symptom severity, stigma, primary care
- MeSH terms
- Adolescent, Adult, Denial, Psychological, Female, United Kingdom, Humans, Male, Mass Screening, Mental Health Services, Middle Aged, Neurotic Disorders, Patient Acceptance of Health Care, Primary Health Care, Surveys and Questionnaires
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