Mental Health Literacy, Attitudes to Help Seeking, and Perceived Need as Predictors of Mental Health Service Use: A Longitudinal Study
Open accessAbstract
Many people with mental health problems do not use mental health care, resulting in poorer clinical and social outcomes. Reasons for low service use rates are still incompletely understood. In this longitudinal, population-based study, we investigated the influence of mental health literacy, attitudes toward mental health services, and perceived need for treatment at baseline on actual service use during a 6-month follow-up period, controlling for sociodemographic variables, symptom level, and a history of lifetime mental health service use. Positive attitudes to mental health care, higher mental health literacy, and more perceived need at baseline significantly predicted use of psychotherapy during the follow-up period. Greater perceived need for treatment and better literacy at baseline were predictive of taking psychiatric medication during the following 6 months. Our findings suggest that mental health literacy, attitudes to treatment, and perceived need may be targets for interventions to increase mental health service use.
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Poor mental health literacy is associated with lower use of mental health services.
“Poor mental health literacy is reported to be associated with lower use of mental health services”
From Improving Mental Health Service Utilization Among Men: A Systematic Review and Synthesis of Behavior Change Techniques Within Interventions Targeting Help-Seeking (2019) · cites this paper as Bonabi et al., 2016
Mental health literacy can be a strong facilitator for seeking mental health help.
“Mental health literacy can be a strong facilitator for seeking mental health help (Bonabi et al., 2016).”
From Improving Mental Health Service Utilization Among Men: A Systematic Review and Synthesis of Behavior Change Techniques Within Interventions Targeting Help-Seeking (2019) · cites this paper as Bonabi et al., 2016
Poor mental health literacy is a barrier to help-seeking.
“Indeed, poor mental health literacy is a barrier to help-seeking (Bonabi et al., 2016)”
From Improving Mental Health Service Utilization Among Men: A Systematic Review and Synthesis of Behavior Change Techniques Within Interventions Targeting Help-Seeking (2019) · cites this paper as Bonabi et al., 2016
Isolated evidence from various parts of the health care suggests that help-seeking for mental health problems has increased in many developed countries.
“Isolated evidence from various parts of the health care suggests that help-seeking for mental health problems has increased in many developed countries [17–20, 31, 32].”
From Trends in psychiatric diagnoses, medications and psychological therapies in a large Swedish region: A population-based study (2020) · cites this paper as [19]
Many people with mental health problems go undiagnosed and untreated, often due to a lack of knowledge about mental health disorders and their treatments, as well as a lack of help-seeking for mental health problems.
“Researchers have noted that many people with mental health problems go undiagnosed and untreated, often due to a lack of knowledge about mental health disorders and their treatments, as well as a lack of help-seeking for mental health problems [12, 13].”
From Explaining adults’ mental health help-seeking through the lens of the theory of planned behavior: A scoping review (2022) · cites this paper as [12]
Many factors influence help-seeking including stigma, attitudes, knowledge, financial resources, perceived need, and structural barriers/facilitators.
“There are many factors that influence help-seeking including stigma, attitudes, knowledge, financial resources, perceived need, and structural barriers/facilitators [12, 17–19].”
From Explaining adults’ mental health help-seeking through the lens of the theory of planned behavior: A scoping review (2022) · cites this paper as [12]
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“Targeted prevention, early identification, and intervention are critical in light of the increasing evidence on the association between the duration of untreated mental disorders and negative clinical outcomes [6].”
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- Authors
- Bonabi, H., Müller, M., Ajdacic-Gross, V., Eisele, J., Rodgers, S., Seifritz, E., Rössler, W., & Rüsch, N.
- Affiliations
- Universidade de São Paulo (BR)
- Venue
- Journal of Nervous & Mental Disease
- Published
- 2016-04
- Volume
- 204
- Issue
- 4
- Pages
- 321-324
- ISSN
- 0022-3018 (ISSN-L)
- OpenAlex
- W2335074027
- Cited by
- 308
- References
- 23
- Citations by year
- 2026: 18 · 2025: 40 · 2024: 43 · 2023: 45 · 2022: 42 · 2021: 32 · 2020: 34 · 2019: 26 · 2018: 14 · 2017: 11 · 2016: 1
- FWCI
- 27.30
- Type
- journal article
- Language
- en
- Open access
- green
- www.zora.uzh.ch
- Licence
- other-oa
- Locations
- The Journal of Nervous and Mental Disease (publishedVersion)
- PubMed (publishedVersion)
- Zurich Open Repository and Archive (University of Zurich) (acceptedVersion, other-oa)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion, other-oa)
- Zurich Open Repository and Archive (University of Zurich)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Keywords
- mental health literacy, help-seeking attitudes, perceived need for treatment, mental health service utilization, help-seeking barriers, psychotherapy utilization, psychiatric medication use, help-seeking interventions
- MeSH terms
- Help-Seeking Behavior, Adult, Attitude to Health, Mental Disorders, Cross-Sectional Studies, Depressive Disorder, Female, Health Services Needs and Demand, Humans, Longitudinal Studies, Male, Mental Health, Mental Health Services, Middle Aged, Psychotherapy, Psychotropic Drugs, Surveys and Questionnaires, Switzerland, Utilization Review, Health Literacy
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