Longitudinal predictors of first time depression treatment utilization among adults with depressive disorders

• Published in: Social Psychiatry and Psychiatric Epidemiology 2012-10, Vol.47 (10), p.1617-1625
• Main Authors: Burnett-Zeigler, Inger, Zivin, Kara, Islam, Khairul, Ilgen, Mark A.
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Adult and adolescent clinical studies; Adults; Analysis; Antidepressants; Antidepressive Agents - therapeutic use; Anxiety; Biological and medical sciences; Depression; Depression - diagnosis; Depression - drug therapy; Depression - epidemiology; Depressive Disorder - diagnosis; Depressive Disorder - drug therapy; Depressive Disorder - epidemiology; Diagnostic and Statistical Manual of Mental Disorders; Drug therapy; Education; Epidemiology; Female; Females; Health services; Health Surveys; Hispanic people; Humans; Logistic Models; Male; Medical sciences; Medicine; Medicine & Public Health; Mental depression; Mental disorders; Mental health care; Mental Health Services - utilization; Middle Aged; Mood disorders; Multivariate Analysis; Original Paper; Patient Acceptance of Health Care - psychology; Patient Acceptance of Health Care - statistics & numerical data; Population; Predictive Value of Tests; Prospective Studies; Psychiatry; Psychology. Psychoanalysis. Psychiatry; Psychopathology. Psychiatry; Psychotherapy; Public health; Quality of life; Risk Factors; Sex Distribution; Social psychiatry. Ethnopsychiatry; Sociodemographics; Socioeconomic Factors; Surveys; United States - epidemiology; Young Adult
• ISSN: 0933-7954; 1433-9285
• DOI: 10.1007/s00127-011-0465-6

Purpose Depressive disorders are a growing public health concern, however, a substantial number of depressed individuals do not receive treatment. This study examined the longitudinal predictors of receiving depression treatment among adults with persistent depressive disorders and no lifetime history of treatment. Methods The sample included respondents to the National Epidemiologic Survey on Alcohol Related Conditions (NESARC), a large population-based survey, who met criteria for a 12-month major depressive disorder (MDD) or dysthymia (DYS) and had no prior depression treatment. Bivariate and multivariate analyses were conducted examining which socio-demographic and clinical predictors among individuals with depressive disorders and no prior treatment at Wave 1 were associated with receiving depression treatment at Wave 2 ( N  = 337). Results Only 47.2% of those with MDD or DYS and no prior treatment at Wave 1 had received depression treatment at Wave 2. Females were more likely to have received treatment at Wave 2: those of Hispanic ethnicity, other race, unmarried, 12 years of education, self-rated health of good/very good/excellent and anxiety disorders were less likely to have received treatment at Wave 2. Those with substance use disorders were more likely to have received treatment at Wave 2. Conclusions This study highlights individuals who would likely benefit from increased efforts to enhance depression treatment utilization.