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Mental health literacy and attitudes in a Swedish community sample – Investigating the role of personal experience of mental health care

BACKGROUND: Mental ill health is a common condition in the general population, yet only about half of those with a mental disorder have treatment contact. Personal experience may affect attitudes, which in turn influence the help-seeking process. This study investigated differences in mental health...

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Autores principales: Dahlberg, Karin M, Waern, Margda, Runeson, Bo
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2254613/
https://www.ncbi.nlm.nih.gov/pubmed/18184424
http://dx.doi.org/10.1186/1471-2458-8-8
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author Dahlberg, Karin M
Waern, Margda
Runeson, Bo
author_facet Dahlberg, Karin M
Waern, Margda
Runeson, Bo
author_sort Dahlberg, Karin M
collection PubMed
description BACKGROUND: Mental ill health is a common condition in the general population, yet only about half of those with a mental disorder have treatment contact. Personal experience may affect attitudes, which in turn influence the help-seeking process. This study investigated differences in mental health literacy and attitudes among mentally healthy persons and in persons with symptoms of mental illness with and without treatment contact. METHOD: A postal screening questionnaire was sent to a random sample of the general population aged 20–64 in the county of Skaraborg, Sweden in order to ascertain mental health status and history of treatment contact; 3538 responded (49%). Face-to-face interviews were carried out in random sub samples of mentally healthy persons (n = 128) and in mentally ill persons with (n = 125) and without (n = 105) mental health care contact. Mental health literacy and attitudes to treatment were assessed using questions based on a vignette depicting a person with depression. Past month mental disorder was diagnosed according to the Schedule for Clinical Assessment in Neuropsychiatry (SCAN). RESULTS: Two thirds failed to recognize depression in a vignette; recognition was equally poor in mentally healthy persons and in persons with symptoms of mental illness with and without treatment contact. In response to an open-ended question concerning appropriate interventions, one third suggested counselling and only one percent proposed antidepressant treatment. Again, proportions were similar in all groups. Persons with a history of mental health contact more often suggested that a GP would provide the best form of help. When presented with a list of possible interventions, those with a history of mental health contact were more positive to medical interventions such as antidepressants, hypnotics, and inpatient psychiatric treatment. When asked about the prognosis for the condition described in the vignette, persons with treatment contact were less likely to believe in full recovery without intervention; mentally ill without treatment contact were more optimistic. CONCLUSION: Mental health literacy, specially concerning attitudes towards interventions is associated with personal history of mental health care.
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spelling pubmed-22546132008-02-27 Mental health literacy and attitudes in a Swedish community sample – Investigating the role of personal experience of mental health care Dahlberg, Karin M Waern, Margda Runeson, Bo BMC Public Health Research Article BACKGROUND: Mental ill health is a common condition in the general population, yet only about half of those with a mental disorder have treatment contact. Personal experience may affect attitudes, which in turn influence the help-seeking process. This study investigated differences in mental health literacy and attitudes among mentally healthy persons and in persons with symptoms of mental illness with and without treatment contact. METHOD: A postal screening questionnaire was sent to a random sample of the general population aged 20–64 in the county of Skaraborg, Sweden in order to ascertain mental health status and history of treatment contact; 3538 responded (49%). Face-to-face interviews were carried out in random sub samples of mentally healthy persons (n = 128) and in mentally ill persons with (n = 125) and without (n = 105) mental health care contact. Mental health literacy and attitudes to treatment were assessed using questions based on a vignette depicting a person with depression. Past month mental disorder was diagnosed according to the Schedule for Clinical Assessment in Neuropsychiatry (SCAN). RESULTS: Two thirds failed to recognize depression in a vignette; recognition was equally poor in mentally healthy persons and in persons with symptoms of mental illness with and without treatment contact. In response to an open-ended question concerning appropriate interventions, one third suggested counselling and only one percent proposed antidepressant treatment. Again, proportions were similar in all groups. Persons with a history of mental health contact more often suggested that a GP would provide the best form of help. When presented with a list of possible interventions, those with a history of mental health contact were more positive to medical interventions such as antidepressants, hypnotics, and inpatient psychiatric treatment. When asked about the prognosis for the condition described in the vignette, persons with treatment contact were less likely to believe in full recovery without intervention; mentally ill without treatment contact were more optimistic. CONCLUSION: Mental health literacy, specially concerning attitudes towards interventions is associated with personal history of mental health care. BioMed Central 2008-01-09 /pmc/articles/PMC2254613/ /pubmed/18184424 http://dx.doi.org/10.1186/1471-2458-8-8 Text en Copyright © 2008 Dahlberg et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Dahlberg, Karin M
Waern, Margda
Runeson, Bo
Mental health literacy and attitudes in a Swedish community sample – Investigating the role of personal experience of mental health care
title Mental health literacy and attitudes in a Swedish community sample – Investigating the role of personal experience of mental health care
title_full Mental health literacy and attitudes in a Swedish community sample – Investigating the role of personal experience of mental health care
title_fullStr Mental health literacy and attitudes in a Swedish community sample – Investigating the role of personal experience of mental health care
title_full_unstemmed Mental health literacy and attitudes in a Swedish community sample – Investigating the role of personal experience of mental health care
title_short Mental health literacy and attitudes in a Swedish community sample – Investigating the role of personal experience of mental health care
title_sort mental health literacy and attitudes in a swedish community sample – investigating the role of personal experience of mental health care
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2254613/
https://www.ncbi.nlm.nih.gov/pubmed/18184424
http://dx.doi.org/10.1186/1471-2458-8-8
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