| Title: | Sociodemographic factors associated with treatment-seeking and treatment receipt: cross-sectional analysis of UK Biobank participants with lifetime generalised anxiety or major depressive disorder |
| Journal: | BJPsych Open |
| Published: | 19 Nov 2021 |
| DOI: | https://doi.org/10.1192/bjo.2021.1012 |
| URL: | ~Ehttps://www.cambridge.org/core/services/aop-cambridge-core/content/view/D31008E63B54FAFA3A92DBA67B6F77E2/S2056472421010127a.pdf/div-class-title-sociodemographic-factors-associated-with-treatment-seeking-and-treatment-receipt-cross-sectional-analysis-of-uk-biobank-participants-with-lifetime-generalised-anxiety-or-major-depressive-disorder-div.pdf~ |
Publication 10734
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Abstract
Background Anxiety and depressive disorders can be chronic and disabling. Although there are effective treatments, only a fraction of those impaired receive treatment. Predictors of treatment-seeking and treatment receipt could be informative for initiatives aiming to tackle the burden of untreated anxiety and depression. Aims To investigate sociodemographic characteristics associated with treatment-seeking and treatment receipt. Method Two binary retrospective reports of lifetime treatment-seeking ( n = 44 810) and treatment receipt ( n = 37 346) were regressed on sociodemographic factors (age, gender, UK ethnic minority background, educational attainment, household income, neighbourhood deprivation and social isolation) and alternative coping strategies (self-medication with alcohol/drugs and self-help) in UK Biobank participants with lifetime generalised anxiety or major depressive disorder. Analyses were also stratified by gender. Results Treatment access was more likely in those who reported use of self-help strategies, with university-level education and those from less economically advantaged circumstances (household income <£30 000 and greater neighbourhood deprivation). Treatment access was less likely in those who were male, from a UK ethnic minority background and with high household incomes (>£100 000). Men who self-medicated and/or had a vocational qualification were also less likely to seek treatment. Conclusions This work on retrospective reports of treatment-seeking and treatment receipt at any time of life replicates known associations with treatment-seeking and treatment receipt during time of treatment need. More work is required to understand whether improving rates of treatment-seeking improves prognostic outcomes for individuals with anxiety or depression. </p>
13 Authors
- Christopher Rayner
- Jonathan R. I. Coleman
- Kirstin L. Purves
- Ewan Carr
- Rosa Cheesman
- Molly R. Davies
- Jaime Delgadillo
- Christopher Hübel
- Georgina Krebs
- Alicia J. Peel
- Megan Skelton
- Gerome Breen
- Thalia C. Eley
1 Application
| Application ID | Title |
|---|---|
| 18177 | Multi-trait GWAS analyses in the UK Biobank |
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