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DOI: 10.1055/s-0042-113237
Von den ersten Symptomen bis zur Behandlung einer Depression. Wann und bei wem suchen Menschen mit Depression Hilfe? Welche Rolle spielt Stigmatisierung?
Ergebnisse einer Befragung im Rahmen eines Kongresses für Menschen mit DepressionFrom the First Symptoms of Depression to Treatment. When and Where are People Seeking Help? Does Stigma Play a Role?Results from a Survey at a German Convention for People with DepressionPublikationsverlauf
Publikationsdatum:
14. September 2016 (online)
Zusammenfassung
Ziel der Studie Erfassung des Zeitraums zwischen Auftreten erster Symptome und Inanspruchnahme einer Behandlung und Rolle der Stigmatisierung.
Methodik Befragung auf dem 2. Deutschen Patientenkongress Depression.
Ergebnisse Bei zwei Drittel der Betroffenen vergingen mehr als 3 Monate, bei etwa einem Viertel mehr als 3 Jahre zwischen Auftreten erster Symptome und Aufnahme einer Behandlung. Etwa zwei Drittel erhielten eine Diagnose zuerst von einem Facharzt. Häufigste Behandlungen waren Psychotherapie, Pharmakotherapie oder eine Kombination aus beiden.
Schlussfolgerung Eine Erklärung für eine verzögerte Inanspruchnahme einer Behandlung könnte die von Betroffenen wahrgenommene öffentliche Stigmatisierung sein.
Abstract
Objective Only a few of the people affected by depression receive early treatment. The aim of this study is to determine the time interval between first onset of symptoms and treatment utilization and the role of stigma in this process.
Methods Survey with participants from the 2nd German Patient Convention in Leipzig, Germany for patients, relatives and the general public.
Results About one fourth of the respondents stated that the time interval between first symptoms of depression and treatment utilization was longer than three years. One third said that they received treatment immediately or until up to three months after the first symptoms of depression, and one third after three months up to three years. The majority (64 %) said that they first received a depression diagnosis from a specialist. The most common treatments used were psychotherapy, pharmacotherapy and a combination of both. Self-help, physical activity and occupational therapy were named as the most popular non-medical treatments.
Conclusion A possible explanation for delayed treatment utilization could be the perceived public stigma, which was higher in people with depression in comparison to other convention attendees (relatives and general public).
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Literatur
- 1 World Health Organization (WHO). Depression. Fact sheet N°369 (October 2015). Im Internet: http://www.who.int/mediacentre/factsheets/fs369/en/index.html (Stand: 16. Februar 2016)
- 2 Busch MA, Maske UE, Ryl L. et al. Prävalenz von depressiver Symptomatik und diagnostizierter Depression bei Erwachsenen in Deutschland. Ergebnisse der Studie zur Gesundheit Erwachsener in Deutschland (DEGS1). Bundesgesundheitsbl 2013; 56: 733-739
- 3 Bühler B, Kocalevent R, Berger R. et al. Versorgungssituation von Langzeitarbeitslosen mit psychischen Störungen. Nervenarzt 2013; 84: 603-607
- 4 Fernandez A, Haro JM, Martinez-Alonso M. et al. Treatment adequacy for anxiety and depressive disorders in six European countries. Brit J Psychiat 2007; 190: 172-173
- 5 Wittchen H-U, Jacobi F, Klose M. et al. Heft 51: Depressive Erkrankungen. Gesundheitsberichterstattung des Bundes. Berlin: Robert Koch-Institut/Statistisches Bundesamt; 2010: 32
- 6 Schulz H, Barghann D, Harfst T, Koch U. Hrsg. Heft 41: Psychotherapeutische Versorgung. Gesundheitsberichterstattung des Bundes. Berlin: Robert Koch-Institut/Statistisches Bundesamt; 2008
- 7 Gaebel W, Kowitz S, Fritze J. et al. Use of health care services by people with mental illness – secondary data from three statutory health insurers and the German statutory pension insurance scheme. Dtsch Arztebl Int 2013; 110: 799-808
- 8 Härter M, Klesse C, Bermejo I. et al. Unipolare Depression: Empfehlungen zur Diagnostik und Therapie aus der aktuellen S3- und Nationalen VersorgungsLeitlinie „Unipolare Depression“. Dtsch Arztebl Int 2010; 107: 700-708
- 9 Barney LJ, Griffiths K, Christensen H. et al. Exploring the nature of stigmatizing beliefs about depression and help-seeking: Implications for reducing stigma. BMC Public Health 2009; 9: 61
- 10 Link BG, Struening EL, Neese-Todd S. et al. The consequences of stigma for the self-esteem of people with mental illness. Psychiatr Serv 2001; 52: 1621-1626
- 11 Corrigan P. How stigma interferes with mental health care. J Am Psychol 2004; 59: 614-625
- 12 Quinn N, Knifton L, Goldie I. et al. Nature and impact of European anti-stigma depression programmes. Health Promot Int 2014; 29: 403-413
- 13 Corrigan PW, Rao D. On the self-stigma of mental illness: stages, disclosure, and strategies for change. Can J Psychiat 2012; 57: 464-469
- 14 Gaebel W. Psychisch Kranke: Stigma erschwert Behandlung und Integration. Dtsch Arztebl 2004; 101: A 3253-3255
- 15 Hamann J, Mendel R, Reichhart T. et al. A "Mental-Health-at-the-Workplace" Educational Workshop Reduces Managersʼ Stigma Toward Depression. J Nerv Ment Dis 2016; 204: 61-63
- 16 Calear AL, Griffiths KM, Christensen H. Personal and perceived depressions stigma in Australian adolescents: Magnitude and predictors. J Affect Disorders 2011; 129: 104-108
- 17 Link BG, Struening EL, Rahav M. et al. On stigma and its consequences: evidence from a longitudinal study of men with dual diagnoses of mental illness and substance abuse. J Health Soc Behav 1997; 38: 177-190
- 18 Corrigan PW, Watson AC. Understanding the impact of stigma on people with mental illness. World Psychiat 2002; 1: 16-20
- 19 Jorm JA, Reavley NJ. Depression and stigma: from attitudes to discrimination. Lancet 2013; 381: 10-11
- 20 Torge M, Petersen JJ, Gensichen J. et al. Debatte: Pro & Kontra. Depressionsbehandlung in der Hausarztpraxis. Psychiat Prax 2010; 37: 366-368
- 21 Rogausch A, Kapmeyer A, Tenbieg A. et al. Die Rolle des Hausarztes in der ambulanten Schizophreniebehandlung aus Sicht von Patienten. Psychiat Prax 2008; 35: 194-197
- 22 Thornicroft G, Rose D, Kassam A. et al. Stigma: ignorance, prejudice or discrimination?. Br J Psychiat 2007; 190: 192-193
- 23 Griffiths KM, Christensen H, Jorm AF. Predictors of stigma in depression. BMC Psychiat 2008; 8: 25
- 24 Griffiths KM, Christensen H, Jorm AF. et al. Effect of web-based depression literacy and cognitive-behavioural therapy interventions on stigmatising attitudes to depression: a randomised controlled trial. Br J Psychiat 2004; 185: 342-349
- 25 Griffiths KM, Yoshibumi N, Christensen H. et al. Stigma in response to mental disorders: a comparison of Australia and Japan. BMC Psychiat 2006; 6: 21
- 26 Dietrich S, Mergl R, Rummel-Kluge C. Personal and perceived stigmatization of depression: A comparison of data from the general population, participants of a depression congress and job placement officers in Germany. Psychiatry Res 2014; 220: 598-603
- 27 Norman RMG, Sorrentino RM, Windell D. et al. The role of perceived norms in the stigmatization of mental illness. Soc Psych Psych Epid 2008; 43: 851-859