Articlediamond2005

Beliefs and Attitudes Associated With the Intention to Not Accept the Diagnosis of Depression Among Young Adults

126 citations0/0 files storedThe Annals of Family Medicine

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Mental Health Treatment and Access Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes Psychology and Mental Health

Abstract

PURPOSE: Negative attitudes and beliefs about depression treatment may prevent many young adults from accepting a diagnosis and treatment for depression. We undertook a study to determine the association between depressive symptom severity, beliefs about and attitudes toward treatment, subjective social norms, and past behavior on the intent not to accept a physician's diagnosis of depression. METHODS: We conducted a cross-sectional study of 10,962 persons aged 16 to 29 years who participated and had positive screening results on the Center for Epidemiologic Studies Depression (CES-D) score in an Internet-based public health depression screening program. Participants reported whether they would accept their physician's diagnosis of depression. Based on the theory of reasoned action, we developed a multivariate model of the factors that predict intent not to accept a diagnosis of depression. RESULTS: Twenty-six percent of the participants stated their intent not to accept their physician's diagnosis of depression. Disagreeing that medications are effective in treating depression (strongly disagree, odds ratio ( OR ) = 6.5, 95% confidence interval (CI), 4.6-9.3), that there is a biological cause for depression (strongly disagree, OR = 1.9, 95% CI, 1.3-2.7), and agreeing that you would be embarrassed if your friends knew you had depression were associated with the intent not to accept a diagnosis of depression (strongly agree, OR = 2.3, 95% CI, 1.8-2.9). Beliefs and attitudes, subjective social norms, and past behavior explained most of the variance in this model (84%). CONCLUSIONS: Negative beliefs and attitudes, subjective social norms, and lack of past helpful treatment experiences are associated with the intent to not accept the diagnosis of depression and may contribute to low rates of treatment among young adults.

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References

1977The CES-D Scale 2013Handbook of Social Psychology 1991The use of the Center for Epidemiologic Studies Depression Scale in adolescents and young adults 2002A Meta-Analytic Review of the Theories of Reasoned Action and Planned Behavior in Physical Activity: Predictive Validity and the Contribution of Additional Variables 1999Lessons from social psychology on discrediting psychiatric stigma.1997BRIEF COMMUNICATION.2001The Quality of Care for Depressive and Anxiety Disorders in the United States 2002Using the Internet for Surveys and Health Research

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2018Social Media Use and Depression and Anxiety Symptoms: A Cluster Analysis 2018How does psychiatric diagnosis affect young people's self-concept and social identity? A systematic review and synthesis of the qualitative literature 2006Attitudes and illness factors associated with low perceived need for depression treatment among young adults 2010The Self‐Stigma of Depression Scale (SSDS): development and psychometric evaluation of a new instrument 2014Biological conceptualizations of mental disorders among affected individuals: A review of correlates and consequences.

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