Perceived Barriers to Treatment for Adolescent Depression

Bibliographic Data

ID9104295
AuthorsLisa S Meredith (0000-0003-4523-7098, RAND Corporation, corresponding author), Bradley D Stein (0000-0003-1544-458X, Western State Hospital), Susan M Paddock (RAND Corporation, corresponding author), Lisa H Jaycox (0000-0002-9251-0010, RAND Corporation), Virginia P Quinn (0000-0002-6476-3336, Kaiser Permanente), Anita Chandra (0000-0002-9061-879X, RAND Corporation), Audrey Burnam (RAND Corporation, corresponding author)
Year2009
Volume47
Issue6
Pages677-685
Publication date2009-06-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0b013e318190d46b
PMID19434001
OpenAlexW2071672619
LanguageEN
Citations received10
References cited40

BACKGROUND AND OBJECTIVE: Adolescent depression is common, disabling, and is associated with academic, social, behavioral, and health consequences. Despite the availability of evidence-based depression care, few teens receive it, even when recognized by primary care clinicians. Perceived barriers such as teen worry about what others think or parent concerns about cost and access to care may contribute to low rates of care. We sought to better understand perceived barriers and their impact on service use. DESIGN: After completing an eligibility and diagnostic telephone interview, all depressed teens and a matched sample of nondepressed teens recruited from 7 primary care practices were enrolled and completed telephone interviews at baseline and 6 months (August 2005-September 2006). PARTICIPANTS: Three hundred sixty-eight adolescent patients aged 13 to 17 (184 depressed and 184 nondepressed) and 338 of their parents. MEASURES: Perceived barriers to depression care and use of services for depression (psychotherapy and antidepressant medication). RESULTS: Teens with depression were significantly more likely to perceive barriers to care compared with nondepressed teens. Parents were less likely to report barriers than their teens; perceived stigma and concern about family member response were among the significant teen barriers. Teen perceived barriers scores were negatively associated with any use of antidepressants (P < 0.01), use of antidepressants for at least 1 month (P < 0.001), and any psychotherapy or antidepressant use (P < 0.05) at 6 months. CONCLUSIONS: To improve treatment for adolescent depression, interventions should address both teen and parent perceived barriers and primary care clinicians should elicit information from both adolescents and their parents

Anxiety · Depression (economics) · Family medicine · Primary care · Psychiatry · Psychological intervention · Worry · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · Digital Mental Health Interventions · Medicine · Mental Health Treatment and Access · Psychology