Adolescents’ perceived barriers and facilitators to seeking and accessing professional help for anxiety and depressive disorders: A qualitative interview study

Anxiety and depressive disorders are the most common mental health disorders in adolescents, yet only a minority of young people with these disorders access professional help. This study aims to address this treatment gap by improving our understanding of barriers and facilitators to seeking/accessi...

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Main Authors: Radez, J, Reardon, T, Creswell, C, Orchard, F, Waite, P
Format: Journal article
Language:English
Published: Springer 2021
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author Radez, J
Reardon, T
Creswell, C
Orchard, F
Waite, P
author_facet Radez, J
Reardon, T
Creswell, C
Orchard, F
Waite, P
author_sort Radez, J
collection OXFORD
description Anxiety and depressive disorders are the most common mental health disorders in adolescents, yet only a minority of young people with these disorders access professional help. This study aims to address this treatment gap by improving our understanding of barriers and facilitators to seeking/accessing professional help as perceived by adolescents with anxiety/depressive disorders identified in the community. Twenty-two adolescents, aged 11–17 years, who met diagnostic criteria for a current anxiety and/or depressive disorder were identified through school-based screening. In-depth qualitative interviews were conducted one-to-one with each adolescent and adolescents’ parents were interviewed separately for the purpose of data triangulation. Data were analysed using reflexive thematic analysis. We identified four themes capturing adolescent perceived barriers and facilitators to seeking/accessing professional help for anxiety and depressive disorders: (1) making sense of difficulties, (2) problem disclosure, (3) ambivalence to seeking help, and (4) the instrumental role of others. Barriers/facilitators identified within each theme reflect important developmental characteristics of adolescence, such as a growing need for autonomy and concerns around negative social evaluation. At the same time, the results highlight adolescents’ dependency on other people, mainly their parents and school staff, when it comes to successfully accessing professional help for their mental health difficulties. This study identifies a number of barriers/facilitators that influence help-seeking behaviour of adolescents with anxiety and/or depressive disorders. These factors need to be addressed when targeting treatment utilisation rates in this particular group of young people.
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spelling oxford-uuid:d2e60daa-1a4f-45ed-ad7a-02ae5578275d2022-09-23T08:13:29ZAdolescents’ perceived barriers and facilitators to seeking and accessing professional help for anxiety and depressive disorders: A qualitative interview studyJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:d2e60daa-1a4f-45ed-ad7a-02ae5578275dEnglishSymplectic ElementsSpringer2021Radez, JReardon, TCreswell, COrchard, FWaite, PAnxiety and depressive disorders are the most common mental health disorders in adolescents, yet only a minority of young people with these disorders access professional help. This study aims to address this treatment gap by improving our understanding of barriers and facilitators to seeking/accessing professional help as perceived by adolescents with anxiety/depressive disorders identified in the community. Twenty-two adolescents, aged 11–17 years, who met diagnostic criteria for a current anxiety and/or depressive disorder were identified through school-based screening. In-depth qualitative interviews were conducted one-to-one with each adolescent and adolescents’ parents were interviewed separately for the purpose of data triangulation. Data were analysed using reflexive thematic analysis. We identified four themes capturing adolescent perceived barriers and facilitators to seeking/accessing professional help for anxiety and depressive disorders: (1) making sense of difficulties, (2) problem disclosure, (3) ambivalence to seeking help, and (4) the instrumental role of others. Barriers/facilitators identified within each theme reflect important developmental characteristics of adolescence, such as a growing need for autonomy and concerns around negative social evaluation. At the same time, the results highlight adolescents’ dependency on other people, mainly their parents and school staff, when it comes to successfully accessing professional help for their mental health difficulties. This study identifies a number of barriers/facilitators that influence help-seeking behaviour of adolescents with anxiety and/or depressive disorders. These factors need to be addressed when targeting treatment utilisation rates in this particular group of young people.
spellingShingle Radez, J
Reardon, T
Creswell, C
Orchard, F
Waite, P
Adolescents’ perceived barriers and facilitators to seeking and accessing professional help for anxiety and depressive disorders: A qualitative interview study
title Adolescents’ perceived barriers and facilitators to seeking and accessing professional help for anxiety and depressive disorders: A qualitative interview study
title_full Adolescents’ perceived barriers and facilitators to seeking and accessing professional help for anxiety and depressive disorders: A qualitative interview study
title_fullStr Adolescents’ perceived barriers and facilitators to seeking and accessing professional help for anxiety and depressive disorders: A qualitative interview study
title_full_unstemmed Adolescents’ perceived barriers and facilitators to seeking and accessing professional help for anxiety and depressive disorders: A qualitative interview study
title_short Adolescents’ perceived barriers and facilitators to seeking and accessing professional help for anxiety and depressive disorders: A qualitative interview study
title_sort adolescents perceived barriers and facilitators to seeking and accessing professional help for anxiety and depressive disorders a qualitative interview study
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