RT Journal Article
SR Electronic
T1 Young adults' perceptions of GPs as a help source for mental distress: a qualitative study
JF British Journal of General Practice
JO Br J Gen Pract
FD British Journal of General Practice
SP 924
OP 931
VO 56
IS 533
A1 Lucy Biddle
A1 Jenny L Donovan
A1 David Gunnell
A1 Debbie Sharp
YR 2006
UL http://bjgp.org/content/56/533/924.abstract
AB Background Few young adults with mental disorder seek help from a GP.Aim To explore young adults' perceptions of GPs as a source of help for mental distress.Design of study Qualitative interviews.Setting Bristol and surrounding areas, UK.Method Males and females aged 16–24 years screened as ‘cases’ with probable mental disorder (GHQ [General Health Questionnaire]-12 score≥4) or describing past episodes of mental disorder (n = 23) were sampled purposively according to help-seeking behaviour. Semi-structured interviews explored help-seeking choices. Transcripts were analysed using thematic, constant comparison and case study analysis.Results Most young adults did not value or recognise GPs as a source of help for mental disorder or distress. They thought that GPs deal exclusively with physical illness, lack training in mental health, are unable to provide ‘talking’ therapy, and may be dismissive of those consulting with mental distress. A prescription for antidepressants was seen as the most likely outcome of a consultation, but young adults wished to avoid this and so rarely consulted. Encounters with GPs could challenge or reinforce these perceptions.Conclusion Negative perceptions about the value of consulting a GP for mental distress may explain low rates of help-seeking among young adults, including those with severe distress. Young people require a better understanding of GPs' role. It is also necessary to address evidence reported elsewhere that some GPs also experience uncertainties about what they can offer within the constraints of primary care.