Are self-referrers just the worried well?--A cross-sectional study of self-referrers to community psycho-educational Stress and Self-Confidence workshops

Soc Psychiatry Psychiatr Epidemiol. 2005 May;40(5):396-401. doi: 10.1007/s00127-005-0896-z.

Abstract

Background: Reluctance to seek formal help has been seen as a major problem in trying to reduce the prevalence of anxiety and depression.

Aims: The aims of this study were to assess the psychiatric status of those self-referring to psycho-educational Stress and Self-Confidence community workshops using a cognitive behavioural therapy (CBT) approach.

Method: Cross-sectional analysis of 196 people who referred themselves to community workshops was carried out using the Clinical Interview Schedule (CIS-R) psychiatric interview and the Beck Depression Inventory (BDI) and Spielberger Trait Anxiety Inventory (STAI-T) scale self-report assessments.

Results: Over 70% of all self-referrers had an ICD-10 diagnosis. Those without diagnoses had experienced recurrent significant psychological problems and 29.7% had never consulted their General Practitioner (GP) for anxiety/depression problems. Total CIS-R scores and white ethnic group best predicted previous GP consultation.

Conclusion: Setting up a self-referral system can enable those with diagnosable psychiatric problems, who may otherwise be reluctant to seek help, to come forward. This may have significant public mental health implications.

MeSH terms

  • Adult
  • Anxiety / diagnosis
  • Anxiety / epidemiology*
  • Anxiety / psychology
  • Anxiety / therapy
  • Cognitive Behavioral Therapy*
  • Community Mental Health Services / statistics & numerical data
  • Comorbidity
  • Cross-Sectional Studies
  • Depression / diagnosis
  • Depression / epidemiology*
  • Depression / psychology
  • Depression / therapy
  • Education / statistics & numerical data*
  • Family Practice
  • Female
  • Humans
  • London
  • Male
  • Mental Disorders / diagnosis
  • Mental Disorders / epidemiology
  • Mental Disorders / psychology
  • Middle Aged
  • Patient Acceptance of Health Care / statistics & numerical data*
  • Patient Education as Topic / statistics & numerical data*
  • Referral and Consultation / statistics & numerical data*
  • Self Concept*
  • Somatoform Disorders / diagnosis
  • Somatoform Disorders / epidemiology*
  • Somatoform Disorders / psychology
  • Somatoform Disorders / therapy
  • Stress, Psychological / complications
  • Stress, Psychological / epidemiology
  • Stress, Psychological / psychology