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Many Depressed People Fail to Follow Up with MDs

Many Depressed People Fail to Follow Up with MDsA new study from Ontario discovers that more than half the people who reported they had major depression did not use physician-based mental health services in the following year.

The finding is of concern to health care and public health professionals — although some people may be contacting non-medical types of support or care such as clergy, alternative medicine, psychologists or social workers.

The study is published in the journal Health.

Experts say that one in four people suffer at some point in their lives from depression, which reduces quality of life, and is associated with increased disability and lower productivity at work. Women are diagnosed with depression more than twice as often as men.

Katherine Smith, the lead author and an epidemiologist, had set out to see whether gender plays a role in seeking mental health care.

In general, women use mental health services about 10 per cent more than men, reflecting the fact they use health care services overall more than men.

Smith discovered that more than half – 55.3 per cent – of people in Ontario with self-reported major depression had no contact with physicians for mental health reasons in the following year.

Smith believes this is a cause for concern and that additional research is needed to understand why.

She said some ethnic groups may not be comfortable accessing physician-based mental health services or may prefer to use non-medical services. Stigma around mental illness may also deter some people, she said.

Men may be more likely than women to delay seeing a doctor for minor mental health concerns, but will seek help once a mental health problem reaches a certain threshold.

She found the gender gap was small among those with depression, only five percentage points. Women were slightly more likely than men to see a primary care provider for depression – 30.4 per cent vs. 24.6 per cent, but there was little gender difference in who sought speciality care, such as from a psychiatrist.

In comparison, among people without major depression (who could have had other mental health concerns), there was a significant gender difference: 21 per cent of women and 13 per cent of men had a mental health visit, a gender gap of 8 percentage points.

Source: St. Michaels Hospital

Psychiatrist and patient photo by shutterstock.

Many Depressed People Fail to Follow Up with MDs

Rick Nauert PhD

Rick Nauert, PhDDr. Rick Nauert has over 25 years experience in clinical, administrative and academic healthcare. He is currently an associate professor for Rocky Mountain University of Health Professionals doctoral program in health promotion and wellness. Dr. Nauert began his career as a clinical physical therapist and served as a regional manager for a publicly traded multidisciplinary rehabilitation agency for 12 years. He has masters degrees in health-fitness management and healthcare administration and a doctoral degree from The University of Texas at Austin focused on health care informatics, health administration, health education and health policy. His research efforts included the area of telehealth with a specialty in disease management.

APA Reference
Nauert PhD, R. (2018). Many Depressed People Fail to Follow Up with MDs. Psych Central. Retrieved on November 25, 2020, from
Scientifically Reviewed
Last updated: 8 Aug 2018 (Originally: 1 Oct 2013)
Last reviewed: By a member of our scientific advisory board on 8 Aug 2018
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