Anxiety disorders among adolescents and young adults: Prevalence and mental health care service utilization in a regional epidemiological study in Germany |
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| Affiliation: | 1. Behavioral Epidemiology, Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Dresden, Germany;2. Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany;3. Center for Clinical Epidemiology and Longitudinal Studies (CELOS), Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Dresden, Germany;1. Weill Cornell Medicine, New York, NY, United States;2. New York University School of Medicine, New York, NY, United States;1. Institute for Translational Psychiatry, University of Münster, Germany;2. Institute of Clinical Psychology and Psychotherapy, University of Siegen, Germany;3. Institute for Biomagnetism and Biosignalanalysis, University of Münster, Germany;4. Institute of Medical Psychology and Systems Neuroscience, University of Münster, Germany;5. Department of Psychiatry, Psychosomatics, and Psychotherapy, Center for Mental Health, University Hospital of Würzburg, Germany;6. Otto-Creutzfeld Center for Cognitive and Behavioral Neuroscience, University of Münster, Germany;7. Department of Psychology, Humboldt-Universität zu Berlin, Berlin, Germany;1. Centre for Epidemiology and Community Medicine, Stockholm County Council, Stockholm, Sweden;2. Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden;3. Academic Primary Health Care Centre, Stockholm County Council and Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden;4. Swedish Council for Higher Education, Stockholm, Sweden;5. Department of Medical Science, Uppsala University, Uppsala, Sweden;1. Laboratory of Psychological Health and Imaging, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China;2. Department of Child and Adolescent Psychiatry, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China;3. Institute of Psychological and Behavioral Sciences, Shanghai Jiao Tong University, Shanghai, China;4. Brain Science and Technology Research Center, Shanghai Jiao Tong University, Shanghai, China |
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| Abstract: | BackgroundAnxiety disorders are among the most prevalent mental disorders. While it is known that a majority of individuals with anxiety disorders remains untreated, actual treatment rates for adolescents and young adults in Germany remain largely unknown.MethodsAs part of the Behavior and Mind Health (BeMIND) study, examining a random community sample of 14–21-year-olds (Dresden; Germany; N = 1,180), the lifetime prevalence for DSM-5 anxiety disorders and lifetime service utilization rates were determined by a standardized interview (DIA-X-5/CIDI).ResultsIn the present sample, 23.3 % of adolescents and young adults fulfilled DSM-5 criteria for at least one lifetime anxiety disorder. Of those, 39.1 % used any health care services, most frequently they visited an outpatient psychotherapist/psychologist (23.0 %). Individuals with agoraphobia were most likely to use any in- or outpatient specialized service (64.8 %), while individuals with a specific phobia were least likely (22.3 %). Having a comorbid disorder or being female increased the likelihood of seeking help.ConclusionThe results showed that approximately 2/3 of adolescents and young adults suffering from an anxiety disorder did not seek help and only few report contacts with a psychotherapist. Given the adverse long-term consequences of anxiety disorders, these findings suggest to improve efforts on increasing intervention awareness and treatment possibilities for these individuals. |
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| Keywords: | Anxiety disorders Service utilization Help seeking Adolescents Young adults DSM-5 |
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