Offspring of depressed and anxious patients: Help-seeking after first onset of a mood and/or anxiety disorder

Petra J Havinga, Catharina A Hartman, Ellen Visser, Maaike H Nauta, Brenda W J H Penninx, Lynn Boschloo, Robert A Schoevers

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

BACKGROUND: Offspring of patients with depressive and/or anxiety disorders are at high risk of developing a similar disorder themselves. Early recognition and treatment may have substantial effects on prognosis. The main aim of this study was to examine the time to initial help-seeking and its determinants in offspring after the first onset of a mood and/or anxiety disorder.

METHODS: Data are presented of 215 offspring with a mood and/or anxiety disorder participating in a cohort study with 10 year follow-up. We determined age of disorder onset and age of initial help-seeking. Offspring characteristics (gender, IQ, age of onset, disorder type, suicidal ideation) and family characteristics (socioeconomic status, family functioning) were investigated as potential predictors of the time to initial help-seeking.

RESULTS: The estimated overall proportion of offspring of depressed/anxious patients who eventually seek help after onset of a mood and/or anxiety disorder was 91.9%. The time to initial help-seeking was more than two years in 39.6% of the offspring. Being female, having a mood disorder or comorbid mood and anxiety disorder (relative to anxiety) and a disorder onset in adolescence or adulthood (relative to childhood) predicted a shorter time to initial help-seeking.

LIMITATIONS: Baseline information relied on retrospective reports. Age of onsets and age of initial help-seeking may therefore be subject to recall bias.

CONCLUSION: Although most offspring eventually seek help after onset of a mood/anxiety disorder, delays in help-seeking were common, especially in specific subgroups of patients. This information may help to develop targeted strategies to reduce help-seeking delays.

Original languageEnglish
Pages (from-to)618-626
Number of pages9
JournalJournal of Affective Disorders
Volume227
DOIs
Publication statusPublished - Feb 2018

Fingerprint

Anxiety Disorders
Mood Disorders
Age of Onset
Suicidal Ideation
Depressive Disorder
Social Class
Cohort Studies

Cite this

Havinga, Petra J ; Hartman, Catharina A ; Visser, Ellen ; Nauta, Maaike H ; Penninx, Brenda W J H ; Boschloo, Lynn ; Schoevers, Robert A. / Offspring of depressed and anxious patients : Help-seeking after first onset of a mood and/or anxiety disorder. In: Journal of Affective Disorders. 2018 ; Vol. 227. pp. 618-626.
@article{2a5af438fb0740b7af5450cfc22c0a3d,
title = "Offspring of depressed and anxious patients: Help-seeking after first onset of a mood and/or anxiety disorder",
abstract = "BACKGROUND: Offspring of patients with depressive and/or anxiety disorders are at high risk of developing a similar disorder themselves. Early recognition and treatment may have substantial effects on prognosis. The main aim of this study was to examine the time to initial help-seeking and its determinants in offspring after the first onset of a mood and/or anxiety disorder.METHODS: Data are presented of 215 offspring with a mood and/or anxiety disorder participating in a cohort study with 10 year follow-up. We determined age of disorder onset and age of initial help-seeking. Offspring characteristics (gender, IQ, age of onset, disorder type, suicidal ideation) and family characteristics (socioeconomic status, family functioning) were investigated as potential predictors of the time to initial help-seeking.RESULTS: The estimated overall proportion of offspring of depressed/anxious patients who eventually seek help after onset of a mood and/or anxiety disorder was 91.9{\%}. The time to initial help-seeking was more than two years in 39.6{\%} of the offspring. Being female, having a mood disorder or comorbid mood and anxiety disorder (relative to anxiety) and a disorder onset in adolescence or adulthood (relative to childhood) predicted a shorter time to initial help-seeking.LIMITATIONS: Baseline information relied on retrospective reports. Age of onsets and age of initial help-seeking may therefore be subject to recall bias.CONCLUSION: Although most offspring eventually seek help after onset of a mood/anxiety disorder, delays in help-seeking were common, especially in specific subgroups of patients. This information may help to develop targeted strategies to reduce help-seeking delays.",
author = "Havinga, {Petra J} and Hartman, {Catharina A} and Ellen Visser and Nauta, {Maaike H} and Penninx, {Brenda W J H} and Lynn Boschloo and Schoevers, {Robert A}",
note = "Copyright {\circledC} 2017 Elsevier B.V. All rights reserved.",
year = "2018",
month = "2",
doi = "10.1016/j.jad.2017.11.017",
language = "English",
volume = "227",
pages = "618--626",
journal = "Journal of Affective Disorders",
issn = "0165-0327",
publisher = "Elsevier",

}

Offspring of depressed and anxious patients : Help-seeking after first onset of a mood and/or anxiety disorder. / Havinga, Petra J; Hartman, Catharina A; Visser, Ellen; Nauta, Maaike H; Penninx, Brenda W J H; Boschloo, Lynn; Schoevers, Robert A.

In: Journal of Affective Disorders, Vol. 227, 02.2018, p. 618-626.

Research output: Contribution to JournalArticleAcademicpeer-review

TY - JOUR

T1 - Offspring of depressed and anxious patients

T2 - Help-seeking after first onset of a mood and/or anxiety disorder

AU - Havinga, Petra J

AU - Hartman, Catharina A

AU - Visser, Ellen

AU - Nauta, Maaike H

AU - Penninx, Brenda W J H

AU - Boschloo, Lynn

AU - Schoevers, Robert A

N1 - Copyright © 2017 Elsevier B.V. All rights reserved.

PY - 2018/2

Y1 - 2018/2

N2 - BACKGROUND: Offspring of patients with depressive and/or anxiety disorders are at high risk of developing a similar disorder themselves. Early recognition and treatment may have substantial effects on prognosis. The main aim of this study was to examine the time to initial help-seeking and its determinants in offspring after the first onset of a mood and/or anxiety disorder.METHODS: Data are presented of 215 offspring with a mood and/or anxiety disorder participating in a cohort study with 10 year follow-up. We determined age of disorder onset and age of initial help-seeking. Offspring characteristics (gender, IQ, age of onset, disorder type, suicidal ideation) and family characteristics (socioeconomic status, family functioning) were investigated as potential predictors of the time to initial help-seeking.RESULTS: The estimated overall proportion of offspring of depressed/anxious patients who eventually seek help after onset of a mood and/or anxiety disorder was 91.9%. The time to initial help-seeking was more than two years in 39.6% of the offspring. Being female, having a mood disorder or comorbid mood and anxiety disorder (relative to anxiety) and a disorder onset in adolescence or adulthood (relative to childhood) predicted a shorter time to initial help-seeking.LIMITATIONS: Baseline information relied on retrospective reports. Age of onsets and age of initial help-seeking may therefore be subject to recall bias.CONCLUSION: Although most offspring eventually seek help after onset of a mood/anxiety disorder, delays in help-seeking were common, especially in specific subgroups of patients. This information may help to develop targeted strategies to reduce help-seeking delays.

AB - BACKGROUND: Offspring of patients with depressive and/or anxiety disorders are at high risk of developing a similar disorder themselves. Early recognition and treatment may have substantial effects on prognosis. The main aim of this study was to examine the time to initial help-seeking and its determinants in offspring after the first onset of a mood and/or anxiety disorder.METHODS: Data are presented of 215 offspring with a mood and/or anxiety disorder participating in a cohort study with 10 year follow-up. We determined age of disorder onset and age of initial help-seeking. Offspring characteristics (gender, IQ, age of onset, disorder type, suicidal ideation) and family characteristics (socioeconomic status, family functioning) were investigated as potential predictors of the time to initial help-seeking.RESULTS: The estimated overall proportion of offspring of depressed/anxious patients who eventually seek help after onset of a mood and/or anxiety disorder was 91.9%. The time to initial help-seeking was more than two years in 39.6% of the offspring. Being female, having a mood disorder or comorbid mood and anxiety disorder (relative to anxiety) and a disorder onset in adolescence or adulthood (relative to childhood) predicted a shorter time to initial help-seeking.LIMITATIONS: Baseline information relied on retrospective reports. Age of onsets and age of initial help-seeking may therefore be subject to recall bias.CONCLUSION: Although most offspring eventually seek help after onset of a mood/anxiety disorder, delays in help-seeking were common, especially in specific subgroups of patients. This information may help to develop targeted strategies to reduce help-seeking delays.

U2 - 10.1016/j.jad.2017.11.017

DO - 10.1016/j.jad.2017.11.017

M3 - Article

VL - 227

SP - 618

EP - 626

JO - Journal of Affective Disorders

JF - Journal of Affective Disorders

SN - 0165-0327

ER -