• Soc Psychiatry Psychiatr Epidemiol · May 2005

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

    • June S L Brown, Jed Boardman, Sandra A Elliott, Elsa Howay, and Joanna Morrison.
    • Psychology Dept. (PO77), Institute of Psychiatry, De Crespigny Park, London SE5 8AF, UK. june.brown@iop.kcl.ac.uk
    • Soc Psychiatry Psychiatr Epidemiol. 2005 May 1;40(5):396-401.

    BackgroundReluctance to seek formal help has been seen as a major problem in trying to reduce the prevalence of anxiety and depression.AimsThe 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.MethodCross-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.ResultsOver 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.ConclusionSetting 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.

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