title: Duration between onset and time of obtaining initial treatment among people with anxiety and mood disorders: an international survey of members of mental health patient advocate groups.
abstract: BACKGROUND
  Self-report data obtained from members of advocate groups for patients with anxiety or mood disorders in 11 countries were used to study time to initial professional help-seeking after incident episodes.
  
  
  METHODS
  Data were taken from 3516 self-administered questionnaires completed by members of GAMIAN, an international consortium of mental health patient advocate groups. Reports about age at onset and age at first seeking treatment were obtained retrospectively.
  
  
  RESULTS
  Approximately 40% of respondents reported that they sought treatment in the same year as the first onset of their disorder. The median delay in help-seeking was 8 years for the remainder of respondents. Synthetic cohort analysis suggests that delays have decreased in recent cohorts. However, time to initial help-seeking in all cohorts and all countries was found to be inversely related to age at onset.
  
  
  CONCLUSIONS
  Although caution is needed in generalizing the results beyond members of patient advocate groups, the key patterns found here were also found in previous analyses of general population surveys carried out in the US and Canada. The critical and consistent finding in all these studies is that presumably curable adolescents with early-onset disorders are, in effect, ignored by the treatment system in these countries. Aggressive outreach and intervention among early-onset cases might prove to be a cost-effective approach both to prevent the onset of secondary disorders and to improve success in treating primary disorders.
authors.affiliation: Freedom from Fear, Staten Island, NY, USA.
authors.forename: J M
authors.initials: JM
authors.lastname: Christiana
authors.forename: S E
authors.initials: SE
authors.lastname: Gilman
authors.forename: M
authors.initials: M
authors.lastname: Guardino
authors.forename: K
authors.initials: K
authors.lastname: Mickelson
authors.forename: P L
authors.initials: PL
authors.lastname: Morselli
authors.forename: M
authors.initials: M
authors.lastname: Olfson
authors.forename: R C
authors.initials: RC
authors.lastname: Kessler
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001008:Anxiety Disorders / Q000175:diagnosis / Q000628:therapy*; D002648:Child; D015331:Cohort Studies; D005260:Female; D014943:Global Health; D015438:Health Behavior; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D019964:Mood Disorders / Q000175:diagnosis / Q000628:therapy*; D010344:Patient Advocacy; D012189:Retrospective Studies; D013997:Time Factors