title: Attitudes and illness factors associated with low perceived need for depression treatment among young adults.
abstract: BACKGROUND
  We do not yet fully understand how low perceived need for treatment leads many young adults to not seek care for their depression.
  
  
  METHODS
  A cross-sectional study of 10,962 depressed young adults (ages 16-29) who visited a depression screening/education Internet website. Based on the Theory of Reasoned Action, we developed a multivariate model to determine the effects of beliefs and attitudes, social norms, past treatment behavior, and symptom severity on low perceived depression treatment need (i.e., not agreeing that one needs depression treatment).
  
  
  RESULTS
  Negative beliefs and attitudes, social norms, and past treatment behavior predicted low perceived depression treatment need and explained more than half the model variance. Even after adjusting for depression severity and symptoms of other mental disorders, lacking confidence in either a biological or counseling based explanation or treatment approach for depression predicted low perceived depression treatment need.
  
  
  CONCLUSIONS
  Lack of helpful treatment experiences and/or confidence in either of the currently practiced depression treatment models may prevent many young adults from seeking depression treatment.
authors.affiliation: Department of Medicine, Section of General Internal Medicine, The University of Chicago, 5841 South Maryland Avenue, MC 20007, Chicago, IL 60637, USA. bvanvoorhees@medicine.bsd.uchicago.edu
authors.forename: Benjamin W
authors.initials: BW
authors.lastname: Van Voorhees
authors.forename: Joshua
authors.initials: J
authors.lastname: Fogel
authors.forename: Thomas K
authors.initials: TK
authors.lastname: Houston
authors.forename: Lisa A
authors.initials: LA
authors.lastname: Cooper
authors.forename: Nae-Yuh
authors.initials: NY
authors.lastname: Wang
authors.forename: Daniel E
authors.initials: DE
authors.lastname: Ford
mesh_terms: D000293:Adolescent; D000328:Adult; D001294:Attitude to Health; D003430:Cross-Sectional Studies; D003865:Major Depressive Disorder / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D012720:Severity of Illness Index