title: [Health care barriers on the pathways of patients with anxiety and depressive disorders - a qualitative interview study].
abstract: OBJECTIVE
  Which health care barriers do patients with anxiety and depressive disorders experience on their clinical pathways?
  
  
  METHODS
  Semi-structured interviews were conducted among 30 patients with anxiety and depressive disorders. Interviews were audio-taped, transcribed, coded and content-analysed.
  
  
  RESULTS
  Following barriers perceived by patients were extracted: a lack of early diagnosis, communication and coordination problems between different services and providers, little information about their illness and its adequate treatment, as well as intrapersonal barriers.
  
  
  CONCLUSIONS
  Patients perceive barriers on the individual, provider and system level. Especially barriers on the system and provider level indicate a need for more information, early recognition and support especially during the help-seeking process.
authors.affiliation: Institut und Poliklinik für Medizinische Psychologie des Universitätsklinikums Hamburg-Eppendorf.
authors.forename: Laura
authors.initials: L
authors.lastname: Kivelitz
authors.affiliation: Institut und Poliklinik für Medizinische Psychologie des Universitätsklinikums Hamburg-Eppendorf.
authors.forename: Birgit
authors.initials: B
authors.lastname: Watzke
authors.affiliation: Institut und Poliklinik für Medizinische Psychologie des Universitätsklinikums Hamburg-Eppendorf.
authors.forename: Holger
authors.initials: H
authors.lastname: Schulz
authors.affiliation: Institut und Poliklinik für Medizinische Psychologie des Universitätsklinikums Hamburg-Eppendorf.
authors.forename: Martin
authors.initials: M
authors.lastname: Härter
authors.affiliation: Institut und Poliklinik für Medizinische Psychologie des Universitätsklinikums Hamburg-Eppendorf.
authors.forename: Hanne
authors.initials: H
authors.lastname: Melchior
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D003866:Depressive Disorder / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy*; D005260:Female; D058006:General Practice; D005858:Germany; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology / Q000706:statistics & numerical data*; D036301:Qualitative Research; D012017:Referral and Consultation / Q000706:statistics & numerical data; D057545:Social Stigma; D014850:Waiting Lists