Browsing by Subject "help-seeking"

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  • Jonninen, Minna (Helsingin yliopisto, 2017)
    Aim. Attenuated positive psychotic symptoms, such as perceptual abnormalities and delusional ideas, are rather common in the general population not suffering from psychotic disorders. These psychotic-like experiences, or PLE, are usually transient and may be a common part of development of adolescents. However, there is also evidence that PLE may indicate a vulnerability to psychosis as well as other varied psychopathology, and a connection to need for care. There also seems to be differences between experiences in their impact. The current study aimed to investigate whether different types of PLE predicted further psychiatric treatment trajectories, or seeking outpatient treatment, in a seven-year follow-up using a psychiatric adolescent sample. Methods. The current study utilized a sample from the Helsinki Prodromal Study, a prospective study on psychosis risk. The sample (N=731) included adolescents aged 15–18, who had been referred to psychiatric care for the first time. The Prodromal Questionnaire (PQ), a self-report measure to assess psychosis risk symptoms, was administered to examine positive, negative, disorganized, and general symptoms of the participants at their first or second visit to the psychiatric unit. The outcome variable was a dichotomous measure of outpatient treatment starting after the completion of the PQ and assessed every year for seven consecutive years. Multilevel logistic regressions were carried out to investigate the predictive power of separate PLE and other psychosis risk symptoms. In addition, an area under the receiver operator characteristics curve was conducted to examine how the PQ total score distinguished between help-seekers and non-help-seekers in the second year of follow-up. Findings and conclusions. Of the nine psychosis risk factors that were assessed, eight predicted outpatient treatment over the follow-up, while Magical Thinking did not. There were no significant interactions between time and PLE, so these associations did not fluctuate over time. The PQ total score did not manifest as a reliable method for distinction of help-seekers in the second year of follow-up. However, these findings indicate that assessing PLE in clinical adolescent settings could help in predicting the further need for care.
  • Kemppainen, Laura M.; Kemppainen, Teemu T.; Reippainen, Jutta A.; Salmenniemi, Suvi T.; Vuolanto, Pia (2018)
    Aims: The aim of this research was to study health-related and sociodemographic determinants of the use of different complementary and alternative medicine (CAM) treatments in Europe and differences in CAM use in various European countries. Methods: The study was based on a design-based logistic regression analysis of the European Social Survey (ESS), Round 7. We distinguished four CAM modalities: manual therapies, alternative medicinal systems, traditional Asian medical systems and mind-body therapies. Results: In total, 25.9% of the general population had used CAM during the last 12 months. Typically, only one CAM treatment had been used, and it was used more often as complementary rather than alternative treatment. The use of CAM varied greatly by country, from 10% in Hungary to almost 40% in Germany. Compared to those in good health, the use of CAM was two to fourfold greater among those with health problems. The health profiles of users of different CAM modalities varied. For example, back or neck pain was associated with all types of CAM, whereas depression was associated only with the use of mind-body therapies. Individuals with difficult to diagnose health conditions were more inclined to utilize CAM, and CAM use was more common among women and those with a higher education. Lower income was associated with the use of mind-body therapies, whereas the other three CAM modalities were associated with higher income. Conclusions: Help-seeking differed according to the health problem, something that should be acknowledged by clinical professionals to ensure safe care. The findings also point towards possible socioeconomic inequalities in health service use.