Help-seeking preferences and barriers for mental health problems among university students in Portugal, Germany, and Sweden

Publikation: Beitrag in FachzeitschriftArtikelForschungPeer-Review

Autorschaft

  • Lara Guedes Pinho
  • Maria Engström
  • Maria Revés Silva
  • Cesar Fonseca
  • Magnus Lindberg
  • Lena Jelinek
  • Johanna Börsting
  • Anabela Afonso
  • Gonçalo Jacinto
  • Annika Nilsson
  • Johanna Schröder
  • Brooke C. Schneider

Externe Organisationen

  • Hochschule Ruhr West (HRW)
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Details

OriginalspracheEnglisch
Seiten (von - bis)782-792
Seitenumfang11
FachzeitschriftJournal of affective disorders
Jahrgang379
Frühes Online-Datum11 März 2025
PublikationsstatusElektronisch veröffentlicht (E-Pub) - 11 März 2025
Extern publiziertJa

Abstract

Background: Mental health problems are prevalent among university students, underscoring the need to improve access to effective interventions. Mental healthcare utilization is influenced by general and country-specific factors. This study aimed to identify and compare preferences and barriers to help-seeking for mental health problems among university students in three European countries. Methods: A cross-sectional, web-based survey was conducted with a sample of 4960 university students from Portugal (n = 3399), Germany (n = 680), and Sweden (n = 881). Depressive symptoms (9-item Patient Health Questionnaire) and overall mental health (5-item Mental Health Index) were assessed. Students responded to questions regarding help-seeking preferences for and barriers to mental health problems. Results: Rates of moderate to severe depressive symptoms ranged from 37.5 to 51.0 % and were highest among German students. A majority (76.3–89.3 %) of students indicated they would talk to a friend in case of mental health problems. Readiness to seek help was particularly high among Portuguese students. Readiness to use internet-based interventions was low among all students. Up to 51 % of students reported uncertainty regarding where they could seek help. Students with depressive symptoms versus those without were less likely to speak with a friend about emotional problems but were more likely to consider taking medications. Students with depressive symptoms were also more likely to endorse several help-seeking barriers. Conclusion: Reducing structural barriers, improving awareness of treatment options and increasing acceptance of help-seeking for emotional problems may improve uptake of mental health services among students in these European countries.

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Ziele für nachhaltige Entwicklung

Zitieren

Help-seeking preferences and barriers for mental health problems among university students in Portugal, Germany, and Sweden. / Pinho, Lara Guedes; Engström, Maria; Silva, Maria Revés et al.
in: Journal of affective disorders, Jahrgang 379, 15.06.2025, S. 782-792.

Publikation: Beitrag in FachzeitschriftArtikelForschungPeer-Review

Pinho, LG, Engström, M, Silva, MR, Fonseca, C, Lindberg, M, Jelinek, L, Börsting, J, Afonso, A, Jacinto, G, Nilsson, A, Schröder, J & Schneider, BC 2025, 'Help-seeking preferences and barriers for mental health problems among university students in Portugal, Germany, and Sweden', Journal of affective disorders, Jg. 379, S. 782-792. https://doi.org/10.1016/j.jad.2025.03.044
Pinho, L. G., Engström, M., Silva, M. R., Fonseca, C., Lindberg, M., Jelinek, L., Börsting, J., Afonso, A., Jacinto, G., Nilsson, A., Schröder, J., & Schneider, B. C. (2025). Help-seeking preferences and barriers for mental health problems among university students in Portugal, Germany, and Sweden. Journal of affective disorders, 379, 782-792. Vorabveröffentlichung online. https://doi.org/10.1016/j.jad.2025.03.044
Pinho LG, Engström M, Silva MR, Fonseca C, Lindberg M, Jelinek L et al. Help-seeking preferences and barriers for mental health problems among university students in Portugal, Germany, and Sweden. Journal of affective disorders. 2025 Jun 15;379:782-792. Epub 2025 Mär 11. doi: 10.1016/j.jad.2025.03.044
Pinho, Lara Guedes ; Engström, Maria ; Silva, Maria Revés et al. / Help-seeking preferences and barriers for mental health problems among university students in Portugal, Germany, and Sweden. in: Journal of affective disorders. 2025 ; Jahrgang 379. S. 782-792.
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abstract = "Background: Mental health problems are prevalent among university students, underscoring the need to improve access to effective interventions. Mental healthcare utilization is influenced by general and country-specific factors. This study aimed to identify and compare preferences and barriers to help-seeking for mental health problems among university students in three European countries. Methods: A cross-sectional, web-based survey was conducted with a sample of 4960 university students from Portugal (n = 3399), Germany (n = 680), and Sweden (n = 881). Depressive symptoms (9-item Patient Health Questionnaire) and overall mental health (5-item Mental Health Index) were assessed. Students responded to questions regarding help-seeking preferences for and barriers to mental health problems. Results: Rates of moderate to severe depressive symptoms ranged from 37.5 to 51.0 % and were highest among German students. A majority (76.3–89.3 %) of students indicated they would talk to a friend in case of mental health problems. Readiness to seek help was particularly high among Portuguese students. Readiness to use internet-based interventions was low among all students. Up to 51 % of students reported uncertainty regarding where they could seek help. Students with depressive symptoms versus those without were less likely to speak with a friend about emotional problems but were more likely to consider taking medications. Students with depressive symptoms were also more likely to endorse several help-seeking barriers. Conclusion: Reducing structural barriers, improving awareness of treatment options and increasing acceptance of help-seeking for emotional problems may improve uptake of mental health services among students in these European countries.",
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T1 - Help-seeking preferences and barriers for mental health problems among university students in Portugal, Germany, and Sweden

AU - Pinho, Lara Guedes

AU - Engström, Maria

AU - Silva, Maria Revés

AU - Fonseca, Cesar

AU - Lindberg, Magnus

AU - Jelinek, Lena

AU - Börsting, Johanna

AU - Afonso, Anabela

AU - Jacinto, Gonçalo

AU - Nilsson, Annika

AU - Schröder, Johanna

AU - Schneider, Brooke C.

PY - 2025/3/11

Y1 - 2025/3/11

N2 - Background: Mental health problems are prevalent among university students, underscoring the need to improve access to effective interventions. Mental healthcare utilization is influenced by general and country-specific factors. This study aimed to identify and compare preferences and barriers to help-seeking for mental health problems among university students in three European countries. Methods: A cross-sectional, web-based survey was conducted with a sample of 4960 university students from Portugal (n = 3399), Germany (n = 680), and Sweden (n = 881). Depressive symptoms (9-item Patient Health Questionnaire) and overall mental health (5-item Mental Health Index) were assessed. Students responded to questions regarding help-seeking preferences for and barriers to mental health problems. Results: Rates of moderate to severe depressive symptoms ranged from 37.5 to 51.0 % and were highest among German students. A majority (76.3–89.3 %) of students indicated they would talk to a friend in case of mental health problems. Readiness to seek help was particularly high among Portuguese students. Readiness to use internet-based interventions was low among all students. Up to 51 % of students reported uncertainty regarding where they could seek help. Students with depressive symptoms versus those without were less likely to speak with a friend about emotional problems but were more likely to consider taking medications. Students with depressive symptoms were also more likely to endorse several help-seeking barriers. Conclusion: Reducing structural barriers, improving awareness of treatment options and increasing acceptance of help-seeking for emotional problems may improve uptake of mental health services among students in these European countries.

AB - Background: Mental health problems are prevalent among university students, underscoring the need to improve access to effective interventions. Mental healthcare utilization is influenced by general and country-specific factors. This study aimed to identify and compare preferences and barriers to help-seeking for mental health problems among university students in three European countries. Methods: A cross-sectional, web-based survey was conducted with a sample of 4960 university students from Portugal (n = 3399), Germany (n = 680), and Sweden (n = 881). Depressive symptoms (9-item Patient Health Questionnaire) and overall mental health (5-item Mental Health Index) were assessed. Students responded to questions regarding help-seeking preferences for and barriers to mental health problems. Results: Rates of moderate to severe depressive symptoms ranged from 37.5 to 51.0 % and were highest among German students. A majority (76.3–89.3 %) of students indicated they would talk to a friend in case of mental health problems. Readiness to seek help was particularly high among Portuguese students. Readiness to use internet-based interventions was low among all students. Up to 51 % of students reported uncertainty regarding where they could seek help. Students with depressive symptoms versus those without were less likely to speak with a friend about emotional problems but were more likely to consider taking medications. Students with depressive symptoms were also more likely to endorse several help-seeking barriers. Conclusion: Reducing structural barriers, improving awareness of treatment options and increasing acceptance of help-seeking for emotional problems may improve uptake of mental health services among students in these European countries.

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JF - Journal of affective disorders

SN - 0165-0327

ER -

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