@article{ref1,
title="Who has mental health problems? Comparing individual, social and psychiatric constructions of mental health",
journal="Social psychiatry and psychiatric epidemiology",
year="2023",
author="Pescosolido, Bernice A. and Green, Harold D. Jr",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="PURPOSE: The persistent gap between population indicators of poor mental health and the uptake of services raises questions about similarities and differences between social and medical/psychiatric constructions. Rarely do studies have assessments from different perspectives to examine whether and how lay individuals and professionals diverge. <br><br>METHODS: Data from the Person-to-Person Health Interview Study (P2P), a representative U.S. state sample (N ~ 2700) are used to examine the overlap and correlates of three diverse perspectives-self-reported mental health, a self/other problem recognition, and the CAT-MH™ a validated, computer adaptive test for psychopathology screening. Descriptive and multinominal logit analyses compare the presence of mental health problems across stakeholders and their association with respondents' sociodemographic characteristics. <br><br>RESULTS: Analyses reveal a set of socially constructed patterns. Two convergent patterns indicate whether there is (6.9%, The &quot;Sick&quot;) or is not (64.6%, The &quot;Well&quot;) a problem. The &quot;Unmet Needers&quot; (8.7%) indicates that neither respondents nor those around them recognize a problem identified by the screener. Two patterns indicate clinical need where either respondents (The &quot;Self Deniers&quot;, 2.9%) or others (The &quot;Network Deniers&quot;, 6.0%) do not. Patterns where the diagnostic indicator does not suggest a problem include The &quot;Worried Well&quot; (4.9%) where only the respondent does, The &quot;Network Coerced&quot; (4.6%) where only others do, and The &quot;Prodromal&quot; (1.4%) where both self and others do. Education, gender, race, and age are associated with social constructions of mental health problems. <br><br>CONCLUSIONS: The implications of these results hold the potential to improve our understanding of unmet need, mental health literacy, stigma, and treatment resistance.<p /> <p>Language: en</p>",
language="en",
issn="0933-7954",
doi="10.1007/s00127-023-02474-4",
url="http://dx.doi.org/10.1007/s00127-023-02474-4"
}