Background

Anxiety disorders are among the most prevalent mental disorders. While it is known that a majority of individuals with anxiety disorders remains untreated, actual treatment rates for adolescents and young adults in Germany remain largely unknown.

Methods

As part of the Behavior and Mind Health (BeMIND) study, examining a random community sample of 14–21-year-olds (Dresden; Germany; N = 1,180), the lifetime prevalence for DSM-5 anxiety disorders and lifetime service utilization rates were determined by a standardized interview (DIA-X-5/CIDI).

Results

In the present sample, 23.3 % of adolescents and young adults fulfilled DSM-5 criteria for at least one lifetime anxiety disorder. Of those, 39.1 % used any health care services, most frequently they visited an outpatient psychotherapist/psychologist (23.0 %). Individuals with agoraphobia were most likely to use any in- or outpatient specialized service (64.8 %), while individuals with a specific phobia were least likely (22.3 %). Having a comorbid disorder or being female increased the likelihood of seeking help.

Conclusion

The results showed that approximately 2/3 of adolescents and young adults suffering from an anxiety disorder did not seek help and only few report contacts with a psychotherapist. Given the adverse long-term consequences of anxiety disorders, these findings suggest to improve efforts on increasing intervention awareness and treatment possibilities for these individuals.

中文翻译：

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青少年和年轻人的焦虑症：德国区域流行病学研究中的患病率和精神卫生保健服务利用

背景

焦虑症是最普遍的精神障碍之一。虽然众所周知，大多数患有焦虑症的人仍未得到治疗，但德国青少年和年轻人的实际治疗率仍然未知。

方法

作为行为和心理健康 (BeMIND) 研究的一部分，检查了 14-21 岁（德累斯顿；德国；N = 1,180）的随机社区样本、DSM-5 焦虑症的终生患病率和终生服务利用率由标准化访谈 (DIA-X-5/CIDI) 确定。

结果

在本样本中，23.3% 的青少年和年轻成人至少满足一种终生焦虑症的 DSM-5 标准。其中，39.1% 的人使用过任何医疗保健服务，他们最常去看门诊心理治疗师/心理学家 (23.0%)。广场恐怖症患者最有可能使用任何住院或门诊专业服务 (64.8%)，而患有特定恐惧症的患者最不可能 (22.3%)。患有共病或女性会增加寻求帮助的可能性。

结论

结果表明，大约 2/3 患有焦虑症的青少年和年轻人没有寻求帮助，只有少数报告与心理治疗师有过接触。考虑到焦虑症的长期不良后果，这些研究结果表明应该努力提高这些人的干预意识和治疗可能性。