Self-Disclosure and Mental Health Service Use in Socially Anxious Adolescents

Daniela Colognori, Petra Esseling, Catherine Stewart, Philip Reiss, Feihan Lu, Brady Case, Carrie Masia

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Social anxiety disorder is highly prevalent in adolescence, persistent into adulthood, and associated with multiple impairments. Despite the development of efficacious treatments for socially anxious youth, few affected adolescents receive such treatment. This study examined service use in a sample of high school students (n = 1,574), as well as predictors of treatment delay and factors associated with adolescents' disclosure of social difficulties. Self-report measures of social anxiety and service utilization were administered by study staff to 10th- and 11th-grade classrooms across three public high schools. Consistent with the literature, results indicated low treatment utilization (14 %) and lengthy delays in treatment initiation. Symptom severity, impairment, and disclosing anxiety to school personnel were significant predictors of service utilization. Several demographic and illness-specific factors were associated with a higher likelihood of disclosing social discomfort. These findings underscore the important role of school personnel in identifying and referring youth with anxiety disorders. Implications are discussed for increasing access to services, including school-wide screenings and training of school personnel to recognize and provide intervention for anxious youth.

Original languageEnglish
Pages (from-to)219-230
Number of pages12
JournalSchool Mental Health
Volume4
Issue number4
DOIs
StatePublished - 1 Jan 2012

Fingerprint

Self Disclosure
Mental Health Services
health service
mental health
adolescent
school
anxiety
personnel
utilization
Anxiety
Therapeutics
Disclosure
Anxiety Disorders
Social Work
Self Report
adulthood
adolescence
illness
Demography
Students

Keywords

  • Anxiety
  • Dissemination
  • Help-seeking
  • School
  • Service utilization

Cite this

Colognori, Daniela ; Esseling, Petra ; Stewart, Catherine ; Reiss, Philip ; Lu, Feihan ; Case, Brady ; Masia, Carrie. / Self-Disclosure and Mental Health Service Use in Socially Anxious Adolescents. In: School Mental Health. 2012 ; Vol. 4, No. 4. pp. 219-230.
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Colognori, D, Esseling, P, Stewart, C, Reiss, P, Lu, F, Case, B & Masia, C 2012, 'Self-Disclosure and Mental Health Service Use in Socially Anxious Adolescents', School Mental Health, vol. 4, no. 4, pp. 219-230. https://doi.org/10.1007/s12310-012-9082-0

Self-Disclosure and Mental Health Service Use in Socially Anxious Adolescents. / Colognori, Daniela; Esseling, Petra; Stewart, Catherine; Reiss, Philip; Lu, Feihan; Case, Brady; Masia, Carrie.

In: School Mental Health, Vol. 4, No. 4, 01.01.2012, p. 219-230.

Research output: Contribution to journalArticle

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Colognori D, Esseling P, Stewart C, Reiss P, Lu F, Case B et al. Self-Disclosure and Mental Health Service Use in Socially Anxious Adolescents. School Mental Health. 2012 Jan 1;4(4):219-230. https://doi.org/10.1007/s12310-012-9082-0