Investigating if depressed male primary care patients can be supported in groups
The assumption that men are less vulnerable to depression and anxiety than women is increasingly being questioned. Previous research indicates that men are less likely to be diagnosed as they demonstrate greater reluctance to seek help due to social stigmas.
The study, led by Dr Helen Cramer in the School of Social and Community Medicine at the University of Bristol, aimed to establish the best ways to support men with depression and anxiety in primary care. The findings highlight the role that groups can play in supporting them.
Researchers conducted interviews with 17 men attending one of four different support groups and 12 staff who worked with depressed men (half of whom also experienced the condition themselves). The team explored the reasons why each had attended their support group and the benefits and barriers.
The study showed that men with depression and anxiety do go to groups and appear to be well supported by them, but also that peer support, reduced social stigma through sharing and opportunities for leadership were important factors of them attending.
The team also found that different types of groups may relate to different potential member audiences. For example, unemployed men with greater mental health and support needs attended professionally led groups whereas men with milder mental health problems attended peer-led groups. However, the main barrier to men accessing support was centred on their perceptions that, as men, they should deal with their personal issues themselves.
Importantly, the study found that GP’s and health professionals could play a key role in helping men to acknowledge their experiences of depression and anxiety through listening and providing information on the range of support options, including groups, but could do more to identify and promote them.
The findings not only highlight the contrast between how women deal with mental health issues compared with men but also reveal a discernible pattern of isolation with many men suffering from depression having limited family and friend-support groups they can talk to, while those who did felt they could not talk openly about their concerns.
The study was supported by the Royal College of GP’s Scientific Foundation Board and the NIHR School for Primary Care Research.
The paper, entitled ‘Do depressed and anxious men do groups? What works and what are the barriers to help seeking?’ is published in the journal Primary Health Care Research & Development on the 26 June 2013 and can be accessed here