June S. L. Brown

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BACKGROUND Individuals often avoid or delay seeking professional help for mental health problems. Stigma may be a key deterrent to help-seeking but this has not been reviewed systematically. Our systematic review addressed the overarching question: What is the impact of mental health-related stigma on help-seeking for mental health problems? Subquestions(More)
STUDY OBJECTIVES The internet provides a pervasive milieu for healthcare delivery. The purpose of this study was to determine the effectiveness of a novel web-based cognitive behavioral therapy (CBT) course delivered by an automated virtual therapist, when compared with a credible placebo; an approach required because web products may be intrinsically(More)
BackgroundOnly 30-35% of people with mental health problems seek help from professionals. Informal help, usually from friends, family and religious leaders, is often sought but is under-researched. This study aimed to contrast patterns of informal and formal help-seeking using data from a community psychiatric morbidity survey (n=1692) (South East London(More)
BACKGROUND Treatment seeking by South Asians for depression has been shown to be lower than for white British people. AIMS This study compared illness perceptions about depression and the help-seeking behaviour of white British (n  =  70) and North Indian women (n  =  70) living in the UK. Previous studies have used interviews to elicit illness(More)
We investigated if reluctance to seek help could be explained by how people perceive an illness. Participants were members of the general public who had experienced mental health problems, for which approximately half had sought professional help. We asked them to rate the problems of 2 vignette characters using the Brief Illness Perception Questionnaire(More)
BACKGROUND The detection of psychological problems of black African people has been found to be substantially lower, compared with white British and black Caribbean people. This may be due to differences in patients' perceptions of illness. Little research has been carried out on factors that may influence the help-seeking behaviour of black Africans. (More)
BACKGROUND The prevalence of depression has not fallen despite effective treatments being available. AIMS To examine the effectiveness of a psycho-educational intervention designed to be easily accessible. METHOD Large-scale, self-referral 'How to improve your self-confidence' workshops were run in a leisure centre at weekends. The day-long programme(More)
Referrals for psychological treatment have been problematic for many years. Even though GPs have attempted to limit access into the small psychological treatment services, long waiting lists have developed which have deterred referrals and deferred psychological care. GPs have understandably been frustrated. In addition, the consultation rate for(More)
For ethical reasons waiting list controls have been preferred to no treatment controls, provided the wait is still shorter than that for routine services. However, could significant differences arise from the wait being detrimental rather than the intervention being beneficial? Despite the number of studies employing this design, few have analysed(More)
BACKGROUND Coronary heart disease and depression are both common health problems and by 2020 will be the two leading causes of disability worldwide. Depression has been found to be more common in patients with coronary heart disease but the nature of this relationship is uncertain. In the United Kingdom general practitioners are now being remunerated for(More)