Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Sexual Orientation, Depression Treatment Examined

J Affect Disord; ePub 2016 Jul 14; Rutter, et al

Individuals who decline to state their sexual orientation may be more likely to forego effective treatments for depression, a recent study found. Researchers used an automated, quintilingual, internet-based depression screening tool to screen for depression in a large, multilingual, international sample. Participants completed several background measures, including sexual orientation (with an option to decline to state), and past and current depression treatment seeking. Researchers found:

• 3,695 participants screened positive for current or past depression and responded to the sexual orientation question.

• Those who declined to state their sexual orientation were far less likely to seek any treatment than individuals endorsing any orientation; they were especially unlikely to seek psychotherapy.

• Individuals identifying as bisexual sought both psychotherapy and alternative treatments at a higher rate than other groups.

• An interaction was observed between sexual orientation and gender, such that lesbians were especially likely to have used psychotherapy.

Citation: Rutter TM, Flentje A, Dilley JW, et al. Sexual orientation and treatment-seeking for depression in a multilingual worldwide sample. [Published online before print July 14, 2016]. J Affect Disord. doi:10.1016/j.jad.2016.07.003.