Perceived helpfulness of treatment for social anxiety disorder: findings from the WHO World Mental Health Surveys.
Por:
Bruffaerts R, Harris MG, Kazdin AE, Vigo DV, Sampson NA, Chiu WT, Al-Hamzawi A, Alonso J, Altwaijri YA, Andrade L, Benjet C, de Girolamo G, Florescu S, Haro JM, Hu CY, Karam A, Karam EG, Kovess-Masfety V, Lee S, McGrath JJ, Navarro-Mateu F, Nishi D, O'Neill S, Posada-Villa J, Scott KM, Have MT, Torres Y, Wojtyniak B, Xavier M, Zarkov Z, Kessler RC and WHO World Mental Health Survey Collaborators
Publicada:
1 oct 2022
Ahead of Print:
9 mar 2022
Resumen:
PURPOSE: To investigate the prevalence and predictors of perceived helpfulness of treatment in persons with a history of DSM-IV social anxiety disorder (SAD), using a worldwide population-based sample. METHODS: The World Health Organization World Mental Health Surveys is a coordinated series of community epidemiological surveys of non-institutionalized adults; 27 surveys in 24 countries (16 in high-income; 11 in low/middle-income countries; N = 117,856) included people with a lifetime history of treated SAD. RESULTS: In respondents with lifetime SAD, approximately one in five ever obtained treatment. Among these (n = 1322), cumulative probability of receiving treatment they regarded as helpful after seeing up to seven professionals was 92.2%. However, only 30.2% persisted this long, resulting in 65.1% ever receiving treatment perceived as helpful. Perceiving treatment as helpful was more common in female respondents, those currently married, more highly educated, and treated in non-formal health-care settings. Persistence in seeking treatment for SAD was higher among those with shorter delays in seeking treatment, in those receiving medication from a mental health specialist, and those with more than two lifetime anxiety disorders. CONCLUSIONS: The vast majority of individuals with SAD do not receive any treatment. Among those who do, the probability that people treated for SAD obtain treatment they consider helpful increases considerably if they persisted in help-seeking after earlier unhelpful treatments.
Filiaciones:
Bruffaerts R:
Universitair Psychiatrisch Centrum-Katholieke Universiteit Leuven (UPC-KUL), Campus Gasthuisberg, Leuven, Belgium
Harris MG:
School of Public Health, The University of Queensland, Queensland, Herston, Australia
Queensland Centre for Mental Health Research, The Park Centre for Mental Health, Queensland, Wacol, Australia
Kazdin AE:
Department of Psychology, Yale University, New Haven, CT, USA
Vigo DV:
Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada
Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA
Sampson NA:
Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA, 02115, USA
Chiu WT:
Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA, 02115, USA
Al-Hamzawi A:
College of Medicine, Al-Qadisiyah University, Diwaniyah Governorate, Iraq
Alonso J:
Health Services Research Unit, IMIM-Hospital del Mar Medical Research Institute, Barcelona, Spain
CIBER en Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
Pompeu Fabra University (UPF), Barcelona, Spain
Altwaijri YA:
Epidemiology Section, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
Andrade L:
Núcleo de Epidemiologia Psiquiátrica-LIM 23, Instituto de Psiquiatria Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil
Benjet C:
Department of Epidemiologic and Psychosocial Research, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico
de Girolamo G:
IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy
Florescu S:
National School of Public Health, Management and Development, Bucharest, Romania
Haro JM:
Parc Sanitari Sant Joan de Déu, CIBERSAM, Universitat de Barcelona, Sant Boi de Llobregat, Barcelona, Spain
Department of Psychology, College of Education, King Saud University, Riyadh, Saudi Arabia
Hu CY:
Shenzhen Institute of Mental Health and Shenzhen Kangning Hospital, Shenzhen, China
Karam A:
Institute for Development, Research, Advocacy and Applied Care (IDRAAC), Beirut, Lebanon
Department of Psychiatry and Clinical Psychology, Faculty of Medicine, St George Hospital University Medical Center, Balamand University, Beirut, Lebanon
Karam EG:
Institute for Development, Research, Advocacy and Applied Care (IDRAAC), Beirut, Lebanon
Department of Psychiatry and Clinical Psychology, Faculty of Medicine, St George Hospital University Medical Center, Balamand University, Beirut, Lebanon
Kovess-Masfety V:
Ecole des Hautes Etudes en Santé Publique (EHESP), EA 4057, Paris Descartes University, Paris, France
Lee S:
Department of Psychiatry, Chinese University of Hong Kong, Tai Po, Hong Kong
McGrath JJ:
Queensland Centre for Mental Health Research, The Park Centre for Mental Health, Queensland, Wacol, Australia
Queensland Brain Institute, University of Queensland, Queensland, St Lucia, Australia
National Centre for Register-Based Research, Aarhus University, Aarhus, Denmark
Navarro-Mateu F:
UDIF-SM, Servicio Murciano de Salud, IMIB-Arrixaca, CIBERESP-Murcia, Región de Murcia, Spain
Nishi D:
Department of Mental Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
O'Neill S:
School of Psychology, Ulster University, Londonderry, UK
Posada-Villa J:
Faculty of Social Sciences, Colegio Mayor de Cundinamarca University, Bogota, Colombia
Scott KM:
Department of Psychological Medicine, University of Otago, Dunedin, Otago, New Zealand
Have MT:
Trimbos-Instituut, Netherlands Institute of Mental Health and Addiction, Utrecht, Netherlands
Torres Y:
Center for Excellence on Research in Mental Health, CES University, Medellin, Colombia
Wojtyniak B:
Department of Population Health Monitoring and Analysis, National Institute of Public Health-National Institute of Hygiene, Warsaw, Poland
Xavier M:
Lisbon Institute of Global Mental Health and Chronic Diseases Research Center (CEDOC), NOVA Medical School-Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisbon, Portugal
Zarkov Z:
Department of Mental Health, National Center of Public Health and Analyses, Sofia, Bulgaria
Kessler RC:
Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA, 02115, USA.
Green Submitted
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