Patterns and correlates of patient-reported helpfulness of treatment for common mental and substance use disorders in the WHO World Mental Health Surveys.
Por:
Kessler RC, Kazdin AE, Aguilar-Gaxiola S, Al-Hamzawi A, Alonso J, Altwaijri YA, Andrade LH, Benjet C, Bharat C, Borges G, Bruffaerts R, Bunting B, de Almeida JMC, Cardoso G, Chiu WT, Cía A, Ciutan M, Degenhardt L, de Girolamo G, de Jonge P, de Vries YA, Florescu S, Gureje O, Haro JM, Harris MG, Hu C, Karam AN, Karam EG, Karam G, Kawakami N, Kiejna A, Kovess-Masfety V, Lee S, Makanjuola V, McGrath JJ, Medina-Mora ME, Moskalewicz J, Navarro-Mateu F, Nierenberg AA, Nishi D, Ojagbemi A, Oladeji BD, O'Neill S, Posada-Villa J, Puac-Polanco V, Rapsey C, Ruscio AM, Sampson NA, Scott KM, Slade T, Stagnaro JC, Stein DJ, Tachimori H, Ten Have M, Torres Y, Viana MC, Vigo DV, Williams DR, Wojtyniak B, Xavier M, Zarkov Z and Ziobrowski HN
Publicada:
1 jun 2022
Categoría:
Psychiatry and mental health
Resumen:
Patient-reported helpfulness of treatment is an important indicator of quality in patient-centered care. We examined its pathways and predictors among respondents to household surveys who reported ever receiving treatment for major depression, generalized anxiety disorder, social phobia, specific phobia, post-traumatic stress disorder, bipolar disorder, or alcohol use disorder. Data came from 30 community epidemiological surveys - 17 in high-income countries (HICs) and 13 in low- and middle-income countries (LMICs) - carried out as part of the World Health Organization (WHO)'s World Mental Health (WMH) Surveys. Respondents were asked whether treatment of each disorder was ever helpful and, if so, the number of professionals seen before receiving helpful treatment. Across all surveys and diagnostic categories, 26.1% of patients (N=10,035) reported being helped by the very first professional they saw. Persisting to a second professional after a first unhelpful treatment brought the cumulative probability of receiving helpful treatment to 51.2%. If patients persisted with up through eight professionals, the cumulative probability rose to 90.6%. However, only an estimated 22.8% of patients would have persisted in seeing these many professionals after repeatedly receiving treatments they considered not helpful. Although the proportion of individuals with disorders who sought treatment was higher and they were more persistent in HICs than LMICs, proportional helpfulness among treated cases was no different between HICs and LMICs. A wide range of predictors of perceived treatment helpfulness were found, some of them consistent across diagnostic categories and others unique to specific disorders. These results provide novel information about patient evaluations of treatment across diagnoses and countries varying in income level, and suggest that a critical issue in improving the quality of care for mental disorders should be fostering persistence in professional help-seeking if earlier treatments are not helpful.
Filiaciones:
Kessler RC:
Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
Kazdin AE:
Department of Psychology, Yale University, New Haven, CT, USA
Aguilar-Gaxiola S:
Center for Reducing Health Disparities, UC Davis Health System, Sacramento, CA, USA
Al-Hamzawi A:
College of Medicine, Al-Qadisiya University, Diwaniya governorate, Iraq
Alonso J:
Health Services Research Unit, IMIM-Hospital del Mar Medical Research Institute, Barcelona, Spain
Altwaijri YA:
Epidemiology Section, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
Andrade LH:
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
Bharat C:
National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia
Borges G:
Department of Epidemiologic and Psychosocial Research, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico
Bruffaerts R:
Universitair Psychiatrisch Centrum - Katholieke Universiteit Leuven, Leuven, Belgium
Bunting B:
School of Psychology, Ulster University, Londonderry, UK
de Almeida JMC:
Lisbon Institute of Global Mental Health and Chronic Diseases Research Center, NOVA University of Lisbon, Lisbon, Portugal
Cardoso G:
Lisbon Institute of Global Mental Health and Chronic Diseases Research Center, NOVA University of Lisbon, Lisbon, Portugal
Chiu WT:
Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
Cía A:
Anxiety Disorders Research Center, Buenos Aires, Argentina
Ciutan M:
National School of Public Health, Management and Professional Development, Bucharest, Romania
Degenhardt L:
National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia
de Girolamo G:
IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy
de Jonge P:
Department of Developmental Psychology, University of Groningen, Groningen, The Netherlands
de Vries YA:
Department of Developmental Psychology, University of Groningen, Groningen, The Netherlands
Florescu S:
National School of Public Health, Management and Professional Development, Bucharest, Romania
Gureje O:
Department of Psychiatry, University College Hospital, Ibadan, Nigeria
Haro JM:
Parc Sanitari Sant Joan de Déu, CIBERSAM, Universitat de Barcelona, Barcelona, Spain
Harris MG:
School of Public Health, University of Queensland, Herston, and Queensland Centre for Mental Health Research, Wacol, QLD, Australia
Hu C:
Shenzhen Institute of Mental Health and Shenzhen Kangning Hospital, Shenzhen, China
Karam AN:
Institute for Development, Research, Advocacy and Applied Care, Beirut, Lebanon
Karam EG:
Institute for Development, Research, Advocacy and Applied Care, Beirut, Lebanon
Department of Psychiatry and Clinical Psychology, St. George Hospital University Medical Center, Beirut, Lebanon
Karam G:
Institute for Development, Research, Advocacy and Applied Care, Beirut, Lebanon
Department of Psychiatry and Clinical Psychology, St. George Hospital University Medical Center, Beirut, Lebanon
Kawakami N:
Department of Mental Health, Graduate School of Medicine, University of Tokyo, Tokyo, Japan
Kiejna A:
Psychology Research Unit for Public Health, WSB University, Torun, Poland
Kovess-Masfety V:
Laboratoire de Psychopathologie et Processus de Santé EA 4057, Université de Paris, Paris, France
Lee S:
Department of Psychiatry, Chinese University of Hong Kong, Tai Po, Hong Kong
Makanjuola V:
Department of Psychiatry, University College Hospital, Ibadan, Nigeria
McGrath JJ:
School of Public Health, University of Queensland, Herston, and Queensland Centre for Mental Health Research, Wacol, QLD, Australia
National Centre for Register-Based Research, Aarhus University, Aarhus, Denmark
Medina-Mora ME:
Department of Epidemiologic and Psychosocial Research, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico
Moskalewicz J:
Institute of Psychiatry and Neurology, Warsaw, Poland
Navarro-Mateu F:
Unidad de Docencia, Investigación y Formación en Salud Mental, Universidad de Murcia, Murcia, Spain
Nierenberg AA:
Dauten Family Center for Bipolar Treatment Innovation, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA
Nishi D:
Department of Mental Health, Graduate School of Medicine, University of Tokyo, Tokyo, Japan
Ojagbemi A:
Department of Psychiatry, University College Hospital, Ibadan, Nigeria
Oladeji BD:
Department of Psychiatry, University College Hospital, Ibadan, Nigeria
O'Neill S:
School of Psychology, Ulster University, Londonderry, UK
Posada-Villa J:
Colegio Mayor de Cundinamarca University, Faculty of Social Sciences, Bogota, Colombia
Puac-Polanco V:
Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
Rapsey C:
Department of Psychological Medicine, University of Otago, Dunedin, New Zealand
Ruscio AM:
Department of Psychology, University of Pennsylvania, Philadelphia, PA, USA
Sampson NA:
Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
Scott KM:
Department of Psychological Medicine, University of Otago, Dunedin, New Zealand
Slade T:
Matilda Centre for Research in Mental Health and Substance Use, University of Sydney, Sydney, Australia
Stagnaro JC:
Departamento de Psiquiatría y Salud Mental, Universidad de Buenos Aires, Buenos Aires, Argentina
Stein DJ:
Department of Psychiatry & Mental Health and South African Medical Council Research Unit on Risk and Resilience in Mental Disorders, University of Cape Town and Groote Schuur Hospital, Cape Town, South Africa
Tachimori H:
National Institute of Mental Health, National Center for Neurology and Psychiatry, Kodaira, Tokyo, Japan
Ten Have M:
Trimbos-Instituut, Netherlands Institute of Mental Health and Addiction, Utrecht, The Netherlands
Torres Y:
Center for Excellence on Research in Mental Health, CES University, Medellin, Colombia
Viana MC:
Department of Social Medicine, Postgraduate Program in Public Health, Federal University of Espírito Santo, Vitoria, Brazil
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
Williams DR:
Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA
Wojtyniak B:
Centre of Monitoring and Analyses of Population Health, National Institute of Public Health - National Research Institute, Warsaw, Poland
Xavier M:
Lisbon Institute of Global Mental Health and Chronic Diseases Research Center, NOVA University of Lisbon, Lisbon, Portugal
Zarkov Z:
Department of Mental Health, National Center of Public Health and Analyses, Sofia, Bulgaria
Ziobrowski HN:
Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
Bronze, Green Published, Green Submitted
|