Treatment Delivery Preferences Associated With Type of Mental Disorder and Perceived Treatment Barriers Among Mexican University Students.

Autor: Benjet C; Department of Epidemiology and Psychosocial Research, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico. Electronic address: cbenjet@imp.edu.mx., Wittenborn A; Human Development and Family Studies, Michigan State University, East Lansing., Gutierrez-García RA; Facultad de Ciencias Sociales y Humanidades, Universidad De La Salle Bajío, Salamanca, Mexico., Albor YC; Department of Epidemiology and Psychosocial Research, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico., Contreras EV; Facultad de Ciencias Administrativas y Sociales, Universidad Autónoma de Baja California, Ensenada, Mexico., Hernández SC; Facultad de Ciencias Administrativas y Sociales, Universidad Autónoma de Baja California, Ensenada, Mexico., Valdés-García KP; Facultad de Psicología, Universidad Autónoma de Coahuila, Saltillo, Mexico., Monroy IR; Facultad de Psicología, Universidad Autónoma de Coahuila, Saltillo, Mexico., Peláez Cedrés AJ; Secretaría de la Unidad Cuajimalpa, Universidad Autónoma Metropolitana, Mexico City, Mexico., Hernández Uribe PC; Secretaría de la Unidad Cuajimalpa, Universidad Autónoma Metropolitana, Mexico City, Mexico., Covarrubias Díaz-Couder A; Dirección de Investigación, Universidad la Salle Noroeste, Ciudad Obregón, Mexico., Quevedo Chávez GE; Coordinación de psicología, Universidad la Salle Cancún, Cancún, Mexico., Paz-Peréz MA; Facultad de Ciencias Sociales y Humanidades, Universidad De La Salle Bajío, Salamanca, Mexico., Medina-Mora ME; Department of Epidemiology and Psychosocial Research, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico., Bruffaerts R; Center for Public Health Psychiatry, KU Leuven, Leuven, Belgium.
Jazyk: angličtina
Zdroj: The Journal of adolescent health : official publication of the Society for Adolescent Medicine [J Adolesc Health] 2020 Aug; Vol. 67 (2), pp. 232-238. Date of Electronic Publication: 2020 Mar 10.
DOI: 10.1016/j.jadohealth.2020.01.025
Abstrakt: Purpose: Although Internet-based electronic health (eHealth) interventions could potentially reduce mental health disparities, especially in college students in under-resourced countries, little is known about the relative acceptability of eHealth versus in-person treatment modalities and the treatment barriers associated with a preference for one type over the other.
Methods: Participants were from the 2018-2019 cohort of the University Project for Healthy Students (PUERTAS), a Web-based survey of incoming first-year students in Mexico and part of the World Mental Health International College Student Survey initiative. A total of 7,849 first-year students, 54.73% female, from five Mexican universities participated. We estimated correlates of preference for eHealth delivery over in-person modalities with a multivariate logistic regression.
Results: Thirty-eight percent of students prefer in-person services, 36% showed no preference for in-person over eHealth, 19% prefer not to use services of any kind, and 7% preferred eHealth over in-person treatment delivery. Being embarrassed, worried about harm to one's academic career, wanting to handle problems on one's own, beliefs about treatment efficacy, having depression, and having attention-deficient hyperactivity disorder were associated with a clear preference for eHealth delivery methods with odds ratios ranging from 1.47 to 2.59.
Conclusions: Although more students preferred in-person services over eHealth, those reporting attitudinal barriers (i.e., embarrassment, stigma, wanting to handle problems on one's own, and beliefs about treatment efficacy) and with depression or attention-deficit hyperactivity disorder had a greater preference for eHealth interventions suggesting these are students to whom eHealth interventions could be targeted to alleviate symptoms and/or as a bridge to future in-person treatment.
(Copyright © 2020 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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