Patterns and correlates of patient-reported helpfulness of treatment for common mental and substance use disorders in the WHO World Mental Health Surveys.

Autor: 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.
Jazyk: angličtina
Zdroj: World psychiatry : official journal of the World Psychiatric Association (WPA) [World Psychiatry] 2022 Jun; Vol. 21 (2), pp. 272-286.
DOI: 10.1002/wps.20971
Abstrakt: 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.
(© 2022 World Psychiatric Association.)
Databáze: MEDLINE
Externí odkaz: