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Perceived helpfulness of treatment for generalized anxiety disorder: a World Mental Health Surveys report

dc.creatorStein, Dan J.es_ES
dc.creatorKazdin, Alan E.es_ES
dc.creatorRuscio, Ayelet Merones_ES
dc.creatorChiu, Wai Tates_ES
dc.creatorSampson, Nancy A.es_ES
dc.creatorZiobrowski, Hannah N.es_ES
dc.creatorAguilar-Gaxiola, Sergioes_ES
dc.creatorAl-Hamzawi, Alies_ES
dc.creatorAlonso, Jordies_ES
dc.creatorAltwaijri, Yasmines_ES
dc.creatorBruffaerts, Ronnyes_ES
dc.creatorBunting, Brendanes_ES
dc.creatorGirolamo, Giovanni dees_ES
dc.creatorJonge, Peter dees_ES
dc.creatorDegenhardt, Louisaes_ES
dc.creatorGureje, Oyees_ES
dc.creatorHaro, Josep Mariaes_ES
dc.creatorHarris, Meredith G.es_ES
dc.creatorKaram, Aimeees_ES
dc.creatorKaram, Elie G.es_ES
dc.creatorKovess-Masfety, Vivianees_ES
dc.creatorLee, Singes_ES
dc.creatorMedina-Mora, Maria Elenaes_ES
dc.creatorMoskalewicz, Jacekes_ES
dc.creatorNavarro-Mateu, Fernandoes_ES
dc.creatorNishi, Daisukees_ES
dc.creatorPosada-Villa, Josées_ES
dc.creatorScott, Kate M.es_ES
dc.creatorViana, Maria Carmenes_ES
dc.creatorVigo, Daniel V.es_ES
dc.creatorXavier, Migueles_ES
dc.creatorZarkov, Zaharies_ES
dc.creatorKessler, Ronald C.es_ES
dc.creatorWHO World Mental Health Survey collaboratorses_ES
dc.creatorAguilar-Gaxiola, Sergioes_ES
dc.creatorAl-Hamzawi, Alies_ES
dc.creatorAl-Kaisy, Mohammed Salihes_ES
dc.creatorAlonso, Jordies_ES
dc.creatorAltwaijri, Yasmin A.es_ES
dc.creatorAndrade, Laura Helenaes_ES
dc.creatorAtwoli, Lukoyees_ES
dc.creatorBenjet, Corinaes_ES
dc.creatorBorges, Guilhermees_ES
dc.creatorBromet, Evelyn J.es_ES
dc.creatorBruffaerts, Ronnyes_ES
dc.creatorBunting, Brendanes_ES
dc.creatorCaldas-de-Almeida, Jose Migueles_ES
dc.creatorCardoso, Graçaes_ES
dc.creatorChatterji, Somnathes_ES
dc.creatorCia, Alfredo H.es_ES
dc.creatorDegenhardt, Louisaes_ES
dc.creatorDemyttenaere, Koenes_ES
dc.creatorFlorescu, Silviaes_ES
dc.creatorGirolamo, Giovanni dees_ES
dc.creatorGureje, Oyees_ES
dc.creatorHaro, Josep Mariaes_ES
dc.creatorHarris, Meredith G.es_ES
dc.creatorHinkov, Hristoes_ES
dc.creatorHu, Chi-Yies_ES
dc.creatorJonge, Peter dees_ES
dc.creatorKaram, Aimee Nasseres_ES
dc.creatorKaram, Elie G.es_ES
dc.creatorKawakami, Noritoes_ES
dc.creatorKessler, Ronald C.es_ES
dc.creatorKiejna, Andrzejes_ES
dc.creatorKovess-Masfety, Vivianees_ES
dc.creatorLee, Singes_ES
dc.creatorLepine, Jean-Pierrees_ES
dc.creatorMcGrath, John J.es_ES
dc.creatorMedina-Mora, Maria Elenaes_ES
dc.creatorMneimneh, Zeinaes_ES
dc.creatorMoskalewicz, Jacekes_ES
dc.creatorNavarro-Mateu, Fernandoes_ES
dc.creatorPiazza, Marinaes_ES
dc.creatorPosada-Villa, Josees_ES
dc.creatorScott, Kate M.es_ES
dc.creatorSlade, Times_ES
dc.creatorStagnaro, Juan Carloses_ES
dc.creatorStein, Dan J.es_ES
dc.creatorHave, Margreet Tenes_ES
dc.creatorTorres, Yolandaes_ES
dc.creatorViana, Maria Carmenes_ES
dc.creatorVigo, Daniel V.es_ES
dc.creatorWhiteford, Harveyes_ES
dc.creatorWilliams, David R.es_ES
dc.creatorWojtyniak, Bogdanes_ES
dc.date2021
dc.date.accessioned2024-02-01T17:08:53Z
dc.date.available2024-02-01T17:08:53Z
dc.date.issued2021
dc.identifierJC33DIEP21es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/7901
dc.identifier.urihttps://doi.org/10.1186/s12888-021-03363-3
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8351147/
dc.descriptionBackground: Treatment guidelines for generalized anxiety disorder (GAD) are based on a relatively small number of randomized controlled trials and do not consider patient-centered perceptions of treatment helpfulness. We investigated the prevalence and predictors of patient-reported treatment helpfulness for DSM-5 GAD and its two main treatment pathways: encounter-level treatment helpfulness and persistence in help-seeking after prior unhelpful treatment. Methods: Data came from community epidemiologic surveys in 23 countries in the WHO World Mental Health surveys. DSM-5 GAD was assessed with the fully structured WHO Composite International Diagnostic Interview Version 3.0. Respondents with a history of GAD were asked whether they ever received treatment and, if so, whether they ever considered this treatment helpful. Number of professionals seen before obtaining helpful treatment was also assessed. Parallel survival models estimated probability and predictors of a given treatment being perceived as helpful and of persisting in help-seeking after prior unhelpful treatment. Results: The overall prevalence rate of GAD was 4.5%, with lower prevalence in low/middle-income countries (2.8%) than high-income countries (5.3%); 34.6% of respondents with lifetime GAD reported ever obtaining treatment for their GAD, with lower proportions in low/middle-income countries (19.2%) than high-income countries (38.4%); 3) 70% of those who received treatment perceived the treatment to be helpful, with prevalence comparable in low/middle-income countries and high-income countries. Survival analysis suggested that virtually all patients would have obtained helpful treatment if they had persisted in help-seeking with up to 10 professionals. However, we estimated that only 29.7% of patients would have persisted that long. Obtaining helpful treatment at the person-level was associated with treatment type, comorbid panic/agoraphobia, and childhood adversities, but most of these predictors were important because they predicted persistence rather than encounter-level treatment helpfulness. Conclusions: The majority of individuals with GAD do not receive treatment. Most of those who receive treatment regard it as helpful, but receiving helpful treatment typically requires persistence in help-seeking. Future research should focus on ensuring that helpfulness is included as part of the evaluation. Clinicians need to emphasize the importance of persistence to patients beginning treatment.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherBioMed Centrales_ES
dc.relation21(1):392
dc.rightsAcceso Cerradoes_ES
dc.titlePerceived helpfulness of treatment for generalized anxiety disorder: a World Mental Health Surveys reportes_ES
dc.typeArtículoes_ES
dc.contributor.affiliationDepartment 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
dc.contributor.emaildan.stein@uct.ac.za
dc.relation.jnabreviadoBMC PSYCHIATRY
dc.relation.journalBMC Psychiatry
dc.identifier.placeInglaterra
dc.date.published2021
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.eissn1471-244X
dc.identifier.doi10.1186/s12888-021-03363-3
dc.subject.kwGeneralized anxiety disorder
dc.subject.kwPathways to treatment
dc.subject.kwPatient-centered outcomes
dc.subject.kwTreatment helpfulness


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