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Perceived helpfulness of treatment for specific phobia: Findings from the World Mental Health Surveys

dc.creatorVries, Ymkje Anna dees_ES
dc.creatorHarris, Meredith G.es_ES
dc.creatorVigo, Danieles_ES
dc.creatorChiu, Wai Tates_ES
dc.creatorSampson, Nancy A.es_ES
dc.creatorAl-Hamzawi, Alies_ES
dc.creatorAlonso, Jordies_ES
dc.creatorAndrade, Laura H.es_ES
dc.creatorBenjet, Corinaes_ES
dc.creatorBruffaerts, Ronnyes_ES
dc.creatorBunting, Brendanes_ES
dc.creatorCaldas de Almeida, José Migueles_ES
dc.creatorGirolamo, Giovanni dees_ES
dc.creatorFlorescu, Silviaes_ES
dc.creatorGureje, Oyees_ES
dc.creatorHaro, Josep Mariaes_ES
dc.creatorHu, Chiyies_ES
dc.creatorKaram, Elie G.es_ES
dc.creatorKawakami, Noritoes_ES
dc.creatorKovess-Masfety, Vivianees_ES
dc.creatorLee, Singes_ES
dc.creatorMoskalewicz, Jacekes_ES
dc.creatorNavarro-Mateu, Fernandoes_ES
dc.creatorOjagbemi, Akines_ES
dc.creatorPosada-Villa, Josées_ES
dc.creatorScott, Katees_ES
dc.creatorTorres, Yolandaes_ES
dc.creatorZarkov, Zaharies_ES
dc.creatorNierenberg, Andrewes_ES
dc.creatorKessler, Ronald C.es_ES
dc.creatorJonge, Peter dees_ES
dc.creatorWHO World Mental Health Survey collaboratorses_ES
dc.date2021
dc.date.accessioned2024-03-15T17:56:37Z
dc.date.available2024-03-15T17:56:37Z
dc.date.issued2021
dc.identifierJC50DIEP21es_ES
dc.identifier.issn0165-0327
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/7922
dc.identifier.urihttps://doi.org/10.1016/j.jad.2021.04.001
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8154701/
dc.descriptionBackground: Although randomized trials show that specific phobia treatments can be effective, it is unclear whether patients experience treatment as helpful in clinical practice. We investigated this issue by assessing perceived treatment helpfulness for specific phobia in a cross-national epidemiological survey. Methods: Cross-sectional population-based WHO World Mental Health (WMH) surveys in 24 countries (n=112,507) assessed lifetime specific phobia. Respondents who met lifetime criteria were asked whether they ever received treatment they considered helpful and the number of professionals seen up to the time of receiving helpful treatment. Discrete-event survival analysis was used to calculate conditional-cumulative probabilities of obtaining helpful treatment across number of professionals seen and of persisting in help-seeking after prior unhelpful treatment. Results: 23.0% of respondents reported receiving helpful treatment from the first professional seen, whereas cumulative probability of receiving helpful treatment was 85.7% after seeing up to 9 professionals. However, only 14.7% of patients persisted in seeing up to 9 professionals, resulting in the proportion of patients ever receiving helpful treatment (47.5%) being much lower than it could have been with persistence in help-seeking. Few predictors were found either of perceived helpfulness or of persistence in help-seeking after earlier unhelpful treatments. Limitations: Retrospective recall and lack of information about either types of treatments received or objective symptomatic improvements limit results. Conclusions: Despite these limitations, results suggest that helpfulness of specific phobia treatment could be increased, perhaps substantially, by increasing patient persistence in help-seeking after earlier unhelpful treatments. Improved understanding is needed of barriers to help-seeking persistence.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherElsevieres_ES
dc.relation288:199-209
dc.rightsAcceso Cerradoes_ES
dc.titlePerceived helpfulness of treatment for specific phobia: Findings from the World Mental Health Surveyses_ES
dc.typeArtículoes_ES
dc.contributor.affiliationDepartment of Developmental Psychology, University of Groningen, Groningen, the Netherlands; Interdisciplinary Center Psychopathology and Emotion Regulation, University Medical Center Groningen, Groningen, the Netherlands
dc.contributor.emailkessler@hcp.med.harvard.edu (R.C. Kessler)
dc.relation.jnabreviadoJ AFFECT DISORD
dc.relation.journalJournal of Affective Disorders
dc.identifier.placePaíses Bajos
dc.date.published2021
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.eissn1573-2517
dc.identifier.doi10.1016/j.jad.2021.04.001
dc.subject.kwHelpfulness of treatment
dc.subject.kwSimple phobia
dc.subject.kwSpecific phobia
dc.subject.kwWorld Mental Health Surveys


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