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

dc.creatorKessler, Ronald C.es_ES
dc.creatorKazdin, Alan E.es_ES
dc.creatorAguilar-Gaxiola, Sergioes_ES
dc.creatorAl-Hamzawi, Alies_ES
dc.creatorAlonso, Jordies_ES
dc.creatorAltwaijri, Yasmin A.es_ES
dc.creatorAndrade, Laura H.es_ES
dc.creatorBenjet, Corinaes_ES
dc.creatorBharat, Chriannaes_ES
dc.creatorBorges, Guilhermees_ES
dc.creatorBruffaerts, Ronnyes_ES
dc.creatorBunting, Brendanes_ES
dc.creatorCaldas de Almeida, José Migueles_ES
dc.creatorCardoso, Graçaes_ES
dc.creatorChiu, Wai Tates_ES
dc.creatorCía, Alfredoes_ES
dc.creatorCiutan, Mariuses_ES
dc.creatorDegenhardt, Louisaes_ES
dc.creatorGirolamo, Giovanni dees_ES
dc.creatorJonge, Peter dees_ES
dc.creatorVries, Ymkje Anna dees_ES
dc.creatorFlorescu, Silviaes_ES
dc.creatorGureje, Oyees_ES
dc.creatorHaro, Josep Mariaes_ES
dc.creatorHarris, Meredith G.es_ES
dc.creatorHu, Chiyies_ES
dc.creatorKaram, Aimee N.es_ES
dc.creatorKaram, Elie G.es_ES
dc.creatorKaram, Georgeses_ES
dc.creatorKawakami, Noritoes_ES
dc.creatorKiejna, Andrzejes_ES
dc.creatorKovess-Masfety, Vivianees_ES
dc.creatorLee, Singes_ES
dc.creatorMakanjuola, Victores_ES
dc.creatorMcGrath, John J.es_ES
dc.creatorMedina-Mora, Maria Elenaes_ES
dc.creatorMoskalewicz, Jacekes_ES
dc.creatorNavarro-Mateu, Fernandoes_ES
dc.creatorNierenberg, Andrew A.es_ES
dc.creatorNishi, Daisukees_ES
dc.creatorOjagbemi, Akines_ES
dc.creatorOladeji, Bibilola D.es_ES
dc.creatorO’Neill, Siobhanes_ES
dc.creatorPosada-Villa, Josées_ES
dc.creatorPuac-Polanco, Victores_ES
dc.creatorRapsey, Charlenees_ES
dc.creatorRuscio, Ayelet Merones_ES
dc.creatorSampson, Nancy A.es_ES
dc.creatorScott, Kate M.es_ES
dc.creatorSlade, Times_ES
dc.creatorStagnaro, Juan Carloses_ES
dc.creatorStein, Dan J.es_ES
dc.creatorTachimori, Hisaterues_ES
dc.creatorHave, Margreet tenes_ES
dc.creatorTorres, Yolandaes_ES
dc.creatorViana, Maria Carmenes_ES
dc.creatorVigo, Daniel V.es_ES
dc.creatorWilliams, David R.es_ES
dc.creatorWojtyniak, Bogdanes_ES
dc.creatorXavier, Migueles_ES
dc.creatorZarkov, Zaharies_ES
dc.creatorZiobrowski, Hannah N.es_ES
dc.creatorWHO World Mental Health Survey collaboratorses_ES
dc.date2022
dc.date.accessioned2024-08-06T18:18:03Z
dc.date.available2024-08-06T18:18:03Z
dc.date.issued2022
dc.identifierJC01DIEP22es_ES
dc.identifier.issn1723-8617
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/8029
dc.identifier.urihttps://doi.org/10.1002/wps.20971
dc.descriptionPatient-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.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherMasson Italyes_ES
dc.relation21(2):272-286
dc.rightsAcceso Cerradoes_ES
dc.titlePatterns and correlates of patient-reported helpfulness of treatment for common mental and substance use disorders in the WHO World Mental Health Surveyses_ES
dc.typeArtículoes_ES
dc.contributor.affiliationDepartment of Health Care Policy, Harvard Medical School, Boston, MA, USA.
dc.relation.jnabreviadoWORLD PSYCHIATRY
dc.relation.journalWorld Psychiatry
dc.date.published2022
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.eissn2051-5545
dc.identifier.doi10.1002/wps.20971
dc.subject.kwHelpfulness of treatment
dc.subject.kwProfessional help-seeking
dc.subject.kwHeterogeneity of treatment effects
dc.subject.kwPatient-centered care
dc.subject.kwTreatment adherence
dc.subject.kwMmood disorders
dc.subject.kwAnxiety disorders
dc.subject.kwPost-traumatic stress disorder
dc.subject.kwSubstance use disorders
dc.subject.kwPrecision psychiatry


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