Mostrar el registro sencillo del ítem

Dropout from treatment for mental disorders in six countries of the Americas: a regional report from the World Mental Health Surveys

dc.creatorBenjet, Corinaes_ES
dc.creatorBorges, Guilhermees_ES
dc.creatorOrozco, Ricardoes_ES
dc.creatorAguilar-Gaxiola, Sergioes_ES
dc.creatorAndrade, Laura H.es_ES
dc.creatorCia, Alfredoes_ES
dc.creatorHwang, Irvinges_ES
dc.creatorKessler, Ronald C.es_ES
dc.creatorPiazza, Marinaes_ES
dc.creatorPosada-Villa, Josées_ES
dc.creatorSampson, Nancyes_ES
dc.creatorStagnaro, Juan Carloses_ES
dc.creatorTorres, Yolandaes_ES
dc.creatorViana, María Carmenes_ES
dc.creatorVigo, Danieles_ES
dc.creatorMedina-Mora, María-Elenaes_ES
dc.date2022
dc.date.accessioned2024-09-26T17:46:59Z
dc.date.available2024-09-26T17:46:59Z
dc.date.issued2022
dc.identifierJC23DIEP22es_ES
dc.identifier.issn0165-0327
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/8057
dc.identifier.urihttps://doi.org/10.1016/j.jad.2022.02.019
dc.descriptionObjective: To estimate structural and attitudinal reasons for premature discontinuation of mental health treatment, socio-demographic and clinical correlates of treatment dropout due to these reasons, and to test country differences from the overall effect across the region of the Americas. Methods: World Health Organization-World Mental Health (WMH) surveys were carried out in six countries in the Americas: Argentina, Brazil, Colombia, Mexico, Peru and USA. Among the 1991 participants who met diagnostic criteria (measured with the Composite International Diagnostic Interview (WMHCIDI)) for a mental disorder and were in treatment in the prior 12-months, the 236 (12.2%) who dropped out of treatment before the professional recommended were included. Findings: In all countries, individuals more frequently reported attitudinal (79.2%) rather than structural reasons (30.7%) for dropout. Disorder severity was associated with structural reasons; those with severe disorder (versus mild disorder) had 3.4 (95%CI=1.1-11.1) times the odds of reporting a structural reason. Regarding attitudinal reasons, those with lower income (versus higher income) were less likely to discontinue treatment because of getting better (OR=0.4; 95%CI= 0.2-0.9). Country specific variations were found. Limitations: Not all countries, or the poorest, in the region were included. Some estimations couldn´t be calculated due to cell size. Causality cannot be assumed. Conclusion: Clinicians should in the first sessions address attitudinal factors that may lead to premature termination. Public policies need to consider distribution of services to increase convenience. A more rational use of resources would be to offer brief therapies to individuals most likely to drop out of treatment prematurely.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherElsevieres_ES
dc.relation303:168-179
dc.rightsAcceso Cerradoes_ES
dc.titleDropout from treatment for mental disorders in six countries of the Americas: a regional report from the World Mental Health Surveyses_ES
dc.typeArtículoes_ES
dc.contributor.affiliationInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Mexico City, Mexico
dc.contributor.emailcbenjet@imp.edu.mx (C. Benjet)
dc.relation.jnabreviadoJ AFFECT DISORD
dc.relation.journalJournal of Affective Disorders
dc.identifier.placePaíses Bajos
dc.date.published2022
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.eissn1573-2517
dc.identifier.doi10.1016/j.jad.2022.02.019
dc.subject.kwTreatment dropout
dc.subject.kwTreatment adherence
dc.subject.kwLatin America
dc.subject.kwTreatment barriers


Ficheros en el ítem

FicherosTamañoFormatoVer

No hay ficheros asociados a este ítem.

Este ítem aparece en la(s) siguiente(s) colección(ones)

Mostrar el registro sencillo del ítem