Perceived helpfulness of bipolar disorder treatment: Findings from the World Health Organization World Mental Health Surveys

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dc.contributor.affiliationDauten Family Center for Bipolar Treatment Innovation, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA
dc.contributor.emailkessler@hcp.med.harvard.edu (Ronald C. Kessler)
dc.creatorNierenberg, Andrew A.es_ES
dc.creatorHarris, Meredith G.es_ES
dc.creatorKazdin, Alan E.es_ES
dc.creatorPuac-Polanco, Victores_ES
dc.creatorSampson, Nancyes_ES
dc.creatorVigo, Daniel V.es_ES
dc.creatorChiu, Wai Tates_ES
dc.creatorZiobrowski, Hannah N.es_ES
dc.creatorAlonso, Jordies_ES
dc.creatorAltwaijri, Yasmines_ES
dc.creatorBorges, Guilhermees_ES
dc.creatorBunting, Brendanes_ES
dc.creatorCaldas-de-Almeida, José Migueles_ES
dc.creatorHaro, Josep Mariaes_ES
dc.creatorHu, Chi-yies_ES
dc.creatorKiejna, Andrzejes_ES
dc.creatorLee, Singes_ES
dc.creatorMcGrath, John J.es_ES
dc.creatorNavarro-Mateu, Fernandoes_ES
dc.creatorPosada-Villa, Josées_ES
dc.creatorScott, Kate M.es_ES
dc.creatorStagnaro, Juan Carloses_ES
dc.creatorViana, Maria Carmenes_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.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, Gionanni 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, Johnes_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.accessioned2024-04-12T16:28:19Z
dc.date.accessioned2026-03-27T15:29:59Z
dc.date.available2024-04-12T16:28:19Z
dc.date.issued2021
dc.date.published2021
dc.descriptionObjectives: To examine patterns and predictors of perceived treatment helpfulness for mania/hypomania and associated depression in the WHO World Mental Health Surveys. Methods: Face-to-face interviews with community samples across 15 countries found n = 2,178 who received lifetime mania/hypomania treatment and n = 624 with lifetime mania/hypomania who received lifetime major depression treatment. These respondents were asked whether treatment was ever helpful and, if so, the number of professionals seen before receiving helpful treatment. Patterns and predictors of treatment helpfulness were examined separately for mania/hypomania and depression. Results: 63.1% (mania/hypomania) and 65.1% (depression) of patients reported ever receiving helpful treatment. However, only 24.5-22.5% were helped by the first professional seen, which means that the others needed to persist in help seeking after initial unhelpful treatments in order to find helpful treatment. Projections find only 22.9% (mania/hypomania) and 43.3% (depression) would persist through a series of unhelpful treatments but that the proportion helped would increase substantially if persistence increased. Few patient-level significant predictors of helpful treatment emerged and none consistently either across the two components (i.e., provider-level helpfulness and persistence after earlier unhelpful treatment) or for both mania/hypomania and depression. Although prevalence of treatment was higher in high-income than low/middle-income countries, proportional helpfulness among treated cases was nearly identical in the two groups of countries. Conclusions: Probability of patients with mania/hypomania and associated depression obtaining helpful treatment might increase substantially if persistence in help-seeking increased after initially unhelpful treatments, although this could require seeing numerous additional treatment providers. In addition to investigating reasons for initial treatments not being helpful, messages reinforcing the importance of persistence should be emphasized to patients.es_ES
dc.formatPDFes_ES
dc.identifierJC68DIEP21es_ES
dc.identifier.doi10.1111/bdi.13066
dc.identifier.eissn1399-5618
dc.identifier.issn1398-5647
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.placeDinamarca
dc.identifier.urihttps://doi.org/10.1111/bdi.13066
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8387507/
dc.identifier.urihttps://repositorio.inprf.gob.mx/handle/123456789/7944
dc.language.isoenges_ES
dc.publisherWiley-Blackwelles_ES
dc.relation23(6):565-583
dc.relation.jnabreviadoBIPOLAR DISORD
dc.relation.journalBipolar Disorders
dc.rightsAcceso Cerradoes_ES
dc.subject.kwBipolar disorder
dc.subject.kwPatient reported outcomes
dc.subject.kwTreatment effectiveness
dc.titlePerceived helpfulness of bipolar disorder treatment: Findings from the World Health Organization World Mental Health Surveyses_ES
dc.typeArtículoes_ES

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