| Full text | |
| Author(s): |
Coelho, Bruno M.
[1]
;
Santana, Geilson L.
[1]
;
Viana, Maria C.
[2]
;
Wang, Yuan-Pang
[1]
;
Andrade, Laura H.
[1]
Total Authors: 5
|
| Affiliation: | [1] Univ Sao Paulo, Inst Psiquiatria, Hosp Clin, Dept Psiquiatria, Fac Med, Nucl Epidemiol Psiquiatr, Rua Dr Ovidio Pires Campos 785, BR-05403903 Sao Paulo, SP - Brazil
[2] Univ Fed Espirito Santo, Dept Med Social, Ctr Ciencias Saude, Programas Posgrad Saude Publ, Vitoria, ES - Brazil
Total Affiliations: 2
|
| Document type: | Journal article |
| Source: | Revista Brasileira de Psiquiatria; v. 43, n. 6, p. 590-598, NOV-DEC 2021. |
| Web of Science Citations: | 0 |
| Abstract | |
Objective: Most countries fail to treat individuals with psychopathologies. Investigating treatment barriers and reasons for dropout are key elements to overcoming this scenario. Methods: A representative sample of 2,942 urban-dwelling adults was interviewed face-to-face within a cross-sectional, stratified, multistage probability survey of the general population. Psychiatric diagnosis, severity level, use of services, reasons for not seeking treatment, and treatment dropout were investigated. Results: Only 23% of individuals with a psychopathology of any severity level in the last 12 months received treatment. Low perceived need for treatment (56%) was the most common reason for not seeking treatment. The most visited settings were psychiatric, other mental health care, and general medical care. Among those with a perceived need for treatment (44%), psychological barriers were the most common reason for not seeking it. Treatment dropout was more prevalent among those who visited a general medical care setting. Among individuals still in treatment, human services and psychiatric care were the most common types. Female sex was associated with structural barriers (OR = 2.1). Disorder severity was negatively associated with need barriers (OR = 0.4), and positively associated with structural barriers (OR = 2.5) and psychological barriers (OR = 2.5). Conclusion: Despite the need for treatment and better services, psychological barriers were the major reason for not seeking treatment. Apart from providing more specialists, investing in awareness, de-stigmatization, and information is the ultimate strategy for improving psychiatric care. (AU) | |
| FAPESP's process: | 03/00204-3 - Epidemiological study of psychiatric disorders in the São Paulo Metropolitan Region: prevalence, risk factors, and social and economical burden |
| Grantee: | Laura Helena Silveira Guerra de Andrade |
| Support Opportunities: | Research Projects - Thematic Grants |
| FAPESP's process: | 11/50517-4 - Identification of subgroups of alcohol users and related factors in the São Paulo Metropolitan Area: gender differences, sociodemographic characteristics and psychiatric comorbidities |
| Grantee: | Laura Helena Silveira Guerra de Andrade |
| Support Opportunities: | Regular Research Grants |