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(Referência obtida automaticamente do Web of Science, por meio da informação sobre o financiamento pela FAPESP e o número do processo correspondente, incluída na publicação pelos autores.)

Perceived helpfulness of treatment for posttraumatic stress disorder: Findings from the World Mental Health Surveys

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Autor(es):
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Stein, Dan J. [1, 2] ; Harris, Meredith G. [3, 4] ; Vigo, Daniel V. [5, 6] ; Chiu, Wai Tat [7] ; Sampson, Nancy [7] ; Alonso, Jordi [8, 9, 10] ; Altwaijri, Yasmin [11] ; Bunting, Brendan [12] ; Caldas-de-Almeida, Jose Miguel [13, 14] ; Cia, Alfredo [15] ; Ciutan, Marius [16] ; Degenhardt, Louisa [17] ; Gureje, Oye [18] ; Karam, Aimee [19] ; Karam, Elie G. [19, 20] ; Lee, Sing [21] ; Medina-Mora, Maria Elena [22] ; Mneimneh, Zeina [23] ; Navarro-Mateu, Fernando [24, 25, 26] ; Posada-Villa, Jose [27] ; Rapsey, Charlene [28] ; Torres, Yolanda [29] ; Viana, Maria Carmen [30] ; Ziv, Yuval [31] ; Kessler, Ronald C. [7] ; Colla, WHO World Mental Hlth Survey
Número total de Autores: 26
Afiliação do(s) autor(es):
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[1] Univ Cape Town, Dept Psychiat & Mental Hlth, Res Unit Risk & Resilience Mental Disorders, Cape Town - South Africa
[2] Univ Cape Town, South African Med Council, Res Unit Risk & Resilience Mental Disorders, Cape Town - South Africa
[3] Pk Ctr Mental Hlth, Queensland Ctr Mental Hlth Res, Brisbane, Qld - Australia
[4] Univ Queensland, Sch Publ Hlth, Herston, Qld - Australia
[5] Univ British Columbia, Dept Psychiat, Vancouver, BC - Canada
[6] Harvard Med Sch, Dept Global Hlth & Social Med, Boston, MA 02115 - USA
[7] Harvard Med Sch, Dept Hlth Care Policy, 180 Longwood Ave, Boston, MA 02115 - USA
[8] Pompeu Fabra Univ UPF, Barcelona - Spain
[9] CIBER Epidemiol & Salud Publ CIBERESP, Barcelona - Spain
[10] IMIM Hosp del Mar Med Res Inst, Hlth Serv Res Unit, Barcelona - Spain
[11] King Faisal Specialist Hosp & Res Ctr, Epidemiol Sect, Riyadh - Saudi Arabia
[12] Ulster Univ, Sch Psychol, Derry, Londonderry - North Ireland
[13] Univ Nova Lisboa, Lisbon Inst Global Mental Hlth, NOVA Med Sch, Fac Ciencias Med, Lisbon - Portugal
[14] Univ Nova Lisboa, Chron Dis Res Ctr CEDOC, NOVA Med Sch, Fac Ciencias Med, Lisbon - Portugal
[15] Anxiety Disorders Ctr, Buenos Aires, DF - Argentina
[16] Natl Sch Publ Hlth Management & Profess Dev, Bucharest - Romania
[17] Univ New South Wales, Natl Drug & Alcohol Res Ctr, Sydney, NSW - Australia
[18] Univ Coll Hosp, Dept Psychiat, Ibadan - Nigeria
[19] Inst Dev Res Advocacy & Appl Care IDRAAC, Beirut - Lebanon
[20] Balamand Univ, Dept Psychiat & Clin Psychol, St George Hosp Univ, Med Ctr, Fac Med, Beirut - Lebanon
[21] Chinese Univ Hong Kong, Dept Psychiat, Tai Po, Hong Kong - Peoples R China
[22] Natl Inst Psychiat Ramon de la Fuente Muniz, Mexico City, DF - Mexico
[23] Univ Michigan, Survey Res Ctr, Inst Social Res, Ann Arbor, MI 48109 - USA
[24] IMIB Arrixaca, Murcia - Spain
[25] UDIF SM, Serv Murciano Salud, Murcia - Spain
[26] CIBERESP Murcia, Murcia, Region De Murci - Spain
[27] Colegio Mayor Cundinamarca Univ, Fac Social Sci, Bogota - Colombia
[28] Univ Otago, Dept Psychol Med, Dunedin - New Zealand
[29] CES Univ, Ctr Excellence Res Mental Hlth, Medellin - Colombia
[30] Univ Fed Espirito Santo, Dept Social Med, Postgrad Program Publ Hlth, Vitoria, ES - Brazil
[31] Israeli Minist Hlth, Mental Hlth Serv, Jerusalem - Israel
Número total de Afiliações: 31
Tipo de documento: Artigo Científico
Fonte: DEPRESSION AND ANXIETY; JUL 2020.
Citações Web of Science: 0
Resumo

Background Perceived helpfulness of treatment is an important healthcare quality indicator in the era of patient-centered care. We examine probability and predictors of two key components of this indicator for posttraumatic stress disorder (PTSD). Methods Data come from World Mental Health surveys in 16 countries. Respondents who ever sought PTSD treatment (n = 779) were asked if treatment was ever helpful and, if so, the number of professionals they had to see to obtain helpful treatment. Patients whose treatment was never helpful were asked how many professionals they saw. Parallel survival models were estimated for obtaining helpful treatment in a specific encounter and persisting in help-seeking after earlier unhelpful encounters. Results Fifty seven percent of patients eventually received helpful treatment, but survival analysis suggests that it would have been 85.7% if all patients had persisted in help-seeking with up to six professionals after earlier unhelpful treatment. Survival analysis suggests that only 23.6% of patients would persist to that extent. Odds of ever receiving helpful treatment were positively associated with receiving treatment from a mental health professional, short delays in initiating help-seeking after onset, absence of prior comorbid anxiety disorders and childhood adversities, and initiating treatment before 2000. Some of these variables predicted helpfulness of specific treatment encounters and others predicted persistence after earlier unhelpful encounters. Conclusions The great majority of patients with PTSD would receive treatment they considered helpful if they persisted in help-seeking after initial unhelpful encounters, but most patients whose initial treatment is unhelpful give up before receiving helpful treatment. (AU)

Processo FAPESP: 03/00204-3 - Estudo epidemiológico dos transtornos psiquiátricos na região metropolitana de São Paulo: prevalências, fatores de risco e sobrecarga social e econômica
Beneficiário:Laura Helena Silveira Guerra de Andrade Burdmann
Linha de fomento: Auxílio à Pesquisa - Temático