Perceived helpfulness of treatment for posttraumatic stress disorder: Findings from the World Mental Health Surveys.
Journal: Depression and anxiety
Volume: 37
Issue: 10
Year of Publication: 2021
Affiliated Institutions:
Department of Psychiatry & Mental Health and South African Medical Council Research Unit on Risk and Resilience in Mental Disorders, University of Cape Town and Groote Schuur Hospital, Cape Town, Republic of South Africa.
School of Public Health, The University of Queensland, Herston, Australia.
Department of Psychiatry, University of British Columbia, Vancouver, Canada.
Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts.
Health Services Research Unit, IMIM-Hospital del Mar Medical Research Institute, Barcelona, Spain.
Epidemiology Section, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
School of Psychology, Ulster University, Londonderry, United Kingdom.
Lisbon Institute of Global Mental Health and Chronic Diseases Research Center (CEDOC), NOVA Medical School, Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisbon, Portugal.
Anxiety Disorders Center, Buenos Aires, Argentina.
National School of Public Health, Management and Professional Development, Bucharest, Romania.
National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia.
Department of Psychiatry, University College Hospital, Ibadan, Nigeria.
Institute for Development, Research, Advocacy & Applied Care (IDRAAC), Beirut, Lebanon.
Department of Psychiatry, Chinese University of Hong Kong, Tai Po, Hong Kong.
National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico.
Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, Michigan.
UDIF-SM, Servicio Murciano de Salud, Murcia, Spain.
Faculty of Social Sciences, Colegio Mayor de Cundinamarca University, Bogota, Colombia.
Department of Psychological Medicine, University of Otago, Dunedin, New Zealand.
Center for Excellence on Research in Mental Health, CES University, Medellin, Colombia.
Department of Social Medicine, Postgraduate Program in Public Health, Federal University of Espírito Santo, Vitoria, Brazil.
Mental Health Services, Israeli Ministry of Health, Jerusalem, Israel.
Abstract summary
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).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.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.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.
Authors & Co-authors:
Stein Dan J DJ
Harris Meredith G MG
Vigo Daniel V DV
Tat Chiu Wai W
Sampson Nancy N
Alonso Jordi J
Altwaijri Yasmin Y
Bunting Brendan B
Caldas-de-Almeida José Miguel JM
Cía Alfredo A
Ciutan Marius M
Degenhardt Louisa L
Gureje Oye O
Karam Aimee A
Karam Elie G EG
Lee Sing S
Medina-Mora Maria Elena ME
Mneimneh Zeina Z
Navarro-Mateu Fernando F
Posada-Villa José J
Rapsey Charlene C
Torres Yolanda Y
Carmen Viana Maria M
Ziv Yuval Y
Kessler Ronald C RC
Study Outcome
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