Perceived helpfulness of treatment for alcohol use disorders: Findings from the World Mental Health Surveys.

Journal: Drug and alcohol dependence

Volume: 229

Issue: Pt B

Year of Publication: 2022

Affiliated Institutions:  National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW , Australia. Electronic address: l.degenhardt@unsw.edu.au. National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW , Australia. Department of Health Care Policy, Harvard Medical School, Longwood Avenue, Boston, MA , USA. School of Public Health, The University of Queensland, c/o QCMHR, Locked Bag , Archerfield, QLD , Australia; Queensland Centre for Mental Health Research, The Park Centre for Mental Health, Wolston Park Rd, Wacol, QLD , Australia. Department of Psychology, Yale University, Hillhouse Avenue, , New Haven, CT , USA. Department of Psychiatry, University of British Columbia, UBC Hospital - Detwiller Pavilion, Room , Wesbrook Mall, UBC Vancouver Campus, Vancouver, BC VT A, Canada; Department of Global Health and Social Medicine, Harvard Medical School, Huntington Avenue, Boston, MA , USA. IMIM-Hospital del Mar Medical Research Institute, PRBB Building, Doctor Aiguader, , Barcelona , Spain; CIBER en Epidemiología y Salud Pública (CIBERESP), Av. Monforte de Lemos, -, Pabellón , Planta , Madrid, Spain; Pompeu Fabra University (UPF), Plaça de la Mercè, -, Barcelona, Spain. University of São Paulo Medical School, Núcleo de Epidemiologia Psiquiátrica - LIM , Rua Dr. Ovidio Pires de Campos, , São Paulo CEP -, Brazil. Universitair Psychiatrisch Centrum - Katholieke Universiteit Leuven (UPC-KUL), Campus Gasthuisberg, Herestraat , B- Leuven, Belgium. School of Psychology, Ulster University, Londonderry, College Avenue, Londonderry BT JL, 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, Campo Mártires da Pátria, , - Lisbon, Portugal. IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Via Pilastroni , Brescia, Italy. National School of Public Health, Management and Development, Vaselor Str., Bucharest, Romania. Department of Psychiatry, University College Hospital, Ibadan, PMB , Nigeria. Parc Sanitari Sant Joan de Déu, CIBERSAM, Universitat de Barcelona Dr. Antoni Pujades, , Sant Boi de Llobregat, Barcelona , Spain. Shenzhen Institute of Mental Health & Shenzhen Kangning Hospital, Cuizhu Rd, Luohu District, Shenzhen, Guangdong Province , China. Institute for Development, Research, Advocacy and Applied Care (IDRAAC), Achrafieh, St. George Hospital Street, Beirut, Lebanon. Institute for Development, Research, Advocacy and Applied Care (IDRAAC), Achrafieh, St. George Hospital Street, Beirut, Lebanon; Department of Psychiatry and Clinical Psychology, St George Hospital University Medical Center, Beirut, Ashrafieh , Lebanon; Balamand University, Faculty of Medicine, Rond Point Saloumeh, Sin el Fil, Beirut, Lebanon. Ecole des Hautes Etudes en Santé Publique (EHESP), EA , Paris Descartes University, Avenue George Sand La Plaine, St Denis, France. Department of Psychiatry, Chinese University of Hong Kong, Tai Po, Hong Kong, G/F Multicentre, Tai Po Hospital, Tai Po, Hong Kong. Queensland Centre for Mental Health Research, The Park Centre for Mental Health, Wolston Park Rd, Wacol, QLD , Australia; Queensland Brain Institute, The University of Queensland, QBI Building , St Lucia, QLD , Australia; National Centre for Register-based Research, Aarhus University, Fuglesangs Allé , Bygning R-R, DK- Aarhus V, Denmark. National Institute of Psychiatry Ramón de la Fuente Muñiz, Calzada México-Xochimilco, , Colonia San Lorenzo Huipulco, México City DF , Mexico. Institute of Psychiatry and Neurology, Jana III Sobieskiego , - Warsaw, Poland. Unidad de Docencia, Investigacion y Formación en Salud Mental, Servicio Murciano de Salud, Murcia Health Service, C/ Lorca, nº . -El Palmar, Murcia , Spain; Instituto Murciano de Investigación Biosanitaria Virgen de la Arrixaca, El Palmar, Murcia, Spain; Centro de Investigación Biomédica en ERed en Epidemíologia y Salud Pública, El Palmar, Murcia, Spain. Colegio Mayor de Cundinamarca University, Faculty of Social Sciences, Calle # B , Bogotá , Colombia. Department of Psychological Medicine, University of Otago, PO Box , Dunedin , New Zealand. Departamento de Psiquiatría y Salud Mental, Facultad de Medicina, Universidad de Buenos Aires, Paraguay , CABG CABA, Argentina. National Institute of Mental Health, National Center for Neurology and Psychiatry, Chome-- Ogawahigashicho, Kodaira, Tokyo -, Japan. Trimbos-Instituut, Netherlands Institute of Mental Health and Addiction, Da Costakade , VS Utrecht, Postbus , AS Utrecht, The Netherlands. Center for Excellence on Research in Mental Health, CES University, Calle A No. -, Medellin, Colombia . Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Huntington Ave, Boston, MA . Department of Mental Health, National Centre of Public Health and Analyses, Boulevard "Acad. Ivan Geshov" No, Sofia , Bulgaria.

Abstract summary 

We examined prevalence and factors associated with receiving perceived helpful alcohol use disorder (AUD) treatment, and persistence in help-seeking after earlier unhelpful treatment.Data came from 27 community epidemiologic surveys of adults in 24 countries using the World Health Organization World Mental Health surveys (n = 93,843). Participants with a lifetime history of treated AUD were asked if they ever received helpful AUD treatment, and how many professionals they had talked to up to and including the first time they received helpful treatment (or how many ever, if they had not received helpful treatment).11.8% of respondents with lifetime AUD reported ever obtaining treatment (n = 9378); of these, 44% reported that treatment was helpful. The probability of obtaining helpful treatment from the first professional seen was 21.8%; the conditional probability of subsequent professionals being helpful after earlier unhelpful treatment tended to decrease as more professionals were seen. The cumulative probability of receiving helpful treatment at least once increased from 21.8% after the first professional to 79.7% after the seventh professional seen, following earlier unhelpful treatment. However, the cumulative probability of persisting with up to seven professionals in the face of prior treatments being unhelpful was only 13.2%.Fewer than half of people with AUDs who sought treatment found treatment helpful; the most important factor was persistence in seeking further treatment if a previous professional had not helped. Future research should examine how to increase the likelihood that AUD treatment is found to be helpful on any given contact.

Authors & Co-authors:  Degenhardt Louisa L Bharat Chrianna C Chiu Wai Tat WT Harris Meredith G MG Kazdin Alan E AE Vigo Daniel V DV Sampson Nancy A NA Alonso Jordi J Andrade Laura Helena LH Bruffaerts Ronny R Bunting Brendan B Cardoso Graça G de Girolamo Giovanni G Florescu Silvia S Gureje Oye O Haro Josep Maria JM Hu Chiyi C Karam Aimee N AN Karam Elie G EG Kovess-Masfety Viviane V Lee Sing S Makanjuola Victor V McGrath John J JJ Medina-Mora Maria Elena ME Moskalewicz Jacek J Navarro-Mateu Fernando F Posada-Villa José J Rapsey Charlene C Stagnaro Juan Carlos JC Tachimori Hisateru H Ten Have Margreet M Torres Yolanda Y Williams David R DR Zarkov Zahari Z Kessler Ronald C RC

Study Outcome 

Source Link: Visit source

Statistics
Citations : 
Authors :  36
Identifiers
Doi : 10.1016/j.drugalcdep.2021.109158
SSN : 1879-0046
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
Alcohol use disorder;Epidemiology;Treatment
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
Ireland