Barriers to Mental Health Treatment: Results from the WHO World Mental Health (WMH) Surveys

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dc.contributor.affiliationSection of Psychiatric Epidemiology-LIM 23, Department/Institute of Psychiatry, University of São Paulo Medical School, São Paulo, Braziles_ES
dc.contributor.emailkessler@hcp.med.harvard.edues_ES
dc.creatorAndrade, L. H.
dc.creatorAlonso, J.
dc.creatorMneimneh, Z.
dc.creatorWells,  J. E.
dc.creatorAl-Hamzawi, A.
dc.creatorBorges, G.
dc.creatorBromet, E.
dc.creatorBruffaerts, R.
dc.creatorDe Girolamo, G.
dc.creatorDe Graaf, R.
dc.creatorFlorescu, S.
dc.creatorGureje, O.
dc.creatorHinkov, H. R.
dc.creatorHu, C.
dc.creatorHuang, Y.
dc.creatorHwang, I.
dc.creatorJin, R.
dc.creatorKaram, E. G.
dc.creatorKovess-Masfety, V.
dc.creatorLevinson, D.
dc.creatorMatschinger,  H.
dc.creatorO’Neill, S.
dc.creatorPosada-Villa, J.
dc.creatorSagar, R.
dc.creatorSampson, N. A.
dc.creator.identificadorhttp://orcid.org/0000-0002-2362-3521>Andrade, L. H.es_ES
dc.creator.identificadorhttp://orcid.org/0000-0001-8627-9636>Alonso, J.es_ES
dc.creator.identificadorhttp://orcid.org/0000-0002-8494-3633>Al-Hamzawi, A.es_ES
dc.creator.identificadorhttp://orcid.org/0000-0002-3269-0507>Borges, G.es_ES
dc.creator.identificadorhttp://orcid.org/0000-0002-0878-0369>De Graaf, R.es_ES
dc.creator.identificadorhttp://orcid.org/0000-0003-3477-9596>Hu, C.es_ES
dc.creator.identificadorhttp://orcid.org/0000-0002-8786-2118>O’Neill, S.es_ES
dc.date.accessioned2017-06-29T03:42:26Z
dc.date.accessioned2026-03-27T14:33:52Z
dc.date.available2017-06-29T03:42:26Z
dc.date.issued2014es_ES
dc.date.published2014es_ES
dc.description.abstractotrodiomaBackground—To examine barriers to initiation and continuation of mental health treatment among individuals with common mental disorders. Methods—Data are from the WHO World Mental Health (WMH) Surveys. Representative household samples were interviewed face-to-face in 24 countries. Reasons to initiate and continue treatment were examined in a subsample (n= 63,678) and analyzed at different levels of clinical severity. Results—Among those with a DSM-IV disorder in the past twelve months, low perceived need was the most common reason for not initiating treatment and more common among moderate and mild than severe cases. Women and younger people with disorders were more likely to recognize a need for treatment. Desire to handle the problem on one’s own was the most common barrier among respondents with a disorder who perceived a need for treatment (63.8%). Attitudinal barriers were much more important than structural barriers both to initiating and continuing treatment. However, attitudinal barriers dominated for mild-moderate cases and structural barriers for severe cases. Perceived ineffectiveness of treatment was the most commonly reported reason for treatment dropout (39.3%) followed by negative experiences with treatment providers (26.9% of respondents with severe disorders). Conclusions—Low perceived need and attitudinal barriers are the major barriers to seeking and staying in treatment among individuals with common mental disorders worldwide. Apart from targeting structural barriers, mainly in countries with poor resources, increasing population mental health literacy is an important endeavor worldwide.es_ES
dc.description.monthAbres_ES
dc.identifier2571es_ES
dc.identifier.citationMercedes Simoni Nieveses_ES
dc.identifier.doi10.1017/S0033291713001943es_ES
dc.identifier.eissn1469-8978es_ES
dc.identifier.issn0033-2917es_ES
dc.identifier.numero6es_ES
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñizes_ES
dc.identifier.paginacion1307-1317es_ES
dc.identifier.placeInglaterraes_ES
dc.identifier.urihttp://doi.org/10.1017/S0033291713001943es_ES
dc.identifier.urihttps://repositorio.inprf.gob.mx/handle/123456789/4420
dc.identifier.volumen44es_ES
dc.language.isoenges_ES
dc.relation44(6) 1307-1317p.es_ES
dc.relationversión del editores_ES
dc.relation.jnabreviadoPSYCHOL MEDes_ES
dc.relation.journalPsychological medicinees_ES
dc.rightsacceso cerradoes_ES
dc.subject.koMental healthcarees_ES
dc.subject.koTreatment seekinges_ES
dc.subject.koContinuityes_ES
dc.subject.meshAdolescentes_ES
dc.subject.meshAdultes_ES
dc.subject.meshAgedes_ES
dc.subject.meshAged, 80 and overes_ES
dc.subject.meshAttitude to Healthes_ES
dc.subject.meshFemalees_ES
dc.subject.meshGlobal Health/statistics and numerical dataes_ES
dc.subject.meshHealth Services Accessibility/statistics and numerical dataes_ES
dc.subject.meshHumanses_ES
dc.subject.meshMalees_ES
dc.subject.meshMental Health Services/statistics and numerical dataes_ES
dc.subject.meshMental Health Services/utilizationes_ES
dc.subject.meshMiddle Agedes_ES
dc.subject.meshWorld Health Organizationes_ES
dc.subject.meshYoung Adultes_ES
dc.titleBarriers to Mental Health Treatment: Results from the WHO World Mental Health (WMH) Surveyses_ES
dc.typeartículoes_ES

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