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

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dc.contributor.affiliationDepartment 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.
dc.contributor.emailkessler@hcp.med.harvard.edu (Ronald C. Kessler)
dc.creatorStein, Dan J.es_ES
dc.creatorHarris, Meredith G.es_ES
dc.creatorVigo, Daniel V.es_ES
dc.creatorChiu, Wai Tates_ES
dc.creatorSampson, Nancyes_ES
dc.creatorAlonso, Jordies_ES
dc.creatorAltwaijri, Yasmines_ES
dc.creatorBunting, Brendanes_ES
dc.creatorCaldas-de-Almeida, José Migueles_ES
dc.creatorCía, Alfredoes_ES
dc.creatorCiutan, Mariuses_ES
dc.creatorDegenhardt, Louisaes_ES
dc.creatorGureje, Oyees_ES
dc.creatorKaram, Aimeees_ES
dc.creatorKaram, Elie G.es_ES
dc.creatorLee, Singes_ES
dc.creatorMedina-Mora, Maria Elenaes_ES
dc.creatorMneimneh, Zeinaes_ES
dc.creatorNavarro-Mateu, Fernandoes_ES
dc.creatorPosada-Villa, Josées_ES
dc.creatorRapsey, Charlenees_ES
dc.creatorTorres, Yolandaes_ES
dc.creatorViana, Maria Carmenes_ES
dc.creatorZiv, Yuvales_ES
dc.creatorKessler, Ronald C.es_ES
dc.creatorWHO World Mental Health Survey Collaboratorses_ES
dc.creatorBenjet, Corinaes_ES
dc.creatorBorges, Guilhermees_ES
dc.date2020
dc.date.accessioned2023-08-28T15:26:44Z
dc.date.accessioned2026-03-27T15:26:26Z
dc.date.available2023-08-28T15:26:44Z
dc.date.issued2020
dc.date.published2020
dc.descriptionBackground: 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.es_ES
dc.formatPDFes_ES
dc.identifierJC13DIEP20es_ES
dc.identifier.doi10.1002/da.23076
dc.identifier.eissn1520-6394
dc.identifier.issn1091-4269
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.placeEstados Unidos
dc.identifier.urihttps://doi.org/10.1002/da.23076
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7722199/
dc.identifier.urihttps://repositorio.inprf.gob.mx/handle/123456789/7738
dc.language.isoenges_ES
dc.publisherWileyes_ES
dc.relation37(10):972-994
dc.relation.jnabreviadoDEPRESS ANXIETY
dc.relation.journalDepression and Anxiety
dc.rightsAcceso Cerradoes_ES
dc.subject.kwCross national
dc.subject.kwEpidemiology
dc.subject.kwHealth services
dc.subject.kwPTSD
dc.subject.kwTrauma
dc.subject.kwTreatment
dc.titlePerceived helpfulness of treatment for posttraumatic stress disorder: Findings from the World Mental Health Surveyses_ES
dc.typeArtículoes_ES

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