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Perceived helpfulness of treatment for social anxiety disorder: findings from the WHO World Mental Health Surveys

2022; Springer Science+Business Media; Volume: 57; Issue: 10 Linguagem: Inglês

10.1007/s00127-022-02249-3

1433-9285

Ronny Bruffaerts, Meredith Harris, Alan E. Kazdin, Daniel Vigo, Nancy A. Sampson, Wai Tat Chiu, Amit Malik, Jordi Alonso, Yasmin Altwaijri, Laura Helena Andrade, Corina Benjet, Giovanni de Girolamo, Silvia Florescu, Josep María Haro, Chiyi Hu, Aimée Karam, Elie G. Karam, Viviane Kovess–Masféty, Sing Lee, John J. McGrath, Fernando Navarro‐Mateu, Daisuke Nishi, Siobhan O’Neill, José Posada‐Villa, Kate M. Scott, Margreet ten Have, Yolanda Torres, Bogdan Wojtyniak, Miguel Xavier, Zahari Zarkov, Ronald C. Kessler, Sergio Aguilar‐Gaxiola, Amit Malik, Mohammed Salih Al-Kaisy, Yasmine A. Altwaijri, Jordi Alonso, Laura Helena Andrade, Lukoye Atwoli, Corina Benjet, Guilherme Borges, Evelyn J. Bromet, Ronny Bruffaerts, Brendan Bunting, Jose Miguel Caldas-de-Almeida, Graça Cardoso, Somnath Chatterji, H. Alfredo, Louisa Degenhardt, Koen Demyttenaere, Silvia Florescu, Giovanni de Girolamo, Oye Gureje, Josep María Haro, Meredith Harris, Hristo Hinkov, Chiyi Hu, Peter de Jonge, Aimée Karam, Elie G. Karam, Norito Kawakami, Ronald C. Kessler, Andrzej Kiejna, Viviane Kovess–Masféty, Sing Lee, Jean‐Pierre Lépine, John M. McGrath, María Elena Medina-Mora, Zeina Mneimneh, Jacek Moskalewicz, Fernando Navarro‐Mateu, Marina Piazza, José Posada‐Villa, Kate M. Scott, Tim Slade, Juan Carlos Stagnaro, Dan J. Stein, Margreet ten Have, Yolanda Torres, María Carmen Viana, Daniel Vigo, Harvey Whiteford, David R. Williams, Bogdan Wojtyniak,

Mental Health Treatment and Access

To investigate the prevalence and predictors of perceived helpfulness of treatment in persons with a history of DSM-IV social anxiety disorder (SAD), using a worldwide population-based sample.The World Health Organization World Mental Health Surveys is a coordinated series of community epidemiological surveys of non-institutionalized adults; 27 surveys in 24 countries (16 in high-income; 11 in low/middle-income countries; N = 117,856) included people with a lifetime history of treated SAD.In respondents with lifetime SAD, approximately one in five ever obtained treatment. Among these (n = 1322), cumulative probability of receiving treatment they regarded as helpful after seeing up to seven professionals was 92.2%. However, only 30.2% persisted this long, resulting in 65.1% ever receiving treatment perceived as helpful. Perceiving treatment as helpful was more common in female respondents, those currently married, more highly educated, and treated in non-formal health-care settings. Persistence in seeking treatment for SAD was higher among those with shorter delays in seeking treatment, in those receiving medication from a mental health specialist, and those with more than two lifetime anxiety disorders.The vast majority of individuals with SAD do not receive any treatment. Among those who do, the probability that people treated for SAD obtain treatment they consider helpful increases considerably if they persisted in help-seeking after earlier unhelpful treatments.