TY  - JOUR
PY  - 2020//
TI  - Perceived helpfulness of treatment for posttraumatic stress disorder: findings from the World Mental Health Surveys
JO  - Depression and anxiety
A1  - Stein, Dan J.
A1  - Harris, Meredith G.
A1  - Vigo, Daniel V.
A1  - Tat Chiu, Wai
A1  - Sampson, Nancy
A1  - Alonso, Jordi
A1  - Altwaijri, Yasmin
A1  - Bunting, Brendan
A1  - Caldas-de-Almeida, Jose Miguel
A1  - Cía, Alfredo
A1  - Ciutan, Marius
A1  - Degenhardt, Louisa
A1  - Gureje, Oye
A1  - Karam, Aimee
A1  - Karam, Elie G.
A1  - Lee, Sing
A1  - Medina-Mora, Maria Elena
A1  - Mneimneh, Zeina
A1  - Navarro-Mateu, Fernando
A1  - Posada-Villa, Jose
A1  - Rapsey, Charlene
A1  - Torres, Yolanda
A1  - Carmen Viana, Maria
A1  - Ziv, Yuval
A1  - Kessler, Ronald C.
A1  - WHO World Mental Health Survey Collaborators, 
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - BACKGROUND: 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.<p />  <p>Language: en</p>
LA  - en
SN  - 1091-4269
UR  - http://dx.doi.org/10.1002/da.23076
ID  - ref1
ER  -