Perceived helpfulness of treatment for specific phobia: Findings from the World Mental Health Surveys
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- dc.contributor.author de Vries, Ymkje Anna
- dc.contributor.author Alonso Caballero, Jordi
- dc.contributor.author WHO World Mental Health Survey Collaborators
- dc.date.accessioned 2021-09-23T06:32:24Z
- dc.date.issued 2021
- dc.description.abstract Background: Although randomized trials show that specific phobia treatments can be effective, it is unclear whether patients experience treatment as helpful in clinical practice. We investigated this issue by assessing perceived treatment helpfulness for specific phobia in a cross-national epidemiological survey. Methods: Cross-sectional population-based WHO World Mental Health (WMH) surveys in 24 countries (n=112,507) assessed lifetime specific phobia. Respondents who met lifetime criteria were asked whether they ever received treatment they considered helpful and the number of professionals seen up to the time of receiving helpful treatment. Discrete-event survival analysis was used to calculate conditional-cumulative probabilities of obtaining helpful treatment across number of professionals seen and of persisting in help-seeking after prior unhelpful treatment. Results: 23.0% of respondents reported receiving helpful treatment from the first professional seen, whereas cumulative probability of receiving helpful treatment was 85.7% after seeing up to 9 professionals. However, only 14.7% of patients persisted in seeing up to 9 professionals, resulting in the proportion of patients ever receiving helpful treatment (47.5%) being much lower than it could have been with persistence in help-seeking. Few predictors were found either of perceived helpfulness or of persistence in help-seeking after earlier unhelpful treatments. Limitations: Retrospective recall and lack of information about either types of treatments received or objective symptomatic improvements limit results. Conclusions: Despite these limitations, results suggest that helpfulness of specific phobia treatment could be increased, perhaps substantially, by increasing patient persistence in help-seeking after earlier unhelpful treatments. Improved understanding is needed of barriers to help-seeking persistence.
- dc.format.mimetype application/pdf
- dc.identifier.citation de Vries YA, Harris MG, Vigo D, Chiu WT, Sampson NA, Al-Hamzawi A et al. Perceived helpfulness of treatment for specific phobia: Findings from the World Mental Health Surveys. J Affect Disord. 2021;288:199-209. DOI: 10.1016/j.jad.2021.04.001
- dc.identifier.doi http://dx.doi.org/10.1016/j.jad.2021.04.001
- dc.identifier.issn 0165-0327
- dc.identifier.uri http://hdl.handle.net/10230/48496
- dc.language.iso eng
- dc.publisher Elsevier
- dc.relation.ispartof J Affect Disord. 2021;288:199-209
- dc.rights © Elsevier http://dx.doi.org/10.1016/j.jad.2021.04.001
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.subject.keyword Helpfulness of treatment
- dc.subject.keyword Simple phobia
- dc.subject.keyword Specific phobia
- dc.subject.keyword World Mental Health Surveys
- dc.title Perceived helpfulness of treatment for specific phobia: Findings from the World Mental Health Surveys
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/acceptedVersion