Determinants of Barriers to Treatment for Anxiety Disorders

Chartier-Otis, Mariko; Perreault, Michel; Bélanger, Claude

doi:10.1007/s11126-010-9123-5

Cited by 49 publications

(36 citation statements)

References 30 publications

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“…Such attitudes tend to be more frequent among younger individuals with less education [55]. The literature, however, exposes other major obstacles to healthcare service utilization by this clientele, including cost of services, unawareness of available services, waiting times, transportation problems, bad experiences with professionals, doubts concerning the efficacy of treatment, and fear of stigmatization [22,55-57,59-61]. …”

Section: Discussionmentioning

confidence: 99%

“…The primary predisposing factors related to healthcare service utilization for MHR are income [16,17], insurance coverage [16,18], place of residence [19] and social support [20,21]. Needs-related factors include diagnosis, number and severity of mental disorders, as well as self-perception of mental and physical health [22,23]. According to the literature, needs are the strongest factors impacting healthcare service utilization [9,24,25].…”

Section: Introductionmentioning

confidence: 99%

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Determinants and patterns of service utilization and recourse to professionals for mental health reasons

Fleury

Grenier

Bamvita

et al. 2014

BMC Health Serv Res

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BackgroundThis study has a dual purpose: 1) identify determinants of healthcare service utilization for mental health reasons (MHR) in a Canadian (Montreal) catchment area; 2) determine the patterns of recourse to healthcare professionals in terms of frequency of visits and type of professionals consulted, and as it relates to the most prevalent mental disorders (MD) and psychological distress.MethodsData was collected from a random sample of 1,823 individuals interviewed after a two-year follow-up period. A regression analysis was performed to identify variables associated with service utilization and complementary analyses were carried out to better understand participants’ patterns of healthcare service utilization in relation to the most prevalent MD.ResultsAmong 243 individuals diagnosed with a MD in the 12 months preceding an interview, 113 (46.5%) reported having used healthcare services for MHR. Determinants of service utilization were emotional and legal problems, number of MD, higher personal income, lower quality of life, inability of individuals to influence events occurring in their neighborhood, female gender and, marginally, lack of alcohol dependence in the past 12 months. Emotional problems were the most significant determinant of healthcare service utilization. Frequent visits with healthcare professionals were more likely associated with major depression and number of MD with or without dependence to alcohol or drugs. People suffering from major depression, psychological distress and social phobia were more likely to consult different professionals, while individuals with panic disorders relied on their family physician only. Concerning social phobia, panic disorders and psychological distress, more frequent visits with professionals did not translate into involvement of a higher number of professionals or vice-versa.ConclusionsThis study demonstrates the impact of emotional problems, neighborhood characteristics and legal problems in healthcare service utilization for MHR. Interventions based on inter-professional collaboration could be prioritized to increase the ability of healthcare services to take care especially of individuals suffering from social phobia, panic disorders and psychological distress. Others actions that could be prioritized are training of family physicians in the treatment of MD, use of psychiatric consultants, internet outreach, and reimbursement of psychological consultations for individuals with low income.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Determinants and patterns of service utilization and recourse to professionals for mental health reasons

Fleury

Grenier

Bamvita

et al. 2014

BMC Health Serv Res

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“…This suggests related to psychotherapy and psychosocial interventions, as has been highlighted by other studies. 1,14,45,47 In Quebec, these services are in short supply in the public sector. Psychotherapy can be sought in the private sector, but this is not reimbursed by public health insurance.…”

Section: 41mentioning

confidence: 99%

Reasons and Determinants for Perceiving Unmet Needs for Mental Health in Primary Care in Quebec

et al. 2015

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Objective: To evaluate the mental health care needs perceived as unmet by adults in Quebec who had experienced depressive and (or) anxious symptomatology (DAS) in the previous 2 years and who used primary care services, and to identify the reasons associated with different types of unmet needs for care (UNCs) and the determinants of reporting UNCs. Method:Longitudinal data from the Dialogue Project were used. The sample consisted of 1288 adults who presented a common mental disorder and who consulted a general practitioner. The Hospital Anxiety and Depression Scale was used to measure DAS, and the Perceived Need for Care Questionnaire facilitated the assessment of the different types of UNCs and their motives.Results: About 40% of the participants perceived UNCs. Psychotherapy, help to improve ability to work, as well as general information on mental health and services were the most mentioned UNCs. The main reasons associated with reporting UNCs for psychotherapy and psychosocial interventions are "couldn't afford to pay" and "didn't know how or where to get help," respectively. The factors associated with mentioning UNCs (compared with met needs) are to present a high DAS or a DAS that increased during the past 12 months, to perceive oneself as poor or to not have private health insurance. Conclusions:To reduce the UNCs and, further, to reduce DAS, it is necessary to improve the availability and affordability of psychotherapy and psychosocial intervention services, and to inform users on the types of services available and how to access them. Raisons et déterminants de perception des besoins de santé mentale non comblés dans ls soins de première ligne au QuébecObjectif : Évaluer les besoins de soins de santé mentale perçus comme étant non comblés par des adultes québécois qui ont eu une symptomatologie dépressive et (ou) anxieuse (SDA) dans les 2 années précédentes et qui ont utilisé des services de non comblés (BSNC) et les déterminants pour déclarer ces BSNC.Méthode : Les données longitudinales du projet Dialogue ont été utilisées. L'échantillon se composait de 1288 adultes qui présentaient un trouble mental commun et qui mesurer la SDA, et le questionnaire des besoins de soins perçus a éclairé l'évaluation des différents types de BSNC et de ce qui les motivait.

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“…Reasons to visit medical websites are most frequently to seek information or advice on Y. Khazaal (&) Á A. Chatton Á D. Zullino Á R. Khan Division of Addictology, Geneva University Hospitals, Rue verte, 2, 1205 Geneva, Switzerland e-mail: yasser.khazaal@hcuge.ch symptoms, diseases, medical condition or treatments [3,4]. Prevalence of mental health disorders and addiction as well as the burden of these disorders and possible barriers to treatment [5] may lead people and their relatives to search on-line evidence-based information. This makes it particularly important for websites to present high quality and accurate information which may help people to make informed choices about their treatment.…”

Section: Introductionmentioning

confidence: 99%

HON Label and DISCERN as Content Quality Indicators of Health-Related Websites

et al. 2011

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Content quality indicators are warranted in order to help patients and consumers to judge the content quality of health-related on-line information. The aim of the present study is to evaluate web-based information on health topics and to assess particular content quality indicators like HON (Health on the Net) and DISCERN. The present study is based on the analysis of data issued from six previous studies which assessed with a standardized tool the general and content quality (evidence-based health information) of health-related websites. Keywords related to Social phobia, bipolar disorders, pathological gambling as well as cannabis, alcohol and cocaine addiction were entered into popular World Wide Web search engines. Websites were assessed with a standardized proforma designed to rate sites on the basis of accountability, presentation, interactivity, readability and content quality (evidence-based information). ''Health on the Net'' (HON) quality label, and DISCERN scale scores were used to verify their efficiency as quality indicators. Of 874 websites identified, 388 were included. Despite an observed association with higher content quality scores, the HON label fails to predict good content quality websites when used in a multiple regression. Sensibility and specificity of a DISCERN score [40 in the detection of good content quality websites were, respectively, 0.45 and 0.96. The DIS-CERN is a potential quality indicator with a relatively high specificity. Further developments in this domain are warranted in order to facilitate the identification of high-quality information on the web by patients.

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Determinants of Barriers to Treatment for Anxiety Disorders

Cited by 49 publications

References 30 publications

Determinants and patterns of service utilization and recourse to professionals for mental health reasons

Determinants and patterns of service utilization and recourse to professionals for mental health reasons

Reasons and Determinants for Perceiving Unmet Needs for Mental Health in Primary Care in Quebec

HON Label and DISCERN as Content Quality Indicators of Health-Related Websites

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