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dc.contributor.authorDegenhardt, Louisaen_US
dc.contributor.authorBharat, Chriannaen_US
dc.contributor.authorChiu, Wai Taten_US
dc.contributor.authorHarris, Meredith Gen_US
dc.contributor.authorKazdin, Alan Een_US
dc.contributor.authorVigo, Daniel Ven_US
dc.contributor.authorSampson, Nancy Aen_US
dc.contributor.authorAlonso, Jordien_US
dc.contributor.authorAndrade, Laura Helenaen_US
dc.contributor.authorBruffaerts, Ronnyen_US
dc.contributor.authorBunting, Brendanen_US
dc.contributor.authorCardoso, Graçaen_US
dc.contributor.authorde Girolamo, Giovannien_US
dc.contributor.authorFlorescu, Silviaen_US
dc.contributor.authorGureje, Oyeen_US
dc.contributor.authorHaro, Josep Mariaen_US
dc.contributor.authorHu, Chiyien_US
dc.contributor.authorKaram, Aimee Nen_US
dc.contributor.authorKaram, Elie G.en_US
dc.contributor.authorKovess-Masfety, Vivianeen_US
dc.contributor.authorLee, Singen_US
dc.contributor.authorMakanjuola, Victoren_US
dc.contributor.authorMcGrath, John Jen_US
dc.contributor.authorMedina-Mora, Maria Elenaen_US
dc.contributor.authorMoskalewicz, Jaceken_US
dc.contributor.authorNavarro-Mateu, Fernandoen_US
dc.contributor.authorPosada-Villa, Joséen_US
dc.contributor.authorRapsey, Charleneen_US
dc.contributor.authorStagnaro, Juan Carlosen_US
dc.contributor.authorTachimori, Hisateruen_US
dc.contributor.authorTen Have, Margreeten_US
dc.contributor.authorTorres, Yolandaen_US
dc.contributor.authorWilliams, David Ren_US
dc.contributor.authorZarkov, Zaharien_US
dc.contributor.authorKessler, Ronald Cen_US
dc.description.abstractAim We examined prevalence and factors associated with receiving perceived helpful alcohol use disorder (AUD) treatment, and persistence in help-seeking after earlier unhelpful treatment. Methods Data came from 27 community epidemiologic surveys of adults in 24 countries using the World Health Organization World Mental Health surveys (n = 93,843). Participants with a lifetime history of treated AUD were asked if they ever received helpful AUD treatment, and how many professionals they had talked to up to and including the first time they received helpful treatment (or how many ever, if they had not received helpful treatment). Results 11.8% of respondents with lifetime AUD reported ever obtaining treatment (n = 9378); of these, 44% reported that treatment was helpful. The probability of obtaining helpful treatment from the first professional seen was 21.8%; the conditional probability of subsequent professionals being helpful after earlier unhelpful treatment tended to decrease as more professionals were seen. The cumulative probability of receiving helpful treatment at least once increased from 21.8% after the first professional to 79.7% after the seventh professional seen, following earlier unhelpful treatment. However, the cumulative probability of persisting with up to seven professionals in the face of prior treatments being unhelpful was only 13.2%. Conclusion Fewer than half of people with AUDs who sought treatment found treatment helpful; the most important factor was persistence in seeking further treatment if a previous professional had not helped. Future research should examine how to increase the likelihood that AUD treatment is found to be helpful on any given contact.en_US
dc.subjectAlcohol use disorderen_US
dc.titlePerceived helpfulness of treatment for alcohol use disorders: Findings from the World Mental Health Surveysen_US
dc.typeJournal Articleen_US
dc.contributor.affiliationFaculty of Medicineen_US
dc.relation.ispartoftextDrug and Alcohol Dependenceen_US
dc.description.campusSGH campusen_US
Appears in Collections:Faculty of Medicine
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