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Title: Perceived helpfulness of treatment for social anxiety disorder: findings from the WHO World Mental Health Surveys
Authors: Bruffaerts, Ronny
Harris, Meredith G
Kazdin, Alan E
Vigo, Daniel V
Sampson, Nancy A
Chiu, Wai Tat
Al-Hamzawi, Ali
Alonso, Jordi
Altwaijri, Yasmin A
Andrade, Laura
Benjet, Corina
de Girolamo, Giovanni
Florescu, Silvia
Haro, Josep Maria
Hu, Chi-Yi
Karam, Aimee
Karam, Elie G
Kovess-Masfety, Viviane
Lee, Sing
McGrath, John J
Navarro-Mateu, Fernando
Nishi, Daisuke
O'Neill, Siobhan
Posada-Villa, José
Scott, Kate M
Have, Margreet Ten
Torres, Yolanda
Wojtyniak, Bogdan
Xavier, Miguel
Zarkov, Zahari
Kessler, Ronald C
Affiliations: Faculty of Medicine 
Keywords: Perceived helpfulness
Social anxiety disorder
Issue Date: 2022-03-09
Publisher: Elsevier
Part of: Social Psychiatry and Psychiatric Epidemiology
Volume: 57
Issue: 10
Start page: 2079
End page: 2095
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.
ISSN: 09337954
DOI: 10.1007/s00127-022-02249-3
Open URL: Link to full text
Type: Journal Article
Appears in Collections:Faculty of Medicine

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