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dc.contributor.author | Benjet, C. | |
dc.contributor.author | Borges, G. | |
dc.contributor.author | Orozco, R. | |
dc.contributor.author | Aguilar-Gaxiola, S. | |
dc.contributor.author | Andrade, L.H. | |
dc.contributor.author | Cia, A. | |
dc.contributor.author | Hwang, I. | |
dc.contributor.author | Kessler, R.C. | |
dc.contributor.author | Piazza Ferrand, Marina Julia | |
dc.contributor.author | Posada-Villa, J. | |
dc.contributor.author | Sampson, N. | |
dc.contributor.author | Stagnaro, J.C. | |
dc.contributor.author | Torres, Y. | |
dc.contributor.author | Viana, M.C. | |
dc.contributor.author | Vigo, D. | |
dc.contributor.author | Medina-Mora, M.-E. | |
dc.date.accessioned | 2022-06-01T13:53:57Z | |
dc.date.available | 2022-06-01T13:53:57Z | |
dc.date.issued | 2022 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12866/11740 | |
dc.description.abstract | Objective: To estimate structural and attitudinal reasons for premature discontinuation of mental health treatment, socio-demographic and clinical correlates of treatment dropout due to these reasons, and to test country differences from the overall effect across the region of the Americas. Methods: World Health Organization-World Mental Health (WMH) surveys were carried out in six countries in the Americas: Argentina, Brazil, Colombia, Mexico, Peru and USA. Among the 1991 participants who met diagnostic criteria (measured with the Composite International Diagnostic Interview (WMH–CIDI)) for a mental disorder and were in treatment in the prior 12-months, the 236 (12.2%) who dropped out of treatment before the professional recommended were included. Findings: In all countries, individuals more frequently reported attitudinal (79.2%) rather than structural reasons (30.7%) for dropout. Disorder severity was associated with structural reasons; those with severe disorder (versus mild disorder) had 3.4 (95%CI=1.1–11.1) times the odds of reporting a structural reason. Regarding attitudinal reasons, those with lower income (versus higher income) were less likely to discontinue treatment because of getting better (OR=0.4; 95%CI= 0.2–0.9). Country specific variations were found. Limitations: Not all countries, or the poorest, in the region were included. Some estimations couldn´t be calculated due to cell size. Causality cannot be assumed. Conclusion: Clinicians should in the first sessions address attitudinal factors that may lead to premature termination. Public policies need to consider distribution of services to increase convenience. A more rational use of resources would be to offer brief therapies to individuals most likely to drop out of treatment prematurely. | en_US |
dc.language.iso | eng | |
dc.publisher | Elsevier | |
dc.relation.ispartofseries | Journal of Affective Disorders | |
dc.rights | info:eu-repo/semantics/restrictedAccess | |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es | |
dc.subject | Treatment dropout | en_US |
dc.subject | Treatment adherence | en_US |
dc.subject | Latin America | en_US |
dc.subject | Treatment barriers | en_US |
dc.title | Dropout from treatment for mental disorders in six countries of the Americas: A regional report from the World Mental Health Surveys | en_US |
dc.type | info:eu-repo/semantics/article | |
dc.identifier.doi | https://doi.org/10.1016/j.jad.2022.02.019 | |
dc.relation.issn | 1573-2517 |
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