Evidence map›Paper›PMID 35093131›Full record

ArticleInternational journal of mental health systems2022

Perceived helpfulness of service sectors used for mental and substance use disorders: Findings from the WHO World Mental Health Surveys.

Meredith G Harris, Alan E Kazdin, Richard J Munthali, Daniel V Vigo, Irving Hwang, Nancy A Sampson, Ali Al-Hamzawi, Jordi Alonso, Laura Helena Andrade, Guilherme Borges and 14 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of mental health systems, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.8field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Psychiatric diagnosis and treatment in the 21st century: paradigm shifts versus incremental integration.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2022
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

24 authors at 20 institutions in 18 countries.

Meredith G HarrisSchool of Public Health, The University of Queensland, Level 2, Public Health Building (887), 288 Herston Road, Herston, QLD, 4006, Australia. meredith.harris@uq.edu.au.
Alan E KazdinDepartment of Psychology, Yale University, 2 Hillhouse Avenue- 208205, New Haven, CT, 06520, USA.
Richard J MunthaliDepartment of Psychiatry, University of British Columbia, UBC Hospital-Detwiller Pavilion, UBC Vancouver Campus, Room 2813, 2255 Wesbrook Mall, Vancouver, BC, V6T 2A1, Canada.
Daniel V VigoDepartment of Psychiatry, University of British Columbia, UBC Hospital-Detwiller Pavilion, UBC Vancouver Campus, Room 2813, 2255 Wesbrook Mall, Vancouver, BC, V6T 2A1, Canada.
Irving HwangDepartment of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA, 02115, USA.
Nancy A SampsonDepartment of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA, 02115, USA.
Ali Al-HamzawiCollege of Medicine, Al-Qadisiya University, Al-Diwaniyah, P.O.Box 88, Al-Qadisiyah, Iraq.
Jordi AlonsoIMIM-Hospital del Mar Medical Research Institute, PRBB Building, Doctor Aiguader, 88, 08003, Barcelona, Spain.
Laura Helena AndradeUniversity of São Paulo Medical School, Núcleo de Epidemiologia Psiquiátrica - LIM 23, Rua Dr. Ovidio Pires de Campos, 785, São Paulo, CEP 05403-010, Brazil.
Guilherme BorgesNational Institute of Psychiatry Ramón de La Fuente Muñiz, Calzada México-Xochimilco, 101, Colonia San Lorenzo Huipulco, DF 14370, México City, Mexico.
Brendan BuntingSchool of Psychology, Ulster University, College Avenue, Londonderry, BT48 7JL, UK.
Silvia FlorescuNational School of Public Health, Management and Development, 31 Vaselor Str, 21253, Bucharest, Romania.
Oye GurejeDepartment of Psychiatry, University of Ibadan, University College Hospital, Ibadan, 5116, PMB, Nigeria.
Elie G KaramInstitute for Development, Research, Advocacy and Applied Care (IDRAAC), Achrafieh, St. George Hospital Street, Beirut, Lebanon.
Sing LeeDepartment of Psychiatry, Chinese University of Hong Kong, Tai Po, Hong Kong.
Fernando Navarro-MateuUnidad de Docencia, Investigacion Y Formación en Salud Mental, Servicio Murciano de Salud, Murcia Health Service, C/ Lorca, nº 58. -El Palmar, 30120, Murcia, Spain.
Daisuke NishiDepartment of Mental Health, Graduate School of Medicine, The University of Tokyo, 7-3-1, Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan.
Charlene RapseyDepartment of Psychological Medicine, University of Otago, PO Box 56, Dunedin, 9054, New Zealand.
Kate M ScottDepartment of Psychological Medicine, University of Otago, PO Box 56, Dunedin, 9054, New Zealand.
Juan Carlos StagnaroDepartamento de Psiquiatría Y Salud Mental, Facultad de Medicina, Universidad de Buenos Aires, 2155, C1121ABG CABA, Paraguay, Argentina.
Maria Carmen VianaDepartment of Social Medicine, Postgraduate Program in Public Health, Federal University of Espírito Santo, Rua Dr. Euríco de Águiar, 888/705, Vitoria, Espirito Santo-ES, 29052-600, Brazil.
Bogdan WojtyniakNational Institute of Public Health, National Research Institute, 24 Chocimska St., 00-791, Warsaw, Poland.
Miguel XavierLisbon Institute of Global Mental Health and Chronic Diseases Research Center (CEDOC), Universidade Nova de Lisboa, Campo dos Mártires da Pátria, 130, 1169-056, Lisbon, Portugal.
Ronald C KesslerDepartment of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA, 02115, USA.
Harvard University · USUniversity of British Columbia Hospital · CAUniversity of Otago · NZChinese University of Hong Kong · HKInstituto Murciano de Investigación Biosanitaria · ESInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz · MXNarodowy Instytut Zdrowia Publicznego PZH – Państwowy Instytut Badawczy · PLNational School of Public Health, Management and Professional Development · ROThe University of Queensland · AUThe University of Tokyo · JPUniversidad de Buenos Aires · ARUniversidade de São Paulo · BRUniversidade Federal do Espírito Santo · BRUniversidade Nova de Lisboa · PTUniversitat Pompeu Fabra · ESUniversity of Al-Qadisiyah · IQUniversity of Balamand · LBUniversity of Ibadan · NGUniversity of Ulster · GBYale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMental healthcare is delivered across service sectors that differ in level of specialization and intervention modalities typically offered. Little is known about the perceived helpfulness of the combinations of service sectors that patients use.

methodsRespondents 18 + years with 12-month DSM-IV mental or substance use disorders who saw a provider for mental health problems in the year before interview were identified from WHO World Mental Health surveys in 17 countries. Based upon the types of providers seen, patients were grouped into nine mutually exclusive single-sector or multi-sector 'treatment profiles'. Perceived helpfulness was defined as the patient's maximum rating of being helped ('a lot', 'some', 'a little' or 'not at all') of any type of provider seen in the profile. Logistic regression analysis was used to examine the joint associations of sociodemographics, disorder types, and treatment profiles with being helped 'a lot'.

resultsAcross all surveys combined, 29.4% (S.E. 0.6) of respondents with a 12-month disorder saw a provider in the past year (N = 3221). Of these patients, 58.2% (S.E. 1.0) reported being helped 'a lot'. Odds of being helped 'a lot' were significantly higher (odds ratios [ORs] = 1.50-1.89) among the 12.9% of patients who used specialized multi-sector profiles involving both psychiatrists and other mental health specialists, compared to other patients, despite their high comorbidities. Lower odds of being helped 'a lot' were found among patients who were seen only in the general medical, psychiatrist, or other mental health specialty sectors (ORs = 0.46-0.71). Female gender and older age were associated with increased odds of being helped 'a lot'. In models stratified by country income group, having 3 or more disorders (high-income countries only) and state-funded health insurance (low/middle-income countries only) were associated with increased odds of being helped 'a lot'.

conclusionsPatients who received specialized, multi-sector care were more likely than other patients to report being helped 'a lot'. This result is consistent with previous research suggesting that persistence in help-seeking is associated with receiving helpful treatment. Given the nonrandom sorting of patients by types of providers seen and persistence in help-seeking, we cannot discount that selection bias may play some role in this pattern.

Indexed as

Healthcare providersHealth service useMental disordersMental health servicesPatient perspectivesPerceived helpfulnessService sectorsSubstance use disordersTreatment profiles

Identifiers

PMID35093131
PMCPMC8800240
OpenAlexW4210804156

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.