Adolescents’ Assessments of the Helpfulness of Treatment for Major Depression: Results From a National Survey

Edlund, Mark J.; Pettiford, Adrianne; Hampton, Joel; Forman‐Hoffman, Valerie L.; Ault, Kimberly; Colpe, Lisa J.; Hedden, Sarra L.

doi:10.1176/appi.ps.201400018

Cited by 10 publications

(8 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Among people who received mental health treatment in the past 12 months, a majority (55-85%) say that they received treatment that was at least somewhat helpful (Alang & McAlpine, 2019;Colman et al, 2014;Edlund et al, 2015;Kuramoto-Crawford et al, 2015;Lippens & Mackenzie, 2011). On a lifetime basis, around two-thirds of people report ever receiving helpful treatment for their disorder (ten Have et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Perceived helpfulness of treatment for specific phobia: Findings from the World Mental Health Surveys

Vries

Harris

Vigo

et al. 2021

Journal of Affective Disorders

View full text Add to dashboard Cite

Section: Introductionmentioning

confidence: 99%

Perceived helpfulness of treatment for specific phobia: Findings from the World Mental Health Surveys

Vries

Harris

Vigo

et al. 2021

Journal of Affective Disorders

View full text Add to dashboard Cite

“…However, patientcentered definitions can also help to identify needs that are not fully met by treatment and in turn can inform policy and service responses to address these needs. [6][7][8] Thus, a patient's evaluation of the helpfulness of treatment is an important measure 9,10 that can be collected directly and efficiently 11,12 and, when assessed in population surveys, can help fill a knowledge gap about treatment outcomes at a population level. 11 In epidemiologic studies, approximately 55% to 75% of adults seeking help for depression or other mental health needs say they received treatment or professional contact that was at least somewhat helpful.…”

mentioning

confidence: 99%

Findings From World Mental Health Surveys of the Perceived Helpfulness of Treatment for Patients With Major Depressive Disorder

et al. 2020

View full text Add to dashboard Cite

IMPORTANCEThe perceived helpfulness of treatment is an important patient-centered measure that is a joint function of whether treatment professionals are perceived as helpful and whether patients persist in help-seeking after previous unhelpful treatments.OBJECTIVE To examine the prevalence and factors associated with the 2 main components of perceived helpfulness of treatment in a representative sample of individuals with a lifetime history of DSM-IV major depressive disorder (MDD). DESIGN, SETTING, AND PARTICIPANTSThis study examined the results of a coordinated series of community epidemiologic surveys of noninstitutionalized adults using the World Health Organization World Mental Health surveys. Seventeen surveys were conducted in 16 countries (8 surveys in high-income countries and 9 in low-and middle-income countries). The dates of data collection ranged from 2002 to 2003 (Lebanon) to 2016 to 2017 (Bulgaria). Participants included those with a lifetime history of treated MDD. Data analyses were conducted from April 2019 to January 2020. Data on socioeconomic characteristics, lifetime comorbid conditions (eg, anxiety and substance use disorders), treatment type, treatment timing, and country income level were collected. MAIN OUTCOMES AND MEASURESConditional probabilities of helpful treatment after seeing between 1 and 5 professionals; persistence in help-seeking after between 1 and 4 unhelpful treatments; and ever obtaining helpful treatment regardless of number of professionals seen. RESULTSSurvey response rates ranged from 50.4% (Poland) to 97.2% (Medellín, Columbia), with a pooled response rate of 68.3% (n = 117 616) across surveys. Mean (SE) age at first depression treatment was 34.8 (0.3) years, and 69.4% were female. Of 2726 people with a lifetime history of treatment of MDD, the cumulative probability (SE) of all respondents pooled across countries of helpful treatment after seeing up to 10 professionals was 93.9% (1.2%), but only 21.5% (3.2%) of patients persisted that long (ie, beyond 9 unhelpful treatments), resulting in 68.2% (1.1%) of patients ever receiving treatment that they perceived as helpful. The probability of perceiving treatment as helpful increased in association with 4 factors: older age at initiating treatment (adjusted odds ratio [AOR], 1.02; 95% CI, 1.01-1.03), higher educational level (low: AOR, 0.48; 95% CI, 0.33-0.70; low-average: AOR, 0.62; 95% CI, 0.44-0.89; high average: AOR, 0.67; 95% CI, 0.49-0.91 vs high educational level), shorter delay in initiating treatment after first onset (AOR, 0.98; 95% CI, 0.97-0.99), and medication received from a mental health specialist (AOR, 2.91; 95% CI, 2.04-4.15). Decomposition analysis showed that the first 2 of these 4 factors were associated with only the conditional probability of an individual treatment professional being perceived as helpful

show abstract

“…Wellness strategies, such as listening to music or having adequate sleep, were reported to be helpful and they were associated with perceived treatment effectiveness and greater subjective helpfulness of medication, psychotherapy, and peer support groups (46). In another study on depression among adolescents, counseling and medication were compared in regards to their helpfulness, finding that 32% to 47% of adolescents in the general population perceived depression treatment as extremely or a lot helpful which was lower than the response rate in clinical trials (47). Additionally, adolescents found that medication was more helpful than counseling (47).…”

Section: Introductionmentioning

confidence: 99%

“…In another study on depression among adolescents, counseling and medication were compared in regards to their helpfulness, finding that 32% to 47% of adolescents in the general population perceived depression treatment as extremely or a lot helpful which was lower than the response rate in clinical trials (47). Additionally, adolescents found that medication was more helpful than counseling (47). Regarding treatment adherence, perceived helpfulness may have a role.…”

Section: Introductionmentioning

confidence: 99%

What Was Helpful Questionnaire (WHQ): Psychometric Properties of a Novel Tool Designed to Capture Parental Perceived Helpfulness of Interventions in Children Requiring Mental Health Inpatient Care

et al. 2019

View full text Add to dashboard Cite

Background: Children in mental health inpatient care require multiple treatments. There is not a comprehensive instrument to assess perceived helpfulness of this combination of interventions. Aims: To develop and evaluate the psychometric properties of the What was Helpful Questionnaire (WHQ), a tool designed to capture parental perceived helpfulness of the multidimensional management approach used in inpatient children's units. Methods: A total of 73 inpatients and their families were included in this study. The WHQ consists of six items exploring the perceived helpfulness of different aspects of care. Demographic and clinical variables were collected on admission and discharge. An exploratory factor analysis using polychoric correlations was performed to assess the item structure of the scale and the Cronbach's alpha coefficient was used for internal reliability. Associations were assessed using regressions models. Results: WHQ is a unidimensional scale with an internal reliability of 0.77. No associations were identified between WHQ total score and age, gender, and Children's Global Assessment Scale scores change. A strong relationship between the WHQ total score and parental Acorn Satisfaction Questionnaire total score was found. Conclusions: Results add evidence for the validity and the reliability of the WHQ to measure parental perceived helpfulness of interventions offered in inpatient children's units.

show abstract

Adolescents’ Assessments of the Helpfulness of Treatment for Major Depression: Results From a National Survey

Abstract: About 32% to 47% of adolescents in the general population reported that depression treatment was extremely helpful or helped a lot. This is substantially lower than response rates in clinical trials. The reasons for these divergent findings merit further investigation.

Cited by 10 publications

References 33 publications

Perceived helpfulness of treatment for specific phobia: Findings from the World Mental Health Surveys

Perceived helpfulness of treatment for specific phobia: Findings from the World Mental Health Surveys

Findings From World Mental Health Surveys of the Perceived Helpfulness of Treatment for Patients With Major Depressive Disorder

What Was Helpful Questionnaire (WHQ): Psychometric Properties of a Novel Tool Designed to Capture Parental Perceived Helpfulness of Interventions in Children Requiring Mental Health Inpatient Care

Contact Info

Product

Resources

About