Mental health service use and treatment adequacy for anxiety disorders in Canada

Roberge, Pasquale; Fournier, Louise; Duhoux, Arnaud; Nguyen, Cat Tuong; Smolders, Mirrian

doi:10.1007/s00127-010-0186-2

Cited by 59 publications

(63 citation statements)

References 32 publications

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“…CBT is the most consistently efficacious psychological treatment for anxiety disorders (Butler, Chapman, Forman, & Beck, 2006;Canadian Psychiatric Association, 2006;Norton & Price, 2007) and was the only recommended psychological treatment for anxiety disorders in the 2006 clinical practice guideline from the Canadian Psychiatric Association (2006). Low rates of treatment adequacy based on clinical practice guidelines have also been found in prior studies for anxiety disorders in primary care samples (Prins et al, 2010;Smolders et al, 2009;Stein et al, 2011;Stein et al, 2004;Wittchen et al, 2002) as well as epidemiological surveys (Fernán-dez et al, 2007;Roberge et al, 2011;Wang et al, 2005;Young et al, 2008). For instance, we previously observed in a Canadian epidemiological survey that 10,6% of individuals meeting criteria for panic disorder, agoraphobia, or social anxiety disorder had received a minimum of seven outpatient visits with a specialized mental health provider in the past 12 months (Roberge et al, 2011).…”

Section: Discussionmentioning

confidence: 72%

Access to psychotherapy for primary care patients with anxiety disorders.

Roberge¹,

Fournier²,

Menear³

et al. 2014

Canadian Psychology / Psychologie canadienne

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Anxiety disorders are common mental health problems in the community, and primary care has a predominant role in the diagnosis and treatment of these conditions. While most patients are treated with pharmacotherapy, clinical practice guidelines recommendations also comprise psychotherapy interventions. The aims of this study were: (a) to examine access to psychotherapy for anxiety disorders in a sample of primary care patients; and (b) to examine individual factors associated with access to psychotherapy. Data were drawn from the "Dialogue" project, a large primary care study conducted in 67 primary care clinics. After a mental health screening, patients with anxiety or depressive symptoms were invited to participate in a telephone/Web structured interview to assess Diagnostic and Statistical Manual for Mental Disorders-Fourth Edition (DSM-IV) anxiety and depressive disorders, as well as service utilization. In our sample, a total of 740 adults met DSM-IV criteria for panic disorder, generalized anxiety disorder or social anxiety disorder in the past 12 months. Nearly half of the respondents with anxiety disorders had received a form of psychotherapy or counselling in the past 12 months, and 20% of respondents reported at least 12 sessions with the same health care professional. Individual correlates of access to psychotherapy, based on a logistic regression model, included being a woman, less than 60 years old, a university education level, supplementary insurance and having a comorbid depression episode. These findings emphasize the need to improve access to psychotherapy for individuals with anxiety disorders in primary care and to reduce disparities in access to psychotherapy.

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Section: Discussionmentioning

confidence: 72%

Access to psychotherapy for primary care patients with anxiety disorders.

Roberge¹,

Fournier²,

Menear³

et al. 2014

Canadian Psychology / Psychologie canadienne

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“…Drapeau [18] found that women were more likely to use both general and psychiatric mental health services than men. Roberge [48] found that women used general medical health services more than men with no difference in specialty service use by gender. In another study, Wang [49] found that women were less likely than their male counterparts to use psychiatry services and complementary alternative medicine only, but more likely to use general medical or other mental health specialty.…”

Section: Discussionmentioning

confidence: 99%

Gender differences in mental health service utilization among respondents reporting depression in a national health survey

Smith¹,

Matheson²,

Moineddin³

et al. 2013

Health

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This study examined whether people who selfreported depression sought mental health treatment in the year after being interviewed, and how gender affected utilization. Depression data were obtained from the Canadian Community Health Survey (2000-01), and linked to medical records in Ontario (n = 24,677). Overall, women had higher rates of mental health service utilization, but there were no gender differences in rates of specialist care. The gender difference in mental health contact was greater for those without depression, as opposed to those with depression. Among those without depression, women were significantly more likely than men to use mental health services; however, rates were similar for women and men with depression. This finding suggests that men may be more likely than women to delay seeing a doctor for minor mental health concerns, but will seek help once a problem reaches a threshold.

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“…la baisse de productivité, le fait de ne pas payer d'impôts). Les troubles anxieux repré-senteraient les problèmes de santé mentale dont les coûts sont les plus élevés (Roberge, Fournier, Duhoux, Nguyen et Smolders, 2011). Pour toutes ces raisons, un dépistage et une intervention précoces nous paraissent d'une importance cruciale.…”

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Les programmes préventifs en milieu scolaire auprès des enfants et des adolescents présentant de l’anxiété

Turgeon

Gosselin

2016

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L’objectif de cet article est de décrire les programmes de prévention de l’anxiété en milieu scolaire auprès des enfants et des adolescents. Nous rapportons d’abord quelques données sur l’épidémiologie des troubles anxieux, leurs conséquences et les coûts associés afin d’illustrer la pertinence d’intervenir de manière précoce. La section suivante présente le programme Coping Cat, qui a servi d’inspiration aux programmes de prévention. Nous distinguons ensuite les programmes de prévention en milieu scolaire selon leur nature : universelle, sélective et indiquée. L’accent est mis sur le programme FRIENDS, largement diffusé comme programme de prévention et reconnu par l’Organisation mondiale de la santé. Les résultats montrent de façon générale que les interventions sélectives et indiquées donnent des résultats plus importants, en particulier si elles sont animées par des spécialistes en santé mentale. Cependant, elles comportent certains désavantages, comme le fait de ne pas réussir à rejoindre les enfants qui pourraient le plus en bénéficier. Les programmes de prévention universelle rejoignent pour leur part tous les enfants et ils peuvent être implantés par les enseignantes. Les obstacles liés à l’implantation sont toutefois importants. La dernière partie de l’article contient quelques recommandations destinées à améliorer la prévention des troubles anxieux en milieu scolaire.The objective of this article is to present anxiety prevention programs in schools for children and adolescents. We first present some data on the epidemiology of anxiety disorders, their consequences and associated costs, in order to illustrate the relevance of early intervention. The following section presents the program Coping Cat, which served as inspiration for the prevention programs. We then present the school prevention programs according to their nature: universal, selective and indicated. The accent is on the FRIENDS program, widely distributed as a prevention program and recognized by the World Health Organization. The results generally show that selective and indicated interventions yield more significant results, especially if they are led by mental health specialists. However, there are certain disadvantages, such as not being able to reach the children who could most benefit. Universal prevention programs, however, reach all children and can be implemented by teachers, but there are major obstacles to their application. The last part of the article presents some recommendations for improving the prevention of anxiety disorders in schools.En la prevención y el tratamiento de la ansiedad, los enfoques denominados de la tercera ola basados en la plena consciencia se han vuelto cada vez más actuales. El objetivo de este artículo es presentar las estrategias innovadoras basadas en la consciencia plena del tratamiento y la prevención de la ansiedad entre los niños y los adolescentes, particularmente en el medio escolar. Las principales intervenciones basadas en la plena consciencia en el tratamiento de la ansiedad entre los adultos...

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Mental health service use and treatment adequacy for anxiety disorders in Canada

Abstract: These findings emphasize the need to improve the access to mental health services and the quality of care for individuals with anxiety disorders in primary care.

Cited by 59 publications

References 32 publications

Access to psychotherapy for primary care patients with anxiety disorders.

Access to psychotherapy for primary care patients with anxiety disorders.

Gender differences in mental health service utilization among respondents reporting depression in a national health survey

Les programmes préventifs en milieu scolaire auprès des enfants et des adolescents présentant de l’anxiété

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