Barriers to Mental Health Treatment Among Individuals With Social Anxiety Disorder and Generalized Anxiety Disorder
Individuals with social anxiety disorder (SAD) or generalized anxiety disorder (GAD) are at risk for not utilizing mental health treatment. The purpose of this research was to examine barriers to treatment in a sample of adults with clinically significant SAD or GAD. Participants were 226 nontreatme...
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Veröffentlicht in: | Psychological services 2020-02, Vol.17 (1), p.5-12 |
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creator | Goetter, Elizabeth M. Frumkin, Madelyn R. Palitz, Sophie A. Swee, Michaela B. Baker, Amanda W. Bui, Eric Simon, Naomi M. |
description | Individuals with social anxiety disorder (SAD) or generalized anxiety disorder (GAD) are at risk for not utilizing mental health treatment. The purpose of this research was to examine barriers to treatment in a sample of adults with clinically significant SAD or GAD. Participants were 226 nontreatment-seeking adults with SAD or GAD who underwent semistructured diagnostic interview and received a clinician assessment of symptom severity as part of a clinical research study. Participants completed a self-report measure of barriers to treatment. Individual and combined associations of demographic and symptom severity variables with number of perceived barriers to treatment were examined. Individuals with GAD or SAD endorsed a similar number of overall barriers to treatment. Shame and stigma were the highest cited barriers followed by logistical and financial barriers. Both groups also endorsed not knowing where to seek treatment at high rates. Individuals with greater symptom severity reported more barriers to treatment. Racial and ethnic minorities reported more barriers to treatment even after controlling for symptom severity. Among individuals with GAD or SAD, increased education and culturally sensitive outreach initiatives are needed to reduce barriers to mental health treatment. |
doi_str_mv | 10.1037/ser0000254 |
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The purpose of this research was to examine barriers to treatment in a sample of adults with clinically significant SAD or GAD. Participants were 226 nontreatment-seeking adults with SAD or GAD who underwent semistructured diagnostic interview and received a clinician assessment of symptom severity as part of a clinical research study. Participants completed a self-report measure of barriers to treatment. Individual and combined associations of demographic and symptom severity variables with number of perceived barriers to treatment were examined. Individuals with GAD or SAD endorsed a similar number of overall barriers to treatment. Shame and stigma were the highest cited barriers followed by logistical and financial barriers. Both groups also endorsed not knowing where to seek treatment at high rates. Individuals with greater symptom severity reported more barriers to treatment. Racial and ethnic minorities reported more barriers to treatment even after controlling for symptom severity. Among individuals with GAD or SAD, increased education and culturally sensitive outreach initiatives are needed to reduce barriers to mental health treatment.</description><identifier>ISSN: 1541-1559</identifier><identifier>EISSN: 1939-148X</identifier><identifier>DOI: 10.1037/ser0000254</identifier><identifier>PMID: 30070552</identifier><language>eng</language><publisher>United States: Educational Publishing Foundation</publisher><subject>Anxiety ; Anxiety disorders ; Barriers ; Clinical assessment ; Clinical research ; Clinical significance ; Cultural sensitivity ; Demographic Characteristics ; Ethnic groups ; Evidence Based Practice ; Female ; Generalized Anxiety Disorder ; Health initiatives ; Help seeking behavior ; Human ; Male ; Mental health ; Mental health services ; Minority groups ; Self report ; Severity ; Severity (Disorders) ; Shame ; Social anxiety ; Social Phobia ; Stigma ; Symptoms ; Treatment Barriers</subject><ispartof>Psychological services, 2020-02, Vol.17 (1), p.5-12</ispartof><rights>2018 American Psychological Association</rights><rights>2018, American Psychological Association</rights><rights>Copyright American Psychological Association Feb 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a377t-ed7972e50ed2a99f63039673207ca623eca2cb59fd8f55fed95a2ce09b7689d93</citedby><orcidid>0000-0002-0407-6921 ; 0000-0002-8909-1847 ; 0000-0002-8867-889X ; 0000-0002-1413-6473 ; 0000-0002-1856-2293</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924,30998,33773</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30070552$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>DeLeon, Patrick H</contributor><creatorcontrib>Goetter, Elizabeth M.</creatorcontrib><creatorcontrib>Frumkin, Madelyn R.</creatorcontrib><creatorcontrib>Palitz, Sophie A.</creatorcontrib><creatorcontrib>Swee, Michaela B.</creatorcontrib><creatorcontrib>Baker, Amanda W.</creatorcontrib><creatorcontrib>Bui, Eric</creatorcontrib><creatorcontrib>Simon, Naomi M.</creatorcontrib><title>Barriers to Mental Health Treatment Among Individuals With Social Anxiety Disorder and Generalized Anxiety Disorder</title><title>Psychological services</title><addtitle>Psychol Serv</addtitle><description>Individuals with social anxiety disorder (SAD) or generalized anxiety disorder (GAD) are at risk for not utilizing mental health treatment. The purpose of this research was to examine barriers to treatment in a sample of adults with clinically significant SAD or GAD. Participants were 226 nontreatment-seeking adults with SAD or GAD who underwent semistructured diagnostic interview and received a clinician assessment of symptom severity as part of a clinical research study. Participants completed a self-report measure of barriers to treatment. Individual and combined associations of demographic and symptom severity variables with number of perceived barriers to treatment were examined. Individuals with GAD or SAD endorsed a similar number of overall barriers to treatment. Shame and stigma were the highest cited barriers followed by logistical and financial barriers. Both groups also endorsed not knowing where to seek treatment at high rates. Individuals with greater symptom severity reported more barriers to treatment. Racial and ethnic minorities reported more barriers to treatment even after controlling for symptom severity. Among individuals with GAD or SAD, increased education and culturally sensitive outreach initiatives are needed to reduce barriers to mental health treatment.</description><subject>Anxiety</subject><subject>Anxiety disorders</subject><subject>Barriers</subject><subject>Clinical assessment</subject><subject>Clinical research</subject><subject>Clinical significance</subject><subject>Cultural sensitivity</subject><subject>Demographic Characteristics</subject><subject>Ethnic groups</subject><subject>Evidence Based Practice</subject><subject>Female</subject><subject>Generalized Anxiety Disorder</subject><subject>Health initiatives</subject><subject>Help seeking behavior</subject><subject>Human</subject><subject>Male</subject><subject>Mental health</subject><subject>Mental health services</subject><subject>Minority groups</subject><subject>Self report</subject><subject>Severity</subject><subject>Severity (Disorders)</subject><subject>Shame</subject><subject>Social anxiety</subject><subject>Social Phobia</subject><subject>Stigma</subject><subject>Symptoms</subject><subject>Treatment Barriers</subject><issn>1541-1559</issn><issn>1939-148X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNp90VtLHDEUB_BQlGqtL_0AJeCLLUyby2Yyedx6B0sfXNG3kE3OaGQu25OZ4vrpm2W9gIJ5STj8-BPOn5AvnP3gTOqfCZDlI9TkA9nmRpqCT6rrjfxWE15wpcwW-ZTSXSamNOIj2ZKMaaaU2Cbpl0OMgIkOPf0N3eAaegquGW7pDMENbR7Radt3N_SsC_FfDKNrEr2KGVz0PmY-7e4jDEt6GFOPAZC6LtAT6ABdEx8gvAGfyWadQ2D38d4hl8dHs4PT4vzPydnB9LxwUuuhgKCNFqAYBOGMqUvJpCm1FEx7VwoJ3gk_V6YOVa1UDcGoPABm5rqsTDByh-yvcxfY_x0hDbaNyUPTuA76MVnBKsGMmEiR6d4reteP2OXfWSFVXrLiSr-rWCVLqSpZZfV9rTz2KSHUdoGxdbi0nNlVYfalsIy_PkaO8xbCM31qKINva-AWzi7S0jscom8g-RExl7MKs1xbbpX8D6J6n2o</recordid><startdate>20200201</startdate><enddate>20200201</enddate><creator>Goetter, Elizabeth M.</creator><creator>Frumkin, Madelyn R.</creator><creator>Palitz, Sophie A.</creator><creator>Swee, Michaela B.</creator><creator>Baker, Amanda W.</creator><creator>Bui, Eric</creator><creator>Simon, Naomi M.</creator><general>Educational Publishing Foundation</general><general>American Psychological Association</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7RZ</scope><scope>PSYQQ</scope><scope>7QJ</scope><scope>7U3</scope><scope>BHHNA</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0407-6921</orcidid><orcidid>https://orcid.org/0000-0002-8909-1847</orcidid><orcidid>https://orcid.org/0000-0002-8867-889X</orcidid><orcidid>https://orcid.org/0000-0002-1413-6473</orcidid><orcidid>https://orcid.org/0000-0002-1856-2293</orcidid></search><sort><creationdate>20200201</creationdate><title>Barriers to Mental Health Treatment Among Individuals With Social Anxiety Disorder and Generalized Anxiety Disorder</title><author>Goetter, Elizabeth M. ; Frumkin, Madelyn R. ; Palitz, Sophie A. ; Swee, Michaela B. ; Baker, Amanda W. ; Bui, Eric ; Simon, Naomi M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a377t-ed7972e50ed2a99f63039673207ca623eca2cb59fd8f55fed95a2ce09b7689d93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Anxiety</topic><topic>Anxiety disorders</topic><topic>Barriers</topic><topic>Clinical assessment</topic><topic>Clinical research</topic><topic>Clinical significance</topic><topic>Cultural sensitivity</topic><topic>Demographic Characteristics</topic><topic>Ethnic groups</topic><topic>Evidence Based Practice</topic><topic>Female</topic><topic>Generalized Anxiety Disorder</topic><topic>Health initiatives</topic><topic>Help seeking behavior</topic><topic>Human</topic><topic>Male</topic><topic>Mental health</topic><topic>Mental health services</topic><topic>Minority groups</topic><topic>Self report</topic><topic>Severity</topic><topic>Severity (Disorders)</topic><topic>Shame</topic><topic>Social anxiety</topic><topic>Social Phobia</topic><topic>Stigma</topic><topic>Symptoms</topic><topic>Treatment Barriers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Goetter, Elizabeth M.</creatorcontrib><creatorcontrib>Frumkin, Madelyn R.</creatorcontrib><creatorcontrib>Palitz, Sophie A.</creatorcontrib><creatorcontrib>Swee, Michaela B.</creatorcontrib><creatorcontrib>Baker, Amanda W.</creatorcontrib><creatorcontrib>Bui, Eric</creatorcontrib><creatorcontrib>Simon, Naomi M.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>APA PsycArticles®</collection><collection>ProQuest One Psychology</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Psychological services</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Goetter, Elizabeth M.</au><au>Frumkin, Madelyn R.</au><au>Palitz, Sophie A.</au><au>Swee, Michaela B.</au><au>Baker, Amanda W.</au><au>Bui, Eric</au><au>Simon, Naomi M.</au><au>DeLeon, Patrick H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Barriers to Mental Health Treatment Among Individuals With Social Anxiety Disorder and Generalized Anxiety Disorder</atitle><jtitle>Psychological services</jtitle><addtitle>Psychol Serv</addtitle><date>2020-02-01</date><risdate>2020</risdate><volume>17</volume><issue>1</issue><spage>5</spage><epage>12</epage><pages>5-12</pages><issn>1541-1559</issn><eissn>1939-148X</eissn><abstract>Individuals with social anxiety disorder (SAD) or generalized anxiety disorder (GAD) are at risk for not utilizing mental health treatment. The purpose of this research was to examine barriers to treatment in a sample of adults with clinically significant SAD or GAD. Participants were 226 nontreatment-seeking adults with SAD or GAD who underwent semistructured diagnostic interview and received a clinician assessment of symptom severity as part of a clinical research study. Participants completed a self-report measure of barriers to treatment. Individual and combined associations of demographic and symptom severity variables with number of perceived barriers to treatment were examined. Individuals with GAD or SAD endorsed a similar number of overall barriers to treatment. Shame and stigma were the highest cited barriers followed by logistical and financial barriers. Both groups also endorsed not knowing where to seek treatment at high rates. Individuals with greater symptom severity reported more barriers to treatment. Racial and ethnic minorities reported more barriers to treatment even after controlling for symptom severity. Among individuals with GAD or SAD, increased education and culturally sensitive outreach initiatives are needed to reduce barriers to mental health treatment.</abstract><cop>United States</cop><pub>Educational Publishing Foundation</pub><pmid>30070552</pmid><doi>10.1037/ser0000254</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-0407-6921</orcidid><orcidid>https://orcid.org/0000-0002-8909-1847</orcidid><orcidid>https://orcid.org/0000-0002-8867-889X</orcidid><orcidid>https://orcid.org/0000-0002-1413-6473</orcidid><orcidid>https://orcid.org/0000-0002-1856-2293</orcidid></addata></record> |
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subjects | Anxiety Anxiety disorders Barriers Clinical assessment Clinical research Clinical significance Cultural sensitivity Demographic Characteristics Ethnic groups Evidence Based Practice Female Generalized Anxiety Disorder Health initiatives Help seeking behavior Human Male Mental health Mental health services Minority groups Self report Severity Severity (Disorders) Shame Social anxiety Social Phobia Stigma Symptoms Treatment Barriers |
title | Barriers to Mental Health Treatment Among Individuals With Social Anxiety Disorder and Generalized Anxiety Disorder |
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