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- Title
Helpseeking and access to mental health treatment for obsessive-compulsive disorder.
- Authors
Goodwin, Renee; Koenen, Karestan C.; Hellman, Fred; Guardino, Mary; Struening, Elmer
- Abstract
Objective: To identify predictors of helpseeking and use of mental health treatment for obsessive-compulsive disorder (OCD) using the behavioral model of health service use. Method: Data were drawn from the 1996 National Anxiety Disorders Screening Day. Participants (n =14 860) completed screening measures providing information about demographics, mental disorders, helpseeking, and treatment experiences for OCD. Results: Previous use of mental health treatment was associated with comorbid panic disorder [odds ratio (OR)=1.6 (1.3–1.98)], while minority racial status [OR=0.7 (0.5–0.9)] emerged as a barrier to receiving care among individuals with OCD. Among those who had never received mental health care, comorbid panic disorder [OR=2.0 (1.5–2.8)], post-traumatic stress disorder [OR=1.7 (1.3–2.4)], and suicidal ideation [OR=1.7 (1.2–2.3)] increased readiness to seek treatment while being employed [OR=0.7 (0.5–0.9)], and feeling one could handle the problem on his/her own [OR=0.5 (0.3–0.7)] decreased readiness to seek help for the first time. Conclusion: These data suggest that access to treatment for OCD may not be equally accessible to all in need by revealing non-disease related factors (e.g. race, health beliefs) that have a significant impact on decisions to seek and use mental health treatment.
- Subjects
HELP-seeking behavior; OBSESSIVE-compulsive disorder; MENTAL health services; MENTAL health
- Publication
Acta Psychiatrica Scandinavica, 2002, Vol 106, Issue 2, p143
- ISSN
0001-690X
- Publication type
Article
- DOI
10.1034/j.1600-0447.2002.01221.x