BARRIERS TO TREATMENT AND SERVICE UTILIZATION IN AN INTERNET SAMPLE OF INDIVIDUALS WITH OBSESSIVE-COMPULSIVE SYMPTOMS
BARRIERS TO TREATMENT AND SERVICE UTILIZATION IN AN INTERNET SAMPLE OF INDIVIDUALS WITH OBSESSIVE-COMPULSIVE SYMPTOMS
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DOI：
10.1002/da.20694
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发表时间：
2010-05-01
影响因子：
7.4
通讯作者：
Wilhelm, Sabine
中科院分区：
文献类型：
--
作者：
Marques, Luana;LeBlanc, Nicole J.;Wilhelm, Sabine
背景资料：尽管在过去的十年中，强迫症（OCD）的治疗越来越普及，但大多数患有强迫症的人没有得到适当的治疗。本研究调查了互联网样本中自我报告的强迫症患者的治疗利用率和治疗障碍。研究方法：175名参与者完成了一项在线调查，检查强迫症症状，心理社会措施，治疗障碍和治疗利用率。结果：60%的样本报告接受治疗的强迫症症状。大多数寻求药物治疗的参与者接受了SSRIs，而大多数寻求心理治疗的参与者接受了“谈话疗法”。“治疗费用、缺乏保险、羞耻和怀疑治疗是否有效是样本中最常见的治疗障碍。结论：研究结果表明，样本中的治疗利用率相对较低，许多参与者接受金标准药物和心理治疗（即SSRIs和认知行为治疗）以外的治疗。此外，很大一部分样本赞同寻求治疗的许多障碍，如物流和经济障碍;耻辱，羞耻和歧视障碍;治疗感知和满意度障碍。这项研究强调了在强迫症中进行更有效的治疗传播的必要性。抑郁和焦虑27：470-475，2010. (C)2010 Wiley-Liss，Inc.
Background: Despite the increasing dissemination of treatment for Obsessive Compulsive Disorder (OCD) in the past decade, the majority of individuals with OCD are not receiving appropriate treatment. This study examined rates of treatment utilization and barriers to treatment in an internet sample of individuals with self-reported OCD. Methods: One hundred and seventy-five participants completed an online survey examining OCD symptoms, psychosocial measures, barriers to treatment, and treatment utilization. Results: Sixty percent of the sample reported receiving treatment for their OCD symptoms. The majority of participants who sought pharmacotherapy received SSRIs, whereas the majority who sought psychotherapeutic treatment received "talk therapy." The cost of treatment, lack of insurance coverage, shame, and doubt that treatment would be effective were the most commonly endorsed barriers to treatment among the sample. Conclusions: Findings demonstrated relatively low treatment utilization rates among the sample, with many participants receiving treatments other than the gold-standard medication and psychotherapy treatments (i.e. SSRIs and cognitive behavioral therapy, respectively). Furthermore, a large portion of the sample endorsed many barriers to treatment seeking, such as logistic and financial barriers; stigma, shame, and discrimination barriers; and treatment perception and satisfaction barriers. This study highlights the need for more effective treatment dissemination in OCD. Depression and Anxiety 27:470-475, 2010. (C) 2010 Wiley-Liss, Inc.