Gaps in accessing treatment for anxiety and depression: challenges for the delivery of care

Collins, Kerry A.; Westra, Henny A.; Dozois, David J.A.; Burns, David D.

doi:10.1016/j.cpr.2004.06.001

Cited by 322Mental Health Treatment and AccessAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychological Treatments and Disorders

Gaps in accessing treatment for anxiety and depression: challenges for the delivery of care

Collins, Kerry A., Westra, Henny A., Dozois, David J.A., Burns, David D.·2004·Clinical Psychology Review

DOI 10.1016/j.cpr.2004.06.001

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Abstract

Epidemiological studies have identified high prevalence rates of anxiety and depression in North America [e.g., J. of Nerv. Ment. Dis. 182 (1994) 290]. However, only a small percentage of these individuals access effective treatment. The undertreatment of anxiety and depression is a major public health issue and is associated with significant personal, social, and economic burden. This article describes the existing discrepancy between prevalence of anxiety and depression and access to effective treatment for adults and children, the contributors to this discrepancy, and suggests various means through which access to effective treatment may be enhanced. We begin with a brief overview of the prevalence and associated personal, societal, and systemic burdens of anxiety and depression. This is followed by a review of current rates of access to treatment and possible individual, provider, and systemic barriers to accessing treatment. Recommendations for bridging the gap between the high rates of these disorders and limited accessibility of effective care are then presented.

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“Among the most frequently mentioned barriers for adolescents to seek treatment are perceived social stigma and fear of peer rejection (Collins et al., 2004; Gulliver et al., 2010; Rickwood et al., 2005; Booth et al., 2004; Jaycox et al., 2006)”
From Internet-based cognitive behavioral therapy for adolescents with anxiety disorders: A feasibility study (2018) · cites this paper as Collins et al., 2004

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Parental factors associated with depression and anxiety in young people: A systematic review and meta-analysis
Yap, M. B. H., Pilkington, P. D., Ryan, S., & Jorm, A. F. (2013) · Journal of Affective Disorders · doi:10.1016/j.jad.2013.11.007 · Cited by 783 · see citing works
What do parents perceive are the barriers and facilitators to accessing psychological treatment for mental health problems in children and adolescents? A systematic review of qualitative and quantitative studies
Reardon, T., Harvey, K., Baranowska, M., O’Brien, D., Smith, L., & Creswell, C. (2017) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-016-0930-6 · Cited by 653 · see citing works
“Similarly, ‘logistical’ factors (such as transport access and flexibility of appointment system) have been shown to influence the likelihood of a family having contact with services [25, 26]; and a parent sharing concerns about a child’s mental health with a primary care practitioner has also been shown to improve acc…”
Psychological treatment of eating disorders.
Wilson, G. T., Grilo, C. M., & Vitousek, K. M. (2007) · American Psychologist · doi:10.1037/0003-066x.62.3.199 · Cited by 650 · see citing works
Depression and anxiety in inflammatory bowel disease: A review of comorbidity and management
Graff, L. A., Walker, J. R., & Bernstein, C. N. (2009) · Inflammatory Bowel Diseases · doi:10.1002/ibd.20873 · Cited by 586 · see citing works
Parental factors associated with childhood anxiety, depression, and internalizing problems: A systematic review and meta-analysis
Yap, M. B. H., & Jorm, A. F. (2015) · Journal of Affective Disorders · doi:10.1016/j.jad.2015.01.050 · Cited by 434 · see citing works
Psychological flexibility mediates the relations between acute psychedelic effects and subjective decreases in depression and anxiety
Davis, A. K., Barrett, F. S., & Griffiths, R. R. (2020) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2019.11.004 · Cited by 375 · see citing works
Factors Associated with Work Participation and Work Functioning in Depressed Workers: A Systematic Review
Lagerveld, S. E., Bültmann, U., Franche, R. ‐., van Dijk, F. J. H., Vlasveld, M. C., Feltz-Cornelis, C. M. V. D., Bruinvels, D. J., Huijs, J. J. J. M., Blonk, R. W. B., van der Klink, J. J. L., et al. (2010) · Journal of Occupational Rehabilitation · doi:10.1007/s10926-009-9224-x · Cited by 324 · see citing works
Internet-based versus face-to-face cognitive-behavioral intervention for depression: A randomized controlled non-inferiority trial
Wagner, B., Horn, A. B., & Maercker, A. (2014) · Journal of Affective Disorders · doi:10.1016/j.jad.2013.06.032 · Cited by 311 · see citing works
Preparing Clients for Cognitive Behavioral Therapy: A Randomized Pilot Study of Motivational Interviewing for Anxiety
Westra, H. A., & Dozois, D. J. A. (2006) · Cognitive Therapy and Research · doi:10.1007/s10608-006-9016-y · Cited by 282 · see citing works
Self-citation
Anxiety: There is an app for that. A systematic review of anxiety apps: SUCALA et al.
Sucala, M., Cuijpers, P., Muench, F., Cardoș, R., Soflau, R., Dobrean, A., Achimas-Cadariu, P., & David, D. (2017) · Depression and Anxiety · doi:10.1002/da.22654 · Cited by 232 · see citing works
The association between child and adolescent depression and poor attendance at school: A systematic review and meta-analysis
Finning, K., Ukoumunne, O. C., Ford, T. J., Danielsson-Waters, E., Shaw, L., Jager, I. R. D., Stentiford, L., & Moore, D. A. (2018) · Journal of Affective Disorders · doi:10.1016/j.jad.2018.11.055 · Cited by 234 · see citing works
Diet and Anxiety: A Scoping Review
Aucoin, M., LaChance, L., Naidoo, U., Remy, D., Shekdar, T., Sayar, N., Cardozo, V., Rawana, T., Chan, I., & Cooley, K. (2021) · Nutrients · doi:10.3390/nu13124418 · Cited by 223 · see citing works
Development of a Unified Protocol for the Treatment of Emotional Disorders in Youth
Ehrenreich, J. T., Goldstein, C. R., Wright, L. R., & Barlow, D. H. (2009) · Child & Family Behavior Therapy · doi:10.1080/07317100802701228 · Cited by 197 · see citing works
Consensus statement: The evaluation and treatment of people with epilepsy and affective disorders
Barry, J. J., Ettinger, A. B., Friel, P., Gilliam, F. G., Harden, C. L., Hermann, B., Kanner, A. M., Caplan, R., Plioplys, S., Salpekar, J., et al. (2008) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2008.04.005 · Cited by 249 · see citing works
Standardized web-based cognitive behavioural therapy of mild to moderate depression: A randomized controlled trial with a long-term follow-up
Ruwaard, J., Schrieken, B., Schrijver, M., Broeksteeg, J., Dekker, J., Vermeulen, H., & Lange, A. (2009) · Cognitive Behaviour Therapy · doi:10.1080/16506070802408086 · Cited by 183 · see citing works
What is an emotional disorder? A transdiagnostic mechanistic definition with implications for assessment, treatment, and prevention
Bullis, J. R., Boettcher, H., Sauer‐Zavala, S., Farchione, T. J., & Barlow, D. H. (2019) · Clinical Psychology: Science and Practice · doi:10.1111/cpsp.12278 · Cited by 216 · see citing works
A neurofeedback video game (MindLight) to prevent anxiety in children: A randomized controlled trial
Schoneveld, E. A., Malmberg, M., Lichtwarck-Aschoff, A., Verheijen, G. P., Engels, R. C. M. E., & Granic, I. (2016) · Computers in Human Behavior · doi:10.1016/j.chb.2016.05.005 · Cited by 174 · see citing works
Continued Exposure to Maternal Distress in Early Life Is Associated with an Increased Risk of Childhood Asthma
Kozyrskyj, A. L., Mai, X., McGrath, P. J., HayGlass, K. T., Becker, A. B., & Macneil, B. J. (2007) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200703-381oc · Cited by 181 · see citing works
The SmartCAT: An m-Health Platform for Ecological Momentary Intervention in Child Anxiety Treatment
Pramana, G., Parmanto, B., Kendall, P. C., & Silk, J. S. (2014) · Telemedicine and e-Health · doi:10.1089/tmj.2013.0214 · Cited by 162 · see citing works
Toward a unified treatment for emotional disorders: Update on the science and practice
Norton, P. J., & Paulus, D. J. (2016) · Behavior Therapy · doi:10.1016/j.beth.2015.07.002 · Cited by 180 · see citing works
5-methoxy-<i>N,N</i>-dimethyltryptamine (5-MeO-DMT) used in a naturalistic group setting is associated with unintended improvements in depression and anxiety
Davis, A. K., So, S., Lancelotta, R., Barsuglia, J. P., & Griffiths, R. R. (2019) · The American Journal of Drug and Alcohol Abuse · doi:10.1080/00952990.2018.1545024 · Cited by 142 · see citing works
Dysregulation of the Hypothalamic-Pituitary-Adrenal Axis in Postpartum Depression
Jolley, S. N., Elmore, S. K., Barnard, K. E., & Carr, D. B. (2006) · Biological Research For Nursing · doi:10.1177/1099800406294598 · Cited by 142 · see citing works
The Relationship of Anxiety and Depression to Subjective Well-Being in a Mainland Chinese Sample
Malone, C., & Wachholtz, A. (2017) · Journal of Religion and Health · doi:10.1007/s10943-017-0447-4 · Cited by 133 · see citing works
The Theory of Planned Behavior as it predicts potential intention to seek mental health services for depression among college students
Bohon, L. M., Cotter, K. A., Kravitz, R. L., Cello, P. C., & Fernandez y Garcia, E. (2016) · Journal of American College Health · doi:10.1080/07448481.2016.1207646 · Cited by 125 · see citing works
Telephone-based physical activity counseling for major depression in people with multiple sclerosis
Bombardier, C. H., Ehde, D. M., Gibbons, L. E., Wadhwani, R., Sullivan, M. D., Rosenberg, D. E., & Kraft, G. H. (2013) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0031242 · Cited by 123 · see citing works
Suffering in silence: reasons for not disclosing depression in primary care
Bell, R. A., Franks, P., Duberstein, P. R., Epstein, R. M., Feldman, M. D., Garcia, E. F. Y., & Kravitz, R. L. (2011) · The Annals of Family Medicine · doi:10.1370/afm.1277 · Cited by 121 · see citing works
Naturalistic Use of Mescaline Is Associated with Self-Reported Psychiatric Improvements and Enduring Positive Life Changes
Agin-Liebes, G., Haas, T. F., Lancelotta, R., Uthaug, M. V., Ramaekers, J. G., & Davis, A. K. (2021) · ACS Pharmacology & Translational Science · doi:10.1021/acsptsci.1c00018 · Cited by 124 · see citing works
The prevalence and risk factors of undiagnosed depression and anxiety disorders among patients with inflammatory bowel disease
Lewis, K., Marrie, R. A., Bernstein, C. N., Graff, L. A., Patten, S. B., Sareen, J., Fisk, J. D., Bolton, J. M., CIHR Team in Defining the Burden and Managing the Effects of Immune-Mediated Inflammatory Disease, Marrie, R. A., et al. (2019) · Inflammatory Bowel Diseases · doi:10.1093/ibd/izz045 · Cited by 115 · see citing works
Using Mobile Health Gamification to Facilitate Cognitive Behavioral Therapy Skills Practice in Child Anxiety Treatment: Open Clinical Trial
Pramana, G., Parmanto, B., Lomas, D., Lindhiem, O. J., Kendall, P. C., & Silk, J. S. (2018) · JMIR Serious Games · doi:10.2196/games.8902 · Cited by 117 · see citing works
Psychometric Properties of the Hospital Anxiety and Depression Scale in Family Caregivers of Palliative Care Patients
Gough, K., & Hudson, P. (2008) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2008.04.012 · Cited by 113 · see citing works
Inflammatory bowel disease and anxiety: links, risks, and challenges faced
Selinger, C. P., & Bannaga, A. (2015) · Clinical and Experimental Gastroenterology · doi:10.2147/ceg.s57982 · Cited by 109 · see citing works
Integrating Motivational Interviewing and Cognitive Behavioral Therapy in the Treatment of Depression and Anxiety
Arkowitz, H. S., & Westra, H. A. (2004) · Journal of Cognitive Psychotherapy · doi:10.1891/jcop.18.4.337.63998 · Cited by 100 · see citing works
Treating anxiety and depression in young adults: a randomised controlled trial comparing clinician-guided versus self-guided Internet-delivered cognitive behavioural therapy
Dear, B. F., Fogliati, V. J., Fogliati, R., Johnson, B., Boyle, O., Karin, E., Gandy, M., Kayrouz, R., Staples, L. G., & Titov, N. (2018) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867417738055 · Cited by 93 · see citing works
Racial discrimination, response to unfair treatment, and depressive symptoms among pregnant black and African American women in the United States
Ertel, K. A., James-Todd, T. M., KLEINMAN, K. P., Krieger, N., Gillman, M. W., Wright, R. J., & Rich-Edwards, J. W. (2012) · Annals of Epidemiology · doi:10.1016/j.annepidem.2012.10.001 · Cited by 94 · see citing works
Artificial Nose Technology: Status and Prospects in Diagnostics
Fitzgerald, J. E., Bui, É., Simon, N. M., & Fenniri, H. (2016) · Trends in biotechnology · doi:10.1016/j.tibtech.2016.08.005 · Cited by 94 · see citing works
A Weakly Supervised Learning Framework for Detecting Social Anxiety and Depression
Salekin, A., Eberle, J. W., Glenn, J. J., Teachman, B. A., & Stankovic, J. A. (2018) · Proceedings of the ACM on Interactive Mobile Wearable and Ubiquitous Technologies · doi:10.1145/3214284 · Cited by 90 · see citing works
Using a Smartphone App and Clinician Portal to Enhance Brief Cognitive Behavioral Therapy for Childhood Anxiety Disorders
Silk, J. S., Pramana, G., Sequeira, S. L., Lindhiem, O. J., Kendall, P. C., Rosen, D. K., & Parmanto, B. (2019) · Behavior Therapy · doi:10.1016/j.beth.2019.05.002 · Cited by 85 · see citing works
Exploring poor sleep, mental health, and help‐seeking intention in university students
Zochil, M. L., & Thorsteinsson, E. (2017) · Australian Journal of Psychology · doi:10.1111/ajpy.12160 · Cited by 87 · see citing works
Emotional disorder and absence from school: findings from the 2004 British Child and Adolescent Mental Health Survey
Finning, K., Ford, T. J., Moore, D. A., & Ukoumunne, O. C. (2019) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-019-01342-4 · Cited by 89 · see citing works
Web-based therapist-assisted cognitive behavioral treatment of panic symptoms: A randomized controlled trial with a three-year follow-up
Ruwaard, J., Broeksteeg, J., Schrieken, B., Emmelkamp, P. M. G., & Lange, A. (2010) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2010.01.010 · Cited by 83 · see citing works
Combining computerized home-based treatments for generalized anxiety disorder: an attention modification program and cognitive behavioral therapy
Amir, N., & Taylor, C. T. (2012) · Behavior Therapy · doi:10.1016/j.beth.2010.12.008 · Cited by 76 · see citing works
No need to worry: the promising future of child anxiety research
Kendall, P. C., Settipani, C. A., & Cummings, C. M. (2012) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2012.632352 · Cited by 82 · see citing works
Examining the short-term anxiolytic and antidepressant effect of Floatation-REST
Feinstein, J. S., Khalsa, S. S., Yeh, H.-W., Wohlrab, C., Simmons, W. K., Stein, M. B., & Paulus, M. P. (2018) · PLOS ONE · doi:10.1371/journal.pone.0190292 · Cited by 79 · see citing works
Are Internet- and mobile-based interventions effective in adults with diagnosed panic disorder and/or agoraphobia? A systematic review and meta-analysis
Domhardt, M., Letsch, J., Kybelka, J., Koenigbauer, J., Doebler, P., & Baumeister, H. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.06.059 · Cited by 75 · see citing works
When less could be more: Investigating the effects of a brief internet-based imagery cognitive bias modification intervention in depression
Pictet, A., Jermann, F., & Ceschi, G. (2016) · Behaviour Research and Therapy · doi:10.1016/j.brat.2016.07.008 · Cited by 73 · see citing works
Empirical Evidence for the Outcomes of Therapeutic Video Games for Adolescents With Anxiety Disorders: Systematic Review
Barnes, S., & Prescott, J. (2018) · JMIR Serious Games · doi:10.2196/games.9530 · Cited by 73 · see citing works
Relational barriers to depression help-seeking in primary care
Kravitz, R. L., Paterniti, D. A., Epstein, R. M., Rochlen, A. B., Bell, R. A., Cipri, C. S., y García, E. F., Feldman, M. D., & Duberstein, P. R. (2010) · Patient Education and Counseling · doi:10.1016/j.pec.2010.05.007 · Cited by 72 · see citing works
A Study of Asynchronous Mobile-Enabled SMS Text Psychotherapy
Hull, T. D., & Mahan, K. (2016) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2016.0114 · Cited by 70 · see citing works
A Web-Based Group Cognitive Behavioral Therapy Intervention for Symptoms of Anxiety and Depression Among University Students: Open-Label, Pragmatic Trial
Bantjes, J. R., Kazdin, A. E., Cuijpers, P. J., Breet, E., Dunn‐Coetzee, M., Davids, C., Stein, D. J., & Kessler, R. C. (2021) · JMIR Mental Health · doi:10.2196/27400 · Cited by 76 · see citing works
Clinical implications of risk aversion: An online study of risk-avoidance and treatment utilization in pathological anxiety
Lorian, C. N., & Grisham, J. R. (2011) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2011.04.008 · Cited by 69 · see citing works
Course, Diagnosis, and Treatment of Depressive Symptomatology in Workers following a Workplace Injury: A Prospective Cohort Study
Franche, R., Carnide, N., Hogg‐Johnson, S., Côté, P., Breslin, F. C., Bültmann, U., Severin, C. N., & Krause, N. (2009) · The Canadian Journal of Psychiatry · doi:10.1177/070674370905400806 · Cited by 69 · see citing works
One-day cognitive–behavioural therapy self-confidence workshops for people with depression: randomised controlled trial
Horrell, L., Goldsmith, K. A., Tylee, A. T., Schmidt, U. H., Murphy, C. L., Bonin, E.-M., Beecham, J., Kelly, J., Raikundalia, S., & Brown, J. S. L. (2014) · British Journal of Psychiatry · doi:10.1192/bjp.bp.112.121855 · Cited by 68 · see citing works
Use of health services for major depressive and anxiety disorders in Finland
Hämäläinen, J., Isometsä, E., Sihvo, S., Pirkola, S., & Kiviruusu, O. (2008) · Depression and Anxiety · doi:10.1002/da.20256 · Cited by 64 · see citing works
The generalised anxiety stigma scale (GASS): psychometric properties in a community sample
Griffiths, K. M., Batterham, P. J., Barney, L., & Parsons, A. (2011) · BMC Psychiatry · doi:10.1186/1471-244x-11-184 · Cited by 66 · see citing works
Distance-delivered interventions for PTSD: A systematic review and meta-analysis
Olthuis, J. V., Wozney, L., Asmundson, G. J. G., Cramm, H., Lingley-Pottie, P., & McGrath, P. J. (2016) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2016.09.010 · Cited by 64 · see citing works
A Review of Free iPhone Applications Designed to Target Anxiety and Worry
Kertz, S. J., MacLaren Kelly, J., Stevens, K. T., Schrock, M., & Danitz, S. B. (2017) · Journal of Technology in Behavioral Science · doi:10.1007/s41347-016-0006-y · Cited by 56 · see citing works
A RANDOMIZED CONTROLLED TRIAL IN COMMUNITY MENTAL HEALTH CENTERS OF COMPUTER-ASSISTED COGNITIVE BEHAVIORAL THERAPY VERSUS TREATMENT AS USUAL FOR CHILDREN WITH ANXIETY
Storch, E. A., Salloum, A., King, M. A., Crawford, E. A., Andel, R., McBride, N. M., & Lewin, A. B. (2015) · Depression and Anxiety · doi:10.1002/da.22399 · Cited by 64 · see citing works
What Are Young Adults Saying About Mental Health? An Analysis of Internet Blogs
Marcus, M., Westra, H. A., Eastwood, J. D., & Barnes, K. L. (2012) · Journal of Medical Internet Research · doi:10.2196/jmir.1868 · Cited by 63 · see citing works
Improving Antidepressant Adherence and Depression Outcomes in Primary Care: The Treatment Initiation and Participation (TIP) Program
Sirey, J. A., BRUCE, M. L., & Kales, H. C. (2010) · American Journal of Geriatric Psychiatry · doi:10.1097/jgp.0b013e3181cdeb7d · Cited by 62 · see citing works
The Implementation of Internet Interventions for Depression: A Scoping Review
Drozd, F., Vaskinn, L., Bergsund, H. B., Haga, S. M., Slinning, K., & Bjørkli, C. A. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.5670 · Cited by 60 · see citing works
A Qualitative Study of Depression in Primary Care: Missed Opportunities for Diagnosis and Education
Saver, B. G., Van-Nguyen, V., Keppel, G. A., & Doescher, M. P. (2007) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.2007.01.060026 · Cited by 61 · see citing works
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Steinglass (2017) · doi:10.1002/da.22624 · Cited by 54 · see citing works
School-Based Anxiety Treatments for Children and Adolescents
Herzig, K. A., Colognori, D. B., Fox, J. K., Stewart, C. E., & Warner, C. M. (2012) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2012.05.006 · Cited by 61 · see citing works
Superusers in social networks for smoking cessation: Analysis of demographic characteristics and posting behavior from the canadian cancer society’s smokers’ helpline online and stopsmokingcenter.net
van Mierlo, T., Voci, S., Lee, S., Fournier, R., & Selby, P. (2012) · Journal of Medical Internet Research · doi:10.2196/jmir.1854 · Cited by 58 · see citing works
Development of the Anxiety Change Expectancy Scale (ACES) and validation in college, community, and clinical samples.
Dozois, D., & Westra, H. (2005) · Behaviour Research and Therapy · doi:10.1016/j.brat.2004.12.001 · Cited by 49 · see citing works
Telephone-delivered cognitive behavioral therapy for high anxiety sensitivity: A randomized controlled trial.
Olthuis, J. V., Watt, M. C., Mackinnon, S. P., & Stewart, S. H. (2014) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0037027 · Cited by 55 · see citing works
Self-guided Cognitive Behavioral Therapy Apps for Depression: Systematic Assessment of Features, Functionality, and Congruence With Evidence
Martinengo, L., Stona, A., Griva, K., Dazzan, P., Pariante, C. M., von Wangenheim, F., & Car, J. (2021) · Journal of Medical Internet Research · doi:10.2196/27619 · Cited by 57 · see citing works
Effect of Yoga and Mindfulness Intervention on Symptoms of Anxiety and Depression in Young Adolescents Attending Middle School: A Pragmatic Community-Based Cluster Randomized Controlled Trial in a Racially Diverse Urban Setting
Bazzano, A. N., Sun, Y., Chavez-Gray, V., Akintimehin, T., Gustat, J., Barrera, D., & Roi, C. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph191912076 · Cited by 55 · see citing works
Evaluation of a WeChat‐based life review programme for cancer patients: A quasi‐experimental study
Zhang, X., Xiao, H., & Chen, Y. (2019) · Journal of Advanced Nursing · doi:10.1111/jan.14018 · Cited by 54 · see citing works
A Randomized Controlled Trial of the Child Anxiety Multi-Day Program (CAMP) for Separation Anxiety Disorder
Santucci, L. C., & Ehrenreich, J. T. (2012) · Child Psychiatry & Human Development · doi:10.1007/s10578-012-0338-6 · Cited by 53 · see citing works
Amygdala-driven apnea and the chemoreceptive origin of anxiety
Feinstein, J. S., Gould, D. A., & Khalsa, S. S. (2022) · Biological Psychology · doi:10.1016/j.biopsycho.2022.108305 · Cited by 53 · see citing works
Improving the Transportability of CBT for Internalizing Disorders in Children
Meredith Elkins, R., Kathryn McHugh, R., Santucci, L. C., & Barlow, D. H. (2011) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-011-0085-4 · Cited by 52 · see citing works
Demographic, organizational, and clinical practice predictors of U.S. psychologists’ use of telepsychology.
Pierce, B. S., Perrin, P. B., & McDonald, S. D. (2019) · Professional Psychology Research and Practice · doi:10.1037/pro0000267 · Cited by 52 · see citing works
Experimental Traumatic Brain Injury Induces Chronic Glutamatergic Dysfunction in Amygdala Circuitry Known to Regulate Anxiety-Like Behavior
Beitchman, J. A., Griffiths, D. R., Hur, Y., Ogle, S. B., Bromberg, C. E., Morrison, H. W., Lifshitz, J., Adelson, P. D., & Thomas, T. C. (2020) · Frontiers in Neuroscience · doi:10.3389/fnins.2019.01434 · Cited by 51 · see citing works
Reluctance to Seek Help and the Perception of Anxiety and Depression in the United Kingdom: A Pilot Vignette Study
Edwards, S., Tinning, L., Brown, J. S. L., Boardman, J., & Weinman, J. (2007) · Journal of Nervous & Mental Disease · doi:10.1097/01.nmd.0000253781.49079.53 · Cited by 52 · see citing works
Adolescents’ attitudes and opinions about depression treatment
Bradley, K. L., McGrath, P. J., Brannen, C. L., & Bagnell, A. L. (2010) · Community Mental Health Journal · doi:10.1007/s10597-009-9224-5 · Cited by 50 · see citing works
Mental health help-seeking and barriers to service access among lesbian, gay, and bisexual Australians
Cronin, T. J., Pepping, C. A., Halford, W. K., & Lyons, A. (2021) · Australian Psychologist · doi:10.1080/00050067.2021.1890981 · Cited by 50 · see citing works
Efficacy of Silexan in subthreshold anxiety: meta-analysis of randomised, placebo-controlled trials
Möller, H., Volz, H., Dienel, A., Schläfke, S., & Kasper, S. F. (2017) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-017-0852-4 · Cited by 49 · see citing works
Adolescent help-seeking for psychological distress, depression, and anxiety using an Internet program
Bradley, K. L., Robinson, L. M., & Brannen, C. L. (2012) · International Journal of Mental Health Promotion · doi:10.1080/14623730.2012.665337 · Cited by 41 · see citing works
Dissemination of Therapist-Assisted Internet Cognitive Behaviour Therapy: Development and Open Pilot Study of a Workshop
Hadjistavropoulos, H. D., Thompson, M. J., Klein, B., & Austin, D. W. (2012) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2011.645550 · Cited by 41 · see citing works
Depression and Its Help Seeking Behaviors: A Systematic Review and Meta-Analysis of Community Survey in Ethiopia
Bifftu, B. B., Takele, W. W., Guracho, Y. D., & Yehualashet, F. A. (2018) · Depression Research and Treatment · doi:10.1155/2018/1592596 · Cited by 44 · see citing works
Virtual reality behavioral activation for adults with major depressive disorder: feasibility randomized controlled trial
Paul, M., Bullock, K., & Bailenson, J. (2022) · JMIR Mental Health · doi:10.2196/35526 · Cited by 42 · see citing works
Treating Adolescents with Social Anxiety Disorder in Schools
Ryan, J. L., & Warner, C. M. (2011) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2011.08.011 · Cited by 42 · see citing works
Work Participation Among Employees with Common Mental Disorders: A Meta-synthesis
Lyhne, C. N., Nielsen, C. V., & Bjerrum, M. B. (2017) · Journal of Occupational Rehabilitation · doi:10.1007/s10926-017-9743-9 · Cited by 39 · see citing works
Depression, Anxiety, and Stress: How Should Clinicians Interpret the Total and Subscale Scores of the 21-Item Depression, Anxiety, and Stress Scales?
Chin, E. G., Buchanan, E. M., Ebesutani, C. K., & Young, J. N. (2018) · Psychological Reports · doi:10.1177/0033294118783508 · Cited by 39 · see citing works
Internet-based cognitive behavioral therapy for adolescents with anxiety disorders: A feasibility study
Stjerneklar, S., Hougaard, E., Nielsen, A. D., Gaardsvig, M. M., & Thastum, M. (2018) · Internet Interventions · doi:10.1016/j.invent.2018.01.001 · Cited by 36 · see citing works
“Among the most frequently mentioned barriers for adolescents to seek treatment are perceived social stigma and fear of peer rejection (Collins et al., 2004; Gulliver et al., 2010; Rickwood et al., 2005; Booth et al., 2004; Jaycox et al., 2006), preference for self-reliance (Rickwood et al., 2007;…”
Background
What are the active ingredients in preventative interventions for depression?
Collins, K., & Dozois, D. J. A. (2008) · Clinical Psychology Science and Practice · doi:10.1111/j.1468-2850.2008.00143.x · Cited by 37 · see citing works
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Authors: Collins, K. A., Westra, H. A., Dozois, D. J. A., & Burns, D. D.
Affiliations: London Health Sciences Centre (CA)
Western University (CA)
Stanford University (US)
Corresponding author: Collins, Kerry A.
ORCID: Collins, Kerry A.
Westra, Henny A.
Dozois, David J.A.
Burns, David D.
Venue: Clinical Psychology Review
Publisher: Elsevier BV
Published: 2004-09
Volume: 24
Issue: 5
Pages: 583-616
ISSN: 0272-7358 (ISSN-L)
DOI: 10.1016/j.cpr.2004.06.001
OpenAlex: W2040279986
Cited by: 322
References: 295
Citations by year: 2026: 5 · 2025: 10 · 2024: 19 · 2023: 18 · 2022: 26 · 2021: 17 · 2020: 14 · 2019: 27 · 2018: 20 · 2017: 20 · 2016: 23 · 2015: 15 · 2014: 15 · 2013: 17 · 2012: 15
FWCI: 1.22
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Clinical Psychology Review (publishedVersion)
PubMed (publishedVersion)
Scholarship@Western (Western University) (submittedVersion)
Topics: Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Disorders
Keywords: anxiety disorders, depression, treatment access, undertreatment, barriers to care, mental health service delivery, prevalence, health care disparities, children and adolescents, economic burden of mental illness
MeSH terms: Anxiety Disorders, Cross-Sectional Studies, Delivery of Health Care, Depressive Disorder, Health Services Accessibility, Health Services Needs and Demand, Humans, Patient Acceptance of Health Care, Referral and Consultation, United States, Treatment Outcome, Cost of Illness

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Gaps in accessing treatment for anxiety and depression: challenges for the delivery of care

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