The DOI matches its Crossref record; 48 of the 48 references it cites were found in a registry or an index.
Barriers to mental health treatment: results from the National Comorbidity Survey Replication
Open accessAbstract
Background: The aim was to examine barriers to initiation and continuation of treatment among individuals with common mental disorders in the US general population. Method: Respondents in the National Comorbidity Survey Replication with common 12-month DSM-IV mood, anxiety, substance, impulse control and childhood disorders were asked about perceived need for treatment, structural barriers and attitudinal/evaluative barriers to initiation and continuation of treatment. Results: Low perceived need was reported by 44.8% of respondents with a disorder who did not seek treatment. Desire to handle the problem on one's own was the most common reason among respondents with perceived need both for not seeking treatment (72.6%) and for dropping out of treatment (42.2%). Attitudinal/evaluative factors were much more important than structural barriers both to initiating (97.4% v. 22.2%) and to continuing (81.9% v. 31.8%) of treatment. Reasons for not seeking treatment varied with illness severity. Low perceived need was a more common reason for not seeking treatment among individuals with mild (57.0%) than moderate (39.3%) or severe (25.9%) disorders, whereas structural and attitudinal/evaluative barriers were more common among respondents with more severe conditions. Conclusions: Low perceived need and attitudinal/evaluative barriers are the major barriers to treatment seeking and staying in treatment among individuals with common mental disorders. Efforts to increase treatment seeking and reduce treatment drop-out need to take these barriers into consideration as well as to recognize that barriers differ as a function of sociodemographic and clinical characteristics.
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“many patients experience logistical barriers when accessing face-to-face CBT”
From Internet videoconferencing delivered cognitive behavior therapy for generalized anxiety disorder: protocol for a randomized controlled trial (2022) · cites this paper as [37]
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“POC face numerous barriers to care, including limited access to providers [37], financial and transportation constraints [38], and stigma [39].”
From App-Based Mindfulness Meditation for People of Color Who Experience Race-Related Stress: Protocol for a Randomized Controlled Trial (2022) · cites this paper as [38]
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“The reasons for this low endorsement of effective PD treatments include a lack of psychoeducation, a fear of stigmatization, and structural barriers such as a lack of access to adequate treatments [9, 10].”
From Efficacy of a hybrid online training for panic symptoms and agoraphobia: study protocol for a randomized controlled trial. (2014) · cites this paper as [10]
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“This emphasis is partly based on the findings of past research that have identified significant attitudinal barriers to mental health help-seeking (8-12).”
From Attitudes toward mental health help seeking as predictors of future help-seeking behavior and use of mental health treatments (2016) · cites this paper as [9]
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“Previous results have revealed that stigma, including public stigma and self-stigma, are the main barriers to seeking professional help [39,40,41].”
From Mental health literacy intervention on help-seeking in athletes: a systematic review (2020) · cites this paper as [40]
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Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.6.593 · Cited by 20,391
Self-citationKessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.6.617 · Cited by 12,052
Self-citationKessler, R. C., & Üstün, T. B. (2004) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.168 · Cited by 4,771
Self-citationWang, P. S., Lane, M., Olfson, M., Pincus, H. A., Wells, K. B., & Kessler, R. C. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.6.629 · Cited by 2,695 · cited 1×
“…proportion of adults with common mental disorders fail to receive any treatment (Kessler et al. 2005c ; President’s New Freedom Commission on Mental Health, 2005 ; Wang et al. 2005a, b, 2007a ; Sareen et al. 2007), even when these conditions are quite severe and disabling (Kessler et al. 2001).”
BackgroundSelf-citationPrevalence and Treatment of Mental Disorders, 1990 to 2003
Kessler, R. C., Demler, O., Frank, R. G., Olfson, M., Pincus, H. A., Walters, E. E., Wang, P., Wells, K. B., & Zaslavsky, A. M. (2005) · New England Journal of Medicine · doi:10.1056/nejmsa043266 · Cited by 1,910
Self-citationWang, P. S., Berglund, P., Olfson, M., Pincus, H. A., Wells, K. B., & Kessler, R. C. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.6.603 · Cited by 1,325
Self-citationAssessing Psychiatric Impairment in Primary Care with the Sheehan Disability Scale
Leon, A. C., Olfson, M., Portera, L., Farber, L., & Sheehan, D. V. (1997) · The International Journal of Psychiatry in Medicine · doi:10.2190/t8em-c8yh-373n-1uwd · Cited by 987
Self-citationThe US National Comorbidity Survey Replication (NCS‐R): design and field procedures
Kessler, R. C., Berglund, P. A., Chiu, W. T., Demler, O., Heeringa, S. G., Hiripi, E., Jin, R., Pennell, B., Walters, E. E., Zaslavsky, A. M., et al. (2004) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.167 · Cited by 858
Self-citationNational Trends in the Outpatient Treatment of Depression
Olfson, M. (2002) · JAMA · doi:10.1001/jama.287.2.203 · Cited by 847
Self-citationThe prevalence and correlates of untreated serious mental illness.
(2001) · PubMed Central · Cited by 780
Self-citation
Research works printed but not linked: 5
- First, 2002, Structured Clinical Interview for DSM-IV Axis I Disorders, Research Version, Non-Patient Edition (SCID-I/NP
- 1994, Diagnostic and Statistical Manual of Mental Disorders (DSM-IV)
- 1992, The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines
- 2002, SUDAAN, Version 8.0.1
- 2005, Transforming Mental Health Care in America: The Federal Action Agenda: First Steps
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Olsson, S., Burström, B., Hensing, G. K. E., & Löve, J. (2021) · Figshare · doi:10.6084/m9.figshare.16928583
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Harris, M., Kazdin, A. E., Hwang, I., Manoukian, S. M., Sampson, N. A., Stein, D. J., Viana, M. C., Vigo, D. V., Alonso, J., Andrade, L. H., et al. (2025) · Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT)
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Edlund, M. J., Guyer, H., Ringeisen, H. L., Stambaugh, L. F., Dever, J. A., Carpenter, L., Olfson, M., First, M. B., Geiger, P. J., Liao, D., et al. (2026) · Psychiatric Services · doi:10.1176/appi.ps.20250398 · Cited by 1
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Santos, F. S., de Oliveira, V. G., Althoff, B. F., Ferreira, G. G., de Oliveira, R. L. A., Araújo, I. D. S., Kieling, S. V., OSÓRIO, G. L., Alves, L. P. D. C., & Scherer, J. N. (2026) · Revista Brasileira de Saúde Materno Infantil · doi:10.1590/1806-9304202600000074-en
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Yuan, L., Niu, X., Zhang, Y., Yu, T., Pantila, K., Zhang, Y., & Zheng, H. (2026) · Psychiatry Research · doi:10.1016/j.psychres.2026.117463
Debnath, A., Gupta, P., Basu, S., Santoshi, S., & Verma, A. (2026) · Indian Journal of Social Psychiatry · doi:10.4103/ijsp.ijsp_393_24
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Blanco, C., McClellan, C. B., Zuvekas, S. H., & Olfson, M. (2026) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2026.3120
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Meyerson, W. U., Cai, T., & Smoller, J. W. (2026) · Psychological Medicine · doi:10.1017/s0033291726106321
Quan, Z., Chen, C., Popowski, S. A., Nguyen, T., Rushton, K., Reddy, M. C., Mohr, D. C., Orden, K. A. V., & Meyerhoff, J. (2026) · JMIR Formative Research · doi:10.2196/95930
Siebenhaar, K. U., & Alpers, G. W. (2026) · Journal of Medical Internet Research · doi:10.2196/90732
Banzhaf, S. E., Patterson, A., Walker, T., Price, P. L., Vanicek, K. M., Davis, B., Bergjord, J. R., Taylor, J., & Brockman, H. (2026) · Journal of Interprofessional Education & Practice · doi:10.1016/j.xjep.2026.100864
Tress, C. R. (2014) · Digital Commons - PCOM (Philadelphia College of Osteopathic Medicine)
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Deo, I. (2014) · Scholarship - Claremont (Claremont Colleges)
Metadata
- Authors
- Mojtabai, R., Olfson, M., Sampson, N. A., Jin, R., Druss, B., Wang, P. S., Wells, K. B., Pincus, H. A., & Kessler, R. C.
- Affiliations
- Johns Hopkins University (US)
- New York State Psychiatric Institute (US)
- Harvard University (US)
- Emory University (US)
- National Institute of Mental Health (US)
- University of California, Los Angeles (US)
- Columbia University (US)
- Corresponding author
- Kessler, R. C.
- Venue
- Psychological Medicine
- Publisher
- Cambridge University Press (CUP)
- Published
- 2010-12-07
- Volume
- 41
- Issue
- 8
- Pages
- 1751-1761
- ISSN
- 0033-2917 (ISSN-L)
- 1469-8978
- PMC
- PMC3128692
- OpenAlex
- W2134566698
- Cited by
- 951
- References
- 47
- Citations by year
- 2026: 46 · 2025: 63 · 2024: 75 · 2023: 71 · 2022: 96 · 2021: 96 · 2020: 104 · 2019: 61 · 2018: 54 · 2017: 95 · 2016: 46 · 2015: 47 · 2014: 43 · 2013: 21 · 2012: 16
- FWCI
- 18.71
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychological Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5r13mh066849-04, 5r01mh069864-04, 5r01mh070884-05)
- Substance Abuse and Mental Health Services Administration
- National Institute of Mental Health (R13-MH-066849, R01‐MH070884, U01-MH-60220, U13MH066849, U01MH060220, R01‐MH069864)
- National Institute on Drug Abuse (K05DA015799, R01DA016558)
- Fogarty International Center (R03TW006481)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- barriers to mental health care, treatment seeking, treatment discontinuation, perceived need for treatment, common mental disorders, mood disorders, anxiety disorders, substance use disorders, impulse control disorders, childhood disorders, disease severity, self-management, National Comorbidity Survey Replication
- MeSH terms
- Adolescent, Adult, Aged, Mental Disorders, Female, Health Services Accessibility, Humans, Male, Mental Health Services, Middle Aged, Patient Compliance, Socioeconomic Factors, United States, Health Care Surveys, Young Adult
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