Cited by 951Mental Health Treatment and AccessPsychology and Mental HealthPsychotherapy Techniques and Applications

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Barriers to mental health treatment: results from the National Comorbidity Survey Replication

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Mojtabai, R., Olfson, M., Sampson, N. A., Jin, R., Druss, B., Wang, P. S., Wells, K. B., Pincus, H. A., Kessler, R. C.·2011·Psychological Medicine

DOI 10.1017/s0033291710002291PMC PMC3128692

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Abstract

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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Lifetime Prevalence and Age-of-Onset Distributions of DSM-IV Disorders in the National Comorbidity Survey Replication
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“…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).”
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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
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Failure and delay in initial treatment contact after first onset of mental disorders in the National Comorbidity Survey Replication
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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.
ORCID: Mojtabai, R.
Olfson, M.
Sampson, N. A.
Druss, B.
Wells, K. B.
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
DOI: 10.1017/s0033291710002291
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
Licence: www.cambridge.org/core/terms (unspecified)
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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Barriers to mental health treatment: results from the National Comorbidity Survey Replication

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