Cited by 163Mental Health Treatment and AccessObsessive-Compulsive Spectrum DisordersAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

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Helpseeking and access to mental health treatment for obsessive-compulsive disorder.

Goodwin, Renee, Koenen, Karestan C., Hellman, Fred, Guardino, Mary, Struening, Elmer·2002·Acta Psychiatrica Scandinavica

DOI 10.1034/j.1600-0447.2002.01221.x

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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.

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Authors: Goodwin, R., Koenen, K. C., Hellman, F., Guardino, M., & Struening, E.
Affiliations: Columbia University (US)
New York State Psychiatric Institute (US)
ORCID: Koenen, Karestan C.
Venue: Acta Psychiatrica Scandinavica
Publisher: Wiley
Published: 2002-07-18
Volume: 106
Issue: 2
Pages: 143-149
ISSN: 0001-690X (ISSN-L)
1600-0447
DOI: 10.1034/j.1600-0447.2002.01221.x
OpenAlex: W2146308828
Cited by: 163
References: 17
Citations by year: 2026: 4 · 2025: 9 · 2024: 8 · 2023: 11 · 2022: 9 · 2021: 12 · 2020: 10 · 2019: 7 · 2018: 8 · 2017: 14 · 2016: 8 · 2015: 8 · 2014: 8 · 2013: 8 · 2012: 6
FWCI: 2.17
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Acta Psychiatrica Scandinavica (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords: obsessive-compulsive disorder, access to mental health care, post-traumatic stress disorder, suicidal ideation, racial disparities, barriers to care, health beliefs, treatment readiness
MeSH terms: Adult, Female, Health Services Accessibility, Humans, Male, Mental Health Services, Middle Aged, Obsessive-Compulsive Disorder, Patient Acceptance of Health Care, Severity of Illness Index, Prevalence

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Helpseeking and access to mental health treatment for obsessive-compulsive disorder.

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