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Cited by 13Mental Health Treatment and AccessDigital Mental Health InterventionsAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Understanding psychological treatment barriers, preferences and histories of individuals with clinically significant depressive symptoms in Australia: a preliminary study

Smith, Sinead, Paparo, Josephine, Wootton, Bethany M.·2021·Clinical Psychologist
DOI 10.1080/13284207.2021.1892453
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Abstract

Objective: Depressive symptoms are common, yet many individuals in Australia do not seek treatment. The aim of this study was to explore 1) psychological treatment barriers, 2) psychological treatment delivery preferences, 3) predictors of psychological help-seeking intention, and 4) treatment histories of individuals with clinically significant depressive symptoms in Australia.Method: One hundred and eighty-two individuals (Mage = 36.77, SD = 11.94; range 18-73; 92.3% female) were included in the study. Data was collected online from a community sample of individuals with clinically significant depressive symptoms.Results: The most frequently endorsed barrier to seeking psychological treatment was cost (66.5%). Participants generally preferred standard face-to-face treatment (58.8%). Participant age, number of barriers, depression severity and self-stigma explained 32% of the variance in future psychological help-seeking intention. Sixty-one percent of participants indicated receiving cognitive-behaviour therapy in the past, but less than one in five received a likely best-practice treatment according to expert consensus guidelines.Conclusions: Many Australians require more cost-effective treatments, as well as treatments using remote delivery approaches. Funders may need to assess fidelity to evidence-based interventions.Key Points(1) Cost is a significant barrier to accessing treatment for individuals with depressive symptoms.(2) Patients with depressive symptoms prefer fa…

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Crossref · 10.1080/13284207.2021.1892453

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  • These results differ from recent studies for hoarding disorder and depression which identified a preference for low intensity methods in the absence of face-to-face therapy.

    “However, these results differ from recent studies for other disorders such as hoarding disorder and depression which identified a preference for low intensity methods in the absence of face-to-face therapy (Robertson et al., 2020;Smith et al., 2021).”

    From Treatment histories, barriers, and preferences for individuals with symptoms of generalized anxiety disorder (2024) · cites this paper as Smith et al., 2021

  • The finding that only 27.8% received CBT first is consistent with research on body dysmorphic disorder and depressive symptoms.

    “This finding is consistent with other research that has examined the same research question in other mental health conditions (i.e., body dysmorphic disorder; McCausland et al., 2020, anddepressive symptoms, Smith et al., 2021)”

    From Treatment histories, barriers, and preferences for individuals with symptoms of generalized anxiety disorder (2024) · cites this paper as Smith et al., 2021

  • The female majority limits the generalizability of findings to the community more generally.

    “While this is consistent with previous research using a similar methodology (Robertson et al., 2020;Smith et al., 2021) it limits the generalizability of findings to the community more generally.”

    From Treatment histories, barriers, and preferences for individuals with symptoms of generalized anxiety disorder (2024) · cites this paper as Smith et al., 2021

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Authors
Smith, S., Paparo, J., & Wootton, B. M.
Affiliations
  • Discipline of Clinical Psychology, Graduate School of Health, University of Technology, Sydney, Australia
  • University of Technology Sydney (AU)
Corresponding author
Wootton, Bethany M.
ORCID
Venue
Clinical Psychologist
Publisher
Informa UK Limited
Published
2021-05-04
Volume
25
Issue
2
Pages
223-233
ISSN
  • 1328-4207 (ISSN-L)
  • 1742-9552
DOI
10.1080/13284207.2021.1892453
OpenAlex
W3165781794
Cited by
13
References
29
Citations by year
2026: 2 · 2025: 3 · 2024: 5 · 2023: 3
FWCI
1.96
Type
journal article
Language
en
Open access
closed
Locations
  • Clinical Psychologist (publishedVersion)
  • UTS ePRESS (University of Technology Sydney) (submittedVersion)
Topics
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
depressive symptoms, help-seeking intentions, treatment preferences, cost barriers, self-stigma, treatment history, cognitive behavioral therapy, intervention fidelity, evidence-based treatment, remote treatment delivery, depression severity, Australia

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