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Determinants of Barriers to Treatment for Anxiety Disorders

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Abstract

The objectives of this study were to evaluate perceived unmet need for mental healthcare, determinants of unmet need, and barriers to care in individuals with social anxiety (SA) or panic disorder with agoraphobia (PDA) in Quebec. Data from 206 participants diagnosed with SA or PDA were collected using an online questionnaire. Correlational analyses and binary stepwise logistic regressions were conducted to explore determinants of perceived unmet need. Of the 206 participants, 144 (69.9%) reported instances of unmet need for treatment. Perceived unmet need was correlated with variables related to the severity of the disorder, such as comorbid depression, avoidance, duration of worry, interference with functioning, and time lapsed between the appearance of first symptoms and first consultation. Depression and avoidance emerged as predictors for perceived unmet need in the regression analysis. The most common barriers to treatment reported were concern about the cost of services (63.9%), not knowing where to go to get help (63.2%), lack of health insurance coverage (52.4%), and appointment wait times (52.1%). The results of this study demonstrate the need to overcome barriers to treatment engendered by avoidance behaviors associated with anxiety. Potential methods for achieving this objective include Internet outreach, support groups, and increased accessibility to public services.

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Acknowledgments

This study was approved by the ethics committee at the Douglas University Mental Health Institute. It is funded in part by the Canadian Institutes of Health Research (CIHR—Partnership Program), the Quebec Minister of Health and Social Services, and the health program of the Fonds de Recherche en Santé du Québec [Quebec Fund for Health Research]. The authors wish to thank Sarah Roberts for translating the text into English, and the following organizations for their help with recruitment: Phobies-Zéro, the Montreal branch of the Canadian Mental Health Association, Revivre, ATAQ, Faculty Association of Social Sciences Students, Quebec Society for Research in Psychology.

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Correspondence to Michel Perreault.

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Chartier-Otis, M., Perreault, M. & Bélanger, C. Determinants of Barriers to Treatment for Anxiety Disorders. Psychiatr Q 81, 127–138 (2010). https://doi.org/10.1007/s11126-010-9123-5

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