Dropping out of mental health treatment among patients with depression and anxiety by type of provider: Results of the European Study of the Epidemiology of Mental Disorders

Alejandra Pinto-Meza, Anna Fernández, Ronny Bruffaerts, Jordi Alonso, Viviane Kovess, Ron De Graaf, Giovanni De Girolamo, Herbert Matschinger, Josep M. Haro

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: Dropping out from mental health treatment is a major problem because mental health treatments delivered for inadequate durations are ineffective. The aim of this study was to compare treatment dropout rates by type of provider, dropout risk by number of visit, and to ascertain factors associated with treatment dropout. Methods: A cross-sectional household survey of a representative sample of 626 out of 21,425 non-institutionalized adults from the general population of six European countries was carried out. Dropout was defined as terminating treatment before recommendation. Results: Dropout from all treating providers during a12-month period was 14%. Among psychiatrists, psychologists, and general practitioners figures were: 19., 20.3, and 20.3%, respectively. While the hazard risk for dropping out was higher during the first three visits to GPs and psychologists, it was stable for psychiatrists. Older age, female gender, and living in large or midsize urban areas were associated with a decreased risk of dropping out. Conclusions: Efforts for increasing patients' proportion completing adequate courses of care for mental disorders in Europe should focus on the first visits, especially those made to the general medical care.

Original languageEnglish
Pages (from-to)273-280
Number of pages8
JournalSocial Psychiatry and Psychiatric Epidemiology
Volume46
Issue number4
DOIs
Publication statusPublished - Apr 2011

Keywords

  • Dropout
  • Epidemiology
  • General practitioners
  • Mental disorders
  • Psychiatrists

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Epidemiology
  • Health(social science)
  • Social Psychology

Fingerprint Dive into the research topics of 'Dropping out of mental health treatment among patients with depression and anxiety by type of provider: Results of the European Study of the Epidemiology of Mental Disorders'. Together they form a unique fingerprint.

Cite this