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

Smith, S; Paparo, J; Wootton, BM

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

Smith, S Paparo, J Wootton, BM

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Publisher:: Taylor and Francis
Publication Type:: Journal Article
Citation:: Clinical Psychologist, 2021, 25, (2), pp. 223-233
Issue Date:: 2021-01-01

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Field	Value	Language
dc.contributor.author	Smith, S
dc.contributor.author	Paparo, J
dc.contributor.author	Wootton, BM
dc.date.accessioned	2021-11-12T02:29:24Z
dc.date.available	2021-11-12T02:29:24Z
dc.date.issued	2021-01-01
dc.identifier.citation	Clinical Psychologist, 2021, 25, (2), pp. 223-233
dc.identifier.issn	1328-4207
dc.identifier.issn	1742-9552
dc.identifier.uri	http://hdl.handle.net/10453/151523
dc.description.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 face-to-face treatment over other treatment approaches. (3)Less than one in five patients receives best-practice treatment for their depressive symptoms.
dc.language	English
dc.publisher	Taylor and Francis
dc.relation.ispartof	Clinical Psychologist
dc.relation.isbasedon	10.1080/13284207.2021.1892453
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1701 Psychology, 1702 Cognitive Sciences
dc.title	Understanding psychological treatment barriers, preferences and histories of individuals with clinically significant depressive symptoms in Australia: a preliminary study
dc.type	Journal Article
utslib.citation.volume	25
utslib.for	1701 Psychology
utslib.for	1702 Cognitive Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health/GSH.Clinical Psychology
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2021-11-12T02:29:23Z
pubs.issue	2
pubs.publication-status	Published
pubs.volume	25
utslib.citation.issue	2

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 face-to-face treatment over other treatment approaches. (3)Less than one in five patients receives best-practice treatment for their depressive symptoms.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/151523