Perceived barriers to psychological treatments and their relationship to depression.
In spite of repeated calls for research and interventions to overcome individual and systemic barriers to psychological treatments, little is known about the nature of these barriers. To develop a measure of perceived barriers to psychological treatment (PBPT), items derived from 260 participants were administered to 658 primary care patients. Exploratory factor analysis on half the sample resulted in 8 factors, which were supported by confirmatory factor analysis conducted on the other half. Associations generally supported the criterion validity of PBPT scales, with self-reported concurrent use of psychotherapy and psychotherapy attendance in the year after PBPT administration. Depression was associated with greater endorsement of barriers. These findings suggest that the PBPT may be useful in assessing perceived barriers.
Mohr
David C
DC
Department of Preventive Medicine, Northwestern University and Hines Veterans Administration Hospital, USA. d-mohr@northwestern.edu
Ho
Joyce
J
Duffecy
Jenna
J
Baron
Kelly G
KG
Lehman
Kenneth A
KA
Jin
Ling
L
Reifler
Douglas
D
D000046:Academic Medical Centers; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D005163:Factor Analysis, Statistical; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D007087:Illinois; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D011320:Primary Health Care; D011581:Psychological Tests / Q000592:standards*; D011613:Psychotherapy; D012647:Self-Assessment; D011795:Surveys and Questionnaires; D016312:Treatment Refusal / Q000523:psychology; D055815:Young Adult