title: [Barriers to treatment access reported by people with anxiety disorders].
abstract: OBJECTIVE
  Our study examined the barriers to treatment experienced by people with anxiety disorders (ADs) who had not received services for their problems. Recommendations to improve treatment access made by participants are reported.
  
  
  METHODS
  A web-based questionnaire on treatment accessibility for anxiety disorders was completed by 610 people living in Quebec reporting an anxiety problem. Chi-square tests were used to compare answers from people who received services (n = 151) with answers from people who had not (n = 434 ).
  
  
  RESULTS
  Treatment wait times that were too long (X2 = 29.66, df = 1, P < 0.001 ), difficulties reaching a professional by phone (X2 = 13. 75, df = 1, P < 0.001 ), and geographical distance from service sites (X2 = 4.34, df = 1, P = 0.04) were obstacles that hindered participants who had not received the services they were seeking, more than those who had received services.
  
  
  CONCLUSIONS
  Participant-reported barriers and recommendations highlight the need to increase access to health care professionals in terms of wait times, to train and inform primary care professionals about screening and treating ADs, and to develop psychotherapeutic services availability in the public health network.
authors.affiliation: Université McGill, Montréal, Québec. michel.perreault@douglas.mcgill.ca
authors.forename: Michel
authors.initials: M
authors.lastname: Perreault
authors.forename: David
authors.initials: D
authors.lastname: Lafortune
authors.forename: Anick
authors.initials: A
authors.lastname: Laverdure
authors.forename: Mariko
authors.initials: M
authors.lastname: Chartier-Otis
authors.forename: Claude
authors.initials: C
authors.lastname: Bélanger
authors.forename: André
authors.initials: A
authors.lastname: Marchand
authors.forename: Stéphane
authors.initials: S
authors.lastname: Bouchard
authors.forename: Diana
authors.initials: D
authors.lastname: Milton
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001008:Anxiety Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology / Q000628:therapy; D016009:Chi-Square Distribution; D003144:Communication Barriers; D003156:Community Mental Health Services / Q000592:standards; D005260:Female; D006297:Health Services Accessibility / Q000592:standards / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D020380:Needs Assessment; D010342:Patient Acceptance of Health Care / Q000523:psychology / Q000706:statistics & numerical data; D057240:Patient Preference / Q000706:statistics & numerical data*; D011792:Quebec / Q000453:epidemiology; D011795:Surveys and Questionnaires
keywords: amélioration des services; enquête Web; obstacles aux traitements; perspective des usagers; troubles anxieux