What format of treatment do patients with emotional disorders prefer and why? Implications for public mental health settings and policies

We analyzed the preference of three psychological intervention formats-individual, group, and online-in a sample of 267 patients with a primary diagnosis of emotional disorder in Spanish public mental health settings. We studied patients' preferences considering sociodemographic characteristics...

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Bibliographic Details
Published in:PloS one 2019-06, Vol.14 (6), p.e0218117
Main Authors: Osma, Jorge, Suso-Ribera, Carlos, Peris-Baquero, Óscar, Gil-Lacruz, Marta, Pérez-Ayerra, Luisa, Ferreres-Galan, Vanesa, Torres-Alfosea, Mª Ángeles, López-Escriche, María, Domínguez, Olga
Format: Article
Language:English
Subjects:
Adult
Analysis
Anxiety
Anxiety disorders
Anxiety Disorders - psychology
Behavior modification
Care and treatment
Cognition & reasoning
Cognitive Behavioral Therapy - methods
Demographics
Diagnosis
Emotional disorders
Emotions
Female
Format
Group counseling
Health services
Humans
Internet
Male
Medical diagnosis
Medical research
Medicine and Health Sciences
Mental depression
Mental disorders
Mental Health
Mood Disorders - psychology
Patient compliance
Patients
People and Places
Privacy
Psychotherapy
Psychotherapy - methods
Public health
Public Health - methods
Qualitative research
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Summary:We analyzed the preference of three psychological intervention formats-individual, group, and online-in a sample of 267 patients with a primary diagnosis of emotional disorder in Spanish public mental health settings. We studied patients' preferences considering sociodemographic characteristics, diagnoses, history of psychological treatments, number of sessions, and satisfaction with past interventions. Most participants (85.4%) preferred psychological treatment in an individual format, 14.2% in group, and 0.4% online. When comparing the people who chose individual and group treatment, no demographic or clinical differences were found. The arguments against group format were the lack of privacy and expression difficulties. Regarding online format, these included being considered impersonal and ineffective. The rejection of group and online psychotherapy formats allows us to define the actions we should carry out in public mental health settings to improve the acceptance of more cost-effective therapy formats.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0218117