https://sms.carm.es/ricsmur/handle/123456789/17625 2026-04-05T20:44:13Z 2026-04-05T20:44:13Z Pastor-Bravo, María-del-Mar Marín-Rodríguez, María Martín-Castillo, David Jiménez-Barbero, José-Antonio García-Arenas, José-Joaquín Sánchez-Muñoz, María https://sms.carm.es/ricsmur/handle/123456789/25063 2026-03-09T09:01:11Z 2025-11-18T00:00:00Z

Experiences of Health Care Access Among Trans Adolescents in the Region of Murcia, Spain Pastor-Bravo, María-del-Mar; Marín-Rodríguez, María; Martín-Castillo, David; Jiménez-Barbero, José-Antonio; García-Arenas, José-Joaquín; Sánchez-Muñoz, María Objective: The objective of this research is to explore the healthcare access experiences of trans and gender-diverse adolescents in the Region of Murcia (Spain). Methodology: An exploratory qualitative study was conducted using an interpretative phenomenological approach, consisting of semi-structured interviews with adolescents and their families. The study sample consisted of 20 participants: 10 trans and gender-diverse adolescents residing in the Region of Murcia and their respective mothers. Interview dyads (adolescent and mother) were incorporated sequentially until data saturation was reached. Transcription and data pre-analysis were conducted simultaneously, following the steps outlined in Interpretative Phenomenological Analysis (IPA). Results: The results are structured based on personal barriers of the participants, perceived barriers in interactions with professionals, and institutional barriers to receiving quality healthcare. Conclusions: This study helps raise awareness about the situation faced by trans adolescents in healthcare settings. It is essential for healthcare professionals to receive greater training and awareness regarding transgender health and for centers to have action protocols, services, and facilities tailored to these patients.

2025-11-18T00:00:00Z Martín-Castillo, David García-Arenas, José-Joaquín Sánchez-Muñoz, María Jiménez-Barbero, José-Antonio Pastor-Bravo, María-del-Mar https://sms.carm.es/ricsmur/handle/123456789/24926 2026-03-09T08:59:47Z 2025-08-19T00:00:00Z

School-based victimization of transgender youth: A qualitative study Martín-Castillo, David; García-Arenas, José-Joaquín; Sánchez-Muñoz, María; Jiménez-Barbero, José-Antonio; Pastor-Bravo, María-del-Mar BACKGROUND: Evidence indicates that transgender adolescents are at heightened risk of experiencing violence during their school years. This study aims to explore victimization experiences from the perspective of transgender students and their mothers. METHODS: A qualitative phenomenological approach was used, employing in-depth interviews to examine experiences of school victimization among transgender youth and their mothers. Participants were recruited until data saturation was reached (n=10). Interviews were audio-recorded, transcribed, and analysed using thematic content analysis in parallel with ongoing data collection. RESULTS: Transgender children and adolescents, along with their mothers, described various victimization forms in school settings, including physical and verbal abuse, and cyberbullying. These experiences were associated with significant biopsychosocial consequences, such social withdrawal, violent behaviour, depression, and suicidal ideation. CONCLUSIONS: The findings in this study highlight the urgent need to understand and address the diverse forms of victimization faced by transgender students. The study underscores the importance of implementing comprehensive anti-bullying strategies, including awareness campaigns, peer support systems, targeted protocols, and specialized training for school personnel.

2025-08-19T00:00:00Z Harris, Meredith-G Kazdin, Alan-E Hwang, Irving Manoukian, Sophie-M Sampson, Nancy-A Stein, Dan-J Viana-Llamas, María-Carmen Vigo, Daniel-V Alonso, Jordi Andrade, Laura-Helena Bruffaerts, Ronny Bunting, Brendan Caldas-de-Almeida, José-Miguel Chardoul, Stephanie de-Girolamo, Giovanni Gureje, Oye Haro, Josep-María Karam, Elie-G Kovess-Masfety, Viviane Medina-Mora, María-Elena Navarro-Mateu, Fernando Nishi, Daisuke Posada-Villa, José Rapsey, Charlene Stagnaro, Juan-Carlos ten-Have, Margreet Wciorka, Jacek Zarkov, Zahari Kessler, Ronald-C https://sms.carm.es/ricsmur/handle/123456789/24876 2026-03-09T08:58:14Z 2025-05-23T00:00:00Z

Pathway to effective treatment for common mental and substance use disorders in the World Mental Health Surveys: Perceived need for treatment Harris, Meredith-G; Kazdin, Alan-E; Hwang, Irving; Manoukian, Sophie-M; Sampson, Nancy-A; Stein, Dan-J; Viana-Llamas, María-Carmen; Vigo, Daniel-V; Alonso, Jordi; Andrade, Laura-Helena; Bruffaerts, Ronny; Bunting, Brendan; Caldas-de-Almeida, José-Miguel; Chardoul, Stephanie; de-Girolamo, Giovanni; Gureje, Oye; Haro, Josep-María; Karam, Elie-G; Kovess-Masfety, Viviane; Medina-Mora, María-Elena; Navarro-Mateu, Fernando; Nishi, Daisuke; Posada-Villa, José; Rapsey, Charlene; Stagnaro, Juan-Carlos; ten-Have, Margreet; Wciorka, Jacek; Zarkov, Zahari; Kessler, Ronald-C BACKGROUND: Perceived need for treatment is a first step along the pathway to effective mental health treatment. Perceived need encompasses a person's recognition that they have a problem and their belief that professional help is needed to manage the problem. These two components could have different predictors. METHODS: Respondents aged 18+ years with 12-month mental disorders from 25 representative household surveys in 21 countries in the World Mental Health Survey Initiative (n = 12,508). All surveys included questions about perceived need; 16 surveys (13 countries) included additional questions about respondents' main reason for perceived need-problem recognition or perceived inability to manage without professional help (n = 9814). Associations of three sets of predictors (disorder, socio-demographics, past treatment) with perceived need and its components were examined using Poisson regression models. RESULTS: Across the 16 surveys with additional questions, 42.4% of respondents with a 12-month mental disorder reported perceived need for treatment. In separate multivariable models for each predictor set: (1) Most disorder types (except alcohol use disorder, specific phobia), disorder severity, and number of disorders were associated with perceived need and both of its components; (2) Sociodemographic factors tended to differentially predict either problem recognition (females, 30-59 years, disabled/unemployed) or need for professional help (females, homemakers, disabled/unemployed, public insurance); (3) Past treatment factors (type of professional, psychotherapy, helpful or unhelpful treatment) were associated with perceived need and both components, except number of past professionals differentially predicted problem recognition. In a consolidated model: employment and insurance became non-significant; type and number of past professionals seen became more important; helpful past treatment predicted greater need for professional help while unhelpful treatment predicted lower problem recognition. Problem recognition was the more important component in determining perceived need for some groups (e.g., severe disorder, people who consulted non-mental health professionals). CONCLUSIONS: Greater clinical need is a key determinant of perceived need for treatment. Findings suggest a need for strategies to address low perceived need (e.g., in males, older people, alcohol use disorders) and lower endorsement of professional treatment in some groups, and to improve patient's treatment experiences which are important enablers of future help-seeking.

2025-05-23T00:00:00Z Stein, Dan-J Vigo, Daniel-V Harris, Meredith-G Kazdin, Alan-E Viana-Llamas, María-Carmen Hwang, Irving Kessler, Timothy-L Manoukian, Sophie-M Sampson, Nancy-A Alonso, Jordi Andrade, Laura-Helena Benjet, Corina Bruffaerts, Ronny Bunting, Brendan Cardoso, Graca Chardoul, Stephanie de-Girolamo, Giovanni de-Jonge, Peter Gureje, Oye Haro, Josep-María Karam, Elie-G Kovess-Masfety, Viviane Moskalewicz, Jacek Navarro-Mateu, Fernando Nishi, Daisuke Posada-Villa, José Scott, Kate Stagnaro, Juan-Carlos Vladescu, Cristian Wciorka, Jacek Zarkov, Zahari Kessler, Ronald-C Aguilar-Gaxiola, Sergio Al-Hamzawi, Ali Altwaijri, Yasmin-A Atwoli, Lukoye Borges, Guilherme Bromet, Evelyn-J Caldas-de-Almeida, José-Miguel Cia, Alfredo-H Degenhardt, Louisa de-Guzmán, Ma-Lourdes-Rosanna-E Hinkov, Hristo Hu, Chi-yi Karam, Aimee-Nasser Karam, Georges Kawakami, Norito Khaled, Salma Kiejna, Andrzej Mcgrath, John-J Medina-Mora, María-Elena Piazza, Marina Scott, Kate-M ten-Have, Margreet Torres, Yolanda Williams, David-R Wojtyniak, Bogdan Woodruff, Peter Xavier, Miguel Zaslavsky, Alan-M https://sms.carm.es/ricsmur/handle/123456789/24875 2026-03-09T08:58:14Z 2025-03-14T00:00:00Z

Patterns and predictors of 12-month treatment of common anxiety, mood, and substance use disorders in the World Mental Health (WMH) surveys: treatment in the context of perceived need Stein, Dan-J; Vigo, Daniel-V; Harris, Meredith-G; Kazdin, Alan-E; Viana-Llamas, María-Carmen; Hwang, Irving; Kessler, Timothy-L; Manoukian, Sophie-M; Sampson, Nancy-A; Alonso, Jordi; Andrade, Laura-Helena; Benjet, Corina; Bruffaerts, Ronny; Bunting, Brendan; Cardoso, Graca; Chardoul, Stephanie; de-Girolamo, Giovanni; de-Jonge, Peter; Gureje, Oye; Haro, Josep-María; Karam, Elie-G; Kovess-Masfety, Viviane; Moskalewicz, Jacek; Navarro-Mateu, Fernando; Nishi, Daisuke; Posada-Villa, José; Scott, Kate; Stagnaro, Juan-Carlos; Vladescu, Cristian; Wciorka, Jacek; Zarkov, Zahari; Kessler, Ronald-C; Aguilar-Gaxiola, Sergio; Al-Hamzawi, Ali; Altwaijri, Yasmin-A; Atwoli, Lukoye; Borges, Guilherme; Bromet, Evelyn-J; Caldas-de-Almeida, José-Miguel; Cia, Alfredo-H; Degenhardt, Louisa; de-Guzmán, Ma-Lourdes-Rosanna-E; Hinkov, Hristo; Hu, Chi-yi; Karam, Aimee-Nasser; Karam, Georges; Kawakami, Norito; Khaled, Salma; Kiejna, Andrzej; Mcgrath, John-J; Medina-Mora, María-Elena; Piazza, Marina; Scott, Kate-M; ten-Have, Margreet; Torres, Yolanda; Williams, David-R; Wojtyniak, Bogdan; Woodruff, Peter; Xavier, Miguel; Zaslavsky, Alan-M BACKGROUND: Data from the World Mental Health (WMH) surveys on the coverage cascade has underscored the importance of perceived need for seeking treatment of mental disorders. However, little research has focused on treatment contact after adjusting for perceived need. We do so here in analysis of WMH data. METHODS: The WMH data considered here come from 25 community surveys implemented between 2001 and 2019 across 21 countries. n = 12,508 of the n = 117,739 respondents in these surveys aged 18 and older met criteria for one or more 12-month DSM-IV anxiety, mood, or substance use disorders assessed across all these surveys. Information was obtained about 12-month treatment of each disorder. The predictors considered were disorder type, socio-demographics, and history of prior treatment. RESULTS: Twelve-month treatment was obtained for 17.7% of the n = 18,702 12-month person-disorders in the sample, including 34.1% for the 46.5% with perceived need and 3.5% for the 54.5% without perceived need. After adjusting for perceived need, receiving treatment was most strongly associated with disorder characteristics (severity, and highest for major depressive, panic/agoraphobia, and generalized anxiety disorders; lowest for substance use disorders), health insurance, employment status (highest for students, the retired, and the unemployed/disabled), and several aspects of prior treatment. These associations were generally similar in cases with and without perceived need for treatment. 12-month treatment among cases who without perceived need and without history of prior treatment was rare (1.1%). CONCLUSIONS: Findings highlight the critical importance of perceived need for obtaining 12-month treatment in the context of other significant predictors involving complexity and severity of disorders and socio-demographic factors. The importance of prior treatment history was quite striking, as was the finding that absence of both perceived need and prior treatment history were associated with a nearly complete absence of treatment. Policy recommendations emerging from these results include the need to increase health literacy, reduce the stigmatization of mental disorder, enhance access through health insurance, and improve the quality of care given the clear evidence that prior experiences with treatment play an important role in determining the likelihood of again seeking treatment for current problems.

2025-03-14T00:00:00Z