Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. Export

@article{citeulike:5369850, abstract = {CONTEXT: Little is known about the extent or severity of untreated mental disorders, especially in less-developed countries. OBJECTIVE: To estimate prevalence, severity, and treatment of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) mental disorders in 14 countries (6 less developed, 8 developed) in the World Health Organization (WHO) World Mental Health (WMH) Survey Initiative. DESIGN, SETTING, AND PARTICIPANTS: Face-to-face household surveys of 60 463 community adults conducted from 2001-2003 in 14 countries in the Americas, Europe, the Middle East, Africa, and Asia. MAIN OUTCOME MEASURES: The DSM-IV disorders, severity, and treatment were assessed with the WMH version of the WHO Composite International Diagnostic Interview (WMH-CIDI), a fully structured, lay-administered psychiatric diagnostic interview. RESULTS: The prevalence of having any WMH-CIDI/DSM-IV disorder in the prior year varied widely, from 4.3\% in Shanghai to 26.4\% in the United States, with an interquartile range (IQR) of 9.1\%-16.9\%. Between 33.1\% (Colombia) and 80.9\% (Nigeria) of 12-month cases were mild (IQR, 40.2\%-53.3\%). Serious disorders were associated with substantial role disability. Although disorder severity was correlated with probability of treatment in almost all countries, 35.5\% to 50.3\% of serious cases in developed countries and 76.3\% to 85.4\% in less-developed countries received no treatment in the 12 months before the interview. Due to the high prevalence of mild and subthreshold cases, the number of those who received treatment far exceeds the number of untreated serious cases in every country. CONCLUSIONS: Reallocation of treatment resources could substantially decrease the problem of unmet need for treatment of mental disorders among serious cases. Structural barriers exist to this reallocation. Careful consideration needs to be given to the value of treating some mild cases, especially those at risk for progressing to more serious disorders.}, author = {Demyttenaere, Koen and Bruffaerts, Ronny and Posada-Villa, Jose and Gasquet, Isabelle and Kovess, Viviane and Lepine, Jean Pierre P. and Angermeyer, Matthias C. and Bernert, Sebastian and de Girolamo, Giovanni and Morosini, Pierluigi and Polidori, Gabriella and Kikkawa, Takehiko and Kawakami, Norito and Ono, Yutaka and Takeshima, Tadashi and Uda, Hidenori and Karam, Elie G. and Fayyad, John A. and Karam, Aimee N. and Mneimneh, Zeina N. and Medina-Mora, Maria Elena E. and Borges, Guilherme and Lara, Carmen and de Graaf, Ron and Ormel, Johan and Gureje, Oye and Shen, Yucun and Huang, Yueqin and Zhang, Mingyuan and Alonso, Jordi and Haro, Josep Maria M. and Vilagut, Gemma and Bromet, Evelyn J. and Gluzman, Semyon and Webb, Charles and Kessler, Ronald C. and Merikangas, Kathleen R. and Anthony, James C. and Von Korff, Michael R. and Wang, Philip S. and Brugha, Traolach S. and Aguilar-Gaxiola, Sergio and Lee, Sing and Heeringa, Steven and Pennell, Beth-Ellen E. and Zaslavsky, Alan M. and Ustun, T. Bedirhan and Chatterji, Somnath and {WHO World Mental Health Survey Consortium}}, citeulike-article-id = {5369850}, citeulike-linkout-0 = {http://dx.doi.org/10.1001/jama.291.21.2581}, citeulike-linkout-1 = {http://jama.ama-assn.org/content/291/21/2581.abstract}, citeulike-linkout-2 = {http://jama.ama-assn.org/content/291/21/2581.full.pdf}, citeulike-linkout-3 = {http://view.ncbi.nlm.nih.gov/pubmed/15173149}, citeulike-linkout-4 = {http://www.hubmed.org/display.cgi?uids=15173149}, day = {2}, doi = {10.1001/jama.291.21.2581}, issn = {1538-3598}, journal = {JAMA : the journal of the American Medical Association}, keywords = {health, mental, survey, who}, month = {June}, number = {21}, pages = {2581--2590}, posted-at = {2009-11-05 16:21:12}, priority = {5}, title = {Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys.}, url = {http://dx.doi.org/10.1001/jama.291.21.2581}, volume = {291}, year = {2004} }

TY - JOUR ID - citeulike:5369850 L3 - citeulike-article-id:5369850 N2 - CONTEXT: Little is known about the extent or severity of untreated mental disorders, especially in less-developed countries. OBJECTIVE: To estimate prevalence, severity, and treatment of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) mental disorders in 14 countries (6 less developed, 8 developed) in the World Health Organization (WHO) World Mental Health (WMH) Survey Initiative. DESIGN, SETTING, AND PARTICIPANTS: Face-to-face household surveys of 60 463 community adults conducted from 2001-2003 in 14 countries in the Americas, Europe, the Middle East, Africa, and Asia. MAIN OUTCOME MEASURES: The DSM-IV disorders, severity, and treatment were assessed with the WMH version of the WHO Composite International Diagnostic Interview (WMH-CIDI), a fully structured, lay-administered psychiatric diagnostic interview. RESULTS: The prevalence of having any WMH-CIDI/DSM-IV disorder in the prior year varied widely, from 4.3% in Shanghai to 26.4% in the United States, with an interquartile range (IQR) of 9.1%-16.9%. Between 33.1% (Colombia) and 80.9% (Nigeria) of 12-month cases were mild (IQR, 40.2%-53.3%). Serious disorders were associated with substantial role disability. Although disorder severity was correlated with probability of treatment in almost all countries, 35.5% to 50.3% of serious cases in developed countries and 76.3% to 85.4% in less-developed countries received no treatment in the 12 months before the interview. Due to the high prevalence of mild and subthreshold cases, the number of those who received treatment far exceeds the number of untreated serious cases in every country. CONCLUSIONS: Reallocation of treatment resources could substantially decrease the problem of unmet need for treatment of mental disorders among serious cases. Structural barriers exist to this reallocation. Careful consideration needs to be given to the value of treating some mild cases, especially those at risk for progressing to more serious disorders. IS - 21 JF - JAMA : the journal of the American Medical Association SN - 1538-3598 EP - 2590 TI - Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. VL - 291 SP - 2581 KW - health KW - mental KW - survey KW - who AU - Demyttenaere, Koen AU - Bruffaerts, Ronny AU - Posada-Villa, Jose AU - Gasquet, Isabelle AU - Kovess, Viviane AU - Lepine, Jean Pierre AU - Angermeyer, Matthias AU - Bernert, Sebastian AU - de Girolamo, Giovanni AU - Morosini, Pierluigi AU - Polidori, Gabriella AU - Kikkawa, Takehiko AU - Kawakami, Norito AU - Ono, Yutaka AU - Takeshima, Tadashi AU - Uda, Hidenori AU - Karam, Elie AU - Fayyad, John AU - Karam, Aimee AU - Mneimneh, Zeina AU - Medina-Mora, Maria Elena AU - Borges, Guilherme AU - Lara, Carmen AU - de Graaf, Ron AU - Ormel, Johan AU - Gureje, Oye AU - Shen, Yucun AU - Huang, Yueqin AU - Zhang, Mingyuan AU - Alonso, Jordi AU - Haro, Josep Maria AU - Vilagut, Gemma AU - Bromet, Evelyn AU - Gluzman, Semyon AU - Webb, Charles AU - Kessler, Ronald AU - Merikangas, Kathleen AU - Anthony, James AU - Von Korff, Michael AU - Wang, Philip AU - Brugha, Traolach AU - Aguilar-Gaxiola, Sergio AU - Lee, Sing AU - Heeringa, Steven AU - Pennell, Beth-Ellen AU - Zaslavsky, Alan AU - Ustun, Bedirhan AU - Chatterji, Somnath PY - 2004/06/02/ UR - http://dx.doi.org/10.1001/jama.291.21.2581 ER -