Ronny Bruffaerts1, Jose Posada-Villa1, Ali Obaid Al-Hamzawi1, Oye Gureje1, Yueqin Huang1, Chiyi Hu1, Evelyn J Bromet1, Maria Carmen Viana1, Hristo Ruskov Hinkov1, Elie G Karam1, Guilherme Borges1, Silvia E Florescu1, David R Williams1, Koen Demyttenaere1, Viviane Kovess-Masfety1, Herbert Matschinger1, Daphna Levinson1, Giovanni de Girolamo1, Yutaka Ono1, Ron de Graaf1, Mark Oakley Browne1, Brendan Bunting1, Miguel Xavier1, Josep Maria Haro1, Ronald C Kessler1. 1. Ronny Bruffaerts, PhD, Universitair Psychiatrisch Centrum - KULeuven (UPC-KUL), Leuven, Belgium; Jose Posada-Villa, MD, Colegio Mayor de Cundinamarca University, Bogota, Colombia; Ali Obaid Al-Hamzawi, DM, FICMSAl-Qadisia University College of Medicine, Diwania, Iraq; Oye Gureje, MD, PhD, DSc, FRCPsych, WHO Collaborating Centre for Research and Training in Mental Health, Neurosciences, and Drug & Alcohol Abuse, Department of Psychiatry, University College Hospital, Ibadan, Nigeria; Yueqin Huang, MD, MPH, PhD, Institute of Mental Health, Key Laboratory of Ministry of Health, Peking University, Haidian, Beijing, China; Chiyi Hu, MD, PhD, Shenzhen Institute of Mental Health and Shenzhen Kangning Hospital, Guangdong Province, PR China; Evelyn J. Bromet, PhD, State University of New York at Stony Brook, Department of Psychiatry, New York, USA; Maria Carmen Viana, MD, PhD, Department of Social Medicine, Federal University of Espírito Santo (UFES), Vitória, Espírito Santo, Brazil; Hristo Ruskov Hinkov, MD, PhD, National Center for Public Health and Analyses, Sofia, Bulgaria; Elie G. Karam, MD, St. George Hospital University Medical Center, Balamand University, Faculty of Medicine, Institute for Development, Research, Advocacy & Applied Care (IDRAAC), Medical Institute for Neuropsychological Disorders (MIND), Beirut, Lebanon; Guilherme Borges, MSc, DrSc, Division of Epidemiological and Psychosocial Research, National Institute of Psychiatry (Mexico) & Metropolitan Autonomous University, Mexico City, Mexico; Silvia E. Florescu, MD, PhD, National School of Public Health, Management and Professional Development, 31 Vaselor Street, Bucharest, Romania; David R. Williams, MPH, PhD, Department of Social and Behavioral Sciences, Harvard School of Public Health, Boston, USA; Koen Demyttenaere, MD, PhD, Universitair Psychiatrisch Centrum - KULeuven (UPC-KUL), Leuven, Belgium; Viviane Kovess-Masfety, MD, PhD, EA 4069 Université Paris Descartes & EHESP School for Public Health Depa
Abstract
BACKGROUND: Previous research suggests that many people receiving mental health treatment do not meet criteria for a mental disorder but are rather 'the worried well'. AIMS: To examine the association of past-year mental health treatment with DSM-IV disorders. METHOD: The World Health Organization's World Mental Health (WMH) Surveys interviewed community samples of adults in 23 countries (n = 62 305) about DSM-IV disorders and treatment in the past 12 months for problems with emotions, alcohol or drugs. RESULTS: Roughly half (52%) of people who received treatment met criteria for a past-year DSM-IV disorder, an additional 18% for a lifetime disorder and an additional 13% for other indicators of need (multiple subthreshold disorders, recent stressors or suicidal behaviours). Dose-response associations were found between number of indicators of need and treatment. CONCLUSIONS: The vast majority of treatment in the WMH countries goes to patients with mental disorders or other problems expected to benefit from treatment. Royal College of Psychiatrists.
BACKGROUND: Previous research suggests that many people receiving mental health treatment do not meet criteria for a mental disorder but are rather 'the worried well'. AIMS: To examine the association of past-year mental health treatment with DSM-IV disorders. METHOD: The World Health Organization's World Mental Health (WMH) Surveys interviewed community samples of adults in 23 countries (n = 62 305) about DSM-IV disorders and treatment in the past 12 months for problems with emotions, alcohol or drugs. RESULTS: Roughly half (52%) of people who received treatment met criteria for a past-year DSM-IV disorder, an additional 18% for a lifetime disorder and an additional 13% for other indicators of need (multiple subthreshold disorders, recent stressors or suicidal behaviours). Dose-response associations were found between number of indicators of need and treatment. CONCLUSIONS: The vast majority of treatment in the WMH countries goes to patients with mental disorders or other problems expected to benefit from treatment. Royal College of Psychiatrists.
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