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学科主题: 精神卫生
题名:
Delay and failure in treatment seeking after first onset of mental disorders in the World Health Organization′s World Mental Health Survey Initiative
作者: Wang, Philip S.1; Angermeyer, Matthias2; Borges, Guilherme3; Bruffaerts, Ronny4; Chiu, Wai Tat5; de Girolamo, Giovanni6; Fayyad, John7; Gureje, Oye8; Maria Haro, Josep9; Huang, Yueqin10; Kessler, Ronald C.5; Kovess, Viviane11; Levinson, Daphna12; Nakane, Yoshibumi13; Browne, Mark A. Oakley14; Ormel, Johan H.15; Posada-Villa, Jose16; Aguilar-Gaxiola, Sergio17; Alonso, Jordi18; Lee, Sing19; Heeringa, Steven20; Pennell, Beth-Ellen20; Chatterji, Somnatih21; Uestuen, T. Bedirhan21; WHO World Mental Hlth Survey Conso
关键词: treatment seeking ; anxiety disorders ; mood disorders ; substance use disorders
刊名: WORLD PSYCHIATRY
发表日期: 2007-10-01
卷: 6, 期:3, 页:177-185
收录类别: SCI ; SSCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Psychiatry
研究领域[WOS]: Psychiatry
关键词[WOS]: COMORBIDITY SURVEY REPLICATION ; PSYCHIATRIC-DISORDERS ; SOCIAL-CONSEQUENCES ; TREATMENT CONTACT ; UNITED-STATES ; HELP-SEEKING ; DEPRESSION ; ANXIETY ; MOOD ; CARE
英文摘要:

Data are presented on patterns of failure and delay in making initial treatment contact after first onset of a mental disorder in 15 countries in the World Health Organization (WHO)′s World Mental Health (WMH) Surveys. Representative face-to-face household surveys were conducted among 76,012 respondents aged 18 and older in Belgium, Colombia, France, Germany, Israel, Italy, Japan, Lebanon, Mexico, the Netherlands, New Zealand, Nigeria, People′s Republic of China (Beijing and Shanghai), Spain, and the United States. The WHO Composite International Diagnostic Interview (CIDI) was used to assess lifetime DSM-IV anxiety, mood, and substance use disorders. Ages of onset for individual disorders and ages of first treatment contact for each disorder were used to calculate the extent of failure and delay in initial help seeking. The proportion of lifetime cases making treatment contact in the year of disorder onset ranged from 0.8 to 36.4% for anxiety disorders, from 6.0 to 52.1 % for mood disorders, and from 0.9 to 18.6% for substance use disorders. By 50 years, the proportion of lifetime cases making treatment contact ranged from 15.2 to 95.0% for anxiety disorders, from 7.9 to 98.6% for mood disorders, and from 19.8 to 86.1% for substance use disorders. Median delays among cases eventually making contact ranged from 3.0 to 30.0 years for anxiety disorders, from 1.0 to 14.0 years for mood disorders, and from 6.0 to 18.0 years for substance use disorders. Failure and delays in treatment seeking were generally greater in developing countries, older cohorts, men, and cases with earlier ages of onset. These results show that failure and delays in initial help seeking are pervasive problems worldwide. Interventions to ensure prompt initial treatment contacts are needed to reduce the global burdens and hazards of untreated mental disorders.

语种: 英语
WOS记录号: WOS:000252131300016
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/56373
Appears in Collections:北京大学精神卫生研究所_期刊论文

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作者单位: 1.St Joan de Deu Mental Hlth Serv, Barcelona, Spain
2.Peking Univ, Inst Mental Hlth, Beijing 100871, Peoples R China
3.MGEN Fdn Publ Hlth, Paris, France
4.Minist Hlth, Res & Planning Mental Hlth Serv, Jerusalem, Israel
5.Nagasaki Int Univ Grad Sch, Div Human Sociol, Nagasaki, Japan
6.Netherlands Inst Mental Hlth & Addict, Utrecht, Netherlands
7.Dept Mental Hlth, Local Hlth Unit, Bologna, Italy
8.IDRAAC, Beirut, Lebanon
9.Univ Coll Ibadan Hosp, Dept Psychiat, Ibadan, Nigeria
10.Inst Municipal Invest Med, Hlth Serv Res Unit, E-08003 Barcelona, Spain
11.Univ Leipzig, Dept Psychiat, Leipzig, Germany
12.NIMH, Div Serv & Intervent Res, Bethesda, MD 20892 USA
13.Natl Inst Psychiat, Dept Epidemiol, Mexico City, DF, Mexico
14.Univ Hosp Gasthuisberg, Dept Neurosci & Psychiat, B-3000 Louvain, Belgium
15.Harvard Univ, Sch Med, Dept Hlth Care Policy, Boston, MA 02115 USA
16.Monash Univ, Fac Med Nursing & Hlth Sci, Sch Rural Hlth, Dept Rural & Indigenous Hlth, Clayton, Vic 3168, Australia
17.Colegio Mayor Cundinamarca Univ, Saldiarraga Concha Fdn, Bogota, Colombia
18.UC Davis Sch Med, Ctr Reducing Hlth Disparities, Sacramento, CA USA
19.Univ Hong Kong, Dept Psychiat, Hong Kong, Hong Kong, Peoples R China
20.Univ Michigan, Inst Social Res, Ann Arbor, MI USA
21.WHO, Global Programme Evidence Hlth Policy, CH-1211 Geneva, Switzerland

Recommended Citation:
Wang, Philip S.,Angermeyer, Matthias,Borges, Guilherme,et al. Delay and failure in treatment seeking after first onset of mental disorders in the World Health Organization′s World Mental Health Survey Initiative[J]. WORLD PSYCHIATRY,2007,6(3):177-185.
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