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学科主题: 精神卫生
题名:
Drop out from out-patient mental healthcare in the World Health Organization′s World Mental Health Survey initiative
作者: Wells, J. Elisabeth1; Browne, Mark Oakley2; Aguilar-Gaxiola, Sergio3; Al-Hamzawi, Ali4; Alonso, Jordi5,6; Angermeyer, Matthias C.7; Bouzan, Colleen8; Bruffaerts, Ronny9; Bunting, Brendan10; Caldas-de-Almeida, Jose Miguel11,12; de Girolamo, Giovanni13; de Graaf, Ron14; Florescu, Silvia15; Fukao, Akira16; Gureje, Oye17; Hinkov, Hristo Ruskov18; Hu, Chiyi19,20; Hwang, Irving8; Karam, Elie G.21; Kostyuchenko, Stanislav22; Kovess-Masfety, Viviane23,24; Levinson, Daphna25; Liu, Zhaorui26; Elena Medina-Mora, Maria27; Nizamie, S. Hague28; Posada-Villa, Jose29; Sampson, Nancy A.8; Stein, Dan J.30; Viana, Maria Carmen31; Kessler, Ronald C.8
刊名: BRITISH JOURNAL OF PSYCHIATRY
发表日期: 2013
DOI: 10.1192/bjp.bp.112.113134
卷: 202, 期:1, 页:42-49
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]: GENERAL-POPULATION ; UNITED-STATES ; PSYCHOTHERAPY ; DISORDERS ; SERVICES ; TERMINATION ; PREVALENCE ; COUNTRIES ; ONSET
英文摘要:

Background

Previous community surveys of the drop out from mental health treatment have been carried out only in the USA and Canada.

Aims

To explore mental health treatment drop out in the World Health Organization World Mental Health Surveys.

Method

Representative face-to-face household surveys were conducted among adults in 24 countries. People who reported mental health treatment in the 12 months before interview (n=8482) were asked about drop out, defined as stopping treatment before the provider wanted.

Results

Overall, drop out was 31.7%: 26.3% in high-income countries, 45.1% in upper-middle-income countries, and 37.6% in low/lower-middle-income countries. Drop out from psychiatrists was 21.3% overall and similar across country income groups (high 20.3%, upper-middle 23.6%, low/lower-middle 23.8%) but the pattern of drop out across other sectors differed by country income group. Drop out was more likely early in treatment, particularly after the second visit.

Conclusions

Drop out needs to be reduced to ensure effective treatment.

语种: 英语
所属项目编号: R01 MH070884 ; R13-MH066849 ; R01-MH069864 ; R01 DA016558 ; FIRCA R03-1W006481 ; 03/00204-3 ; QLG5-1999-01042 ; SANCO 2004123 ; EAHC 20081308 ; FIS 00/0028 ; SAF 2000-158-CE ; CIBER CB06/02/0046 ; RETICS RD06/0011 REM-TAP ; H13-SHOGAI-023 ; H14-TOKUBETSU-026 ; H16-KOKORO-013 ; R03 TW006481-01 ; INPRFMDIES 4280 ; CONACyT-G30544- H ; R01-MH059575 ; U01-MH60220 ; 0447081
项目资助者: National Institute of Mental Health (NIMH) ; John D. and Catherine T. MacArthur Foundation ; Pfizer Foundation ; US Public Health Service ; Fogarty International Center ; Pan American Health Organization (PAHO) ; Eli Lilly and Company ; Ortho-McNeil Pharmaceutical ; GlaxoSmithKline ; Bristol-Myers SquibbState of sao Paulo Research Foundation (FAPESP) Thematic Project Grant ; Ministry of Health and the National Center for Public Health Protection ; Shenzhen Bureau of Health ; Shenzhen Bureau of Science. Technology, and Information ; Ministry of Social Protection ; European Commission ; Piedmont Region (Italy) ; Fondo de Investigacien Sanitaria ; Instituto de Salud Carlos III, Spain ; Ministerio de Ciencia y Tecnologia, Spain ; Departament de Salut, Generalitat de Catalunya, Spain ; Instituto de Salud Carlos III ; Government of India ; WHO ; Iraqi IMHS team ; Japanese and European Funds through United Nations Development Group Iraq Trust Fund (UNDO ITF) ; Ministry of Health ; Israel National Institute for Health Policy and Health Services Research ; National Insurance Institute of Israel ; Grant for Research on Psychiatric and Neurological Diseases and Mental Health from the Japan Ministry of Health, Labour and Welfare ; Lebanese Ministry of Public Health ; WHO (Lebanon) ; National Institute of Health/Fogarty International Center ; Janssen Cilag ; Eli Lilly ; AstraZeneca ; Hikma Pharm ; Novartis ; National Institute of Psychiatry Ramon de la Fuente ; National Council on Science and Technology ; PAHO ; New Zealand Ministry of Health, Alcohol Advisory Council ; Health Research Council ; WHO (Geneva) ; WHO (Nigeria) ; Federal Ministry of Health, Abuja, Nigeria ; Health &amp ; Social Care Research &amp ; Development Division of the Public Health Agency ; Champalimaud Foundation ; Gulbenkian Foundation ; Foundation for Science and Technology (FCT) ; Ministry of Public Health ; Eli Lilly Romania SRL The South Africa Stress ; US NIMH ; National Institute of Drug Abuse (NIDA) ; South African Department of Health ; University of Michigan ; NIMH ; NIDA ; Substance Abuse and Mental Health Services Administration (SAMHSA) ; Robert Wood Johnson Foundation ; John W. Alden Trust ; Analysis Group ; Bristol-Myers Squibb ; Eli Lilly Company ; EPI-Q ; Johnson &amp ; Johnson Pharmaceuticals ; Ortho-McNeil Janssen Scientific Affairs ; Pfizer ; Sanofi-Aventis Groupe ; Shire US ; Abbott ; Eli-Lilly ; Jazz Pharmaceuticals ; Johnson Johnson ; Lundbeck ; Orion ; Pharmacia ; Roche ; Servier ; Solvay ; Sumitomo ; Takeda ; Tikvah ; Wyeth
WOS记录号: WOS:000315745000011
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/57067
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.Natl Sch Publ Hlth Management & Profess Dev, Bucharest, Romania
2.Natl Ctr Publ Hlth & Anal, Sofia, Bulgaria
3.Shenzhen Inst Mental Hlth, Shenzhen, Peoples R China
4.Shenzhen Kangning Hosp, Shenzhen, Peoples R China
5.Ukrainian Psychiat Assoc, Kiev, Ukraine
6.EHESP, Sch Publ Hlth, Dept Epidemiol, Paris, France
7.Mental Hlth Serv Minist Hlth, Jerusalem, Israel
8.Peking Univ, Inst Mental Hlth, Beijing 100871, Peoples R China
9.Natl Inst Psychiat, Mexico City, DF, Mexico
10.Cent Inst Psychiat, Jharkhand, India
11.Al Qadisia Univ, Coll Med, Diwania, Iraq
12.Hosp del Mar, Hlth Serv Res Unit, IMIM, Barcelona, Spain
13.CIBERESP, Barcelona, Spain
14.Ctr Publ Mental Hlth, Gosing Am Wagram, Austria
15.KUL, UPC, Louvain, Belgium
16.IRCCS Ctr San Giovanni Dio Fatebenefratelli, Brescia, Italy
17.Univ Otago, Dept Publ Hlth & Gen Practice, Christchurch 8140, New Zealand
18.Univ Tasmania, Sch Med, Discipline Psychiat, Hobart, Tas, Australia
19.Univ Calif Davis, Ctr Reducing Hlth Dispar, Sch Med, Sacramento, CA 95817 USA
20.Harvard Univ, Sch Med, Dept Hlth Care Policy, Boston, MA 02115 USA
21.Univ Ulster, Psychol Res Inst, Coleraine BT52 1SA, Londonderry, North Ireland
22.Univ Nova Lisboa, Fac Ciencias Med, Chron Dis Res Ctr CEDOC, P-1200 Lisbon, Portugal
23.Univ Nova Lisboa, Fac Ciencias Med, Dept Mental Hlth, P-1200 Lisbon, Portugal
24.Netherlands Inst Mental Hlth & Addict, Trimbos Inst, Utrecht, Netherlands
25.Yamagata Univ, Grad Sch Med Sci, Dept Publ Hlth, Yamagata 990, Japan
26.Univ Ibadan, Univ Coll Hosp, WHO Collaborating Ctr Res & Training Mental Hlth, Dept Psychiat, Ibadan, Nigeria
27.Balamand Univ, St George Hosp Univ Med Ctr, IDRAAC, MIND, Beirut, Lebanon
28.Univ Paris 05, EA 4069, Paris, France
29.Pontificia Univ Javenana, Inst Colombiano Sistema Nervioso, Bogota, Colombia
30.Univ Cape Town, Dept Psychiat & Mental Hlth, Groote Schuur Hosp, ZA-7925 Cape Town, South Africa
31.Univ Fed Espirito Santo, Dept Social Med, Vitoria, Brazil

Recommended Citation:
Wells, J. Elisabeth,Browne, Mark Oakley,Aguilar-Gaxiola, Sergio,et al. Drop out from out-patient mental healthcare in the World Health Organization′s World Mental Health Survey initiative[J]. BRITISH JOURNAL OF PSYCHIATRY,2013,202(1):42-49.
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