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Proportion of patients without mental disorders being treated in mental health services worldwide

Ronny Bruffaerts Jose Posada-Villa Ali Obaid Al-Hamzawi Oye Gureje Yueqin Huang Chiyi Hu Evelyn Bromet Maria Carmen Viana Hristo Ruskov Hinkov Elie Karam Guilherme Borges Silvia Florescu David Williams Koen Demyttenaere Viviane Kovess-Masféty 1 Herbert Matschinger Daphna Levinson Giovanni de Girolamo Yutaka Ono Ron de Graaf Mark Oakley Browne Brendan Bunting Miguel Xavier Josep Maria Haro Ronald Kessler
1 EHESP - École des Hautes Études en Santé Publique [EHESP]
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.
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https://hal.ehesp.fr/hal-03118822
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Submitted on : Friday, January 22, 2021 - 3:46:43 PM
Last modification on : Tuesday, February 9, 2021 - 11:24:02 PM

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Ronny Bruffaerts, Jose Posada-Villa, Ali Obaid Al-Hamzawi, Oye Gureje, Yueqin Huang, et al.. Proportion of patients without mental disorders being treated in mental health services worldwide. British Journal of Psychiatry, Royal College of Psychiatrists, 2015, 206 (2), pp.101-109. ⟨10.1192/bjp.bp.113.141424⟩. ⟨hal-03118822⟩

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