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|Title:||Treatment gap for anxiety disorders is global: Results of the World Mental Health Surveys in 21 countries||Authors:||Alonso, Jordi
Andrade, Laura H
de Girolamo, Giovanni
Haro, Josep M
de Jonge, Peter
Medina-Mora, Maria Elena
Ten Have, Margreet
Kessler, Ronald C
|Affiliations:||Faculty of Medicine||Keywords:||Adequate treatment
Perceived need for care
|Issue Date:||2018||Publisher:||National Library of Medicine||Part of:||Depression and Anxiety||Volume:||35||Issue:||3||Start page:||195||End page:||208||Abstract:||
Anxiety disorders are a major cause of burden of disease. Treatment gaps have been described, but a worldwide evaluation is lacking. We estimated, among individuals with a 12-month DSM-IV anxiety disorder in 21 countries, the proportion who: i) perceived a need for treatment; ii) received any treatment; and (iii) received possibly adequate treatment.
Data from 24 community surveys in 21 countries of the WMH surveys. DSM-IV mental disorders were assessed (WHO Composite International Diagnostic Interview, CIDI 3.0). DSM-IV included PTSD among anxiety disorders, while it is not considered so in the DSM-5. We asked if, in the previous 12 months, respondents felt they needed professional treatment and if they obtained professional treatment (specialized/general medical, complementary alternative medical, or non-medical professional) for “problems with emotions, nerves, mental health, or use of alcohol or drugs”. Possibly adequate treatment was defined as receiving pharmacotherapy (1+ months of medication and 4+ visits to a medical doctor) or psychotherapy, CAM or non-medical care (8+ visits).
Of 51,547 respondents (response=71.3%), 9.8% had a 12-month DSM-IV anxiety disorder, 27.6% of whom received any treatment, and only 9.8% received possibly adequate treatment. 41.3% of those with 12-month anxiety perceived a need for care. Lower treatment levels were found for lower income countries.
Low levels of service use and a high proportion of those receiving services not meeting adequacy standards for anxiety disorders exist worldwide. Results suggest the need for improving recognition of anxiety disorders and the quality of treatment.
|URI:||https://scholarhub.balamand.edu.lb/handle/uob/5733||ISSN:||10914269||DOI:||10.1002/da.22711||Open URL:||Link to full text||Type:||Journal Article|
|Appears in Collections:||Faculty of Medicine|
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