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 J. Bromet; Maria Carmen Viana; Hristo Ruskov Hinkov; Elie G. Karam; Guilherme Borges; Silvia E. Florescu; David R. Williams; Koen Demyttenaere; Viviane Kovess-Masfety; Herbert Matschinger; Daphna Levinson; Giovanni De Girolamo; Yutaka Ono; Ron De Graaf; Mark Oakley Browne; Brendan Bunting; Miguel Xavier; Josep Maria Haro; Ronald C. Kessler

doi:10.1192/bjp.bp.113.141424

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 J. Bromet, Maria Carmen Viana, Hristo Ruskov Hinkov, Elie G. Karam, Guilherme Borges, Silvia E. Florescu, David R. Williams, Koen Demyttenaere, Viviane Kovess-Masfety, Herbert Matschinger, Daphna Levinson, Giovanni De Girolamo, Yutaka Ono, Ron De GraafMark Oakley Browne, Brendan Bunting, Miguel Xavier, Josep Maria Haro, Ronald C. Kessler

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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.

Original language	English
Pages (from-to)	101-109
Number of pages	9
Journal	British Journal of Psychiatry
Volume	206
Issue number	2
DOIs	https://doi.org/10.1192/bjp.bp.113.141424
Publication status	Published - 1 Feb 2015

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proportion-of-patients-without-mental-disorders-being-treated-in-mental-health-services-worldwide(1)Final published version, 117 KBLicence: CC BY

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Bruffaerts, R., Posada-Villa, J., Al-Hamzawi, A. O., Gureje, O., Huang, Y., Hu, C., Bromet, E. J., Viana, M. C., Hinkov, H. R., Karam, E. G., Borges, G., Florescu, S. E., Williams, D. R., Demyttenaere, K., Kovess-Masfety, V., Matschinger, H., Levinson, D., De Girolamo, G., Ono, Y., ... Kessler, R. C. (2015). Proportion of patients without mental disorders being treated in mental health services worldwide. British Journal of Psychiatry, 206(2), 101-109. https://doi.org/10.1192/bjp.bp.113.141424

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title = "Proportion of patients without mental disorders being treated in mental health services worldwide",

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.",

author = "Ronny Bruffaerts and Jose Posada-Villa and Al-Hamzawi, {Ali Obaid} and Oye Gureje and Yueqin Huang and Chiyi Hu and Bromet, {Evelyn J.} and Viana, {Maria Carmen} and Hinkov, {Hristo Ruskov} and Karam, {Elie G.} and Guilherme Borges and Florescu, {Silvia E.} and Williams, {David R.} and Koen Demyttenaere and Viviane Kovess-Masfety and Herbert Matschinger and Daphna Levinson and {De Girolamo}, Giovanni and Yutaka Ono and {De Graaf}, Ron and Browne, {Mark Oakley} and Brendan Bunting and Miguel Xavier and Haro, {Josep Maria} and Kessler, {Ronald C.}",

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Bruffaerts, R, Posada-Villa, J, Al-Hamzawi, AO, Gureje, O, Huang, Y, Hu, C, Bromet, EJ, Viana, MC, Hinkov, HR, Karam, EG, Borges, G, Florescu, SE, Williams, DR, Demyttenaere, K, Kovess-Masfety, V, Matschinger, H, Levinson, D, De Girolamo, G, Ono, Y, De Graaf, R, Browne, MO, Bunting, B, Xavier, M, Haro, JM & Kessler, RC 2015, 'Proportion of patients without mental disorders being treated in mental health services worldwide', British Journal of Psychiatry, vol. 206, no. 2, pp. 101-109. https://doi.org/10.1192/bjp.bp.113.141424

TY - JOUR

T1 - Proportion of patients without mental disorders being treated in mental health services worldwide

AU - Bruffaerts, Ronny

AU - Posada-Villa, Jose

AU - Al-Hamzawi, Ali Obaid

AU - Gureje, Oye

AU - Huang, Yueqin

AU - Hu, Chiyi

AU - Bromet, Evelyn J.

AU - Viana, Maria Carmen

AU - Hinkov, Hristo Ruskov

AU - Karam, Elie G.

AU - Borges, Guilherme

AU - Florescu, Silvia E.

AU - Williams, David R.

AU - Demyttenaere, Koen

AU - Kovess-Masfety, Viviane

AU - Matschinger, Herbert

AU - Levinson, Daphna

AU - De Girolamo, Giovanni

AU - Ono, Yutaka

AU - De Graaf, Ron

AU - Browne, Mark Oakley

AU - Bunting, Brendan

AU - Xavier, Miguel

AU - Haro, Josep Maria

AU - Kessler, Ronald C.

PY - 2015/2/1

Y1 - 2015/2/1

N2 - 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.

AB - 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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DO - 10.1192/bjp.bp.113.141424

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AN - SCOPUS:84923004138

SN - 0007-1250

VL - 206

SP - 101

EP - 109

JO - British Journal of Psychiatry

JF - British Journal of Psychiatry

IS - 2

ER -

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

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