Complementary and alternative medicine contacts by persons with mental disorders in 25 countries

results from the World Mental Health Surveys

on behalf of the WHO World Mental Health Survey Collaborators

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Aims.: A substantial proportion of persons with mental disorders seek treatment from complementary and alternative medicine (CAM) professionals. However, data on how CAM contacts vary across countries, mental disorders and their severity, and health care settings is largely lacking. The aim was therefore to investigate the prevalence of contacts with CAM providers in a large cross-national sample of persons with 12-month mental disorders. Methods.: In the World Mental Health Surveys, the Composite International Diagnostic Interview was administered to determine the presence of past 12 month mental disorders in 138 801 participants aged 18–100 derived from representative general population samples. Participants were recruited between 2001 and 2012. Rates of self-reported CAM contacts for each of the 28 surveys across 25 countries and 12 mental disorder groups were calculated for all persons with past 12-month mental disorders. Mental disorders were grouped into mood disorders, anxiety disorders or behavioural disorders, and further divided by severity levels. Satisfaction with conventional care was also compared with CAM contact satisfaction. Results.: An estimated 3.6% (standard error 0.2%) of persons with a past 12-month mental disorder reported a CAM contact, which was two times higher in high-income countries (4.6%; standard error 0.3%) than in low- and middle-income countries (2.3%; standard error 0.2%). CAM contacts were largely comparable for different disorder types, but particularly high in persons receiving conventional care (8.6–17.8%). CAM contacts increased with increasing mental disorder severity. Among persons receiving specialist mental health care, CAM contacts were reported by 14.0% for severe mood disorders, 16.2% for severe anxiety disorders and 22.5% for severe behavioural disorders. Satisfaction with care was comparable with respect to CAM contacts (78.3%) and conventional care (75.6%) in persons that received both. Conclusions.: CAM contacts are common in persons with severe mental disorders, in high-income countries, and in persons receiving conventional care. Our findings support the notion of CAM as largely complementary but are in contrast to suggestions that this concerns person with only mild, transient complaints. There was no indication that persons were less satisfied by CAM visits than by receiving conventional care. We encourage health care professionals in conventional settings to openly discuss the care patients are receiving, whether conventional or not, and their reasons for doing so.

Original languageEnglish (US)
Pages (from-to)1-16
Number of pages16
JournalEpidemiology and Psychiatric Sciences
DOIs
StateAccepted/In press - Dec 28 2017

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Complementary Therapies
Health Surveys
Mental Disorders
Mental Health
Global Health
Anxiety Disorders
Delivery of Health Care
Mood Disorders

Keywords

  • Complementary and alternative medicine
  • mental disorders
  • unconventional medicine

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

Cite this

Complementary and alternative medicine contacts by persons with mental disorders in 25 countries : results from the World Mental Health Surveys. / on behalf of the WHO World Mental Health Survey Collaborators.

In: Epidemiology and Psychiatric Sciences, 28.12.2017, p. 1-16.

Research output: Contribution to journalArticle

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title = "Complementary and alternative medicine contacts by persons with mental disorders in 25 countries: results from the World Mental Health Surveys",
abstract = "Aims.: A substantial proportion of persons with mental disorders seek treatment from complementary and alternative medicine (CAM) professionals. However, data on how CAM contacts vary across countries, mental disorders and their severity, and health care settings is largely lacking. The aim was therefore to investigate the prevalence of contacts with CAM providers in a large cross-national sample of persons with 12-month mental disorders. Methods.: In the World Mental Health Surveys, the Composite International Diagnostic Interview was administered to determine the presence of past 12 month mental disorders in 138 801 participants aged 18–100 derived from representative general population samples. Participants were recruited between 2001 and 2012. Rates of self-reported CAM contacts for each of the 28 surveys across 25 countries and 12 mental disorder groups were calculated for all persons with past 12-month mental disorders. Mental disorders were grouped into mood disorders, anxiety disorders or behavioural disorders, and further divided by severity levels. Satisfaction with conventional care was also compared with CAM contact satisfaction. Results.: An estimated 3.6{\%} (standard error 0.2{\%}) of persons with a past 12-month mental disorder reported a CAM contact, which was two times higher in high-income countries (4.6{\%}; standard error 0.3{\%}) than in low- and middle-income countries (2.3{\%}; standard error 0.2{\%}). CAM contacts were largely comparable for different disorder types, but particularly high in persons receiving conventional care (8.6–17.8{\%}). CAM contacts increased with increasing mental disorder severity. Among persons receiving specialist mental health care, CAM contacts were reported by 14.0{\%} for severe mood disorders, 16.2{\%} for severe anxiety disorders and 22.5{\%} for severe behavioural disorders. Satisfaction with care was comparable with respect to CAM contacts (78.3{\%}) and conventional care (75.6{\%}) in persons that received both. Conclusions.: CAM contacts are common in persons with severe mental disorders, in high-income countries, and in persons receiving conventional care. Our findings support the notion of CAM as largely complementary but are in contrast to suggestions that this concerns person with only mild, transient complaints. There was no indication that persons were less satisfied by CAM visits than by receiving conventional care. We encourage health care professionals in conventional settings to openly discuss the care patients are receiving, whether conventional or not, and their reasons for doing so.",
keywords = "Complementary and alternative medicine, mental disorders, unconventional medicine",
author = "{on behalf of the WHO World Mental Health Survey Collaborators} and {de Jonge}, P. and Wardenaar, {K. J.} and Hoenders, {H. R.} and S. Evans-Lacko and V. Kovess-Masfety and Sergio Aguilar-Gaxiola and A. Al-Hamzawi and J. Alonso and Andrade, {L. H.} and C. Benjet and Bromet, {E. J.} and R. Bruffaerts and B. Bunting and Caldas-de-Almeida, {J. M.} and Dinolova, {R. V.} and S. Florescu and {de Girolamo}, G. and O. Gureje and Haro, {J. M.} and C. Hu and Y. Huang and Karam, {E. G.} and G. Karam and S. Lee and L{\'e}pine, {J. P.} and D. Levinson and V. Makanjuola and F. Navarro-Mateu and Pennell, {B. E.} and J. Posada-Villa and K. Scott and H. Tachimori and D. Williams and B. Wojtyniak and Kessler, {R. C.} and G. Thornicroft",
year = "2017",
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T1 - Complementary and alternative medicine contacts by persons with mental disorders in 25 countries

T2 - results from the World Mental Health Surveys

AU - on behalf of the WHO World Mental Health Survey Collaborators

AU - de Jonge, P.

AU - Wardenaar, K. J.

AU - Hoenders, H. R.

AU - Evans-Lacko, S.

AU - Kovess-Masfety, V.

AU - Aguilar-Gaxiola, Sergio

AU - Al-Hamzawi, A.

AU - Alonso, J.

AU - Andrade, L. H.

AU - Benjet, C.

AU - Bromet, E. J.

AU - Bruffaerts, R.

AU - Bunting, B.

AU - Caldas-de-Almeida, J. M.

AU - Dinolova, R. V.

AU - Florescu, S.

AU - de Girolamo, G.

AU - Gureje, O.

AU - Haro, J. M.

AU - Hu, C.

AU - Huang, Y.

AU - Karam, E. G.

AU - Karam, G.

AU - Lee, S.

AU - Lépine, J. P.

AU - Levinson, D.

AU - Makanjuola, V.

AU - Navarro-Mateu, F.

AU - Pennell, B. E.

AU - Posada-Villa, J.

AU - Scott, K.

AU - Tachimori, H.

AU - Williams, D.

AU - Wojtyniak, B.

AU - Kessler, R. C.

AU - Thornicroft, G.

PY - 2017/12/28

Y1 - 2017/12/28

N2 - Aims.: A substantial proportion of persons with mental disorders seek treatment from complementary and alternative medicine (CAM) professionals. However, data on how CAM contacts vary across countries, mental disorders and their severity, and health care settings is largely lacking. The aim was therefore to investigate the prevalence of contacts with CAM providers in a large cross-national sample of persons with 12-month mental disorders. Methods.: In the World Mental Health Surveys, the Composite International Diagnostic Interview was administered to determine the presence of past 12 month mental disorders in 138 801 participants aged 18–100 derived from representative general population samples. Participants were recruited between 2001 and 2012. Rates of self-reported CAM contacts for each of the 28 surveys across 25 countries and 12 mental disorder groups were calculated for all persons with past 12-month mental disorders. Mental disorders were grouped into mood disorders, anxiety disorders or behavioural disorders, and further divided by severity levels. Satisfaction with conventional care was also compared with CAM contact satisfaction. Results.: An estimated 3.6% (standard error 0.2%) of persons with a past 12-month mental disorder reported a CAM contact, which was two times higher in high-income countries (4.6%; standard error 0.3%) than in low- and middle-income countries (2.3%; standard error 0.2%). CAM contacts were largely comparable for different disorder types, but particularly high in persons receiving conventional care (8.6–17.8%). CAM contacts increased with increasing mental disorder severity. Among persons receiving specialist mental health care, CAM contacts were reported by 14.0% for severe mood disorders, 16.2% for severe anxiety disorders and 22.5% for severe behavioural disorders. Satisfaction with care was comparable with respect to CAM contacts (78.3%) and conventional care (75.6%) in persons that received both. Conclusions.: CAM contacts are common in persons with severe mental disorders, in high-income countries, and in persons receiving conventional care. Our findings support the notion of CAM as largely complementary but are in contrast to suggestions that this concerns person with only mild, transient complaints. There was no indication that persons were less satisfied by CAM visits than by receiving conventional care. We encourage health care professionals in conventional settings to openly discuss the care patients are receiving, whether conventional or not, and their reasons for doing so.

AB - Aims.: A substantial proportion of persons with mental disorders seek treatment from complementary and alternative medicine (CAM) professionals. However, data on how CAM contacts vary across countries, mental disorders and their severity, and health care settings is largely lacking. The aim was therefore to investigate the prevalence of contacts with CAM providers in a large cross-national sample of persons with 12-month mental disorders. Methods.: In the World Mental Health Surveys, the Composite International Diagnostic Interview was administered to determine the presence of past 12 month mental disorders in 138 801 participants aged 18–100 derived from representative general population samples. Participants were recruited between 2001 and 2012. Rates of self-reported CAM contacts for each of the 28 surveys across 25 countries and 12 mental disorder groups were calculated for all persons with past 12-month mental disorders. Mental disorders were grouped into mood disorders, anxiety disorders or behavioural disorders, and further divided by severity levels. Satisfaction with conventional care was also compared with CAM contact satisfaction. Results.: An estimated 3.6% (standard error 0.2%) of persons with a past 12-month mental disorder reported a CAM contact, which was two times higher in high-income countries (4.6%; standard error 0.3%) than in low- and middle-income countries (2.3%; standard error 0.2%). CAM contacts were largely comparable for different disorder types, but particularly high in persons receiving conventional care (8.6–17.8%). CAM contacts increased with increasing mental disorder severity. Among persons receiving specialist mental health care, CAM contacts were reported by 14.0% for severe mood disorders, 16.2% for severe anxiety disorders and 22.5% for severe behavioural disorders. Satisfaction with care was comparable with respect to CAM contacts (78.3%) and conventional care (75.6%) in persons that received both. Conclusions.: CAM contacts are common in persons with severe mental disorders, in high-income countries, and in persons receiving conventional care. Our findings support the notion of CAM as largely complementary but are in contrast to suggestions that this concerns person with only mild, transient complaints. There was no indication that persons were less satisfied by CAM visits than by receiving conventional care. We encourage health care professionals in conventional settings to openly discuss the care patients are receiving, whether conventional or not, and their reasons for doing so.

KW - Complementary and alternative medicine

KW - mental disorders

KW - unconventional medicine

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