Abstract
Data are presented on patterns of failure and delay in making initial treatment contact after first onset of a mental disorder in 15 countries in the World Health Organization (WHO)'s World Mental Health (WMH) Surveys. Representative face-to-face household surveys were conducted among 76,012 respondents aged 18 and older in Belgium, Colombia, France, Germany, Israel, Italy, Japan, Lebanon, Mexico, the Netherlands, New Zealand, Nigeria, People's Republic of China (Beijing and Shanghai), Spain, and the United States. The WHO Composite International Diagnostic Interview (CIDI) was used to assess lifetime DSM-IV anxiety, mood, and substance use disorders. Ages of onset for individual disorders and ages of first treatment contact for each disorder were used to calculate the extent of failure and delay in initial help seeking. The proportion of lifetime cases making treatment contact in the year of disorder onset ranged from 0.8 to 36.4% for anxiety disorders, from 6.0 to 52.1% for mood disorders, and from 0.9 to 18.6% for substance use disorders. By 50 years, the proportion of lifetime cases making treatment contact ranged from 15.2 to 95.0% for anxiety disorders, from 7.9 to 98.6% for mood disorders, and from 19.8 to 86.1% for substance use disorders. Median delays among cases eventually making contact ranged from 3.0 to 30.0 years for anxiety disorders, from 1.0 to 14.0 years for mood disorders, and from 6.0 to 18.0 years for substance use disorders. Failure and delays in treatment seeking were generally greater in developing countries, older cohorts, men, and cases with earlier ages of onset. These results show that failure and delays in initial help seeking are pervasive problems worldwide. Interventions to ensure prompt initial treatment contacts are needed to reduce the global burdens and hazards of untreated mental disorders.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 177-185 |
| Number of pages | 9 |
| Journal | World Psychiatry |
| Volume | 6 |
| Issue number | 3 |
| State | Published - Oct 2007 |
| Externally published | Yes |
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Keywords
- Anxiety disorders
- Mood disorders
- Substance use disorders
- Treatment seeking
ASJC Scopus subject areas
- Psychiatry and Mental health
- Phychiatric Mental Health
Cite this
Delay and failure in treatment seeking after first onset of mental disorders in the world Health Organization's World Mental Survey Initiative. / Wang, Philip S.; Angermeyer, Matthias; Borges, Guilherme; Bruffaerts, Ronny; Chiu, Wai Tat; De Girolamo, Giovanni; Fayyad, John; Gureje, Oye; Haro, Josep Maria; Huang, Yueqin; Kessler, Ronald C.; Kovess, Viviane; Levinson, Daphna; Nakane, Yoshibumi; Oakley Browne, Mark A.; Ormel, Johan H.; Posada-Villa, José; Aguilar-Gaxiola, Sergio; Alonso, Jordi; Lee, Sing; Heeringa, Steven; Pennell, Beth Ellen; Chatterji, Somnath; Bedirhan Üstün, T.
In: World Psychiatry, Vol. 6, No. 3, 10.2007, p. 177-185.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Delay and failure in treatment seeking after first onset of mental disorders in the world Health Organization's World Mental Survey Initiative
AU - Wang, Philip S.
AU - Angermeyer, Matthias
AU - Borges, Guilherme
AU - Bruffaerts, Ronny
AU - Chiu, Wai Tat
AU - De Girolamo, Giovanni
AU - Fayyad, John
AU - Gureje, Oye
AU - Haro, Josep Maria
AU - Huang, Yueqin
AU - Kessler, Ronald C.
AU - Kovess, Viviane
AU - Levinson, Daphna
AU - Nakane, Yoshibumi
AU - Oakley Browne, Mark A.
AU - Ormel, Johan H.
AU - Posada-Villa, José
AU - Aguilar-Gaxiola, Sergio
AU - Alonso, Jordi
AU - Lee, Sing
AU - Heeringa, Steven
AU - Pennell, Beth Ellen
AU - Chatterji, Somnath
AU - Bedirhan Üstün, T.
PY - 2007/10
Y1 - 2007/10
N2 - Data are presented on patterns of failure and delay in making initial treatment contact after first onset of a mental disorder in 15 countries in the World Health Organization (WHO)'s World Mental Health (WMH) Surveys. Representative face-to-face household surveys were conducted among 76,012 respondents aged 18 and older in Belgium, Colombia, France, Germany, Israel, Italy, Japan, Lebanon, Mexico, the Netherlands, New Zealand, Nigeria, People's Republic of China (Beijing and Shanghai), Spain, and the United States. The WHO Composite International Diagnostic Interview (CIDI) was used to assess lifetime DSM-IV anxiety, mood, and substance use disorders. Ages of onset for individual disorders and ages of first treatment contact for each disorder were used to calculate the extent of failure and delay in initial help seeking. The proportion of lifetime cases making treatment contact in the year of disorder onset ranged from 0.8 to 36.4% for anxiety disorders, from 6.0 to 52.1% for mood disorders, and from 0.9 to 18.6% for substance use disorders. By 50 years, the proportion of lifetime cases making treatment contact ranged from 15.2 to 95.0% for anxiety disorders, from 7.9 to 98.6% for mood disorders, and from 19.8 to 86.1% for substance use disorders. Median delays among cases eventually making contact ranged from 3.0 to 30.0 years for anxiety disorders, from 1.0 to 14.0 years for mood disorders, and from 6.0 to 18.0 years for substance use disorders. Failure and delays in treatment seeking were generally greater in developing countries, older cohorts, men, and cases with earlier ages of onset. These results show that failure and delays in initial help seeking are pervasive problems worldwide. Interventions to ensure prompt initial treatment contacts are needed to reduce the global burdens and hazards of untreated mental disorders.
AB - Data are presented on patterns of failure and delay in making initial treatment contact after first onset of a mental disorder in 15 countries in the World Health Organization (WHO)'s World Mental Health (WMH) Surveys. Representative face-to-face household surveys were conducted among 76,012 respondents aged 18 and older in Belgium, Colombia, France, Germany, Israel, Italy, Japan, Lebanon, Mexico, the Netherlands, New Zealand, Nigeria, People's Republic of China (Beijing and Shanghai), Spain, and the United States. The WHO Composite International Diagnostic Interview (CIDI) was used to assess lifetime DSM-IV anxiety, mood, and substance use disorders. Ages of onset for individual disorders and ages of first treatment contact for each disorder were used to calculate the extent of failure and delay in initial help seeking. The proportion of lifetime cases making treatment contact in the year of disorder onset ranged from 0.8 to 36.4% for anxiety disorders, from 6.0 to 52.1% for mood disorders, and from 0.9 to 18.6% for substance use disorders. By 50 years, the proportion of lifetime cases making treatment contact ranged from 15.2 to 95.0% for anxiety disorders, from 7.9 to 98.6% for mood disorders, and from 19.8 to 86.1% for substance use disorders. Median delays among cases eventually making contact ranged from 3.0 to 30.0 years for anxiety disorders, from 1.0 to 14.0 years for mood disorders, and from 6.0 to 18.0 years for substance use disorders. Failure and delays in treatment seeking were generally greater in developing countries, older cohorts, men, and cases with earlier ages of onset. These results show that failure and delays in initial help seeking are pervasive problems worldwide. Interventions to ensure prompt initial treatment contacts are needed to reduce the global burdens and hazards of untreated mental disorders.
KW - Anxiety disorders
KW - Mood disorders
KW - Substance use disorders
KW - Treatment seeking
UR - http://www.scopus.com/inward/record.url?scp=35748944563&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=35748944563&partnerID=8YFLogxK
M3 - Article
C2 - 18188443
AN - SCOPUS:35748944563
VL - 6
SP - 177
EP - 185
JO - World Psychiatry
JF - World Psychiatry
SN - 1723-8617
IS - 3
ER -