dc.contributor.author |
Thornicroft, Graham |
|
dc.contributor.author |
Chatterji, Somnath |
|
dc.contributor.author |
Evans-Lacko, Sara |
|
dc.contributor.author |
Gruber, Michael |
|
dc.contributor.author |
Sampson, Nancy |
|
dc.contributor.author |
Aguilar-Gaxiola, Sergio |
|
dc.contributor.author |
Al-Hamzawi, Ali |
|
dc.contributor.author |
Alonso, Jordi |
|
dc.contributor.author |
Andrade, Laura |
|
dc.contributor.author |
Borges, Guilherme |
|
dc.contributor.author |
Bruffaerts, Ronny |
|
dc.contributor.author |
Bunting, Brendan |
|
dc.contributor.author |
Caldas de Almeida, Jose Miguel |
|
dc.contributor.author |
Florescu, Silvia |
|
dc.contributor.author |
de Girolamo, Giovanni |
|
dc.contributor.author |
Gureje, Oye |
|
dc.contributor.author |
Haro, Josep Maria |
|
dc.contributor.author |
He, Yanling |
|
dc.contributor.author |
Hinkov, Hristo |
|
dc.contributor.author |
Karam, Elie |
|
dc.contributor.author |
Kawakami, Norito |
|
dc.contributor.author |
Lee, Sing |
|
dc.contributor.author |
Navarro-Mateu, Fernando |
|
dc.contributor.author |
Piazza Ferrand, Marina Julia |
|
dc.contributor.author |
Posada-Villa, Jose |
|
dc.contributor.author |
Torres de Galvis, Yolanda |
|
dc.contributor.author |
Kessler, Ronald C. |
|
dc.date.accessioned |
2019-01-25T16:20:55Z |
|
dc.date.available |
2019-01-25T16:20:55Z |
|
dc.date.issued |
2018 |
|
dc.identifier.uri |
https://hdl.handle.net/20.500.12866/4787 |
|
dc.description.abstract |
BACKGROUND: Major depressive disorder (MDD) is a leading cause of disability worldwide. AIMS: To examine the: (a) 12-month prevalence of DSM-IV MDD; (b) proportion aware that they have a problem needing treatment and who want care; (c) proportion of the latter receiving treatment; and (d) proportion of such treatment meeting minimal standards. METHOD: Representative community household surveys from 21 countries as part of the World Health Organization World Mental Health Surveys. RESULTS: Of 51 547 respondents, 4.6% met 12-month criteria for DSM-IV MDD and of these 56.7% reported needing treatment. Among those who recognised their need for treatment, most (71.1%) made at least one visit to a service provider. Among those who received treatment, only 41.0% received treatment that met minimal standards. This resulted in only 16.5% of all individuals with 12-month MDD receiving minimally adequate treatment. CONCLUSIONS: Only a minority of participants with MDD received minimally adequate treatment: 1 in 5 people in high-income and 1 in 27 in low-/lower-middle-income countries. Scaling up care for MDD requires fundamental transformations in community education and outreach, supply of treatment and quality of services. |
en_US |
dc.language.iso |
eng |
|
dc.publisher |
Cambridge University Press |
|
dc.relation.ispartofseries |
British Journal of Psychiatry |
|
dc.rights |
info:eu-repo/semantics/restrictedAccess |
|
dc.rights.uri |
https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es |
|
dc.subject |
Adolescent |
en_US |
dc.subject |
Adult |
en_US |
dc.subject |
Aged |
en_US |
dc.subject |
Aged, 80 and over |
en_US |
dc.subject |
Depressive Disorder, Major/epidemiology/therapy |
en_US |
dc.subject |
Female |
en_US |
dc.subject |
Global Health/statistics & numerical data |
en_US |
dc.subject |
Health Surveys |
en_US |
dc.subject |
Humans |
en_US |
dc.subject |
Male |
en_US |
dc.subject |
Mental Health Services/standards/statistics & numerical data |
en_US |
dc.subject |
Middle Aged |
en_US |
dc.subject |
Patient Acceptance of Health Care/statistics & numerical data |
en_US |
dc.subject |
Prevalence |
en_US |
dc.subject |
Young Adult |
en_US |
dc.title |
Undertreatment of people with major depressive disorder in 21 countries |
en_US |
dc.type |
info:eu-repo/semantics/article |
|
dc.identifier.doi |
https://doi.org/10.1192/bjp.bp.116.188078 |
|
dc.subject.ocde |
https://purl.org/pe-repo/ocde/ford#3.02.24 |
|
dc.relation.issn |
1472-1465 |
|