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Undertreatment of people with major depressive disorder in 21 countries

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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, Marina
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.ispartof urn:issn:1472-1465
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#3.02.00 es_PE


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