Undertreatment of people with major depressive disorder in 21 countries

Haro, Josep Maria; Sampson, Nancy; Piazza Ferrand, Marina Julia; Evans-Lacko, Sara; Borges, Guilherme; Alonso, Jordi; Florescu, Silvia; Kawakami, Norito; Andrade, Laura; Al-Hamzawi, Ali; Bunting, Brendan; Lee, Sing; Hinkov, Hristo; Caldas de Almeida, Jose Miguel; He, Yanling; Navarro-Mateu, Fernando; Posada-Villa, Jose; Torres de Galvis, Yolanda; Kessler, Ronald C.; Gruber, Michael; Bruffaerts, Ronny; Thornicroft, Graham; Karam, Elie; Aguilar-Gaxiola, Sergio; de Girolamo, Giovanni; Gureje, Oye; Chatterji, Somnath

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