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Treatment gap for anxiety disorders is global: Results of the World Mental Health Surveys in 21 countries

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dc.contributor.author Alonso, J.
dc.contributor.author Liu, Z.
dc.contributor.author Evans-Lacko, S.
dc.contributor.author Sadikova, E.
dc.contributor.author Sampson, N.
dc.contributor.author Chatterji, S.
dc.contributor.author Abdulmalik, J.
dc.contributor.author Aguilar-Gaxiola, S.
dc.contributor.author Al-Hamzawi, A.
dc.contributor.author Andrade, L.H.
dc.contributor.author Bruffaerts, R.
dc.contributor.author Cardoso, G.
dc.contributor.author Cia, A.
dc.contributor.author Florescu, S.
dc.contributor.author de Girolamo, G.
dc.contributor.author Gureje, O.
dc.contributor.author Haro, J.M.
dc.contributor.author He, Y.
dc.contributor.author de Jonge, P.
dc.contributor.author Karam, E.G.
dc.contributor.author Kawakami, N.
dc.contributor.author Kovess-Masfety, V.
dc.contributor.author Lee, S.
dc.contributor.author Levinson, D.
dc.contributor.author Medina-Mora, M.E.
dc.contributor.author Navarro-Mateu, F.
dc.contributor.author Pennell, B.E.
dc.contributor.author Piazza Ferrand, Marina Julia
dc.contributor.author Posada-Villa, J.
dc.contributor.author ten Have, M.
dc.contributor.author Zarkov, Z.
dc.contributor.author Kessler, R.C.
dc.contributor.author Thornicroft, G.
dc.contributor.author WHO World Mental Health Survey
dc.date.accessioned 2019-04-24T18:23:52Z
dc.date.available 2019-04-24T18:23:52Z
dc.date.issued 2018
dc.identifier.uri https://hdl.handle.net/20.500.12866/6465
dc.description.abstract Background: Anxiety disorders are a major cause of burden of disease. Treatment gaps have been described, but a worldwide evaluation is lacking. We estimated, among individuals with a 12-month DSM-IV (where DSM is Diagnostic Statistical Manual) anxiety disorder in 21 countries, the proportion who (i) perceived a need for treatment; (ii) received any treatment; and (iii) received possibly adequate treatment. Methods: Data from 23 community surveys in 21 countries of the World Mental Health (WMH) surveys. DSM-IV mental disorders were assessed (WHO Composite International Diagnostic Interview, CIDI 3.0). DSM-IV included posttraumatic stress disorder among anxiety disorders, while it is not considered so in the DSM-5. We asked if, in the previous 12 months, respondents felt they needed professional treatment and if they obtained professional treatment (specialized/general medical, complementary alternative medical, or nonmedical professional) for “problems with emotions, nerves, mental health, or use of alcohol or drugs.” Possibly adequate treatment was defined as receiving pharmacotherapy (1+ months of medication and 4+ visits to a medical doctor) or psychotherapy, complementary alternative medicine or nonmedical care (8+ visits). Results: Of 51,547 respondents (response = 71.3%), 9.8% had a 12-month DSM-IV anxiety disorder, 27.6% of whom received any treatment, and only 9.8% received possibly adequate treatment. Of those with 12-month anxiety only 41.3% perceived a need for care. Lower treatment levels were found for lower income countries. Conclusions: Low levels of service use and a high proportion of those receiving services not meeting adequacy standards for anxiety disorders exist worldwide. Results suggest the need for improving recognition of anxiety disorders and the quality of treatment. en_US
dc.language.iso eng
dc.publisher Wiley
dc.relation.ispartofseries Depression and Anxiety
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject alcohol consumption en_US
dc.subject alternative medicine en_US
dc.subject anxiety disorder en_US
dc.subject Argentina en_US
dc.subject Article en_US
dc.subject Belgium en_US
dc.subject Brazil en_US
dc.subject Bulgaria en_US
dc.subject China en_US
dc.subject Colombia en_US
dc.subject controlled study en_US
dc.subject drug use en_US
dc.subject DSM-5 en_US
dc.subject DSM-IV en_US
dc.subject emotion en_US
dc.subject France en_US
dc.subject Germany en_US
dc.subject health survey en_US
dc.subject human en_US
dc.subject Iraq en_US
dc.subject Israel en_US
dc.subject Italy en_US
dc.subject Japan en_US
dc.subject Lebanon en_US
dc.subject mental health care en_US
dc.subject Mexico en_US
dc.subject Netherlands en_US
dc.subject Nigeria en_US
dc.subject Peru en_US
dc.subject Portugal en_US
dc.subject practice guideline en_US
dc.subject priority journal en_US
dc.subject psychotherapy en_US
dc.subject Romania en_US
dc.subject Spain en_US
dc.subject United States en_US
dc.subject adolescent en_US
dc.subject adult en_US
dc.subject aged en_US
dc.subject anxiety disorder en_US
dc.subject female en_US
dc.subject global health en_US
dc.subject health care quality en_US
dc.subject health care survey en_US
dc.subject male en_US
dc.subject mental health en_US
dc.subject middle aged en_US
dc.subject patient attitude en_US
dc.subject statistics and numerical data en_US
dc.subject very elderly en_US
dc.subject young adult en_US
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 Anxiety Disorders en_US
dc.subject Female en_US
dc.subject Global Health en_US
dc.subject Health Care Surveys en_US
dc.subject Humans en_US
dc.subject Male en_US
dc.subject Mental Health en_US
dc.subject Middle Aged en_US
dc.subject Patient Acceptance of Health Care en_US
dc.subject Quality of Health Care en_US
dc.subject Young Adult en_US
dc.title Treatment gap for anxiety disorders is global: Results of the World Mental Health Surveys in 21 countries en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1002/da.22711
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.24
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#5.01.00
dc.relation.issn 1520-6394


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