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

Gureje, O.; Pennell, B.E.; Sampson, N.; Aguilar-Gaxiola, S.; Piazza Ferrand, Marina Julia; Abdulmalik, J.; Navarro-Mateu, F.; de Girolamo, G.; Bruffaerts, R.; Andrade, L.H.; Kawakami, N.; Al-Hamzawi, A.; Karam, E.G.; de Jonge, P.; Kessler, R.C.; Cardoso, G.; Thornicroft, G.; Liu, Z.; Lee, S.; Medina-Mora, M.E.; Florescu, S.; Sadikova, E.; Cia, A.; Haro, J.M.; He, Y.; Posada-Villa, J.; ten Have, M.; Evans-Lacko, S.; WHO World Mental Health Survey; Alonso, J.; Zarkov, Z.; Levinson, D.; Kovess-Masfety, V.; Chatterji, S.

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

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