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Comorbidity of common mental disorders with cancer and their treatment gap: Findings from the World Mental Health Surveys

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dc.contributor.author Nakash, O.
dc.contributor.author Levav, I.
dc.contributor.author Aguilar-Gaxiola, S.
dc.contributor.author Alonso, J.
dc.contributor.author Andrade, L.H.
dc.contributor.author Angermeyer, M.C.
dc.contributor.author Bruffaerts, R.
dc.contributor.author Caldas-De-Almeida, J.M.
dc.contributor.author Florescu, S.
dc.contributor.author De Girolamo, G.
dc.contributor.author Gureje, O.
dc.contributor.author He, Y.
dc.contributor.author Hu, C.
dc.contributor.author De Jonge, P.
dc.contributor.author Karam, E.G.
dc.contributor.author Kovess-Masfety, V.
dc.contributor.author Medina-Mora, M.E.
dc.contributor.author Moskalewicz, J.
dc.contributor.author Murphy, S.
dc.contributor.author Nakamura, Y.
dc.contributor.author Piazza, M.
dc.contributor.author Posada-Villa, J.
dc.contributor.author Stein, D.J.
dc.contributor.author Taib, N.I.
dc.contributor.author Zarkov, Z.
dc.contributor.author Kessler, R.C.
dc.contributor.author Scott, K.M.
dc.date.accessioned 2020-06-10T18:12:13Z
dc.date.available 2020-06-10T18:12:13Z
dc.date.issued 2013
dc.identifier.uri https://hdl.handle.net/20.500.12866/8049
dc.description.abstract Objective: This study aimed to study the comorbidity of common mental disorders (CMDs) and cancer, and the mental health treatment gap among community residents with active cancer, cancer survivors and cancer-free respondents in 13 high-income and 11 low-middle-income countries. Methods Data were derived from the World Mental Health Surveys (N = 66,387; n = 357 active cancer, n = 1373 cancer survivors, n = 64,657 cancer-free respondents). The World Health Organization/Composite International Diagnostic Interview was used in all surveys to estimate CMDs prevalence rates. Respondents were also asked about mental health service utilization in the preceding 12 months. Cancer status was ascertained by self-report of physician's diagnosis. Results Twelve-month prevalence rates of CMDs were higher among active cancer (18.4%, SE = 2.1) than cancer-free respondents (13.3%, SE = 0.2) adjusted for sociodemographic confounders and other lifetime chronic conditions (adjusted odds ratio (AOR) = 1.44, 95% CI 1.05-1.97). CMD rates among cancer survivors (14.6%, SE = 0.9) compared with cancer-free respondents did not differ significantly (AOR = 0.95, 95% CI 0.82-1.11). Similar patterns characterized high-income and low-middle-income countries. Of respondents with active cancer who had CMD in the preceding 12 months, 59% sought services for mental health problems (SE = 5.3). The pattern of service utilization among people with CMDs by cancer status (highest among persons with active cancer, lower among survivors and lowest among cancer-free respondents) was similar in high-income (64.0%, SE = 6.0; 41.2%, SE = 3.0; 35.6%, SE = 0.6) and low-middle-income countries (46.4%, SE = 11.0; 22.5%, SE = 9.1; 17.4%, SE = 0.7). Conclusions Community respondents with active cancer have higher CMD rates and high treatment gap. Comprehensive cancer care should consider both factors. en_US
dc.language.iso eng
dc.publisher Wiley
dc.relation.ispartof urn:issn:1099-1611
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Adult en_US
dc.subject Female en_US
dc.subject Humans en_US
dc.subject Male en_US
dc.subject Socioeconomic Factors en_US
dc.subject epidemiology en_US
dc.subject Developed Countries en_US
dc.subject Developing Countries en_US
dc.subject mental health en_US
dc.subject income en_US
dc.subject human en_US
dc.subject adult en_US
dc.subject female en_US
dc.subject male en_US
dc.subject comorbidity en_US
dc.subject mental disease en_US
dc.subject Comorbidity en_US
dc.subject Mental Health Services en_US
dc.subject major clinical study en_US
dc.subject prevalence en_US
dc.subject article en_US
dc.subject morbidity en_US
dc.subject Health Surveys en_US
dc.subject World Mental Health Surveys en_US
dc.subject health care utilization en_US
dc.subject health survey en_US
dc.subject Neoplasms en_US
dc.subject Mental Disorders en_US
dc.subject mental health service en_US
dc.subject resident en_US
dc.subject cancer en_US
dc.subject oncology en_US
dc.subject World Health en_US
dc.subject Survivors en_US
dc.subject cancer survivor en_US
dc.subject treatment gap en_US
dc.title Comorbidity of common mental disorders with cancer and their treatment gap: Findings from the World Mental Health Surveys en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1002/pon.3372
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00 es_PE


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