PMID- 15173149
OWN - NLM
STAT- MEDLINE
DCOM- 20040607
LR  - 20220410
IS  - 1538-3598 (Electronic)
IS  - 0098-7484 (Linking)
VI  - 291
IP  - 21
DP  - 2004 Jun 2
TI  - Prevalence, severity, and unmet need for treatment of mental disorders in the 
      World Health Organization World Mental Health Surveys.
PG  - 2581-90
AB  - CONTEXT: Little is known about the extent or severity of untreated mental 
      disorders, especially in less-developed countries. OBJECTIVE: To estimate 
      prevalence, severity, and treatment of Diagnostic and Statistical Manual of 
      Mental Disorders, Fourth Edition (DSM-IV) mental disorders in 14 countries (6 
      less developed, 8 developed) in the World Health Organization (WHO) World Mental 
      Health (WMH) Survey Initiative. DESIGN, SETTING, AND PARTICIPANTS: Face-to-face 
      household surveys of 60 463 community adults conducted from 2001-2003 in 14 
      countries in the Americas, Europe, the Middle East, Africa, and Asia. MAIN 
      OUTCOME MEASURES: The DSM-IV disorders, severity, and treatment were assessed 
      with the WMH version of the WHO Composite International Diagnostic Interview 
      (WMH-CIDI), a fully structured, lay-administered psychiatric diagnostic 
      interview. RESULTS: The prevalence of having any WMH-CIDI/DSM-IV disorder in the 
      prior year varied widely, from 4.3% in Shanghai to 26.4% in the United States, 
      with an interquartile range (IQR) of 9.1%-16.9%. Between 33.1% (Colombia) and 
      80.9% (Nigeria) of 12-month cases were mild (IQR, 40.2%-53.3%). Serious disorders 
      were associated with substantial role disability. Although disorder severity was 
      correlated with probability of treatment in almost all countries, 35.5% to 50.3% 
      of serious cases in developed countries and 76.3% to 85.4% in less-developed 
      countries received no treatment in the 12 months before the interview. Due to the 
      high prevalence of mild and subthreshold cases, the number of those who received 
      treatment far exceeds the number of untreated serious cases in every country. 
      CONCLUSIONS: Reallocation of treatment resources could substantially decrease the 
      problem of unmet need for treatment of mental disorders among serious cases. 
      Structural barriers exist to this reallocation. Careful consideration needs to be 
      given to the value of treating some mild cases, especially those at risk for 
      progressing to more serious disorders.
FAU - Demyttenaere, Koen
AU  - Demyttenaere K
FAU - Bruffaerts, Ronny
AU  - Bruffaerts R
FAU - Posada-Villa, Jose
AU  - Posada-Villa J
FAU - Gasquet, Isabelle
AU  - Gasquet I
FAU - Kovess, Viviane
AU  - Kovess V
FAU - Lepine, Jean Pierre
AU  - Lepine JP
FAU - Angermeyer, Matthias C
AU  - Angermeyer MC
FAU - Bernert, Sebastian
AU  - Bernert S
FAU - de Girolamo, Giovanni
AU  - de Girolamo G
FAU - Morosini, Pierluigi
AU  - Morosini P
FAU - Polidori, Gabriella
AU  - Polidori G
FAU - Kikkawa, Takehiko
AU  - Kikkawa T
FAU - Kawakami, Norito
AU  - Kawakami N
FAU - Ono, Yutaka
AU  - Ono Y
FAU - Takeshima, Tadashi
AU  - Takeshima T
FAU - Uda, Hidenori
AU  - Uda H
FAU - Karam, Elie G
AU  - Karam EG
FAU - Fayyad, John A
AU  - Fayyad JA
FAU - Karam, Aimee N
AU  - Karam AN
FAU - Mneimneh, Zeina N
AU  - Mneimneh ZN
FAU - Medina-Mora, Maria Elena
AU  - Medina-Mora ME
FAU - Borges, Guilherme
AU  - Borges G
FAU - Lara, Carmen
AU  - Lara C
FAU - de Graaf, Ron
AU  - de Graaf R
FAU - Ormel, Johan
AU  - Ormel J
FAU - Gureje, Oye
AU  - Gureje O
FAU - Shen, Yucun
AU  - Shen Y
FAU - Huang, Yueqin
AU  - Huang Y
FAU - Zhang, Mingyuan
AU  - Zhang M
FAU - Alonso, Jordi
AU  - Alonso J
FAU - Haro, Josep Maria
AU  - Haro JM
FAU - Vilagut, Gemma
AU  - Vilagut G
FAU - Bromet, Evelyn J
AU  - Bromet EJ
FAU - Gluzman, Semyon
AU  - Gluzman S
FAU - Webb, Charles
AU  - Webb C
FAU - Kessler, Ronald C
AU  - Kessler RC
FAU - Merikangas, Kathleen R
AU  - Merikangas KR
FAU - Anthony, James C
AU  - Anthony JC
FAU - Von Korff, Michael R
AU  - Von Korff MR
FAU - Wang, Philip S
AU  - Wang PS
FAU - Brugha, Traolach S
AU  - Brugha TS
FAU - Aguilar-Gaxiola, Sergio
AU  - Aguilar-Gaxiola S
FAU - Lee, Sing
AU  - Lee S
FAU - Heeringa, Steven
AU  - Heeringa S
FAU - Pennell, Beth-Ellen
AU  - Pennell BE
FAU - Zaslavsky, Alan M
AU  - Zaslavsky AM
FAU - Ustun, T Bedirhan
AU  - Ustun TB
FAU - Chatterji, Somnath
AU  - Chatterji S
CN  - WHO World Mental Health Survey Consortium
LA  - eng
GR  - K05 DA015799/DA/NIDA NIH HHS/United States
GR  - R01 DA016558/DA/NIDA NIH HHS/United States
GR  - R01 MH069864-01/MH/NIMH NIH HHS/United States
GR  - R13 MH066849-02/MH/NIMH NIH HHS/United States
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Research Support, U.S. Gov't, P.H.S.
PL  - United States
TA  - JAMA
JT  - JAMA
JID - 7501160
SB  - IM
CIN - JAMA. 2004 Sep 1;292(9):1021-2; author reply 1022. PMID: 15339891
CIN - JAMA. 2004 Nov 24;292(20):2467-8; author reply 2468. PMID: 15562122
MH  - Adult
MH  - Developed Countries
MH  - Developing Countries
MH  - Diagnostic and Statistical Manual of Mental Disorders
MH  - *Global Health
MH  - Health Surveys
MH  - Humans
MH  - Mental Disorders/*epidemiology/*therapy
MH  - *Mental Health Services
MH  - *Needs Assessment
MH  - Prevalence
MH  - Severity of Illness Index
EDAT- 2004/06/03 05:00
MHDA- 2004/06/21 10:00
CRDT- 2004/06/03 05:00
PHST- 2004/06/03 05:00 [pubmed]
PHST- 2004/06/21 10:00 [medline]
PHST- 2004/06/03 05:00 [entrez]
AID - 291/21/2581 [pii]
AID - 10.1001/jama.291.21.2581 [doi]
PST - ppublish
SO  - JAMA. 2004 Jun 2;291(21):2581-90. doi: 10.1001/jama.291.21.2581.