| Autor: |
Thornicroft, Graham, Chatterji, Somnath, Evans-Lacko, Sara, Gruber, Michael, Sampson, Nancy, Aguilar-Gaxiola, Sergio, Al-Hamzawi, Ali, Alonso, Jordi, Andrade, Laura, Borges, Guilherme, Bruffaerts, Ronny, Bunting, Brendan, de Almeida, Caldas, Florescu, Silvia, de Girolamo, Giovanni, Gureje, Oye, Haro, Josep Maria, Yanling He, Hinkov, Hristo, Karam, Elie |
| Předmět: |
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| Zdroj: |
British Journal of Psychiatry; Feb2017, Vol. 210 Issue 2, p119-124, 6p |
| Abstrakt: |
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. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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