Cited by 3,448Mental Health Treatment and AccessSchizophrenia research and treatmentMigration, Health and Trauma

The DOI matches its Crossref record; 56 of the 56 references it cites were found in a registry or an index.

Prevalence, Severity, and Unmet Need for Treatment of Mental Disorders in the World Health Organization World Mental Health Surveys

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The WHO World Mental Health Survey Consortium·2004·JAMA

Abstract

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.

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Metadata

Authors
The WHO World Mental Health Survey Consortium
Affiliations
Harvard University (US)
Corresponding author
The WHO World Mental Health Survey Consortium
Venue
JAMA
Published
2004-06-02
Volume
291
Issue
21
Pages
2581
ISSN
  • 0002-9955 (ISSN-L)
  • 0098-7484
OpenAlex
W2075107167
Cited by
3,448
References
55
Citations by year
2026: 52 · 2025: 86 · 2024: 121 · 2023: 140 · 2022: 160 · 2021: 196 · 2020: 206 · 2019: 142 · 2018: 178 · 2017: 212 · 2016: 203 · 2015: 183 · 2014: 202 · 2013: 157 · 2012: 171
FWCI
185.53
Type
journal article
Language
en
Open access
Locations
  • JAMA (publishedVersion)
  • PubMed (publishedVersion)
  • Leicester Research Archive (University of Leicester) (submittedVersion)
  • University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
Funders
  • Robert Wood Johnson Foundation (044708, Grant 044708)
  • John D. and Catherine T. MacArthur Foundation (R01 DA016558)
  • John W. Alden Trust
  • Eli Lilly and Company
  • Pfizer
  • GlaxoSmithKline
  • World Health Organization
  • Michigan State University
  • European Commission (QLG5–1999-01042)
  • Generalitat de Catalunya (01042)
  • Chinese University of Hong Kong
  • Regione Piemonte (00/0028)
  • National Institutes of Health (5r13mh066849-04, 5r01mh069864-04)
  • Substance Abuse and Mental Health Services Administration
  • College of Engineering, Michigan State University
  • Pfizer Foundation (R01-DA016558)
  • Pan American Health Organization
  • Instituto de Salud Carlos III (FIS 00/0028)
  • National Institute of Mental Health (R01 MH069864-01, U01-MH-60220, R13 MH066849-02, MH60220)
  • National Institute on Drug Abuse (K05DA015799, R01DA016558)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
Keywords
mental illness, prevalence, disorder severity, community-dwelling adults, DSM-IV disorders
MeSH terms
Adult, Mental Disorders, Developing Countries, Health Surveys, Humans, Mental Health Services, Severity of Illness Index, Global Health, Prevalence, Developed Countries, Needs Assessment, Diagnostic and Statistical Manual of Mental Disorders

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