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Recent care of common mental disorders in the united states: Prevalence and conformance with evidence-based recommendations
Open accessAbstract
Objective To relate the presence of recent mental disorders to use of mental health services.Design Cross-sectional survey.Study population The study population was 3,032 respondents to the Midlife Development in the United States (MIDUS) survey, a nationally representative telephone-and-mail survey conducted in 1996. Twelve-month diagnoses according to the Diagnostic and Statistical Manual of Mental Disorders, Revised, Third Edition, of major depressive episode, panic disorder, generalized anxiety disorder, and serious mental illness were made using a structured assessment. Information was obtained on 12-month treatment for mental health problems in the general medical, mental health specialty, human services, and self-help sectors. Definitions of treatments consistent with evidence-based recommendations were developed using available practice guidelines.Measurements and main results Crude and adjusted likelihoods of receiving any mental health care and guideline-concordant care were measured. Although 53. 8% of respondents with at least one 12-month mental disorder received any mental health care in the previous year, only 14.3% received care that could be considered consistent with evidence-based treatment recommendations. Even among those with the most serious and impairing mental illness, only 25% received guideline-concordant treatment. Predictors of receiving guideline-concordant care included being white, female, severely ill, and having mental health insurance coverage.Conclusions An epidemic of untreated and poorly treated mental disorders exists in the United States, especially among vulnerable groups such as African Americans and the underinsured. Cost-effective interventions are needed to improve both access to and quality of treatment.
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“An implementation research grant should cite service system research that demonstrates unmet need [15], the wide variation in the use of evidence-based treatments in usual care [16-19], or the association between the burden of disease and variations in the use of guidelines [20].”
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“23,28,31,32 33–37 Barriers for people with TBI include stigma; difficulty coordinating care for multiple medical and psychological problems; limited transportation (e.g., because of cost, distance, seizure disorder with inability to drive); avoidance of trauma-focused components of mental health…”
Critical Race Theory: Opportunities for Application in Social Work Practice and Policy
Kolivoski, K. M., Weaver, A., & Constance-Huggins, M. A. (2014) · Families in Society The Journal of Contemporary Social Services · doi:10.1606/1044-3894.2014.95.36 · Cited by 178
Humanistic and economic burden of generalized anxiety disorder in North America and Europe
Revicki, D. A., Travers, K., Wyrwich, K. W., Svedsäter, H., Locklear, J., Mattera, M. S., Sheehan, D. V., & Montgomery, S. (2012) · Journal of Affective Disorders · doi:10.1016/j.jad.2011.11.014 · Cited by 172
Systemic Inflammation in Midlife: Race, Socioeconomic Status, and Perceived Discrimination
Štěpáníková, I., Bateman, L. B., & Oates, G. R. (2016) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2016.09.026 · Cited by 145
“Measures of generalized anxiety and depressed affect were based on Wang et al.(62) The generalized anxiety scale consists of ten items, for example: How often over the past 12 months were you restless because of your worry?; the scale totals items for whichmost days was chosen.”
MethodRaposo, S., Mackenzie, C. S., Henriksen, C. A., & Afifi, T. O. (2013) · American Journal of Geriatric Psychiatry · doi:10.1016/j.jagp.2013.04.009 · Cited by 140
The relationship between purpose in life and depression and anxiety: A meta-analysis.
Boreham, I. D., & Schutte, N. (2023) · Journal of Clinical Psychology · doi:10.1002/jclp.23576 · Cited by 139
Cognitive-behavioral therapy for the treatment of anxiety disorders.
Otto, M. W., Smits, J. A. J., & Reese, H. E. (2004) · PubMed · Cited by 136
A Brief Motivational Intervention for Treatment‐Refusing OCD Patients
Maltby, N., & Tolin, D. F. (2005) · Cognitive Behaviour Therapy · doi:10.1080/16506070510043741 · Cited by 142
“Similarly, in a recent study of patients with major depression, generalized anxiety disorder, orpanicdisorder, only 27%ofpatients received the 8 or more psychotherapy sessions that would be concordant with established guidelines (Wang et al., 2000).”
BackgroundWittchen, H.-U., & Pittrow, D. (2002) · Human Psychopharmacology: Clinical and Experimental · doi:10.1002/hup.398 · Cited by 188
Predictors of personal, perceived and self-stigma towards anxiety and depression
Grant, J. B., Bruce, C., & Batterham, P. J. (2015) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796015000220 · Cited by 138
“Previous research has identified a range of variables potentially associated with stigma, and has focused largely on stigma towards depression (as a common mental disorder (Wang et al. 2000)) and schizophrenia (as a less prevalent, but highly stigmatised disorder (Birchwood et al. 2006)).”
BackgroundConner, K. O., Copeland, V. C., Grote, N. K., Rosen, D., Albert, S. M., McMurray, M. L., Reynolds, C. F., Brown, C., & Koeske, G. F. (2010) · Aging & Mental Health · doi:10.1080/13607863.2010.501061 · Cited by 134
“In particular, African-American older adults with depression are less likely than their White counterparts to receive an appropriate diagnosis (Gallo, Cooper-Patrick, & Lesikar, 1998 ) or to receive empirically supported treatments for depression (Wang, Berglund, & Kessler, 2000 ; Young, Klap, & Sherbourne, 2001 ).”
BackgroundEvidence review: efficacy and effectiveness of antidepressant treatment in primary care
Simon, G. E. (2002) · General Hospital Psychiatry · doi:10.1016/s0163-8343(02)00198-6 · Cited by 132
Snowden, L. R. (2012) · American Psychologist · doi:10.1037/a0030054 · Cited by 148
Carney, P. A., Nierenberg, D. W., Pipas, C. F., Brooks, W. B., Stukel, T. A., & Keller, A. M. (2004) · JAMA · doi:10.1001/jama.292.9.1044 · Cited by 132
Steele, L., Dewa, C., Lin, E., & Lee, K. (2007) · Healthcare Policy | Politiques de Santé · doi:10.12927/hcpol.2007.19177 · Cited by 131
Higher Burden of Depression Among Older Women
Barry, L. C., Allore, H. G., Guo, Z., BRUCE, M. L., & Gill, T. M. (2008) · Archives of General Psychiatry · doi:10.1001/archgenpsychiatry.2007.17 · Cited by 130
Bridging Community Intervention and Mental Health Services Research
Wells, K., Miranda, J., Bruce, M. L., Alegria, M., & Wallerstein, N. (2004) · American Journal of Psychiatry · doi:10.1176/appi.ajp.161.6.955 · Cited by 237
Association of reports of childhood abuse and all-cause mortality rates in women
Chen, E., Turiano, N. A., Mroczek, D. K., & Miller, G. E. (2016) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2016.1786 · Cited by 128
Lederer, V., Loisel, P., Rivard, M., & Champagne, F. (2013) · Journal of Occupational Rehabilitation · doi:10.1007/s10926-013-9459-4 · Cited by 127
Racial Differences in Beliefs About the Effectiveness and Necessity of Mental Health Treatment
Anglin, D. M., Alberti, P. M., Link, B. G., & Phelan, J. C. (2008) · American Journal of Community Psychology · doi:10.1007/s10464-008-9189-5 · Cited by 127
“…disparity have been offered in the literature and range from well-documented inequalities in the quality of care received (Smedly et al. 2003; Wang et al. 2000) and socioeconomic status (Muntaner 1999) to psychosocial explanations of cultural mistrust (Nickerson et al. 1994; Whaley 2001a,…”
BackgroundCorrelates of Sexual Activity and Satisfaction in Midlife and Older Women
Thomas, H. N., Hess, R., & Thurston, R. C. (2015) · The Annals of Family Medicine · doi:10.1370/afm.1820 · Cited by 127
Metadata
- Authors
- Wang, P. S., Berglund, P., & Kessler, R. C.
- Affiliations
- Harvard University (US)
- University of Michigan (US)
- Venue
- Journal of General Internal Medicine
- Published
- 2000-05
- Volume
- 15
- Issue
- 5
- Pages
- 284-292
- ISSN
- 0884-8734 (ISSN-L)
- 1525-1497
- PMC
- PMC1495452
- OpenAlex
- W1972523301
- Cited by
- 686
- References
- 44
- Citations by year
- 2026: 4 · 2025: 12 · 2024: 17 · 2023: 17 · 2022: 19 · 2021: 13 · 2020: 18 · 2019: 14 · 2018: 19 · 2017: 60 · 2016: 23 · 2015: 28 · 2014: 28 · 2013: 30 · 2012: 32
- FWCI
- 42.16
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of General Internal Medicine (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Deep Blue (University of Michigan) (submittedVersion)
- Funders
- John D. and Catherine T. MacArthur Foundation
- National Institutes of Health (2k05mh000507-13)
- National Institute of Mental Health (K05 MH 00507, Z01MH000507)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Keywords
- mental health service utilization, guideline-concordant care, evidence-based treatment, major depressive episode, panic disorder, generalized anxiety disorder, severe mental illness, mental health coverage, racial disparities, African Americans, underinsured, access to mental health care, mental health care quality, Midlife Development in the United States
- MeSH terms
- Adult, Aged, Anxiety Disorders, Cross-Sectional Studies, Depression, Female, Health Surveys, Humans, Male, Middle Aged, United States, Prevalence, Chi-Square Distribution, Likelihood Functions, Logistic Models, Panic Disorder, Evidence-Based Medicine, Guideline Adherence
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