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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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Franche, R., Carnide, N., Hogg‐Johnson, S., Côté, P., Breslin, F. C., Bültmann, U., Severin, C. N., & Krause, N. (2009) · The Canadian Journal of Psychiatry · doi:10.1177/070674370905400806 · Cited by 69
First-Line Pharmacotherapy Approaches for Generalized Anxiety Disorder
Davidson, J. R. T. (2009) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.s.7002.05 · Cited by 69
Depression in ethnically diverse women: Implications for treatment in primary care settings
Brown, C., Abe-Kim, J., & Barrio, C. (2003) · Professional Psychology Research and Practice · doi:10.1037/0735-7028.34.1.10 · Cited by 79
Risks and Resources Associated With Antepartum Risk for Depression Among Rural Southern Women
Jesse, D. E., & Swanson, M. S. (2007) · Nursing Research · doi:10.1097/01.nnr.0000299856.98170.19 · Cited by 67
Smith, K. L. W., Matheson, F. I., Moineddin, R., Dunn, J. R., Lu, H., Cairney, J., & Glazier, R. H. (2013) · Health · doi:10.4236/health.2013.510212 · Cited by 68
“Despite the impact of depression on social and physical functioning, many people do not seek care, with studies reporting a 12-month prevalence of mental health service use ranging from 36% - 56% [8-12].”
BackgroundHilbink, M., Laurant, M. G. H., Verhaak, P. F. M., Prins, M., van Marwijk, H., Penninx, B. W. J. H., Wensing, M., & Grol, R. P. T. M. (2010) · Medical Care · doi:10.1097/mlr.0b013e3181ca27f6 · Cited by 69
Racial-ethnic disparities in outpatient mental health care in the United States
Olfson, M., Zuvekas, S. H., McClellan, C., Wall, M. M., Hankerson, S. H., & Blanco, C. (2023) · Psychiatric Services · doi:10.1176/appi.ps.20220365 · Cited by 66
Chermack, S. T., Zivin, K., Valenstein, M. M., Ilgen, M. A., Austin, K., Wryobeck, J. M., & Blow, F. C. (2008) · Medical Care · doi:10.1097/mlr.0b013e318178eb08 · Cited by 66
Family Strain, Depression, and Somatic Amplification in Adults with Chronic Pain
Boone, D. M., & Kim, S. Y. (2019) · International Journal of Behavioral Medicine · doi:10.1007/s12529-019-09799-y · Cited by 66
Tai‐Seale, M., Bramson, R., Drukker, D. M., Hurwicz, M., Ory, M. G., Tai-Seale, T., Street, R. L., & Cook, M. A. (2005) · Medical Care · doi:10.1097/01.mlr.0000185734.00564.c1 · Cited by 66
“These findings are inconsistent with the National Comorbidity Survey Replication’s (NCS-R) findings in which higher rates of recognition and treatment of common mental disorders in primary care have been reported.(33,36) The discrepancy may be the result of several reasons.”
ResultCulture and Empirically Supported Treatments: On the Road to a Collision?
Roche, M. J. L., & Christopher, M. (2008) · Culture & Psychology · doi:10.1177/1354067x08092637 · Cited by 65
Mental health service use and treatment adequacy for anxiety disorders in Canada
Roberge, P., Fournier, L., Duhoux, A., Nguyen, C. T., & Hilbink, M. (2010) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-010-0186-2 · Cited by 74
Health and well-being in midlife parents of children with special health needs.
Smith, A. M., & Grzywacz, J. G. (2014) · Families Systems & Health · doi:10.1037/fsh0000049 · Cited by 65
Recognition of depression by primary care clinicians in rural Ethiopia
Fekadu, A., Medhin, G., Selamu, M., Giorgis, T. W., Lund, C., Alem, A., Prince, M., & Hanlon, C. (2017) · BMC Family Practice · doi:10.1186/s12875-017-0628-y · Cited by 61
Borges, G. L. G., Medina‐Mora, M. E., Wang, P. S., Lara, C., Berglund, P. A., & Walters, E. E. (2006) · American Journal of Psychiatry · doi:10.1176/ajp.2006.163.8.1371 · Cited by 64
Self-citationRacial Health Disparities in a Cohort of 5,135 Transgender Veterans
Brown, G. R., & Jones, K. T. (2014) · Journal of Racial and Ethnic Health Disparities · doi:10.1007/s40615-014-0032-4 · Cited by 62
Well-Being across the Life Course
Mirowsky, J., & Ross, C. E. (2009) · Cambridge University Press eBooks · doi:10.1017/cbo9780511984945.023 · Cited by 60
Craske, M. G., Edlund, M. J., Sullivan, G., Roy-Byrne, P., Sherbourne, C., Bystritsky, A., & Stein, M. B. (2005) · Psychiatric Services · doi:10.1176/appi.ps.56.8.988 · Cited by 60
Quality of care for major depression and its determinants: a multilevel analysis
Duhoux, A., Fournier, L., Gauvin, L. I., & Roberge, P. (2012) · BMC Psychiatry · doi:10.1186/1471-244x-12-142 · Cited by 59
Fleury, M., Grenier, G., Bamvita, J., Perreault, M., Kestens, Y., & Caron, J. (2012) · International Journal for Equity in Health · doi:10.1186/1475-9276-11-20 · Cited by 64
“Individuals with more elevated socio-economic status tended to use specialised services more assiduously, particularly psychiatric and psychological care, even among individuals with the same insurance coverage [2,44-46].”
BackgroundSin, N. L., Ong, A. D., Stawski, R. S., & Almeida, D. M. (2017) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2017.06.001 · Cited by 61
“…by the presence of depressed mood or anhedonia (loss of interest) most of the day, nearly every day, and at least four other associated symptoms (e.g., fatigue, appetite or sleep disturbances, trouble concentrating, feeling worthless, suicidal thoughts) during a 2-week period (Wang et al., 2000).”
BackgroundDirect-to-consumer marketing of psychological treatments for anxiety disorders
Gallo, K. P., Comer, J. S., & Barlow, D. H. (2013) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2013.03.005 · Cited by 59
Work Strain, Social Isolation and Mental Health of Long-Haul Truckers
Apostolopoulos, Y., Sönmez, S., Hege, A., & Lemke, M. K. (2016) · Occupational Therapy in Mental Health · doi:10.1080/0164212x.2015.1093995 · Cited by 59
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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