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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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“For these and other issues of trust, even when offered, minorities may be less likely to opt for receiving evidencebased treatments such as antidepressant medication or specialty psychiatric care (Miranda & Cooper, 2002; Wang, Bergland, & Kessler, 2000; Young, Klap, Shebourne, & Wells, 2001).”
BackgroundSripada, R. K., Bohnert, K. M., Ganoczy, D. A., Blow, F. C., Valenstein, M. M., & Pfeiffer, P. N. (2016) · Psychological Services · doi:10.1037/ser0000077 · Cited by 34
“…by the VA as a minimally adequate dose for the purposes of a performance measurement, and was chosen on the basis of manualized clinical trials of psychotherapy and prior retrospective studies of psychotherapy adequacy (Foa et al., 2007; Pfeiffer et al., 2011; Seal et al., 2010; Wang et al., 2000).”
MethodMiranda, J. M., Lawson, W. B., & Escobar, J. I. (2002) · Mental Health Services Research · doi:10.1023/a:1020920800686 · Cited by 33
The role of neighborhood stressors on cognitive function: A coordinated analysis
Muñoz, E., Scott, S., Corley, R. P., Wadsworth, S. J., Sliwinski, M. J., & Reynolds, C. A. (2020) · Health & Place · doi:10.1016/j.healthplace.2020.102442 · Cited by 32
“A total score of the “Yes” responses was computed whereby higher scored indicated greater depressive symptoms (Wang et al., 2000).”
Measuring disparities across the distribution of mental health care expenditures.
Cook, B. L., Manning, W. G., & Alegria, M. M. (2013) · PubMed · Cited by 32
Suicidal Behavior in Young Women
Baca‐García, E., Pérez-Rodríguez, M. M., Mann, J. J., & Oquendo, M. A. (2008) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2008.01.002 · Cited by 34
Predictors of Adequate Depression Treatment among Medicaid‐Enrolled Adults
Teh, C. F., Sorbero, M., Mihalyo, M. J., Kogan, J. N., Schuster, J., Reynolds, C. F., & Stein, B. D. (2009) · Health Services Research · doi:10.1111/j.1475-6773.2009.01060.x · Cited by 31
Lynn, S. J., Malakataris, A., Condon, L. P., Maxwell, R., & Cleere, C. (2012) · American Journal of Clinical Hypnosis · doi:10.1080/00029157.2011.645913 · Cited by 43
“survey published in 2000 by Harvard epidemiologist Ronald Kessler and his colleagues ( Wang, Berglund, & Kessler, 2000 ) revealed that only about 25% of individuals with clinical depression receive adequate treatment.”
BackgroundBarriers to Reducing Burden of Affective Disorders
BRUCE, M. L., Wells, K. B., Miranda, J. M., Lewis, L., & Gonzalez, J. J. (2002) · Mental Health Services Research · doi:10.1023/a:1020908430728 · Cited by 32
Rasmussen, K. G., Mueller, M., Kellner, C. H., Knapp, R. G., Petrides, G., Rummans, T. A., Husain, M. M., O'Connor, M. K., Black, J. L., Sampson, S. M., et al. (2006) · Journal of Ect · doi:10.1097/00124509-200606000-00008 · Cited by 31
Luca, D. G. D., Sambursky, J. A., Margolesky, J. H., Cordeiro, J. G., Diaz, A., Shpiner, D. S., Moore, H. P., Singer, C., & Luca, C. C. (2020) · Journal of Parkinson s Disease · doi:10.3233/jpd-202045 · Cited by 31
Comparable family burden in families of clinical high‐risk and recent‐onset psychosis patients
Wong, C. H. J., Davidson, L., McGlashan, T. H., Gerson, R. S., Malaspina, D., & Corcoran, C. M. (2008) · Early Intervention in Psychiatry · doi:10.1111/j.1751-7893.2008.00086.x · Cited by 31
“This imbalance may be due to delays in seeking help from mental health services in ethnic minorities, which may be related to stigma, fear or cultural mistrust and/or socioeconomic status.(51,52) The differential ascertainment is unlikely to be due to population differences, as both groups were ascertained from the sa…”
BackgroundPoleshuck, E. L., Cerrito, B., Leshoure, N., Finocan-Kaag, G., & Kearney, M. H. (2012) · Community Mental Health Journal · doi:10.1007/s10597-012-9500-7 · Cited by 31
“Similarly, African American women as compared to White women are more likely to experience depression (Green et al. 2003; Riley et al. 2001) and less likely to utilize mental health treatment (Cooper et al. 2003; Neighbors 1988; Wang et al. 2000).”
BackgroundWells, K. B., Schoenbaum, M., Duan, N., Miranda, J. M., Tang, L., & Sherbourne, C. D. (2007) · Psychiatric Services · doi:10.1176/ps.2007.58.10.1269 · Cited by 31
Efficacy of a Maternal Depression Prevention Strategy in Head Start
Silverstein, M., Díaz‐Linhart, Y., Cabral, H., Beardslee, W. R., Hegel, M. T., Haile, W., Sander, J., Patts, G. J., & Feinberg, E. (2017) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2017.1001 · Cited by 32
Holm, A. L., & Severinsson, E. (2012) · International Journal of Mental Health Nursing · doi:10.1111/j.1447-0349.2012.00827.x · Cited by 36
“Quality concerns have surfaced in the mental health arena, where less than 15 % of patients with chronic problems such as major depression, panic disorder or generalised anxiety disorder receive evidence-based treatment (Wang et al. 2000).”
BackgroundAlonso-Ferres, M., Imami, L., & Slatcher, R. B. (2019) · Journal of Social and Personal Relationships · doi:10.1177/0265407519884726 · Cited by 37
Fleury, M., Grenier, G., Bamvita, J., Perreault, M., & Jean-Caron (2011) · BMC Psychiatry · doi:10.1186/1471-244x-11-67 · Cited by 27
Campbell, S., Gately, C., & Gask, L. L. (2007) · Chronic Illness · doi:10.1177/1742395307079193 · Cited by 30
Duloxetine in the treatment of major depressive disorder: comparisons of safety and efficacy.
Bailey, R. K., Mallinckrodt, C. H., Wohlreich, M. M., Watkin, J. G., & Plewes, J. M. (2006) · PubMed Central · Cited by 30
Practice guidelines and measurement: state-of-the-science
Dykes, P. C. (2003) · Nursing Outlook · doi:10.1016/s0029-6554(02)05459-3 · Cited by 30
Knowledge Transfer in Mental Health Care: How Do We Bring Evidence into Day-to-Day Practice?
Grol, R. P. T. M. (2008) · The Canadian Journal of Psychiatry · doi:10.1177/070674370805300501 · Cited by 30
“Transfer of scientific knowledge on appropriate performance in mental health care meets similar problems; for example, only one-quarter of patients with anxiety disorders in the United States received care in line with evidence-based treatment guidelines.(4) A study(5) in the Netherlands on patients with symptoms of d…”
Result
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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