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Cited by 343Mental Health Treatment and AccessMigration, Health and TraumaPsychiatric care and mental health services

Twelve‐month prevalence, severity, and treatment of common mental disorders in communities in Japan: preliminary finding from the World Mental Health Japan Survey 2002–2003

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KAWAKAMI, NORITO, TAKESHIMA, TADASHI, ONO, YUTAKA, UDA, HIDENORI, HATA, YUKIHIRO, NAKANE, YOSHIBUMI, NAKANE, HIDEYUKI, IWATA, NOBORU +2 more·2005·Psychiatry and Clinical Neurosciences
DOI 10.1111/j.1440-1819.2005.01397.x
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Abstract

Abstract To estimate the prevalence, severity, and treatment of Diagnostic and Statistical Manual of Mental Disorders(4th edn; DSM‐IV) mental disorders in community populations in Japan, face‐to‐face household surveys were conducted in four community populations in Japan. A total of 1663 community adults responded (overall response rate, 56%). The DSM‐IV disorders, severity, and treatment were assessed with the World Mental Health version of the World Health Organization (WHO) Composite International Diagnostic Interview (WMH‐CIDI), a fully structured lay‐administered psychiatric diagnostic interview. The prevalence of any WMH‐CIDI/DSM‐IV disorder in the prior year was 8.8%, of which 17% of cases were severe and 47% were moderate. Among specific disorders, major depression (2.9%), specific phobia (2.7%), and alcohol abuse/dependence (2.0%) were the most prevalent. Although disorder severity was correlated with probability of treatment, only 19% of the serious or moderate cases received medical treatment in the 12 months before the interview. Older and not currently married individuals had a greater risk of having more severe DSM‐IV disorders if they had experienced any within the previous 12 months. Those who had completed high school or some college were more likely to seek medical treatment than those who had completed college. The study confirmed that the prevalence of DSM‐IV mental disorders was equal to that observed in Asian countries but lower than that in Western countries. The percentage of those receiving medical treatment was low even for those who suffered severe or moderate disorders. Possible strategies are discussed.

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  • Limited availability of CBT therapists and high implementation costs are major obstacles significantly impacting the accessibility of CBT in Japan.

    “The limited availability of CBT therapists and high implementation costs have been major obstacles significantly impacting the accessibility of CBT [6,7].”

    From Feasibility of Guided Internet-Based Cognitive Behavioral Therapy for Panic Disorder and Social Anxiety Disorder in Japan: Pilot Single-Arm Trial (2024) · cites this paper as [6]

    The discussion reports low rates of medical treatment in Japan and suggests training non-psychiatrist physicians, but it does not address CBT access. Searches for CBT therapist availability and implementation costs found no passage supporting either proposed obstacle; page numbers were not available in our copy. (LLM, conf=0.76)

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  1. Lee CK, Kwak YS, Yamamoto J et al. Psychiatric epide- miology in Korea. Part I. Gender and age differences in Seoul. J. Nerv. Ment. Dis. 1990; 178: 242-246.
  2. Kessler RC, Little JA, Groves RM. Advances in strate- gies for minimizing and adjusting for survey nonrespon- dents. Epidemiol. Rev. 1995; 17: 192-204.
  3. Sakai A, Ito K, Takeuchi K. Reliability and varidity. In: Kikkawa T (ed.). Kokoro No Kenkou Ni Kansuru Eki- gaku Chousa No Jisshi Houhou Ni Kansuru Kenkyuu: Heisei 14 Nen Soukatsu-Buntan Houkokusho (A Study on Methods Used in Epidemiologic Studies on Mental Health-2002 Research Report), National Institute of Mental Health, Ichikawa, Japan, 2003; 107-108 (in Japanese).

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Authors
KAWAKAMI, N., TAKESHIMA, T., ONO, Y., UDA, H., HATA, Y., NAKANE, Y., NAKANE, H., IWATA, N., FURUKAWA, T. A., & KIKKAWA, T.
Affiliations
  • Okayama University (JP)
  • National Center of Neurology and Psychiatry (JP)
  • Keio University (JP)
  • Nagasaki International University (JP)
  • Nagasaki University (JP)
  • Hiroshima International University (JP)
Corresponding author
KAWAKAMI, NORITO
ORCID
Venue
Psychiatry and Clinical Neurosciences
Publisher
Wiley
Published
2005-07-19
Volume
59
Issue
4
Pages
441-452
ISSN
  • 1323-1316 (ISSN-L)
  • 1440-1819
DOI
10.1111/j.1440-1819.2005.01397.x
OpenAlex
W1985661924
Cited by
340
References
38
Citations by year
2026: 8 · 2025: 7 · 2024: 3 · 2023: 6 · 2022: 15 · 2021: 21 · 2020: 17 · 2019: 17 · 2018: 25 · 2017: 19 · 2016: 18 · 2015: 32 · 2014: 24 · 2013: 22 · 2012: 28
FWCI
10.72
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Psychiatry and Clinical Neurosciences (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Mental Health
Topics
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
Keywords
common mental disorders, prevalence, disorder severity, psychotherapy, DSM-IV, major depressive disorder, specific phobia, alcohol abuse and dependence, community-dwelling adults, Japan, educational attainment, marital status, age differences, help-seeking
MeSH terms
Adult, Aged, Mental Disorders, Delivery of Health Care, Education, Female, Humans, Income, Japan, Male, Marriage, Middle Aged, Psychiatric Status Rating Scales, Rural Population, Socioeconomic Factors, Urban Population, Risk Assessment, Health Care Surveys

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