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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, FURUKAWA, TOSHIAKI A., KIKKAWA, TAKEHIKO·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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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: KAWAKAMI, NORITO
TAKESHIMA, TADASHI
ONO, YUTAKA
IWATA, NOBORU
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: bronze
doi.org
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Psychiatry and Clinical Neurosciences (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute of Mental Health
Topics: Health Sciences › Medicine › Psychiatry and Mental health › 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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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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