The prevalence of treated and untreated mental disorders in five countries

被引:228
作者
Bijl, RV
de Graaf, R
Hiripi, E
Kessler, RC
Kohn, R
Offord, DR
Ustun, TB
Vicente, B
Vollebergh, WAM
Walters, EE
Wittchen, HU
机构
[1] Department of Crime Prevention and Sanctions, Research and Documentation Center, Ministry of Justice
[2] Department of Health Care Policy, Harvard Medical School
[3] Department of Psychiatry and Human Behavior, Brown University (U.S.)
[4] McMaster University, Toronto
[5] WHO Classification, Assessment, Surveys, and Terminology Unit, Geneva
[6] Department of Psychiatry and Mental Health, Universidad de Concepción
[7] Research Program on Developmental Psychiatry, National Institute on Mental Health and Addiction
[8] Department of Psychology, Technical University of Dresden
[9] Department of Clinical Psychology, Max Planck Institute of Psychiatry, Munich
关键词
D O I
10.1377/hlthaff.22.3.122
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
We analyzed survey data from Canada, Chile, Germany, the Netherlands, and the United States to study the prevalence and treatment of mental and substance abuse disorders. Total past-year prevalence estimates range between 17.0 percent (Chile) and 29.1 percent (U.S.). Many cases are mild. Although disorder severity is strongly related to treatment, one- to two-thirds of serious cases receive no treatment each year. Most treatment goes to minor and mild cases. Undertreatment of serious cases is most pronounced among young, poorly educated males. Outreach is needed to reduce barriers to care among serious cases and young people at risk of serious disorders.
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页码:122 / 133
页数:12
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