Recent core of common mental disorders in the United States - Prevalence and conformance with evidence-based recommendations

Citation
Ps. Wang et al., Recent core of common mental disorders in the United States - Prevalence and conformance with evidence-based recommendations, J GEN INT M, 15(5), 2000, pp. 284-292
Citations number
37
Language
INGLESE
art.tipo
Article
Categorie Soggetti
General & Internal Medicine
Journal title
JOURNAL OF GENERAL INTERNAL MEDICINE
ISSN journal
0884-8734 → ACNP
Volume
15
Issue
5
Year of publication
2000
Pages
284 - 292
Database
ISI
SICI code
0884-8734(200005)15:5<284:RCOCMD>2.0.ZU;2-T
Abstract
OBJECTIVE: To relate the presence of recent mental disorders to use of ment al 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 representati ve telephone-and-mail survey conducted in 1996. Twelve-month diagnoses acco rding to the Diagnostic and Statistical Manual of Mental Disorders, Revised , Third Edition, of major depressive episode, panic disorder, generalized a nxiety disorder, and serious mental illness were made using a structured as sessment. Information was obtained on 12-month treatment for mental health problems in the general medical, mental health specialty. human services, a nd self-help sectors. Definitions of treatments consistent with evidence-ba sed 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. Althoug h 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 recommendation s. Even among those with the most serious and impairing mental illness, onl y 25% received guideline-concordant treatment. Predictors of receiving guid eline-concordant care included being white, female, severely ill, and havin g mental, health insurance coverage. CONCLUSIONS: An epidemic of untreated and poorly treated mental disorders e xists in the United States, especially among vulnerable groups such as Afri can Americans and the underinsured. Cost-effective interventions are needed to improve both access to and quality of treatment.