| Full text | |
| Author(s): Show less - |
Stein, Dan J.
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Kazdin, Alan E.
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Munthali, Richard J.
;
Hwang, Irving
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Harris, Meredith G.
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Alonso, Jordi
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Andrade, Laura Helena
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Bruffaerts, Ronny
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Cardoso, Graca
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Chardoul, Stephanie
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de Girolamo, Giovanni
;
Florescu, Silvia
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Gureje, Oye
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Haro, Josep Maria
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Karam, Aimee N.
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Karam, Elie G.
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Kovess-Masfety, Viviane
;
Lee, Sing
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Medina-Mora, Maria Elena
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Navarro-Mateu, Fernando
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Posada-Villa, Jose
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Stagnaro, Juan Carlos
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ten Have, Margree
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Sampson, Nancy A.
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Kessler, Ronald C.
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Vigo, Daniel V.
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Who World Mental Hlth Survey
Total Authors: 27
|
| Document type: | Journal article |
| Source: | BMC Psychiatry; v. 23, n. 1, p. 12-pg., 2023-04-04. |
| Abstract | |
BackgroundPosttraumatic stress disorder (PTSD) is associated with significant morbidity, but efficacious pharmacotherapy and psychotherapy are available. Data from the World Mental Health Surveys were used to investigate extent and predictors of treatment coverage for PTSD in high-income countries (HICs) as well as in low- and middle-income countries (LMICs).MethodsSeventeen surveys were conducted across 15 countries (9 HICs, 6 LMICs) by the World Health Organization (WHO) World Mental Health Surveys. Of 35,012 respondents, 914 met DSM-IV criteria for 12-month PTSD. Components of treatment coverage analyzed were: (a) any mental health service utilization; (b) adequate pharmacotherapy; (c) adequate psychotherapy; and (d) effective treatment coverage. Regression models investigated predictors of treatment coverage.Results12-month PTSD prevalence in trauma exposed individuals was 1.49 (S.E., 0.08). A total of 43.0% (S.E., 2.2) received any mental health services, with fewer receiving adequate pharmacotherapy (13.5%), adequate psychotherapy (17.2%), or effective treatment coverage (14.4%), and with all components of treatment coverage lower in LMICs than HICs. In a multivariable model having insurance (OR = 2.31, 95 CI 1.17, 4.57) and severity of symptoms (OR = .35, 95% CI 0.18, 0.70) were predictive of effective treatment coverage.ConclusionThere is a clear need to improve pharmacotherapy and psychotherapy coverage for PTSD, particularly in those with mild symptoms, and especially in LMICs. Universal health care insurance can be expected to increase effective treatment coverage and therefore improve outcomes. (AU) | |
| FAPESP's process: | 03/00204-3 - Epidemiological study of psychiatric disorders in the São Paulo Metropolitan Region: prevalence, risk factors, and social and economical burden |
| Grantee: | Laura Helena Silveira Guerra de Andrade |
| Support Opportunities: | Research Projects - Thematic Grants |