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(Referência obtida automaticamente do Web of Science, por meio da informação sobre o financiamento pela FAPESP e o número do processo correspondente, incluída na publicação pelos autores.)

Undertreatment of people with major depressive disorder in 21 countries

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Thornicroft, Graham ; Chatterji, Somnath ; Evans-Lacko, Sara ; Gruber, Michael ; Sampson, Nancy ; Aguilar-Gaxiola, Sergio ; Al-Hamzawi, Ali ; Alonso, Jordi ; Andrade, Laura ; Borges, Guilherme ; Bruffaerts, Ronny ; Bunting, Brendan ; Caldas de Almeida, Jose Miguel ; Florescu, Silvia ; de Girolamo, Giovanni ; Gureje, Oye ; Haro, Josep Maria ; He, Yanling ; Hinkov, Hristo ; Karam, Elie ; Kawakami, Norito ; Lee, Sing ; Navarro-Mateu, Fernando ; Piazza, Marina ; Posada-Villa, Jose ; de Galvis, Yolanda Torres ; Kessler, Ronald C.
Número total de Autores: 27
Tipo de documento: Artigo Científico
Fonte: BRITISH JOURNAL OF PSYCHIATRY; v. 210, n. 2, p. 119-124, FEB 2017.
Citações Web of Science: 124
Resumo

Background Major depressive disorder (MDD) is a leading cause of disability worldwide. Aims To examine the: (a) 12-month prevalence of DSM-IV MDD; (b) proportion aware that they have a problem needing treatment and who want care; (c) proportion of the latter receiving treatment; and (d) proportion of such treatment meeting minimal standards. Method Representative community household surveys from 21 countries as part of the World Health Organization World Mental Health Surveys. Results Of 51 547 respondents, 4.6% met 12-month criteria for DSM-IV MDD and of these 56.7% reported needing treatment. Among those who recognised their need for treatment, most (71.1%) made at least one visit to a service provider. Among those who received treatment, only 41.0% received treatment that met minimal standards. This resulted in only 16.5% of all individuals with 12-month MDD receiving minimally adequate treatment. Conclusions Only a minority of participants with MDD received minimally adequate treatment: 1 in 5 people in high-income and 1 in 27 in low-/lower-middle-income countries. Scaling up care for MDD requires fundamental transformations in community education and outreach, supply of treatment and quality of services. (AU)

Processo FAPESP: 03/00204-3 - Estudo epidemiológico dos transtornos psiquiátricos na região metropolitana de São Paulo: prevalências, fatores de risco e sobrecarga social e econômica
Beneficiário:Laura Helena Silveira Guerra de Andrade Burdmann
Linha de fomento: Auxílio à Pesquisa - Temático