Complementary and alternative medicine contacts by persons with mental disorders in 25 countries: results from the World Mental Health Surveys

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de Jonge, P. ^{[1, 2]} ; Wardenaar, K. J. ^[3] ; Hoenders, H. R. ^[4] ; Evans-Lacko, S. ^{[5, 6]} ; Kovess-Masfety, V. ^[7] ; Aguilar-Gaxiola, S. ^[8] ; Al-Hamzawi, A. ^[9] ; Alonso, J. ^{[10, 11, 12]} ; Andrade, L. H. ^[13] ; Benjet, C. ^[14] ; Bromet, E. J. ^[15] ; Bruffaerts, R. ^[16] ; Bunting, B. ^[17] ; Caldas-de-Almeida, J. M. ^{[18, 19]} ; Dinolova, R. V. ^[20] ; Florescu, S. ^[21] ; de Girolamo, G. ^[22] ; Gureje, O. ^{[23, 24]} ; Haro, J. M. ^[25] ; Hu, C. ^{[26, 27]} ; Huang, Y. ^[28] ; Karam, E. G. ^{[29, 30]} ; Karam, G. ^[30] ; Lee, S. ^[31] ; Lepine, J. -P. ^[32] ; Levinson, D. ^[33] ; Makanjuola, V. ^{[23, 24]} ; Navarro-Mateu, F. ^[34] ; Pennell, B. -E. ^[35] ; Posada-Villa, J. ^[36] ; Scott, K. ^[37] ; Tachimori, H. ^[38] ; Williams, D. ^[39] ; Wojtyniak, B. ^[40] ; Kessler, R. C. ^[41] ; Thornicrofton, G. ^[5] ; Survey, WHO World Mental Hlth

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^[1] Univ Med Ctr Groningen, Dept Psychiat, Interdisciplinary Ctr Psychopathol & Emot Regulat, Groningen - Netherlands

^[2] Univ Groningen, Dept Psychol, Dev Psychol, Groningen - Netherlands

^[3] Univ Med Ctr Groningen, Dept Psychiat, Groningen - Netherlands

^[4] Lentis, CIP, Groningen - Netherlands

^[5] Kings Coll London, Inst Psychiat Psychol & Neurosci, Hlth Serv & Populat Res Dept, London - England

^[6] London Sch Econ & Polit Sci, PSSRU, London - England

^[7] Paris Descartes Univ, EHESP, EA 4057, Paris - France

^[8] UC Davis Hlth Syst, Ctr Reducing Hlth Dispar, Sacramento, CA - USA

^[9] Al Qadisiya Univ, Coll Med, Diwaniya - Iraq

^[10] Pompeu Fabra Univ UPF, Barcelona - Spain

^[11] CIBER Epidemiol & Salud Publ CIBERESP, Barcelona - Spain

^[12] IMIM Hosp del Mar Med Res Inst, Hlth Serv Res Unit, Barcelona - Spain

^[13] Univ Sao Paulo, Fac Med, Hosp Clin, Nucleo Epidemiol Psiquiatr LIM 23, Inst Psiquiatri, Sao Paulo - Brazil

^[14] Natl Inst Psychiat Ramon de la Fuente, Dept Epidemiol & Psychosocial Res, Mexico City, DF - Mexico

^[15] SUNY Stony Brook, Dept Psychiat, Sch Med, Stony Brook, NY 11794 - USA

^[16] Katholieke Univ Leuven, UPC, Campus Gasthuisberg, Leuven - Belgium

^[17] Ulster Univ, Sch Psychol, Derry, Londonderry - North Ireland

^[18] Univ Nova Lisboa, Fac Ciencias Med, NOVA Med Sch, Lisbon Inst Global Mental Hlth, Lisbon - Portugal

^[19] Univ Nova Lisboa, Fac Ciencias Med, NOVA Med Sch, Chron Dis Res Ctr CEDOC, Lisbon - Portugal

^[20] Natl Ctr Publ Hlth & Anal, Sofia - Bulgaria

^[21] Natl Sch Publ Hlth Management & Profess Dev, Bucharest - Romania

^[22] IRCCS St John God Clin Res Ctr, Brescia - Italy

^[23] Univ Coll Hosp, Ibadan - Nigeria

^[24] Univ Ibadan, Dept Psychiat, Coll Med, Ibadan - Nigeria

^[25] Univ Barcelona, CIBERSAM, Parc Sanitari St Joan de Deu, Barcelona - Spain

^[26] Shenzhen Inst Mental Hlth, Shenzhen - Peoples R China

^[27] Shenzhen Kangning Hosp, Shenzhen - Peoples R China

^[28] Peking Univ, Inst Mental Hlth, Beijing - Peoples R China

^[29] Balamand Univ, Fac Med, St George Hosp Univ Med Ctr, Dept Psychiat & Clin Psychol, Beirut - Lebanon

^[30] IDRAAC, Beirut - Lebanon

^[31] Chinese Univ Hong Kong, Dept Psychiat, Tai Po, Hong Kong - Peoples R China

^[32] Univ Paris Diderot & Paris Descartes, Hop Lariboisiere Fernand Widal, AP HP, INSERM, UMR S 1144, Paris - France

^[33] Minist Hlth, Mental Hlth Serv, Jerusalem - Israel

^[34] CIBERESP Murcia, IMIB Arrixaca, Subdirecc Gen Planificac Innovac & Cronicidad, UDIF SM, Serv Murciano Salud, Murcia - Spain

^[35] Univ Michigan, Inst Social Res, Survey Res Ctr, Ann Arbor, MI - USA

^[36] Cundinamarca Univ, Colegio Mayor, Bogota - Colombia

^[37] Univ Otago, Dept Psychol Med, Dunedin - New Zealand

^[38] Natl Ctr Neurol & Psychiat, Natl Inst Mental Hlth, Kodaira, Tokyo - Japan

^[39] Harvard TH Chan Sch Publ Hlth, Dept Soc Human Dev & Hlth, Boston, MA - USA

^[40] Natl Inst Hyg, Natl Inst Publ Hlth, Ctr Monitoring & Anal Populat Hlth, Warsaw - Poland

^[41] Harvard Med Sch, Dept Hlth Care Policy, Boston, MA - USA

• Tipo de documento: Artigo Científico
• Fonte: EPIDEMIOLOGY AND PSYCHIATRIC SCIENCES; v. 27, n. 6, p. 552-567, DEC 2018.
• Citações Web of Science: 5

Resumo

Aims.A substantial proportion of persons with mental disorders seek treatment from complementary and alternative medicine (CAM) professionals. However, data on how CAM contacts vary across countries, mental disorders and their severity, and health care settings is largely lacking. The aim was therefore to investigate the prevalence of contacts with CAM providers in a large cross-national sample of persons with 12-month mental disorders. Methods.In the World Mental Health Surveys, the Composite International Diagnostic Interview was administered to determine the presence of past 12 month mental disorders in 138 801 participants aged 18-100 derived from representative general population samples. Participants were recruited between 2001 and 2012. Rates of self-reported CAM contacts for each of the 28 surveys across 25 countries and 12 mental disorder groups were calculated for all persons with past 12-month mental disorders. Mental disorders were grouped into mood disorders, anxiety disorders or behavioural disorders, and further divided by severity levels. Satisfaction with conventional care was also compared with CAM contact satisfaction. Results. An estimated 3.6% (standard error 0.2%) of persons with a past 12-month mental disorder reported a CAM contact, which was two times higher in high-income countries (4.6%; standard error 0.3%) than in low- and middle-income countries (2.3%; standard error 0.2%). CAM contacts were largely comparable for different disorder types, but particularly high in persons receiving conventional care (8.6-17.8%). CAM contacts increased with increasing mental disorder severity. Among persons receiving specialist mental health care, CAM contacts were reported by 14.0% for severe mood disorders, 16.2% for severe anxiety disorders and 22.5% for severe behavioural disorders. Satisfaction with care was comparable with respect to CAM contacts (78.3%) and conventional care (75.6%) in persons that received both. Conclusions.CAM contacts are common in persons with severe mental disorders, in high-income countries, and in persons receiving conventional care. Our findings support the notion of CAM as largely complementary but are in contrast to suggestions that this concerns person with only mild, transient complaints. There was no indication that persons were less satisfied by CAM visits than by receiving conventional care. We encourage health care professionals in conventional settings to openly discuss the care patients are receiving, whether conventional or not, and their reasons for doing so. (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
• Modalidade de apoio: Auxílio à Pesquisa - Temático