Drop out from out-patient mental healthcare in the World Health Organization's World Mental Health Survey initiative

Autor(es):Mostrar menos -

Wells, J. Elisabeth ^[1] ; Browne, Mark Oakley ^[2] ; Aguilar-Gaxiola, Sergio ^[3] ; Al-Hamzawi, Ali ^[4] ; Alonso, Jordi ^{[5, 6]} ; Angermeyer, Matthias C. ^[7] ; Bouzan, Colleen ^[8] ; Bruffaerts, Ronny ^[9] ; Bunting, Brendan ^[10] ; Caldas-de-Almeida, Jose Miguel ^{[11, 12]} ; de Girolamo, Giovanni ^[13] ; de Graaf, Ron ^[14] ; Florescu, Silvia ^[15] ; Fukao, Akira ^[16] ; Gureje, Oye ^[17] ; Hinkov, Hristo Ruskov ^[18] ; Hu, Chiyi ^{[19, 20]} ; Hwang, Irving ^[8] ; Karam, Elie G. ^[21] ; Kostyuchenko, Stanislav ^[22] ; Kovess-Masfety, Viviane ^{[23, 24]} ; Levinson, Daphna ^[25] ; Liu, Zhaorui ^[26] ; Elena Medina-Mora, Maria ^[27] ; Nizamie, S. Hague ^[28] ; Posada-Villa, Jose ^[29] ; Sampson, Nancy A. ^[8] ; Stein, Dan J. ^[30] ; Viana, Maria Carmen ^[31] ; Kessler, Ronald C. ^[8]

Afiliação do(s) autor(es):Mostrar menos -

^[1] Univ Otago, Dept Publ Hlth & Gen Practice, Christchurch 8140 - New Zealand

^[2] Univ Tasmania, Sch Med, Discipline Psychiat, Hobart, Tas - Australia

^[3] Univ Calif Davis, Ctr Reducing Hlth Dispar, Sch Med, Sacramento, CA 95817 - USA

^[4] Al Qadisia Univ, Coll Med, Diwania - Iraq

^[5] CIBERESP, Barcelona - Spain

^[6] Hosp del Mar, Hlth Serv Res Unit, IMIM, Barcelona - Spain

^[7] Ctr Publ Mental Hlth, Gosing Am Wagram - Austria

^[8] Harvard Univ, Sch Med, Dept Hlth Care Policy, Boston, MA 02115 - USA

^[9] KUL, UPC, Louvain - Belgium

^[10] Univ Ulster, Psychol Res Inst, Coleraine BT52 1SA, Londonderry - North Ireland

^[11] Univ Nova Lisboa, Fac Ciencias Med, Chron Dis Res Ctr CEDOC, P-1200 Lisbon - Portugal

^[12] Univ Nova Lisboa, Fac Ciencias Med, Dept Mental Hlth, P-1200 Lisbon - Portugal

^[13] IRCCS Ctr San Giovanni Dio Fatebenefratelli, Brescia - Italy

^[14] Netherlands Inst Mental Hlth & Addict, Trimbos Inst, Utrecht - Netherlands

^[15] Natl Sch Publ Hlth Management & Profess Dev, Bucharest - Romania

^[16] Yamagata Univ, Grad Sch Med Sci, Dept Publ Hlth, Yamagata 990 - Japan

^[17] Univ Ibadan, Univ Coll Hosp, WHO Collaborating Ctr Res & Training Mental Hlth, Dept Psychiat, Ibadan - Nigeria

^[18] Natl Ctr Publ Hlth & Anal, Sofia - Bulgaria

^[19] Shenzhen Inst Mental Hlth, Shenzhen - Peoples R China

^[20] Shenzhen Kangning Hosp, Shenzhen - Peoples R China

^[21] Balamand Univ, St George Hosp Univ Med Ctr, IDRAAC, MIND, Beirut - Lebanon

^[22] Ukrainian Psychiat Assoc, Kiev - Ukraine

^[23] Univ Paris 05, EA 4069, Paris - France

^[24] EHESP, Sch Publ Hlth, Dept Epidemiol, Paris - France

^[25] Mental Hlth Serv Minist Hlth, Jerusalem - Israel

^[26] Peking Univ, Inst Mental Hlth, Beijing 100871 - Peoples R China

^[27] Natl Inst Psychiat, Mexico City, DF - Mexico

^[28] Cent Inst Psychiat, Jharkhand - India

^[29] Pontificia Univ Javenana, Inst Colombiano Sistema Nervioso, Bogota - Colombia

^[30] Univ Cape Town, Dept Psychiat & Mental Hlth, Groote Schuur Hosp, ZA-7925 Cape Town - South Africa

^[31] Univ Fed Espirito Santo, Dept Social Med, Vitoria - Brazil

• Tipo de documento: Artigo Científico
• Fonte: BRITISH JOURNAL OF PSYCHIATRY; v. 202, n. 1, p. 42-49, JAN 2013.
• Citações Web of Science: 25

Resumo

Background Previous community surveys of the drop out from mental health treatment have been carried out only in the USA and Canada. Aims To explore mental health treatment drop out in the World Health Organization World Mental Health Surveys. Method Representative face-to-face household surveys were conducted among adults in 24 countries. People who reported mental health treatment in the 12 months before interview (n=8482) were asked about drop out, defined as stopping treatment before the provider wanted. Results Overall, drop out was 31.7%: 26.3% in high-income countries, 45.1% in upper-middle-income countries, and 37.6% in low/lower-middle-income countries. Drop out from psychiatrists was 21.3% overall and similar across country income groups (high 20.3%, upper-middle 23.6%, low/lower-middle 23.8%) but the pattern of drop out across other sectors differed by country income group. Drop out was more likely early in treatment, particularly after the second visit. Conclusions Drop out needs to be reduced to ensure effective treatment. (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