Comorbidity of common mental disorders with cancer and their treatment gap: findings from the World Mental Health Surveys

Autor(es):Mostrar menos -

Nakash, Ora ^[1] ; Levav, Itzhak ^[2] ; Aguilar-Gaxiola, Sergio ^[3] ; Alonso, Jordi ^{[4, 5, 6]} ; Andrade, Laura Helena ^[7] ; Angermeyer, Matthias C. ^[8] ; Bruffaerts, Ronny ^[9] ; Caldas-de-Almeida, Jose Miguel ^{[10, 11]} ; Florescu, Slivia ^[12] ; de Girolamo, Giovanni ^[13] ; Gureje, Oye ^[14] ; He, Yanling ^[15] ; Hu, Chiyi ^{[16, 17]} ; de Jonge, Peter ^[18] ; Karam, Elie G. ^{[19, 20]} ; Kovess-Masfety, Viviane ^[21] ; Medina-Mora, Maria Elena ^[22] ; Moskalewicz, Jacek ^[23] ; Murphy, Sam ^[24] ; Nakamura, Yosikazu ^[25] ; Piazza, Marina ^[26] ; Posada-Villa, Jose ^[27] ; Stein, Dan J. ^[28] ; Taib, Nezar Ismet ^[29] ; Zarkov, Zahari ^[30] ; Kessler, Ronald C. ^[31] ; Scott, Kate M. ^[32]

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

^[1] Interdisciplinary Ctr iDC, Sch Psychol, Herzliyya - Israel

^[2] Univ Haifa, Fac Social Welf & Hlth Sci, Dept Community Mental Hlth, IL-31999 Haifa - Israel

^[3] Univ Calif Davis, Sch Med, CTSC, CRHD, Community Engagement Program, Sacramento, CA 95817 - USA

^[4] Inst Hosp del Mar Invest Med IMIM, Barcelona - Spain

^[5] Pompeu Fabra Univ UPF, Barcelona - Spain

^[6] CIBERESP, Barcelona - Spain

^[7] Univ Sao Paulo, Sch Med, Inst Psychiat, Sao Paulo - Brazil

^[8] Ctr Publ Mental Hlth, Gosing Am Wagram - Austria

^[9] UPC KUL, Louvain - Belgium

^[10] Univ Nova Lisboa, Chron Dis Res Ctr CEDOC, P-1200 Lisbon - Portugal

^[11] Univ Nova Lisboa, Dept Mental Hlth, Fac Ciencias Med, P-1200 Lisbon - Portugal

^[12] SNSPMPDSB, Bucharest - Romania

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

^[14] Univ Coll Hosp, Dept Psychiat, Ibadan - Nigeria

^[15] Shangai Mental Hlth Ctr, Shanghai - Peoples R China

^[16] Shenzhen Inst Mental Hlth, Shenzhen, Guangdong - Peoples R China

^[17] Shenzhen Kangning Hosp, Shenzhen, Guangdong - Peoples R China

^[18] Univ Groningen, Univ Med Ctr Groningen, NL-9713 AV Groningen - Netherlands

^[19] MIND, Inst Dev Res Advocacy & Appl Care IDRAAC, Beirut - Lebanon

^[20] Balamand Univ, Fac Med, St George Hosp Univ Med Ctr, Dept Psychiat & Clin Psychol, Beirut - Lebanon

^[21] Paris Descartes Univ Res Unit EHESP, Dept Epidemiol & Biostat, Sch Publ Hlth, Directrice EA 4069, Paris - France

^[22] Inst Nacl Psiquiatria Ramon de la Fuente, Mexico City, DF - Mexico

^[23] Inst Psychiat & Neurol, Warsaw - Poland

^[24] Univ Ulster, Psychol Res Inst, Coleraine BT52 1SA, Londonderry - North Ireland

^[25] Jichi Med Univ, Dept Publ Hlth, Shimotsuke - Japan

^[26] Univ Peruana Cayetano Heredia, Fac Salud Publ & Adm, Lima - Peru

^[27] Univ Colegio Mayor Cundinamarca, Bogota - Colombia

^[28] Univ Cape Town, Dept Psychiat & Mental Hlth, ZA-7925 Cape Town - South Africa

^[29] Mental Hlth Ctr Duhok, Kurdistan Region - Iraq

^[30] Natl Ctr Publ Hlth & Anal, Dept Mental Hlth, Sofia - Bulgaria

^[31] Harvard Univ, Sch Med, Dept Hlth Care Policy, Boston, MA 02115 - USA

^[32] Univ Otago, Dept Med Psychol, Dunedin - New Zealand

• Tipo de documento: Artigo Científico
• Fonte: PSYCHO-ONCOLOGY; v. 23, n. 1, p. 40-51, JAN 2014.
• Citações Web of Science: 40

Resumo

ObjectiveThis study aimed to study the comorbidity of common mental disorders (CMDs) and cancer, and the mental health treatment gap among community residents with active cancer, cancer survivors and cancer-free respondents in 13 high-income and 11 low-middle-income countries. MethodsData were derived from the World Mental Health Surveys (N=66,387; n=357 active cancer, n=1373 cancer survivors, n=64,657 cancer-free respondents). The World Health Organization/Composite International Diagnostic Interview was used in all surveys to estimate CMDs prevalence rates. Respondents were also asked about mental health service utilization in the preceding 12months. Cancer status was ascertained by self-report of physician's diagnosis. ResultsTwelve-month prevalence rates of CMDs were higher among active cancer (18.4%, SE=2.1) than cancer-free respondents (13.3%, SE=0.2) adjusted for sociodemographic confounders and other lifetime chronic conditions (adjusted odds ratio (AOR)=1.44, 95% CI 1.05-1.97). CMD rates among cancer survivors (14.6%, SE=0.9) compared with cancer-free respondents did not differ significantly (AOR=0.95, 95% CI 0.82-1.11). Similar patterns characterized high-income and low-middle-income countries. Of respondents with active cancer who had CMD in the preceding 12months, 59% sought services for mental health problems (SE=5.3). The pattern of service utilization among people with CMDs by cancer status (highest among persons with active cancer, lower among survivors and lowest among cancer-free respondents) was similar in high-income (64.0%, SE=6.0; 41.2%, SE=3.0; 35.6%, SE=0.6) and low-middle-income countries (46.4%, SE=11.0; 22.5%, SE=9.1; 17.4%, SE=0.7). ConclusionsCommunity respondents with active cancer have higher CMD rates and high treatment gap. Comprehensive cancer care should consider both factors. Copyright (c) 2013 John Wiley \& Sons, Ltd. (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