Historique
Article de Périodique
Effective treatment for mental and substance use disorders in 21 countries (2025)
Auteur(s) :
VIGO, D. V. ;
STEIN, D. J. ;
HARRIS, M. G. ;
KAZDIN, A. E. ;
VIANA, M. C. ;
MUNTHALI, R. ;
MUNRO, L. ;
HWANG, I. ;
KESSLER, T. L. ;
MANOUKIAN, S. M. ;
SAMPSON, N. A. ;
KESSLER, R. C. ;
WHO World Mental Health Survey Collaborators
Année
2025
Page(s) :
347-357
Langue(s) :
Anglais
Refs biblio. :
56
Thésaurus géographique
INTERNATIONAL
Thésaurus mots-clés
ETUDE TRANSVERSALE
;
SANTE MENTALE
;
PSYCHOPATHOLOGIE
;
COMORBIDITE
;
TRAITEMENT
;
EFFICACITE
;
FACTEUR PREDICTIF
;
DSM (III,IV,5)
;
ANXIETE
;
TROUBLES DE L'HUMEUR
;
PROFIL SOCIO-DEMOGRAPHIQUE
Résumé :
Key points:
Question: What proportion of common 12-month DSM-IV mental and substance use disorders receive a level and type of treatment consistent with guidelines?
Findings: In this cross-sectional study including 56 927 respondents, the proportion of 12-month person-disorders across 21 countries receiving effective treatment was low. Low perceived need, low treatment contact given perceived need, and low effective treatment given minimally adequate treatment were the major barriers, with substantial variation across disorders.
Meaning: These results highlight the importance of increasing perceived need, the largest barrier to effective treatment; training primary care clinicians in recognition and treatment of mental disorders; and improving the quality of care, especially from minimally adequate to effective treatment.
Question: What proportion of common 12-month DSM-IV mental and substance use disorders receive a level and type of treatment consistent with guidelines?
Findings: In this cross-sectional study including 56 927 respondents, the proportion of 12-month person-disorders across 21 countries receiving effective treatment was low. Low perceived need, low treatment contact given perceived need, and low effective treatment given minimally adequate treatment were the major barriers, with substantial variation across disorders.
Meaning: These results highlight the importance of increasing perceived need, the largest barrier to effective treatment; training primary care clinicians in recognition and treatment of mental disorders; and improving the quality of care, especially from minimally adequate to effective treatment.
Affiliation :
Department of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada