Title |
Common Mental Disorder Diagnosis and Need for Treatment are Not the Same: Findings from the NEMESIS Study
|
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Published in |
Administration and Policy in Mental Health and Mental Health Services Research, June 2016
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DOI | 10.1007/s10488-016-0745-2 |
Pubmed ID | |
Authors |
Yunqiao Wang, Christine A. Henriksen, Margreet ten Have, Ron de Graaf, Murray B. Stein, Murray W. Enns, Jitender Sareen |
Abstract |
The study aimed to determine whether some depressive, anxiety, and substance-use (DAS) disorders are mild, transient cases that remit without treatment. The first two waves of the first Netherlands Mental Health Survey and Incidence Study were used (age 18-64 years at baseline; wave two N = 5618). Mental disorders were assessed using CIDI 1.1. Past-year and past-month measures of DAS disorders, health service use, and quality of life were assessed at both waves. Individuals with a past-year DAS disorder who received no prior lifetime treatment were significantly more likely than those who received treatment to: (1) remit from their index disorder(s) without subsequent treatment, (2) be free of comorbid disorders, and (3) not have attempted suicide during follow-up (remission rates: 68.5 versus 32.0 %, respectively, p < 0.001). However, these individuals had lower quality of life compared to healthy individuals. Results were similar for past-month measures. Results show that many people who meet criteria for a DAS disorder remit without treatment. However, the lowered quality of life scores in this group nonetheless underscores the negative impact on the presence of residual symptoms. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Canada | 3 | 15% |
Australia | 3 | 15% |
Spain | 2 | 10% |
United Kingdom | 2 | 10% |
Chile | 1 | 5% |
Netherlands | 1 | 5% |
Brazil | 1 | 5% |
New Zealand | 1 | 5% |
India | 1 | 5% |
Other | 0 | 0% |
Unknown | 5 | 25% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 11 | 55% |
Scientists | 5 | 25% |
Practitioners (doctors, other healthcare professionals) | 4 | 20% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 79 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Ph. D. Student | 13 | 16% |
Student > Master | 11 | 14% |
Researcher | 9 | 11% |
Student > Bachelor | 8 | 10% |
Other | 6 | 8% |
Other | 14 | 18% |
Unknown | 18 | 23% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 17 | 22% |
Psychology | 16 | 20% |
Social Sciences | 7 | 9% |
Nursing and Health Professions | 3 | 4% |
Agricultural and Biological Sciences | 1 | 1% |
Other | 8 | 10% |
Unknown | 27 | 34% |