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Cross-national comparisons of the prevalences and correlates of mental disorders

dc.creatorAndrade, Laura
dc.creatorCaraveo-Anduaga, J.J.
dc.creatorBerglund, Patricia
dc.creatorBijl, R.
dc.creatorKessler, R.C.
dc.creatorDemler, Olga
dc.creatorWalters, Ellen
dc.creatorOfford, D.
dc.creatorWittchen, H-U.
dc.date.accessioned2017-06-29T04:23:44Z
dc.date.available2017-06-29T04:23:44Z
dc.date.issued2000es_ES
dc.identifier304es_ES
dc.identifier.issn0042-9686es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/4998
dc.identifier.urihttps://apps.who.int/iris/handle/10665/268101es_ES
dc.language.isoenges_ES
dc.relation78 (4) 413-426 p.es_ES
dc.relationversión del editores_ES
dc.rightsacceso cerradoes_ES
dc.titleCross-national comparisons of the prevalences and correlates of mental disorderses_ES
dc.typearticlees_ES
dc.contributor.affiliationUniversity of Sao Paulo, Sao Paulo, Braziles_ES
dc.relation.jnabreviadoBULL WORLD HEALTH ORGANes_ES
dc.relation.journalBulletin of the World Health Organizationes_ES
dc.date.published2000es_ES
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñizes_ES
dc.identifier.eissn1564-0604es_ES
dc.description.abstractotrodiomaThe International Consortium in Psychiatric Epidemiology (ICPE) was established in 1998 by WHO to carry out crossnational comparative studies of the prevalences and correlates of mental disorders. This article describes the findings of ICPE surveys in seven countries in North America (Canada and USA), Latin America (Brazil and Mexico), and Europe (Germany, Netherlands, and Turkey), using a version of the WHO Composite International Diagnostic Interview (CIDI) to generate diagnoses. The results are reported using DSM-III-R and DSM-IV criteria without diagnostic hierarchy rules for mental disorders and with hierarchy rules for substance-use disorders. Prevalence estimates varied widely—from >40% lifetime prevalence of any mental disorder in Netherlands and the USA to levels of 12% in Turkey and 20% in Mexico. Comparisons of lifetime versus recent prevalence estimates show that mental disorders were often chronic, although chronicity was consistently higher for anxiety disorders than for mood or substance-use disorders. Retrospective reports suggest that mental disorders typically had early ages of onset, with estimated medians of 15 years for anxiety disorders, 26 years for mood disorders, and 21 years for substance-use disorders. All three classes of disorder were positively related to a number of socioeconomic measures of disadvantage (such as low income and education, unemployed, unmarried). Analysis of retrospective age-of-onset reports suggest that lifetime prevalences had increased in recent cohorts, but the increase was less for anxiety disorders than for mood or substance-use disorders. Delays in seeking professional treatment were widespread, especially among early-onset cases, and only a minority of people with prevailing disorders received any treatment. Mental disorders are among the most burdensome of all classes of disease because of their high prevalence and chronicity, early age of onset, and resulting serious impairment. There is a need for demonstration projects of early outreach and intervention programmes for people with early-onset mental disorders, as well as quality assurance programmes to look into the widespread problem of inadequate treatment.es_ES
dc.subject.kwTrastornos mentales-Epidemiologíaes_ES
dc.subject.kwEscalas de valoración psiquiátricaes_ES
dc.subject.kwComparación transculturales_ES
dc.subject.kwEstudios transversaleses_ES
dc.subject.kwAmérica del Nortees_ES
dc.subject.kwAmérica Latinaes_ES
dc.subject.kwEuropaes_ES
dc.subject.koMental disorders-Epidemiologyes_ES
dc.subject.koPsychiatric status rating scaleses_ES
dc.subject.koCross-cultural comparisones_ES
dc.subject.koCross-sectional studieses_ES
dc.subject.koNorth Americaes_ES
dc.subject.koLatin Americaes_ES
dc.subject.koEuropees_ES


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