Determinants of effective treatment coverage for major depressive disorder in the WHO World Mental Health Surveys

Simple item page
dc.contributor.affiliationDepartment of Psychiatry, University of British Columbia, UBC Hospital - Detwiller Pavilion, Room 2813, 2255 Wesbrook Mall, UBC Vancouver Campus, Vancouver, BC, V6T 2A1, Canada
dc.contributor.emaildaniel.vigo@ubc.ca
dc.creatorVigo, Daniel V.es_ES
dc.creatorKazdin, Alan E.es_ES
dc.creatorSampson, Nancy A.es_ES
dc.creatorHwang, Irvinges_ES
dc.creatorAlonso, Jordies_ES
dc.creatorAndrade, Laura Helenaes_ES
dc.creatorAyinde, Olatundees_ES
dc.creatorBorges, Guilhermees_ES
dc.creatorBrufaerts, Ronnyes_ES
dc.creatorBunting, Brendanes_ES
dc.creatorGirolamo, Giovanni dees_ES
dc.creatorFlorescu, Silviaes_ES
dc.creatorGureje, Oyees_ES
dc.creatorHaro, Josep Mariaes_ES
dc.creatorHarris, Meredith G.es_ES
dc.creatorKaram, Elie G.es_ES
dc.creatorKaram, Georgeses_ES
dc.creatorKoves-Masfety, Vivianees_ES
dc.creatorLee, Singes_ES
dc.creatorNavar-Mateu, Fernandoes_ES
dc.creatorPosada-Villa, Josées_ES
dc.creatorScott, Katees_ES
dc.creatorStagnaro, Juan Carloses_ES
dc.creatorHave, Margreet tenes_ES
dc.creatorWu, Chi-Shines_ES
dc.creatorXavier, Migueles_ES
dc.creatorKessler, Ronald C.es_ES
dc.date2022
dc.date.accessioned2024-10-25T18:09:53Z
dc.date.accessioned2026-03-27T15:30:28Z
dc.date.available2024-10-25T18:09:53Z
dc.date.issued2022
dc.date.published2022
dc.descriptionBackground: Most individuals with major depressive disorder (MDD) receive either no care or inadequate care. The aims of this study is to investigate potential determinants of effective treatment coverage. Methods: In order to examine obstacles to providing or receiving care, the type of care received, and the quality and use of that care in a representative sample of individuals with MDD, we analyzed data from 17 WHO World Mental Health Surveys conducted in 15 countries (9 high-income and 6 low/middle-income). Of 35,012 respondents, 3341 had 12-month MDD. We explored the association of socio-economic and demographic characteristics, insurance, and severity with effective treatment coverage and its components, including type of treatment, adequacy of treatment, dose, and adherence. Results: High level of education (OR = 1.63; 1.19, 2.24), private insurance (OR = 1.62; 1.06, 2.48), and age (30-59yrs; OR = 1.58; 1.21, 2.07) predicted effective treatment coverage for depression in a multivariable logistic regression model. Exploratory bivariate models further indicate that education may follow a dose-response relation; that people with severe depression are more likely to receive any services, but less likely to receive adequate services; and that in low and middle-income countries, private insurance (the only significant predictor) increased the likelihood of receiving effective treatment coverage four times. Conclusions: In the regression models, specific social determinants predicted effective coverage for major depression. Knowing the factors that determine who does and does not receive treatment contributes to improve our understanding of unmet needs and our ability to develop targeted interventions.es_ES
dc.formatPDFes_ES
dc.identifierJC37DIEP22es_ES
dc.identifier.doi10.1186/s13033-022-00539-6
dc.identifier.eissn1752-4458
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.placeInglaterra
dc.identifier.urihttps://doi.org/10.1186/s13033-022-00539-6
dc.identifier.urihttps://repositorio.inprf.gob.mx/handle/123456789/8084
dc.language.isoenges_ES
dc.publisherBioMed Centrales_ES
dc.relation16(1)29
dc.relation.jnabreviadoINT J MENT HEALTH SYST
dc.relation.journalInternational Journal of Mental Health Systems
dc.rightsAcceso Cerradoes_ES
dc.subject.kwMental health services
dc.subject.kwMental health systems
dc.subject.kwMajor depressive disorder
dc.subject.kwEfective coverage
dc.subject.kwGlobal mental health
dc.titleDeterminants of effective treatment coverage for major depressive disorder in the WHO World Mental Health Surveyses_ES
dc.typeArtículoes_ES

Files

License bundle

Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Plain Text
Description:
Download

Collections

Artículos de revista