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

BACKGROUND: 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 receiv...

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Autores: Vigo DV, Kazdin AE, Sampson NA, Hwang I, Alonso J, Andrade LH, Ayinde O, Borges G, Bruffaerts R, Bunting B, de Girolamo G, Florescu S, Gureje O, Haro JM, Harris MG, Karam EG, Karam G, Kovess-Masfety V, Lee S, Navarro-Mateu F, Posada-Villa J, Scott K, Stagnaro JC, Have MT, Wu CS, Xavier M, Kessler RC
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Fundació Sant Joan de Déu
Repositorio:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
OAI Identifier:oai:fsjd.fundanetsuite.com:p21782
Acceso en línea:https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=21782
https://ijmhs.biomedcentral.com/articles/10.1186/s13033-022-00539-6
Access Level:acceso abierto
Palabra clave:Effective coverage
Global mental health
Major depressive disorder
Mental health services
Mental health systems
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spelling Determinants of effective treatment coverage for major depressive disorder in the WHO World Mental Health Surveys.Vigo DVKazdin AESampson NAHwang IAlonso JAndrade LHAyinde OBorges GBruffaerts RBunting Bde Girolamo GFlorescu SGureje OHaro JMHarris MGKaram EGKaram GKovess-Masfety VLee SNavarro-Mateu FPosada-Villa JScott KStagnaro JCHave MTWu CSXavier MKessler RCEffective coverageGlobal mental healthMajor depressive disorderMental health servicesMental health systemsBACKGROUND: 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.BMC2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=21782https://ijmhs.biomedcentral.com/articles/10.1186/s13033-022-00539-6International Journal of Mental Health SystemsISSN: 17524458reponame:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déuinstname:Fundació Sant Joan de DéuInglésinfo:eu-repo/semantics/openAccessoai:fsjd.fundanetsuite.com:p217822026-05-27T12:37:41Z
dc.title.none.fl_str_mv Determinants of effective treatment coverage for major depressive disorder in the WHO World Mental Health Surveys.
title Determinants of effective treatment coverage for major depressive disorder in the WHO World Mental Health Surveys.
spellingShingle Determinants of effective treatment coverage for major depressive disorder in the WHO World Mental Health Surveys.
Vigo DV
Effective coverage
Global mental health
Major depressive disorder
Mental health services
Mental health systems
title_short Determinants of effective treatment coverage for major depressive disorder in the WHO World Mental Health Surveys.
title_full Determinants of effective treatment coverage for major depressive disorder in the WHO World Mental Health Surveys.
title_fullStr Determinants of effective treatment coverage for major depressive disorder in the WHO World Mental Health Surveys.
title_full_unstemmed Determinants of effective treatment coverage for major depressive disorder in the WHO World Mental Health Surveys.
title_sort Determinants of effective treatment coverage for major depressive disorder in the WHO World Mental Health Surveys.
dc.creator.none.fl_str_mv Vigo DV
Kazdin AE
Sampson NA
Hwang I
Alonso J
Andrade LH
Ayinde O
Borges G
Bruffaerts R
Bunting B
de Girolamo G
Florescu S
Gureje O
Haro JM
Harris MG
Karam EG
Karam G
Kovess-Masfety V
Lee S
Navarro-Mateu F
Posada-Villa J
Scott K
Stagnaro JC
Have MT
Wu CS
Xavier M
Kessler RC
author Vigo DV
author_facet Vigo DV
Kazdin AE
Sampson NA
Hwang I
Alonso J
Andrade LH
Ayinde O
Borges G
Bruffaerts R
Bunting B
de Girolamo G
Florescu S
Gureje O
Haro JM
Harris MG
Karam EG
Karam G
Kovess-Masfety V
Lee S
Navarro-Mateu F
Posada-Villa J
Scott K
Stagnaro JC
Have MT
Wu CS
Xavier M
Kessler RC
author_role author
author2 Kazdin AE
Sampson NA
Hwang I
Alonso J
Andrade LH
Ayinde O
Borges G
Bruffaerts R
Bunting B
de Girolamo G
Florescu S
Gureje O
Haro JM
Harris MG
Karam EG
Karam G
Kovess-Masfety V
Lee S
Navarro-Mateu F
Posada-Villa J
Scott K
Stagnaro JC
Have MT
Wu CS
Xavier M
Kessler RC
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Effective coverage
Global mental health
Major depressive disorder
Mental health services
Mental health systems
topic Effective coverage
Global mental health
Major depressive disorder
Mental health services
Mental health systems
description BACKGROUND: 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.
publishDate 2022
dc.date.none.fl_str_mv 2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=21782
https://ijmhs.biomedcentral.com/articles/10.1186/s13033-022-00539-6
url https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=21782
https://ijmhs.biomedcentral.com/articles/10.1186/s13033-022-00539-6
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv BMC
publisher.none.fl_str_mv BMC
dc.source.none.fl_str_mv International Journal of Mental Health Systems
ISSN: 17524458
reponame:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
instname:Fundació Sant Joan de Déu
instname_str Fundació Sant Joan de Déu
reponame_str r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
collection r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
repository.name.fl_str_mv
repository.mail.fl_str_mv
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