Disability and treatment of specific mental and physical disorders across the world

Disability and treatment of specific mental and physical disorders across the world
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DOI:
10.1192/bjp.bp.107.039107
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发表时间:
2008-05-01
影响因子:
10.5
通讯作者:
Kessler, Ronald C.
Kessler, Ronald C.
中科院分区:
医学1区
文献类型:
--
作者:
Ormel, Johan;Petukhova, Maria;Kessler, Ronald C.

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背景扩大精神健康治疗的倡导者断言精神障碍和身体障碍一样致残,AimsTo建立残疾和治疗的具体精神和身体疾病在高收入和低收入和中等收入的countries.MethodCommunity流行病学调查管理在15个国家通过世界卫生组织世界精神卫生(WMH)调查倡议。结果在高收入和低收入和中等收入国家的受访者归因于较高的残疾精神障碍比常见的身体疾病包括在调查中。这种模式适用于所有疾病,也适用于治疗的疾病。分类显示,较高的残疾的精神比身体障碍是有限的残疾在社会和个人的角色功能,而残疾在生产性的角色功能一般可比的精神和身体disorders.ConclusionsDespite往往较高的残疾,精神障碍是治疗不足的身体障碍相比,在高收入和低收入和中等收入国家。
BackgroundAdvocates of expanded mental health treatment assert that mental disorders are as disabling as physical disorders, but little evidence supports this assertion.AimsTo establish the disability and treatment of specific mental and physical disorders in high-income and low- and middle-income countries.MethodCommunity epidemiological surveys were administered in 15 countries through the World Health organization World Mental Health (WMH) Survey Initiative.ResultsRespondents in both high-income and low- and middle-income countries attributed higher disability to mental disorders than to the commonly occurring physical disorders included in the surveys. This pattern held for all disorders and also for treated disorders. Disaggregation showed that the higher disability of mental than physical disorders was limited to disability in social and personal role functioning, whereas disability in productive role functioning was generally comparable for mental and physical disorders.ConclusionsDespite often higher disability, mental disorders are under-treated compared with physical disorders in both high-income and in low- and middle-income countries.