Twelve-month treatment of psychiatric disorders in the South African Stress and Health Study (World Mental Health Survey Initiative).
Twelve-month treatment of psychiatric disorders in the South African Stress and Health Study (World Mental Health Survey Initiative).
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DOI：
10.1007/s00127-008-0399-9
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发表时间：
2008-11
影响因子：
4.4
通讯作者：
Williams D
中科院分区：
文献类型：
--
作者：
Seedat S;Stein DJ;Herman A;Kessler R;Sonnega J;Heeringa S;Williams S;Williams D
在低收入和中等收入国家，接受治疗的精神障碍患者比例相对较小。然而，在南非这样的国家，人们对最近的服务使用模式知之甚少。对4351名南非成年人进行了具有全国代表性的家庭调查。使用WHO复合国际诊断访谈（CIDI）确定10个月的DSM-IV疾病。在焦虑、情绪和物质使用障碍的受访者中评估了治疗的患病率和相关性。四分之一（25.5%）的受访者在过去12个月内接受过精神科医生（3.8%）、非精神科医生精神健康专家（2.9%）、普通医疗提供者（16.6%）、人类服务提供者（6.6%）或补充替代医疗（CAM）提供者（5.9%）的治疗。只有27.6%的重症病例接受了治疗。此外，13.4%的无障碍受访者在过去一年中获得了服务。黑人比其他种族群体更有可能进入CAM部门，而白人更有可能去看精神病医生。大多数患有12个月精神障碍的南非人都没有得到满足的治疗需求。除了为精神卫生服务分配更多的资源外，还需要更多的社区外联和提高认识举措。
The proportion of people with mental disorders in treatment is relatively small in low and middle income countries. However, little is known about patterns of recent service use in a country like South Africa. A nationally representative household survey of 4351 adult South Africans was carried out. Twelve-month DSM-IV disorders were determined using the WHO Composite International Diagnostic Interview (CIDI). Prevalence and correlates of treatment were assessed among respondents with anxiety, mood and substance use disorders. One-fourth (25.5%) of respondents with a 12-month disorder had received treatment in the past 12 months either from a psychiatrist (3.8%), nonpsychiatrist mental health specialist (2.9%), general medical provider (16.6%), human services provider (6.6%), or complementary-alternative medical (CAM) provider (5.9%). Only 27.6% of severe cases had received any treatment. In addition, 13.4% of respondents with no disorder had accessed services in the past year. Blacks were significantly more likely than other racial groups to access the CAM sector while Whites were more likely to have seen a psychiatrist. The majority of South Africans with a 12-month mental disorder have unmet treatment needs. In addition to a greater allocation of resources to mental health services, more community outreach and awareness initiatives are needed.
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影响因子：
4.4
作者：
Gureje, O;Lasebikan, VO
通讯作者：
Lasebikan, VO
DOI：
10.2190/t8em-c8yh-373n-1uwd
发表时间：
1997-01-01
影响因子：
2
作者：
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通讯作者：
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影响因子：
120.7
作者：
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通讯作者：
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影响因子：
4.4
作者：
Andrews, G;Peters, L
通讯作者：
Peters, L
影响因子：
10.5
作者：
Emsley, R
通讯作者：
Emsley, R