Twelve-month mental disorders in South Africa: prevalence, service use and demographic correlates in the population-based South African Stress and Health Study.
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| Title: | Twelve-month mental disorders in South Africa: prevalence, service use and demographic correlates in the population-based South African Stress and Health Study. |
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| Authors: | Williams DR (AUTHOR), Herman A (AUTHOR), Stein DJ (AUTHOR), Heeringa SG (AUTHOR), Jackson PB (AUTHOR), Moomal H (AUTHOR), Kessler RC (AUTHOR) |
| Source: | Psychological Medicine. Feb2008, Vol. 38 Issue 2, p211-220. 10p. |
| Abstract: | BACKGROUND: South Africa's history and current social conditions suggest that mental disorders are likely to be a major contributor to disease burden, but there has been no national study using standardized assessment tools.MethodThe South African Stress and Health Study was a nationally representative in-person psychiatric epidemiological survey of 4351 adults (aged 18 years) that was conducted as part of the WHO World Mental Health (WMH) Survey Initiative between January 2002 and June 2004. Twelve-month prevalence and severity of DSM-IV disorders, treatment, and sociodemographic correlates were assessed with Version 3.0 of the WHO Composite International Diagnostic Interview (CIDI 3.0). RESULTS: The 12-month prevalence of any DSM-IV/CIDI disorder was 16.5%, with 26.2% of respondents with disorder classified as severe cases and an additional 31.1% as moderately severe cases. The most common disorders were agoraphobia (4.8%), major depressive disorder (4.9%) and alcohol abuse or dependence (4.5%). Twenty-eight percent of adults with a severe or moderately severe disorder received treatment compared to 24.4% of mild cases. Some 13.8% of persons with no disorder received treatment. Treatment was mostly provided by the general medical sector with few people receiving treatment from mental health providers. CONCLUSIONS: Psychiatric disorders are much higher in South Africa than in Nigeria and there is a high level of unmet need among persons with severe and moderately severe disorders. [ABSTRACT FROM AUTHOR] |
| Copyright of Psychological Medicine is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 105895389 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Twelve-month mental disorders in South Africa: prevalence, service use and demographic correlates in the population-based South African Stress and Health Study. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Williams+DR%22">Williams DR</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Herman+A%22">Herman A</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Stein+DJ%22">Stein DJ</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Heeringa+SG%22">Heeringa SG</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jackson+PB%22">Jackson PB</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Moomal+H%22">Moomal H</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kessler+RC%22">Kessler RC</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Psychological+Medicine%22">Psychological Medicine</searchLink>. Feb2008, Vol. 38 Issue 2, p211-220. 10p. – Name: Abstract Label: Abstract Group: Ab Data: BACKGROUND: South Africa's history and current social conditions suggest that mental disorders are likely to be a major contributor to disease burden, but there has been no national study using standardized assessment tools.MethodThe South African Stress and Health Study was a nationally representative in-person psychiatric epidemiological survey of 4351 adults (aged 18 years) that was conducted as part of the WHO World Mental Health (WMH) Survey Initiative between January 2002 and June 2004. Twelve-month prevalence and severity of DSM-IV disorders, treatment, and sociodemographic correlates were assessed with Version 3.0 of the WHO Composite International Diagnostic Interview (CIDI 3.0). RESULTS: The 12-month prevalence of any DSM-IV/CIDI disorder was 16.5%, with 26.2% of respondents with disorder classified as severe cases and an additional 31.1% as moderately severe cases. The most common disorders were agoraphobia (4.8%), major depressive disorder (4.9%) and alcohol abuse or dependence (4.5%). Twenty-eight percent of adults with a severe or moderately severe disorder received treatment compared to 24.4% of mild cases. Some 13.8% of persons with no disorder received treatment. Treatment was mostly provided by the general medical sector with few people receiving treatment from mental health providers. CONCLUSIONS: Psychiatric disorders are much higher in South Africa than in Nigeria and there is a high level of unmet need among persons with severe and moderately severe disorders. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Psychological Medicine is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1017/s0033291707001420 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 10 StartPage: 211 Titles: – TitleFull: Twelve-month mental disorders in South Africa: prevalence, service use and demographic correlates in the population-based South African Stress and Health Study. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Williams DR – PersonEntity: Name: NameFull: Herman A – PersonEntity: Name: NameFull: Stein DJ – PersonEntity: Name: NameFull: Heeringa SG – PersonEntity: Name: NameFull: Jackson PB – PersonEntity: Name: NameFull: Moomal H – PersonEntity: Name: NameFull: Kessler RC IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 02 Text: Feb2008 Type: published Y: 2008 Identifiers: – Type: issn-print Value: 00332917 Numbering: – Type: volume Value: 38 – Type: issue Value: 2 Titles: – TitleFull: Psychological Medicine Type: main |
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