Lifetime prevalence, risk, and treatment of mood and anxiety disorders in Qatar's national mental health study

IF 2.4 3区 医学 Q2 PSYCHIATRY
Salma Mawfek Khaled, Nour W. Z. Alhussaini, Majid Alabdulla, Nancy A. Sampson, Ronald C. Kessler, Peter W. Woodruff, Sheik Mohammed Al-Thani
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Abstract

Objectives

To estimate lifetime prevalence, risk, and treatment for mental disorders and their correlates in Qatar's general population for the first time.

Methods

We conducted a national phone survey of 5,195 Qatari and Arab residents in Qatar (2019–2022) using the Composite International Diagnostic Interview Version 3.3 and estimated lifetime mood and anxiety defined diagnoses. Survival-based discrete time models, lifetime morbid risk, and treatment projections were estimated.

Results

Lifetime prevalence of any disorder was 28.0% and was associated with younger cohorts, females, and migrants, but lower formal education. Treatment contact in the year of disorder onset were 13.5%. The median delay in receiving treatment was 5 years (IQR = 2–13). Lifetime treatment among those with a lifetime disorder were 59.9% for non-healthcare and 63.5% for healthcare; it was 68.1% for any anxiety and 80.1% for any mood disorder after 50 years of onset. Younger cohorts and later age of onset were significantly predictors of treatment.

Conclusions

Lifetime prevalence of mental disorders in Qatar is comparable to other countries. Treatment is significantly delayed and delivered largely in non-healthcare sectors thus the need for increased literacy of mental illness to reduce stigma and improve earlier help-seeking in healthcare settings.

卡塔尔国家心理健康研究中情绪和焦虑症的终生患病率、风险和治疗。
目的首次估算卡塔尔普通人群一生中精神障碍的患病率、风险和治疗情况及其相关性:我们使用国际综合诊断访谈 3.3 版对卡塔尔的 5195 名卡塔尔人和阿拉伯居民进行了一次全国性电话调查(2019-2022 年),并估算了终生情绪和焦虑定义诊断。对基于生存期的离散时间模型、终生发病风险和治疗预测进行了估算:结果:终生任何障碍的患病率为 28.0%,与年轻群体、女性和移民有关,但正规教育程度较低。发病当年接受治疗的比例为 13.5%。接受治疗的中位延迟时间为 5 年(IQR = 2-13)。在终生患有失调症的人群中,59.9%的人终生接受非保健类治疗,63.5%的人终生接受保健类治疗;在发病50年后,68.1%的人终生接受焦虑症治疗,80.1%的人终生接受心境障碍治疗。较年轻的组群和较晚的发病年龄是治疗的重要预测因素:结论:卡塔尔精神障碍的终生患病率与其他国家相当。治疗严重滞后,且主要由非医疗保健部门提供,因此有必要提高对精神疾病的认识,以减少耻辱感并改善医疗保健环境中的早期求助。
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来源期刊
CiteScore
5.20
自引率
6.50%
发文量
48
审稿时长
>12 weeks
期刊介绍: The International Journal of Methods in Psychiatric Research (MPR) publishes high-standard original research of a technical, methodological, experimental and clinical nature, contributing to the theory, methodology, practice and evaluation of mental and behavioural disorders. The journal targets in particular detailed methodological and design papers from major national and international multicentre studies. There is a close working relationship with the US National Institute of Mental Health, the World Health Organisation (WHO) Diagnostic Instruments Committees, as well as several other European and international organisations. MPR aims to publish rapidly articles of highest methodological quality in such areas as epidemiology, biostatistics, generics, psychopharmacology, psychology and the neurosciences. Articles informing about innovative and critical methodological, statistical and clinical issues, including nosology, can be submitted as regular papers and brief reports. Reviews are only occasionally accepted. MPR seeks to monitor, discuss, influence and improve the standards of mental health and behavioral neuroscience research by providing a platform for rapid publication of outstanding contributions. As a quarterly journal MPR is a major source of information and ideas and is an important medium for students, clinicians and researchers in psychiatry, clinical psychology, epidemiology and the allied disciplines in the mental health field.
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