Twelve-month prevalence, persistence, severity, and treatment of mood and anxiety disorders in Qatar's national mental health study

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

Objectives

To estimate 12-month prevalence, persistence, severity, and treatment of mental disorders and socio-demographic correlates in Qatar.

Methods

We conducted the first national population-based telephone survey of Arab adults between 2019 and 2022 using the Composite International Diagnostic Interview and estimated 12-month DSM-5 mood and anxiety disorders and their persistence (the proportion of lifetime cases who continue to meet 12-month criteria).

Results

The 12-month prevalence of any disorder was 21.1% (10.4% mild, 38.7% moderate, and 50.9% severe) and was associated with: younger age, female, previously married, and with persistence of any disorder. Persistence was 74.7% (64.0% mood and 75.6% anxiety) and was significantly associated with secondary education or lower. Minimally adequate treatment received among those with any 12-month mental disorder was 10.6% (74.6% in healthcare and 64.6% non-healthcare sectors). Severity and the number of disorders significantly associated with each other and with treatment received (χ2 = 7.24, p = 0.027) including adequate treatment within the mental health specialty sector (χ2 = 21.42, p < 0.001).

Conclusions

Multimorbidity and sociodemographics were associated with 12-month mental disorder. Treatment adequacy in Qatar are comparable to high-income countries. Low treatment contact indicate need for population-wide mental health literacy programes in addition to more accessible and effective mental health services.

卡塔尔国家心理健康研究中情绪和焦虑症的十二个月患病率、持续时间、严重程度和治疗情况。
目的估计卡塔尔精神障碍的 12 个月患病率、持续率、严重程度和治疗情况以及与之相关的社会人口学因素:我们在 2019 年至 2022 年期间使用国际综合诊断访谈对阿拉伯成年人进行了首次全国人口电话调查,并估算了 12 个月的 DSM-5 情绪和焦虑障碍及其持续性(持续符合 12 个月标准的终生病例比例):任何障碍的 12 个月患病率为 21.1%(10.4% 为轻度,38.7% 为中度,50.9% 为重度),并且与以下因素有关:年龄较小、女性、曾结过婚以及任何障碍的持续存在。持续性失调的比例为 74.7%(64.0%为情绪失调,75.6%为焦虑失调),与中学或以下教育程度有显著关联。在 12 个月内患有任何精神障碍的人群中,10.6%(74.6%在医疗保健行业,64.6%在非医疗保健行业)接受过最基本的治疗。精神障碍的严重程度和数量与所接受的治疗(χ2 = 7.24,p = 0.027)显著相关,包括在精神卫生专业部门接受的充分治疗(χ2 = 21.42,p 结论:精神障碍的严重程度和数量与所接受的治疗(χ2 = 7.24,p = 0.027)显著相关:多病症和社会人口统计学与 12 个月的精神障碍有关。卡塔尔的治疗充分性与高收入国家相当。治疗接触率低表明,除了提供更方便有效的心理健康服务外,还需要开展全民心理健康扫盲计划。
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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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