Evidence map›Paper›PMID 29283080›Full record

ArticleEpidemiology and psychiatric sciences2018

Complementary and alternative medicine contacts by persons with mental disorders in 25 countries: results from the World Mental Health Surveys.

P de Jonge, K J Wardenaar, H R Hoenders, S Evans-Lacko, V Kovess-Masfety, S Aguilar-Gaxiola, A Al-Hamzawi, J Alonso, L H Andrade, C Benjet and 26 more

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Article in Epidemiology and psychiatric sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. Patients experience of trauma adapted yoga as a health promoting activity in forensic psychiatric care.International journal of qualitative studies on health and well-being · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

36 authors.

P de JongeDevelopmental Psychology,Department of Psychology,Rijksuniversiteit Groningen,Groningen,the Netherlands.
K J WardenaarDepartment of Psychiatry,University Medical Center Groningen,Groningen,The Netherlands.
H R HoendersCenter for Integrative Psychiatry (CIP),Lentis,Groningen,the Netherlands.
S Evans-LackoHealth Service and Population Research Department,King's College London,Institute of Psychiatry,Psychology & Neuroscience,London,UK.
V Kovess-MasfetyEcole des Hautes Etudes en Santé Publique (EHESP),EA 4057 Paris Descartes University,Paris,France.
S Aguilar-GaxiolaCenter for Reducing Health Disparities,UC Davis Health System,Sacramento, California,USA.
A Al-HamzawiCollege of Medicine, Al-Qadisiya University,Diwaniya,Iraq.
J AlonsoHealth Services Research Unit,IMIM-Hospital del Mar Medical Research Institute,Barcelona,Spain.
L H AndradeNúcleo de Epidemiologia Psiquiátrica - LIM 23,Instituto de Psiquiatria Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo,Brazil.
C BenjetDepartment of Epidemiologic and Psychosocial Research,National Institute of Psychiatry Ramón de la Fuente,Mexico City,Mexico.
E J BrometDepartment of Psychiatry,Stony Brook University School of Medicine,Stony Brook, New York,USA.
R BruffaertsUniversitair Psychiatrisch Centrum - Katholieke Universiteit Leuven (UPC-KUL),Campus Gasthuisberg, Leuven,Belgium.
B BuntingSchool of Psychology,Ulster University,Londonderry,UK.
J M Caldas-de-AlmeidaLisbon Institute of Global Mental Health and Chronic Diseases Research Center (CEDOC),NOVA Medical School | Faculdade de Ciências Médicas,Universidade Nova de Lisboa,Lisbon,Portugal.
R V DinolovaNational Center of Public Health and Analyses,Sofia,Bulgaria.
S FlorescuNational School of Public Health,Management and Professional Development,Bucharest,Romania.
G de GirolamoIRCCS St John of God Clinical Research Centre//IRCCS Centro S. Giovanni di Dio Fatebenefratelli,Brescia,Italy.
O GurejeDepartment of Psychiatry,College of Medicine,University of Ibadan,Ibadan,Nigeria.
J M HaroParc Sanitari Sant Joan de Déu,CIBERSAM, Universitat de Barcelona,Sant Boi de Llobregat, Barcelona,Spain.
C HuShenzhen Institute of Mental Health & Shenzhen Kangning Hospital,Shenzhen,China.
Y HuangInstitute of Mental Health,Peking University,Beijing,China.
E G KaramDepartment of Psychiatry and Clinical Psychology,St George Hospital University Medical Center, Balamand University,Faculty of Medicine,Beirut,Lebanon.
G KaramInstitute for Development, Research, Advocacy and Applied Care (IDRAAC),Beirut,Lebanon.
S LeeDepartment of Psychiatry,Chinese University of Hong Kong,Tai Po,Hong Kong.
J-P LépineHôpital Lariboisière Fernand Widal, Assistance Publique Hôpitaux de Paris INSERM UMR-S 1144,University Paris Diderot and Paris Descartes,Paris,France.
D LevinsonMental Health Services,Ministry of Health,Jerusalem,Israel.
V MakanjuolaDepartment of Psychiatry,College of Medicine,University of Ibadan,Ibadan,Nigeria.
F Navarro-MateuUDIF-SM, Subdirección General de Planificación, Innovación y Cronicidad, Servicio Murciano de Salud, IMIB-Arrixaca, CIBERESP-Murcia,Murcia,Spain.
B-E PennellSurvey Research Center,Institute for Social Research,University of Michigan,Ann Arbor, Michigan,USA.
J Posada-VillaColegio Mayor de Cundinamarca University,Bogota,Colombia.
K ScottDepartment of Psychological Medicine,University of Otago,Dunedin, Otago,New Zealand.
H TachimoriNational Institute of Mental Health, National Center for Neurology and Psychiatry,Kodaira, Tokyo,Japan.
D WilliamsDepartment of Society,Human Development, and Health,Harvard T.H. Chan School of Public Health,Boston, Massachusetts,USA.
B WojtyniakCentre of Monitoring and Analyses of Population Health,National Institute of Public Health-National Institute of Hygiene,Warsaw,Poland.
R C KesslerDepartment of Health Care Policy,Harvard Medical School,Boston, Massachusetts,USA.
G ThornicroftHealth Service and Population Research Department,King's College London,Institute of Psychiatry,Psychology & Neuroscience,London,UK.

Funding

EPIDEMIOLOGY-- NATIONAL COMORBIDITY SURVEY REPLICATIONU01MH060220 · NIMH · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI KESSLER, RONALD C · 1999 to 2010
$18.7M
Risk Factors for Psychopathology in the WHO WMH SurveysR01MH070884 · NIMH · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI KESSLER, RONALD C · 2005 to 2009
$6.0M
Trauma, Stress, and Mental Health in South AfricaR01MH059575 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI WILLIAMS, DAVID R · 1998 to 2007
$2.5M
Social Role Disability and Mental-Physical Co-MorbidityR01MH069864 · NIMH · KAISER FOUNDATION HEALTH PLAN OF WASHINGTON · PI VON KORFF, MICHAEL R · 2004 to 2007
$2.2M
CROSS-NATIONAL STUDIES OF DRUG INVOLVEMENT: WMH2000R01DA016558 · NIDA · MICHIGAN STATE UNIVERSITY · PI ANTHONY, JAMES CHRISTOPHER · 2003 to 2008
$1.7M
World Mental Health Consortium Annual Meeting 2003-07R13MH066849 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HEERINGA, STEVEN G · 2003 to 2007
$735k
Lebanon-Epidemiology: The NCS Replication StudyR03TW006481 · FIC · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI KESSLER, RONALD C · 2004 to 2006
$142k
FIC NIH HHS R03 TW006481NIDA NIH HHS R01 DA016558NIMH NIH HHS R01 MH059575NIMH NIH HHS R01 MH069864NIMH NIH HHS R01 MH070884NIMH NIH HHS R13 MH066849NIMH NIH HHS U01 MH060220
6 · The paper itself

Abstract

aimsA substantial proportion of persons with mental disorders seek treatment from complementary and alternative medicine (CAM) professionals. However, data on how CAM contacts vary across countries, mental disorders and their severity, and health care settings is largely lacking. The aim was therefore to investigate the prevalence of contacts with CAM providers in a large cross-national sample of persons with 12-month mental disorders.

methodsIn the World Mental Health Surveys, the Composite International Diagnostic Interview was administered to determine the presence of past 12 month mental disorders in 138 801 participants aged 18-100 derived from representative general population samples. Participants were recruited between 2001 and 2012. Rates of self-reported CAM contacts for each of the 28 surveys across 25 countries and 12 mental disorder groups were calculated for all persons with past 12-month mental disorders. Mental disorders were grouped into mood disorders, anxiety disorders or behavioural disorders, and further divided by severity levels. Satisfaction with conventional care was also compared with CAM contact satisfaction.

resultsAn estimated 3.6% (standard error 0.2%) of persons with a past 12-month mental disorder reported a CAM contact, which was two times higher in high-income countries (4.6%; standard error 0.3%) than in low- and middle-income countries (2.3%; standard error 0.2%). CAM contacts were largely comparable for different disorder types, but particularly high in persons receiving conventional care (8.6-17.8%). CAM contacts increased with increasing mental disorder severity. Among persons receiving specialist mental health care, CAM contacts were reported by 14.0% for severe mood disorders, 16.2% for severe anxiety disorders and 22.5% for severe behavioural disorders. Satisfaction with care was comparable with respect to CAM contacts (78.3%) and conventional care (75.6%) in persons that received both.

conclusionsCAM contacts are common in persons with severe mental disorders, in high-income countries, and in persons receiving conventional care. Our findings support the notion of CAM as largely complementary but are in contrast to suggestions that this concerns person with only mild, transient complaints. There was no indication that persons were less satisfied by CAM visits than by receiving conventional care. We encourage health care professionals in conventional settings to openly discuss the care patients are receiving, whether conventional or not, and their reasons for doing so.

Indexed as

Complementary TherapiesAdolescentAdultAgedAged, 80 and overAnxiety DisordersFemaleHealth SurveysHumansMental DisordersMiddle AgedMood DisordersPersonal SatisfactionSeverity of Illness IndexYoung AdultCAM Complementary and Alternative MedicineCIDI Composite International Diagnostic InterviewComplementary and alternative medicineDSM-IV Diagnostic Statistical Manualmental disordersunconventional medicineversion 4WHO World Health OrganisationWMH World Mental Health

Identifiers

PMID29283080
PMCPMC6849470

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.