ArticleInternational journal of mental health systems2022
Determinants of effective treatment coverage for major depressive disorder in the WHO World Mental Health Surveys.
Article in International journal of mental health systems, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06500624 (Comparative Efficacy of Escitalopram Monotherapy and Escitalopram in Adjuvant With Pizotifen in Depressive Disorder), which is not on this map. Cited by 13 papers.
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Comparative Efficacy of Escitalopram Monotherapy and Escitalopram in Adjuvant With Pizotifen in Depressive Disorder
Who cites it
13 citing papers in PubMed, 14 citations in OpenAlex.
- Clinical evaluation of adjunctive magnesium therapy in patients receiving antidepressants for depression-open label, nonrandomized clinical trial.Naunyn-Schmiedeberg's archives of pharmacology · 2026Article
- Regional variation in healthcare utilization among patients with depression in Germany: a multilevel analysis with PopGrouper-based multimorbidity adjustment.Research in health services & regions · 2026Article
- Depression Detection from Three-Channel Resting-State EEG Using a Hybrid Conv1D and Spectral-Statistical Fusion Model.Sensors (Basel, Switzerland) · 2026Article
- Patterns and predictors of the transition between minimally adequate treatment and effective treatment coverage for mental disorders: results from the World Mental Health Survey.International journal of mental health systems · 2026Article
- Predictors and barriers to minimally adequate treatment among treated individuals with mental disorders: results from the World Mental Health Surveys.International journal of mental health systems · 2025Article
- Exploring psychotherapists' experiences in delivering effective treatment for major depression in Saudi Arabia: a qualitative study.Scientific reports · 2025Article
- From feeling depressed to getting diagnosed: Determinants of a diagnosis of depression after experiencing symptoms.The International journal of social psychiatry · 2025Article
- Effective Treatment for Mental and Substance Use Disorders in 21 Countries.JAMA psychiatry · 2025Article
- Impact of Demographic Factors on the Treatment Response of Antidepressant Therapy: A Descriptive Cohort Study from Pakistan.La Tunisie medicale · 2025 · on this mapArticle
- Association between organizational characteristics of community-oriented mental health facilities and treatment adequacy. A multilevel analysis from Lombardy, Italy.Frontiers in health services · 2025Article
- Healthcare costs associated with receipt of effective mental healthcare coverage in individuals with moderate or severe symptoms of anxiety and depression.International journal of mental health systems · 2024Article
- A process study of early achievements and challenges in countries engaged with the WHO Special Initiative for Mental Health.International journal of mental health systems · 2024Article
- Determinants of effective treatment coverage for posttraumatic stress disorder: findings from the World Mental Health Surveys.BMC psychiatry · 2023Article
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Authors and funding
27 authors at 20 institutions in 22 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMost individuals with major depressive disorder (MDD) receive either no care or inadequate care. The aims of this study is to investigate potential determinants of effective treatment coverage.
methodsIn order to examine obstacles to providing or receiving care, the type of care received, and the quality and use of that care in a representative sample of individuals with MDD, we analyzed data from 17 WHO World Mental Health Surveys conducted in 15 countries (9 high-income and 6 low/middle-income). Of 35,012 respondents, 3341 had 12-month MDD. We explored the association of socio-economic and demographic characteristics, insurance, and severity with effective treatment coverage and its components, including type of treatment, adequacy of treatment, dose, and adherence.
resultsHigh level of education (OR = 1.63; 1.19, 2.24), private insurance (OR = 1.62; 1.06, 2.48), and age (30-59yrs; OR = 1.58; 1.21, 2.07) predicted effective treatment coverage for depression in a multivariable logistic regression model. Exploratory bivariate models further indicate that education may follow a dose-response relation; that people with severe depression are more likely to receive any services, but less likely to receive adequate services; and that in low and middle-income countries, private insurance (the only significant predictor) increased the likelihood of receiving effective treatment coverage four times.
conclusionsIn the regression models, specific social determinants predicted effective coverage for major depression. Knowing the factors that determine who does and does not receive treatment contributes to improve our understanding of unmet needs and our ability to develop targeted interventions.
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