Evidence map›Paper›PMID 40082956›Full record

ArticleInternational journal of mental health systems2025

Patterns and predictors of 12-month treatment of common anxiety, mood, and substance use disorders in the World Mental Health (WMH) surveys: treatment in the context of perceived need.

Dan J Stein, Daniel V Vigo, Meredith G Harris, Alan E Kazdin, Maria Carmen Viana, Irving Hwang, Timothy L Kessler, Sophie M Manoukian, Nancy A Sampson, Jordi Alonso and 23 more

Abstract read
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In one paragraph

Article in International journal of mental health systems, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

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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

4 citing papers in PubMed.

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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

33 authors.

Dan J SteinDepartment of Psychiatry & Mental Health and South African Medical Council Research Unit On Risk and Resilience in Mental Disorders, University of Cape Town, Rondebosch, Cape Town, 7925, ZA, South Africa.
Daniel V VigoDepartment of Psychiatry, University of British Columbia, UBC Hospital-Detwiller Pavilion, Room 2813, 2255 Wesbrook Mall, UBC Vancouver Campus, Vancouver, BC, V6T 2A1, Canada.
Meredith G HarrisSchool of Public Health, The University of Queensland, c/o QCMHR, Locked Bag 500, Archerfield, QLD, 4108, Australia.
Alan E KazdinDepartment of Psychology, Yale University, 2 Hillhouse Avenue, 208205, New Haven, CT, 06520, USA.
Maria Carmen VianaDepartment of Social Medicine, Postgraduate Program in Public Health, Federal University of Espírito Santo, Rua Dr. Euríco de Águiar, 888/705, Vitoria, Espirito Santo-ES, 2905-600, Brazil.
Irving HwangDepartment of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA, 02115, USA.
Timothy L KesslerThe Watson Institute for International and Public Affairs, Brown University, Providence, RI, United States.
Sophie M ManoukianDepartment of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA, 02115, USA.
Nancy A SampsonDepartment of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA, 02115, USA.
Jordi AlonsoIMIM-Hospital del Mar Medical Research Institute, PRBB Building, Doctor Aiguader, 88, 08003, Barcelona, Spain.
Laura Helena AndradeUniversity of São Paulo Medical School, Núcleo de Epidemiologia Psiquiátrica-LIM 23, Rua dr. Ovidio Pires de Campos, 785, São Paulo, CEP, 05403-010, Brazil.
Corina BenjetNational Institute of Psychiatry Ramón de la Fuente Muñiz, Calzada México-Xochimilco 101, Col San Lorenzo Huipulco, CDMX 14370, Mexico City, Mexico.
Ronny BruffaertsUniversitair Psychiatrisch Centrum - Katholieke Universiteit Leuven (UPC-KUL), Campus Gasthuisberg, UZ Herestraat 49, Box 7003, 3000, Louvain, Belgium.
Brendan BuntingSchool of Psychology, Ulster University, Coleraine Campus, Coleraine, BT52 1SA, UK.
Graça CardosoLisbon Institute for Global Mental Health, Comprehensive Health Research Centre Nova University of Lisbon, Rua do Instituto Bacteriológico, 5, 1150-190, Lisbon, Portugal.
Stephanie ChardoulSurvey Research Center, Institute for Social Research, University of Michigan, 330 Packard, Room G358, Ann Arbor, MI, 48104, USA.
Giovanni de GirolamoIRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Via Pilastroni 4, Brescia, Italy.
Peter de JongeDepartment of Developmental Psychology, University of Groningen, Grote Kruisstraat 2/1, 9712 TS, Groningen, The Netherlands.
Oye GurejeDepartment of Psychiatry, University of Ibadan, University College Hospital, PMB 5116, Ibadan, Nigeria.
Josep Maria HaroCIBER en Epidemiología y Salud Pública (CIBERESP), Av. Monforte de Lemos, 3-5, Pabellón 11, Planta 0, 28029, Madrid, Spain.
Elie G KaramInstitute for Development, Research, Advocacy and Applied Care (IDRAAC), Achrafieh, St. George Hospital Street, Beirut, Lebanon.
Viviane Kovess-MasfetyInstitut de Psychologie, UR 4057, Université Paris Cité, 71 Avenue Édouard Vaillant, 92100, Boulogne Billancourt, Paris, France.
Jacek MoskalewiczDepartment of Psychiatry, Institute of Psychiatry and Neurology, Jana III Sobieskiego 9, 02-957, Warsaw, Poland.
Fernando Navarro-MateuCIBER en Epidemiología y Salud Pública (CIBERESP), Av. Monforte de Lemos, 3-5, Pabellón 11, Planta 0, 28029, Madrid, Spain.
Daisuke NishiDepartment of Mental Health, Graduate School of Medicine, The University of Tokyo, 7-3-1, Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan.
José Posada-VillaFaculty of Social Sciences, Colegio Mayor de Cundinamarca University, Calle 28 # 5B 02, 11001000, Bogotá, Colombia.
Kate ScottDepartment of Psychological Medicine, University of Otago, PO Box 56, Dunedin, 9054, New Zealand.
Juan Carlos StagnaroDepartamento de Psiquiatría y Salud Mental, Facultad de Medicina, Universidad de Buenos Aires, Paraguay 2155, Ciudad Autónoma de Buenos Aires, Argentina.
Cristian VladescuNational Institute for Health Services Management, Strada Vaselor 31, 030167, Bucharest, Romania.
Jacek WciórkaDepartment of Psychiatry, Institute of Psychiatry and Neurology, Jana III Sobieskiego 9, 02-957, Warsaw, Poland.
Zahari ZarkovDepartment of Mental Health, National Center of Public Health and Analyses, 15, Acad. Ivan Geshov Blvd., Sofia, 1431, Bulgaria.
Ronald C KesslerDepartment of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA, 02115, USA. kessler@hcp.med.harvard.edu.
WHO World Mental Health Survey collaborators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData from the World Mental Health (WMH) surveys on the coverage cascade has underscored the importance of perceived need for seeking treatment of mental disorders. However, little research has focused on treatment contact after adjusting for perceived need. We do so here in analysis of WMH data.

methodsThe WMH data considered here come from 25 community surveys implemented between 2001 and 2019 across 21 countries. n = 12,508 of the n = 117,739 respondents in these surveys aged 18 and older met criteria for one or more 12-month DSM-IV anxiety, mood, or substance use disorders assessed across all these surveys. Information was obtained about 12-month treatment of each disorder. The predictors considered were disorder type, socio-demographics, and history of prior treatment.

resultsTwelve-month treatment was obtained for 17.7% of the n = 18,702 12-month person-disorders in the sample, including 34.1% for the 46.5% with perceived need and 3.5% for the 54.5% without perceived need. After adjusting for perceived need, receiving treatment was most strongly associated with disorder characteristics (severity, and highest for major depressive, panic/agoraphobia, and generalized anxiety disorders; lowest for substance use disorders), health insurance, employment status (highest for students, the retired, and the unemployed/disabled), and several aspects of prior treatment. These associations were generally similar in cases with and without perceived need for treatment. 12-month treatment among cases who without perceived need and without history of prior treatment was rare (1.1%).

conclusionsFindings highlight the critical importance of perceived need for obtaining 12-month treatment in the context of other significant predictors involving complexity and severity of disorders and socio-demographic factors. The importance of prior treatment history was quite striking, as was the finding that absence of both perceived need and prior treatment history were associated with a nearly complete absence of treatment. Policy recommendations emerging from these results include the need to increase health literacy, reduce the stigmatization of mental disorder, enhance access through health insurance, and improve the quality of care given the clear evidence that prior experiences with treatment play an important role in determining the likelihood of again seeking treatment for current problems.

Indexed as

Mental disordersMental health treatmentPerceived need for treatment

Identifiers

PMID40082956
PMCPMC11907907

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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.