Global epidemiology of mental disorders: what are we missing?

<h4>Background</h4>Population-based studies provide the understanding of health-need required for effective public health policy and service-planning. Mental disorders are an important but, until recently, neglected agenda in global health. This paper reviews the coverage and limitations...

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Autores principales:	Amanda J Baxter, George Patton, Kate M Scott, Louisa Degenhardt, Harvey A Whiteford
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/a777889a2bac4d01a910777173a5a081
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spelling	oai:doaj.org-article:a777889a2bac4d01a910777173a5a0812021-11-18T07:40:30ZGlobal epidemiology of mental disorders: what are we missing?1932-620310.1371/journal.pone.0065514https://doaj.org/article/a777889a2bac4d01a910777173a5a0812013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23826081/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Population-based studies provide the understanding of health-need required for effective public health policy and service-planning. Mental disorders are an important but, until recently, neglected agenda in global health. This paper reviews the coverage and limitations in global epidemiological data for mental disorders and suggests strategies to strengthen the data.<h4>Methods</h4>Systematic reviews were conducted for population-based epidemiological studies in mental disorders to inform new estimates for the global burden of disease study. Estimates of population coverage were calculated, adjusted for study parameters (age, gender and sampling frames) to quantify regional coverage.<h4>Results</h4>Of the 77,000 data sources identified, fewer than 1% could be used for deriving national estimates of prevalence, incidence, remission, and mortality in mental disorders. The two major limitations were (1) highly variable regional coverage, and (2) important methodological issues that prevented synthesis across studies, including the use of varying case definitions, the selection of samples not allowing generalization, lack of standardized indicators, and incomplete reporting. North America and Australasia had the most complete prevalence data for mental disorders while coverage was highly variable across Europe, Latin America, and Asia Pacific, and poor in other regions of Asia and Africa. Nationally-representative data for incidence, remission, and mortality were sparse across most of the world.<h4>Discussion</h4>Recent calls to action for global mental health were predicated on the high prevalence and disability of mental disorders. However, the global picture of disorders is inadequate for planning. Global data coverage is not commensurate with other important health problems, and for most of the world's population, mental disorders are invisible and remain a low priority.Amanda J BaxterGeorge PattonKate M ScottLouisa DegenhardtHarvey A WhitefordPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 6, p e65514 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Amanda J Baxter George Patton Kate M Scott Louisa Degenhardt Harvey A Whiteford Global epidemiology of mental disorders: what are we missing?
description	<h4>Background</h4>Population-based studies provide the understanding of health-need required for effective public health policy and service-planning. Mental disorders are an important but, until recently, neglected agenda in global health. This paper reviews the coverage and limitations in global epidemiological data for mental disorders and suggests strategies to strengthen the data.<h4>Methods</h4>Systematic reviews were conducted for population-based epidemiological studies in mental disorders to inform new estimates for the global burden of disease study. Estimates of population coverage were calculated, adjusted for study parameters (age, gender and sampling frames) to quantify regional coverage.<h4>Results</h4>Of the 77,000 data sources identified, fewer than 1% could be used for deriving national estimates of prevalence, incidence, remission, and mortality in mental disorders. The two major limitations were (1) highly variable regional coverage, and (2) important methodological issues that prevented synthesis across studies, including the use of varying case definitions, the selection of samples not allowing generalization, lack of standardized indicators, and incomplete reporting. North America and Australasia had the most complete prevalence data for mental disorders while coverage was highly variable across Europe, Latin America, and Asia Pacific, and poor in other regions of Asia and Africa. Nationally-representative data for incidence, remission, and mortality were sparse across most of the world.<h4>Discussion</h4>Recent calls to action for global mental health were predicated on the high prevalence and disability of mental disorders. However, the global picture of disorders is inadequate for planning. Global data coverage is not commensurate with other important health problems, and for most of the world's population, mental disorders are invisible and remain a low priority.
format	article
author	Amanda J Baxter George Patton Kate M Scott Louisa Degenhardt Harvey A Whiteford
author_facet	Amanda J Baxter George Patton Kate M Scott Louisa Degenhardt Harvey A Whiteford
author_sort	Amanda J Baxter
title	Global epidemiology of mental disorders: what are we missing?
title_short	Global epidemiology of mental disorders: what are we missing?
title_full	Global epidemiology of mental disorders: what are we missing?
title_fullStr	Global epidemiology of mental disorders: what are we missing?
title_full_unstemmed	Global epidemiology of mental disorders: what are we missing?
title_sort	global epidemiology of mental disorders: what are we missing?
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/a777889a2bac4d01a910777173a5a081
work_keys_str_mv	AT amandajbaxter globalepidemiologyofmentaldisorderswhatarewemissing AT georgepatton globalepidemiologyofmentaldisorderswhatarewemissing AT katemscott globalepidemiologyofmentaldisorderswhatarewemissing AT louisadegenhardt globalepidemiologyofmentaldisorderswhatarewemissing AT harveyawhiteford globalepidemiologyofmentaldisorderswhatarewemissing
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Global epidemiology of mental disorders: what are we missing?

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