OBJECTIVES: The CZEch Mental health Study (CZEMS) was launched to inform the ongoing mental health care reform. This paper describes rationale, methods, and the plan for the future analyses of this project. METHODS: A cross-sectional survey on a representative sample of the general adult noninstitutionalized population of the Czech Republic was conducted. Two-stage sampling was utilized and respondents were interviewed by centrally trained staff using a paper and pencil interviewing. The presence of mental disorders was assessed by The Mini-International Neuropsychiatric Interview. The study also collected information about disability, self-identification of having a mental illness, medical history, and help-seeking behaviour. RESULTS: This survey had a 75% response rate, and the final sample consisted of 3,306 persons aged from 18 to 96 years (mean age 49 years old, 54% women) that were interviewed in their homes. The final sample is representative for the Czech Republic in terms of age, gender, education, and region. CONCLUSIONS: CZEMS will provide up-to-date evidence about a prevalence of mental disorders in the Czech Republic, associated disability, and treatment gap. This will help informed decision-making about the current mental health care reform and future mental health care development in the Czech Republic.

National Institute of Mental Health Klecany Czech Republic

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Althubaiti, A. (2016). Information bias in health research: Definition, pitfalls, and adjustment methods. Journal of Multidisciplinary Healthcare, 9, 211–217. 10.2147/JMDH.S104807 PubMed DOI PMC

Bebbington, P. , & Nayani, T. (1995). The psychosis screening questionnaire. International Journal of Methods in Psychiatric Research, 5(1), 11–19.

Bijl, R. , Van Zessen, G. , Ravelli, A. , De Rijk, C. , & Langendoen, Y. (1998). The Netherlands Mental Health Survey and Incidence Study (NEMESIS): Objectives and design. Social Psychiatry and Psychiatric Epidemiology, 33(12), 581–586. PubMed

Bowers, D. K. (1998). The new research tool. Marketing Research, 10(3), 34.

Charlson, F. J. , Baxter, A. J. , Dua, T. , Degenhardt, L. , Whiteford, H. A. , & Vos, T. (2015). Excess mortality from mental, neurological and substance use disorders in the Global Burden of Disease Study 2010. Epidemiology and Psychiatric Sciences, 24(2), 121–140. 10.1017/s2045796014000687 PubMed DOI PMC

Faravelli, C. , Abrardi, L. , Bartolozzi, D. , Cecchi, C. , Cosci, F. , D'Adamo, D. , … Truglia, E. (2004). The Sesto Fiorentino study: Point and one‐year prevalences of psychiatric disorders in an Italian community sample using clinical interviewers. Psychotherapy and Psychosomatics, 73(4), 226–234. PubMed

de Graaf, R. , Ten Have, M. , & van Dorsselaer, S. (2010). The Netherlands Mental Health Survey and Incidence Study‐2 (NEMESIS‐2): Design and methods. International Journal of Methods in Psychiatric Research, 19(3), 125–141. PubMed PMC

Höschl, C. , Winkler, P. , & Pěč, O. (2012). The state of psychiatry in the Czech Republic. International Review of Psychiatry, 24(4), 278–285. PubMed

Jacobi, F. , Wittchen, H.‐U. , Hölting, C. , Höfler, M. , Pfister, H. , Müller, N. , & Lieb, R. (2004). Prevalence, co‐morbidity and correlates of mental disorders in the general population: Results from the German Health Interview and Examination Survey (GHS). Psychological Medicine, 34(04), 597–611. PubMed

Kadri, N. , Agoub, M. , Assouab, F. , Tazi, M. , Didouh, A. , Stewart, R. , & Moussaoui, D. (2010). Moroccan national study on prevalence of mental disorders: A community‐based epidemiological study. Acta Psychiatrica Scandinavica, 121(1), 71–74. PubMed

Kessler, R. C. , Berglund, P. , Chiu, W. T. , Demler, O. , Heeringa, S. , Hiripi, E. , … Zaslavsky, A. (2004). The US National Comorbidity Survey Replication (NCS‐R): Design and field procedures. International Journal of Methods in Psychiatric Research, 13(2), 69–92. PubMed PMC

Kessler, R. C. , & Üstün, T. B. (2004). The World Mental Health (WMH) survey initiative version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI). International Journal of Methods in Psychiatric Research, 13(2), 93–121. PubMed PMC

Knapp, M. , Beecham, J. , McDaid, D. , Matosevic, T. , & Smith, M. (2011). The economic consequences of deinstitutionalisation of mental health services: Lessons from a systematic review of European experience. Health & Social Care in the Community, 19(2), 113–125. PubMed

Kunitoh, N. (2013). From hospital to the community: The influence of deinstitutionalization on discharged long‐stay psychiatric patients. Psychiatry and Clinical Neurosciences, 67(6), 384–396. PubMed

Lecrubier, Y. , Sheehan, D. V. , Weiller, E. , Amorim, P. , Bonora, I. , Sheehan, K. H. , … Dunbar, G. C. (1997). The Mini International Neuropsychiatric Interview (MINI). A short diagnostic structured interview: Reliability and validity according to the CIDI. European Psychiatry, 12(5), 224–231.

Leray, E. , Camara, A. , Drapier, D. , Riou, F. , Bougeant, N. , Pelissolo, A. , … Millet, B. (2011). Prevalence, characteristics and comorbidities of anxiety disorders in France: Results from the “Mental Health in General Population” survey (MHGP). European Psychiatry, 26(6), 339–345. PubMed

Link, B. G. , Struening, E. L. , Rahav, M. , Phelan, J. C. , & Nuttbrock, L. (1997). On stigma and its consequences: Evidence from a longitudinal study of men with dual diagnoses of mental illness and substance abuse. Journal of Health and Social Behavior, 38, 177–190. PubMed

Moffitt, T. E. , Caspi, A. , Taylor, A. , Kokaua, J. , Milne, B. J. , Polanczyk, G. , & Poulton, R. (2010). How common are common mental disorders? Evidence that lifetime prevalence rates are doubled by prospective versus retrospective ascertainment. Psychological Medicine, 40(6), 899–909. PubMed PMC

Paykel, E. S. , Brugha, T. , & Fryers, T. (2005). Size and burden of depressive disorders in Europe. European neuropsychopharmacology: the journal of the European College of Neuropsychopharmacology, 15(4), 411–423. 10.1016/j.euroneuro.2005.04.008 PubMed DOI

Pěč, O. (2018). Mental Health Reforms in the Czech Republic. BJPsych International. Published Online, 15 March 2018, pp., 1–3. 10.1192/bji.2017.27 PubMed DOI PMC

Pirkola, S. P. , Isometsä, E. , Suvisaari, J. , Aro, H. , Joukamaa, M. , Poikolainen, K. , … Lönnqvist, J. K. (2005). DSM‐IV mood‐, anxiety‐and alcohol use disorders and their comorbidity in the Finnish general population. Social Psychiatry and Psychiatric Epidemiology, 40(1), 1–10. PubMed

Popova, S. , Rehm, J. , Patra, J. , & Zatonski, W. (2007). Comparing alcohol consumption in central and eastern Europe to other European countries. Alcohol & Alcoholism, 42(5), 465–473. PubMed

Schomerus, G. , Auer, C. , Rhode, D. , Luppa, M. , Freyberger, H. J. , & Schmidt, S. (2012). Personal stigma, problem appraisal and perceived need for professional help in currently untreated depressed persons. Journal of Affective Disorders, 139(1), 94–97. PubMed

Sheehan, D. , Lecrubier, Y. , Sheehan, K. H. , Janavs, J. , Weiller, E. , Keskiner, A. , … Dunbar, G. (1997). The validity of the Mini International Neuropsychiatric Interview (MINI) according to the SCID‐P and its reliability. European Psychiatry, 12(5), 232–241.

Sheehan, D. V. , Lecrubier, Y. , Sheehan, K. H. , Amorim, P. , Janavs, J. , Weiller, E. , … Dunbar, G. C. (1998). The Mini‐International Neuropsychiatric Interview (M.I.N.I.): The development and validation of a structured diagnostic psychiatric interview for DSM‐IV and ICD‐10. The Journal of Clinical Psychiatry, 59(Suppl 20), 22–33;quiz 34–57. PubMed

Stolzenburg, S. , Freitag, S. , Evans‐Lacko, S. , Muehlan, H. , Schmidt, S. , & Schomerus, G. (2017). The stigma of mental illness as a barrier to self labeling as having a mental illness. The Journal of Nervous and Mental Disease, 205(12), 903–909. PubMed

Stylianidis, S. , Pantelidou, S. , Chondros, P. , Roelandt, J. , & Barbato, A. (2014). Prevalence of mental disorders in a Greek island. Psychiatrike= . Psychiatriki, 25(1), 19–26. PubMed

Üstün, T. B. (2010). Measuring health and disability: Manual for WHO disability assessment schedule WHODAS 2.0. World Health Organization.

Vrublevska, J. , Trapencieris, M. , Snikere, S. , Grinberga, D. , Velika, B. , Pudule, I. , & Rancans, E. (2017). The 12‐month prevalence of depression and health care utilization in the general population of Latvia. Journal of Affective Disorders, 210, 204–210. 10.1016/j.jad.2016.12.031 PubMed DOI

Wells, J. E. , & Horwood, L. J. (2004). How accurate is recall of key symptoms of depression? A comparison of recall and longitudinal reports. Psychological Medicine, 34(6), 1001–1011. PubMed

Whiteford, H. A. , Degenhardt, L. , Rehm, J. , Baxter, A. J. , Ferrari, A. J. , Erskine, H. E. , … Vos, T. (2013). Global burden of disease attributable to mental and substance use disorders: Findings from the Global Burden of Disease Study 2010. Lancet (London, England), 382(9904), 1575–1586. 10.1016/s0140-6736(13)61611-6 PubMed DOI

Winkler, P. , Barrett, B. , McCrone, P. , Csémy, L. , Janous̆ková, M. , & Höschl, C. (2016). Deinstitutionalised patients, homelessness and imprisonment: Systematic review. The British Journal of Psychiatry, 208(5), 421–428. PubMed

Winkler, P. , Krupchanka, D. , Roberts, T. , Kondratova, L. , Machů, V. , Höschl, C. , … Thornicroft, G. (2017). A blind spot on the global mental health map: A scoping review of 25 years' development of mental health care for people with severe mental illnesses in central and eastern Europe. The Lancet Psychiatry, 4(8), 634–642. PubMed

Winkler, P. , Mladá, K. , Krupchanka, D. , Agius, M. , Ray, M. K. , & Höschl, C. (2016). Long‐term hospitalizations for schizophrenia in the Czech Republic 1998‐2012. Schizophrenia Research, 175(1–3), 180–185. PubMed

Wittchen, H.‐U. , & Jacobi, F. (2005). Size and burden of mental disorders in Europe—A critical review and appraisal of 27 studies. European Neuropsychopharmacology, 15(4), 357–376. PubMed

Wittchen, H. U. , Jacobi, F. , Rehm, J. , Gustavsson, A. , Svensson, M. , Jonsson, B. , … Steinhausen, H. C. (2011). The size and burden of mental disorders and other disorders of the brain in Europe 2010. European Neuropsychopharmacology, 21(9), 655–679. PubMed

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Depression in healthcare workers during COVID-19 pandemic: results from Czech arm of HEROES Study

Changes in national rates of psychiatric beds and incarceration in Central Eastern Europe and Central Asia from 1990-2019: A retrospective database analysis

Prevalence of current mental disorders before and during the second wave of COVID-19 pandemic: An analysis of repeated nationwide cross-sectional surveys

Role of sex in the association between childhood socioeconomic position and cognitive ageing in later life

Trajectories of depressive symptoms and associated patterns of cognitive decline

Educational attainment inequalities in depressive symptoms in more than 100,000 individuals in Europe

Education as inefficient resource against depressive symptoms in the Czech Republic: cross-sectional analysis of the HAPIEE study

Increase in prevalence of current mental disorders in the context of COVID-19: analysis of repeated nationwide cross-sectional surveys

Hospitalizations and Mortality of Individuals with Dementia: Evidence from Czech National Registers

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