The treatment gap for mental disorders and associated factors in the Czech Republic
Language English Country England, Great Britain Media print-electronic
Document type Journal Article, Research Support, Non-U.S. Gov't
PubMed
31009916
DOI
10.1016/j.eurpsy.2019.04.003
PII: S0924-9338(19)30072-0
Knihovny.cz E-resources
- Keywords
- Central and Eastern Europe, Epidemiology, Mental disorders, Treatment gap,
- MeSH
- Adult MeSH
- Mental Disorders psychology therapy MeSH
- Mental Health statistics & numerical data MeSH
- Middle Aged MeSH
- Humans MeSH
- Young Adult MeSH
- Substance-Related Disorders therapy MeSH
- Persons with Disabilities MeSH
- Attitude of Health Personnel MeSH
- Mental Health Services statistics & numerical data MeSH
- Social Stigma * MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Young Adult MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
- Geographicals
- Czech Republic MeSH
OBJECTIVES: To assess the extent of the treatment gap for mental disorders in the Czech Republic, determine factors associated with the utilization of mental health services and explore what influences willingness to seek mental health care. METHODS: Data from the CZEch Mental health Study, a nationally representative study of community-dwelling adults in the Czech Republic were used. The Mini International Neuropsychiatric Interview assessed the presence of mental disorders. 659 participants with current affective, anxiety, alcohol use and substance use disorders were studied. RESULTS: The treatment gap for mental disorders ranged from 61% for affective to 93% for alcohol use disorders. Mental health service use was associated with greater disability (OR 1.04; 95% CI 1.02-1.05; p < 0.001), female gender (OR 3.31; 95% CI 1.97-5.57; p < 0.001), urban residence (OR 1.84; 95% CI 1.12-3.04; p < 0.05) and a higher number of somatic diseases (OR 1.32; 95% CI 1.03-1.67; p < 0.05). Self-identification as having a mental illness was associated with greater willingness to seek a psychiatrist and a psychologist. CONCLUSIONS: The treatment gap for mental disorders is alarmingly high in the Czech Republic. Interventions to decrease it should target in particular rural areas, men and people with low self-identification as having a mental illness.
Department of Psychiatry University of Leipzig Leipzig Germany
References provided by Crossref.org
Depression in healthcare workers during COVID-19 pandemic: results from Czech arm of HEROES Study
Trajectories of depressive symptoms and associated patterns of cognitive decline
