mental disorders Dotaz Zobrazit nápovědu

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.

Klíčová slova
Central and Eastern Europe, Epidemiology, Mental disorders, Treatment gap,
MeSH
dospělí MeSH
duševní poruchy psychologie terapie MeSH
duševní zdraví statistika a číselné údaje MeSH
lidé středního věku MeSH
lidé MeSH
mladý dospělý MeSH
poruchy spojené s užíváním psychoaktivních látek terapie MeSH
postižení MeSH
postoj zdravotnického personálu MeSH
služby péče o duševní zdraví statistika a číselné údaje MeSH
společenské stigma * MeSH
Check Tag
dospělí MeSH
lidé středního věku MeSH
lidé MeSH
mladý dospělý MeSH
mužské pohlaví MeSH
ženské pohlaví MeSH
Publikační typ
časopisecké články MeSH
práce podpořená grantem MeSH
Geografické názvy
Česká republika MeSH

Článek

The problem of chlorprothixene therapy of mental disorders

Bratislavske lekarske listy. 1962 Sep 15 ; 42 () : 283-8.

Bratisl Lek Listy
ISSN 0006-9248
Zdroj

Článek

Educational inequalities in mental disorders in the Czech Republic: data from CZEch Mental health Study (CZEMS)

PURPOSE: We aimed to study the association of educational attainment with occurrence of mental disorders ...

Social psychiatry and psychiatric epidemiology. 2021 May ; 56 (5) : 867-877. [epub] 20200812

Soc Psychiatry Psychiatr Epidemiol
ISSN 1433-9285 | 0933-7954
Zdroj

PURPOSE: We aimed to study the association of educational attainment with occurrence of mental disorders in the Czech Republic. METHODS: Data were derived from the CZEch Mental health Study (CZEMS), a cross-sectional study of community-dwelling individuals. Mental disorders were assessed with Mini International Neuropsychiatric Interview (M.I.N.I.), and information on completed education was acquired as a part of a paper and pencil interview. Logistic regression was used to estimate odds ratio (OR) with 95% confidence intervals (CI) for the association of educational attainment with all mental disorders as well as with specific groups (affective, anxiety, alcohol use and substance use disorders), stepwise adjusting for socio-demographic, social and health-related characteristics. RESULTS: We studied 3175 individuals (average age 50 years, range 18-96 years; 54% women). Compared to individuals with higher education, those educated below high school graduation had higher odds of mental disorders (OR 2.07; 95% CI 1.58-1.71), even after adjustment for all covariates (OR 1.64; 95% CI 1.21-2.23). Education showed the strongest association with alcohol use disorders, even when covariates were adjusted for, but was not related to anxiety disorders. The association of education with affective as well as substance use disorders was explained by covariates. CONCLUSIONS: Interventions aimed at reducing the burden of mental disorders should target individuals with low education. Strategies to improve population mental health need to go hand in hand with policies to enhance education as well as reduce alcohol consumption in the Czech Republic.

Klíčová slova
Education, Inequality, Mental disorder, Population,
MeSH
alkoholismus * MeSH
dospělí MeSH
duševní poruchy * epidemiologie MeSH
duševní zdraví MeSH
lidé středního věku MeSH
lidé MeSH
mladiství MeSH
mladý dospělý MeSH
průřezové studie MeSH
senioři nad 80 let MeSH
senioři MeSH
stupeň vzdělání MeSH
Check Tag
dospělí MeSH
lidé středního věku MeSH
lidé MeSH
mladiství MeSH
mladý dospělý MeSH
mužské pohlaví MeSH
senioři nad 80 let MeSH
senioři MeSH
ženské pohlaví MeSH
Publikační typ
časopisecké články MeSH
Geografické názvy
Česká republika epidemiologie MeSH

Článek

Mental disorders in Klein-Levin syndrome (somnolence-hunger syndrome)

VLACH, V
Autor VLACH, V

Ceskoslovenska psychiatrie. 1960 Aug ; 56 () : 263-6.

Cesk Psychiatr
ISSN 0069-2336
Zdroj

Klíčová slova
HUNGER *, MENTAL DISORDERS/etiology *, SLEEP DISORDERS *,
MeSH
duševní poruchy etiologie MeSH
hlad * MeSH
lidé MeSH
poruchy nadměrné spavosti * MeSH
poruchy spánku a bdění * MeSH
Check Tag
lidé MeSH
Publikační typ
časopisecké články MeSH

Článek

Contribution of severe mental disorders to fatally harmful effects of physical disorders: national cohort study

BACKGROUND: It remains unknown whether severe mental disorders contribute to fatally harmful effects ...

The British journal of psychiatry. 2024 Oct ; 225 (4) : 436-445.

Br J Psychiatry
ISSN 1472-1465 | 0007-1250
Zdroj

BACKGROUND: It remains unknown whether severe mental disorders contribute to fatally harmful effects of physical illness. AIMS: To investigate the risk of all-cause death and loss of life-years following the onset of a wide range of physical health conditions in people with severe mental disorders compared with matched counterparts who had only these physical health conditions, and to assess whether these associations can be fully explained by this patient group having more clinically recorded physical illness. METHOD: Using Czech national in-patient register data, we identified individuals with 28 physical health conditions recorded between 1999 and 2017, separately for each condition. In these people, we identified individuals who had severe mental disorders recorded before the physical health condition and exactly matched them with up to five counterparts who had no recorded prior severe mental disorders. We estimated the risk of all-cause death and lost life-years following each of the physical health conditions in people with pre-existing severe mental disorders compared with matched counterparts without severe mental disorders. RESULTS: People with severe mental disorders had an elevated risk of all-cause death following the onset of 7 out of 9 broadly defined and 14 out of 19 specific physical health conditions. People with severe mental disorders lost additional life-years following the onset of 8 out 9 broadly defined and 13 out of 19 specific physical health conditions. The vast majority of results remained robust after considering the potentially confounding role of somatic multimorbidity and other clinical and sociodemographic factors. CONCLUSIONS: A wide range of physical illnesses are more likely to result in all-cause death in people with pre-existing severe mental disorders. This premature mortality cannot be fully explained by having more clinically recorded physical illness, suggesting that physical disorders are more likely to be fatally harmful in this patient group.

Klíčová slova
Psychotic disorders/schizophrenia, bipolar type I or II disorders, comorbidity, depressive disorders, mortality and morbidity,
MeSH
dospělí MeSH
duševní poruchy * epidemiologie MeSH
kohortové studie MeSH
komorbidita MeSH
lidé středního věku MeSH
lidé MeSH
mladý dospělý MeSH
příčina smrti * MeSH
registrace statistika a číselné údaje MeSH
senioři MeSH
zdravotní stav MeSH
Check Tag
dospělí MeSH
lidé středního věku MeSH
lidé MeSH
mladý dospělý MeSH
mužské pohlaví MeSH
senioři MeSH
ženské pohlaví MeSH
Publikační typ
časopisecké články MeSH
Geografické názvy
Česká republika epidemiologie MeSH

Článek

Prevalence of mental disorders and associated disability: Results from the cross-sectional CZEch mental health Study (CZEMS)

INTRODUCTION: We aimed to estimate the prevalence of current mental disorders in the Czech population ...

European psychiatry. 2019 Aug ; 60 () : 1-6. [epub] 20190513

Eur Psychiatry
ISSN 1778-3585 | 0924-9338
Zdroj

INTRODUCTION: We aimed to estimate the prevalence of current mental disorders in the Czech population, and to identify associated disability. METHODS: We conducted a representative cross-sectional household survey of the Czech adult, community-dwelling population. We used the Mini International Neuropsychiatric Interview (M.I.N.I.), WHO Disability Assessment Schedule (WHODAS) 2.0, and Self-Identification as Mentally Ill (SELFI) scale alongside sociodemographic and other covariates. We reached 75% response rate. Descriptive statistics of the sample were assessed and median (M) disability levels with interquartile range (IQR) according diagnosis were calculated on a scale ranging from 12 to 50. Linear regression models were used to identify factors associated with disability. RESULTS: In our sample of 3 306 participants, 21.9% experienced a mental disorder in 2017. Prevalence rates for mood, anxiety, alcohol use, non-alcohol substance use, and psychotic disorders corresponded to 5.5%, 7.3%, 10.8%, 2.9%, and 1.5% respectively. Alcohol dependence was identified in 6.6%, and major depression in 4.0% of the sample. Disability in the general population was significantly lower (M = 12; IQR = 12, 17) than in those with mood (M = 20; IQR = 14; 29), anxiety (M = 18; IQR = 13; 26), alcohol use (M = 14; IQR = 12; 18), non-alcohol substance use (M = 15; IQR = 12; 19), or psychotic disorders (M = 22; IQR = 16.4; 29.4). CONCLUSIONS: People with mental disorders have considerably elevated disability in comparison to mentally healthy participants. The prevalence of mental disorders in the Czech Republic is mostly in line with European prevalence rates but it is lower for anxiety disorders and two times higher for alcohol use disorders.