Disability and treatment of specific mental and physical disorders across the world

作者：Ormel Johan; Petukhova Maria; Chatterji Somnath; Aguilar Gaxiola Sergio; Alonso Jordi; Angermeyer Matthias C; Bromet Evelyn J; Burger Huibert; Demyttenaere Koen; de Girolamo Giovanni; Maria Haro Josep; Hwang Irving; Karam Elie; Kawakami Norito; Lepine Jean Pierre; Elena Medina Mora Maria; Posada Villa Jose; Sampson Nancy; Scott Kate; Uestuen T Bedirhan; Von Korff Michael; Williams David R; Zhang Mingyuan; Kessler Ronald C^*

来源：The British Journal of Psychiatry, 2008, 192(5): 368-375.

DOI：10.1192/bjp.bp.107.039107

Background
Advocates of expanded mental health treatment assert that mental disorders are as disabling as physical disorders, but little evidence supports this assertion.
Aims
To establish the disability and treatment of specific mental and physical disorders in high-income and low- and middle-income countries.
Method
Community epidemiological surveys were administered in 15 countries through the World Health organization World Mental Health (WMH) Survey Initiative.
Results
Respondents in both high-income and low- and middle-income countries attributed higher disability to mental disorders than to the commonly occurring physical disorders included in the surveys. This pattern held for all disorders and also for treated disorders. Disaggregation showed that the higher disability of mental than physical disorders was limited to disability in social and personal role functioning, whereas disability in productive role functioning was generally comparable for mental and physical disorders.
Conclusions
Despite often higher disability, mental disorders are under-treated compared with physical disorders in both high-income and in low- and middle-income countries.

• 出版日期2008-5
• 单位上海市精神卫生中心