Twelve‐month prevalence, severity, and treatment of common mental disorders in communities in Japan: preliminary finding from the World Mental Health Japan Survey 2002–2003
Open Access
- 19 July 2005
- journal article
- Published by Wiley in Psychiatry and Clinical Neurosciences
- Vol. 59 (4), 441-452
- https://doi.org/10.1111/j.1440-1819.2005.01397.x
Abstract
To estimate the prevalence, severity, and treatment of Diagnostic and Statistical Manual of Mental Disorders (4th edn; DSM-IV) mental disorders in community populations in Japan, face-to-face household surveys were conducted in four community populations in Japan. A total of 1663 community adults responded (overall response rate, 56%). The DSM-IV disorders, severity, and treatment were assessed with the World Mental Health version of the World Health Organization (WHO) Composite International Diagnostic Interview (WMH-CIDI), a fully structured lay-administered psychiatric diagnostic interview. The prevalence of any WMH-CIDI/DSM-IV disorder in the prior year was 8.8%, of which 17% of cases were severe and 47% were moderate. Among specific disorders, major depression (2.9%), specific phobia (2.7%), and alcohol abuse/dependence (2.0%) were the most prevalent. Although disorder severity was correlated with probability of treatment, only 19% of the serious or moderate cases received medical treatment in the 12 months before the interview. Older and not currently married individuals had a greater risk of having more severe DSM-IV disorders if they had experienced any within the previous 12 months. Those who had completed high school or some college were more likely to seek medical treatment than those who had completed college. The study confirmed that the prevalence of DSM-IV mental disorders was equal to that observed in Asian countries but lower than that in Western countries. The percentage of those receiving medical treatment was low even for those who suffered severe or moderate disorders. Possible strategies are discussed.Keywords
This publication has 33 references indexed in Scilit:
- Prevalence, Severity, and Unmet Need for Treatment of Mental Disorders in the World Health Organization World Mental Health SurveysJAMA, 2004
- Prevalence, comorbidity, disability and service utilisationThe British Journal of Psychiatry, 2001
- The World Health Organization International Consorthm in Psychiatric Epidemiology (ICPE): initial work and future directions ‐ the NAPE Lecture 1998aActa Psychiatrica Scandinavica, 1999
- Assessing Psychiatric Impairment in Primary Care with the Sheehan Disability ScaleThe International Journal of Psychiatry in Medicine, 1997
- Cross-national epidemiology of major depression and bipolar disorderJAMA, 1996
- Reliability and validity studies of the WHO-Composite International Diagnostic Interview (CIDI): A critical reviewJournal of Psychiatric Research, 1994
- Epidemiology of mood disorders: a community survey in FlorenceJournal of Affective Disorders, 1990
- Prevalence of psychiatric disorders in Taiwan defined by the Chinese Diagnostic Interview ScheduleActa Psychiatrica Scandinavica, 1989
- Affective disorders in five United States communitiesPsychological Medicine, 1988
- LIFETIME PREVALENCE OF PSYCHIATRIC DISORDERS IN EDMONTONActa Psychiatrica Scandinavica, 1988