Delay in initial treatment contact after first onset of mental disorders in metropolitan China

S. Lee; S. C. Fung; A. Tsang; M. Y. Zhang; Y. Q. Huang; Y. L. He; Z. R. Liu; Y. C. Shen; R. C. Kessler

doi:10.1111/j.1600-0447.2006.00933.x

Delay in initial treatment contact after first onset of mental disorders in metropolitan China

S. Lee, S. C. Fung, A. Tsang, M. Y. Zhang, Y. Q. Huang, Y. L. He, Z. R. Liu, Y. C. Shen, R. C. Kessler

Research output: Contribution to journal › Article › peer-review

17 Citations (Scopus)

Abstract

Objective: There has been no community-based research on treatment delay among people with mental disorders in China. This study examines lifetime treatment and treatment delay in metropolitan China. Method: A multi-stage probability survey of 5201 respondents was administered in Beijing and Shanghai. Age of first treatment contact after onset of each of the three lifetime DSM-IV/CIDI disorder classes was compared with retrospective information on age of disorder onset. Length and predictors of treatment delay were examined using survival analysis. Results: Survival curves estimate that 44.7%, 25.7%, and 7.9% of people with anxiety, substance, and mood disorders, respectively, will ever make treatment contact. Delays in first treatment contact of anxiety (21 years) and substance (17 years) disorders are longer than that of mood disorders (1 year). These delays are largely unrelated to sociodemographic variables. Conclusion: Failure to receive treatment is a pervasive phenomenon among people with mental disorders in metropolitan China.

Original language	English
Pages (from-to)	10-16
Number of pages	7
Journal	Acta Psychiatrica Scandinavica
Volume	116
Issue number	1
DOIs	https://doi.org/10.1111/j.1600-0447.2006.00933.x
Publication status	Published - Jul 2007
Externally published	Yes

Keywords

Epidemiology
Mental disorders
People's Republic of China
Treatment
World Health Organization

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1111/j.1600-0447.2006.00933.x

Cite this

@article{cc4ba7af3b624d47812cae80fca18e7a,

title = "Delay in initial treatment contact after first onset of mental disorders in metropolitan China",

abstract = "Objective: There has been no community-based research on treatment delay among people with mental disorders in China. This study examines lifetime treatment and treatment delay in metropolitan China. Method: A multi-stage probability survey of 5201 respondents was administered in Beijing and Shanghai. Age of first treatment contact after onset of each of the three lifetime DSM-IV/CIDI disorder classes was compared with retrospective information on age of disorder onset. Length and predictors of treatment delay were examined using survival analysis. Results: Survival curves estimate that 44.7%, 25.7%, and 7.9% of people with anxiety, substance, and mood disorders, respectively, will ever make treatment contact. Delays in first treatment contact of anxiety (21 years) and substance (17 years) disorders are longer than that of mood disorders (1 year). These delays are largely unrelated to sociodemographic variables. Conclusion: Failure to receive treatment is a pervasive phenomenon among people with mental disorders in metropolitan China.",

keywords = "Epidemiology, Mental disorders, People's Republic of China, Treatment, World Health Organization",

author = "S. Lee and Fung, {S. C.} and A. Tsang and Zhang, {M. Y.} and Huang, {Y. Q.} and He, {Y. L.} and Liu, {Z. R.} and Shen, {Y. C.} and Kessler, {R. C.}",

year = "2007",

month = jul,

doi = "10.1111/j.1600-0447.2006.00933.x",

language = "English",

volume = "116",

pages = "10--16",

journal = "Acta Psychiatrica Scandinavica",

issn = "0001-690X",

publisher = "Wiley-Blackwell Publishing Ltd",

number = "1",

}

TY - JOUR

T1 - Delay in initial treatment contact after first onset of mental disorders in metropolitan China

AU - Lee, S.

AU - Fung, S. C.

AU - Tsang, A.

AU - Zhang, M. Y.

AU - Huang, Y. Q.

AU - He, Y. L.

AU - Liu, Z. R.

AU - Shen, Y. C.

AU - Kessler, R. C.

PY - 2007/7

Y1 - 2007/7

N2 - Objective: There has been no community-based research on treatment delay among people with mental disorders in China. This study examines lifetime treatment and treatment delay in metropolitan China. Method: A multi-stage probability survey of 5201 respondents was administered in Beijing and Shanghai. Age of first treatment contact after onset of each of the three lifetime DSM-IV/CIDI disorder classes was compared with retrospective information on age of disorder onset. Length and predictors of treatment delay were examined using survival analysis. Results: Survival curves estimate that 44.7%, 25.7%, and 7.9% of people with anxiety, substance, and mood disorders, respectively, will ever make treatment contact. Delays in first treatment contact of anxiety (21 years) and substance (17 years) disorders are longer than that of mood disorders (1 year). These delays are largely unrelated to sociodemographic variables. Conclusion: Failure to receive treatment is a pervasive phenomenon among people with mental disorders in metropolitan China.

AB - Objective: There has been no community-based research on treatment delay among people with mental disorders in China. This study examines lifetime treatment and treatment delay in metropolitan China. Method: A multi-stage probability survey of 5201 respondents was administered in Beijing and Shanghai. Age of first treatment contact after onset of each of the three lifetime DSM-IV/CIDI disorder classes was compared with retrospective information on age of disorder onset. Length and predictors of treatment delay were examined using survival analysis. Results: Survival curves estimate that 44.7%, 25.7%, and 7.9% of people with anxiety, substance, and mood disorders, respectively, will ever make treatment contact. Delays in first treatment contact of anxiety (21 years) and substance (17 years) disorders are longer than that of mood disorders (1 year). These delays are largely unrelated to sociodemographic variables. Conclusion: Failure to receive treatment is a pervasive phenomenon among people with mental disorders in metropolitan China.

KW - Epidemiology

KW - Mental disorders

KW - People's Republic of China

KW - Treatment

KW - World Health Organization

UR - http://www.scopus.com/inward/record.url?scp=34250022905&partnerID=8YFLogxK

U2 - 10.1111/j.1600-0447.2006.00933.x

DO - 10.1111/j.1600-0447.2006.00933.x

M3 - Article

C2 - 17559596

AN - SCOPUS:34250022905

SN - 0001-690X

VL - 116

SP - 10

EP - 16

JO - Acta Psychiatrica Scandinavica

JF - Acta Psychiatrica Scandinavica

IS - 1

ER -

Delay in initial treatment contact after first onset of mental disorders in metropolitan China

Abstract

Keywords

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this