Author:
BEBBINGTON P. E.,BRUGHA T. S.,MELTZER H.,JENKINS R.,CERESA C.,FARRELL M.,LEWIS G.
Abstract
Background. Access to psychiatric treatment by people with neurotic disorders in the general
population is likely to be affected both by the severity of disorder and by sociodemographic
differences.Method. In the household component of the National Surveys of Psychiatric Morbidity > 10000
subjects in Great Britain with psychiatric symptoms were interviewed using the CIS-R. They were
also asked about difficulties experienced in performing seven types of everyday activity. All subjects
classed as having an ICD-10 disorder were questioned about their experience of treatment with
antidepressants, hypnotics, and counselling or psychotherapy.Results. Less than 14% of people with current neurotic disorders were receiving treatment for
them. Within the previous year, only a third had made contact with their primary care physician
for their mental problem: of these < 30% were receiving treatment. Overall, 9% of people with
disorders were given medication and 8% counselling or psychotherapy. A diagnosis of depressive
episode was that most associated with antidepressant medication. Treatment access was affected by
employment status, marital status, and age, but the major determinant was symptom severity.
Neither sex nor social class influenced which people received treatment.Conclusions. People with psychiatric disorders seldom receive treatment, even when they have
consulted their primary care physician about them. In many cases, this must represent unmet needs
with a strong claim on health resources. There are also inequalities in the receipt of treatment,
although the major influence is the severity of disorder.
Publisher
Cambridge University Press (CUP)
Subject
Psychiatry and Mental health,Applied Psychology
Cited by
128 articles.
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