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Prevalence and treatment of common mental disorders in the English national population, 1993-2007

Spiers, Nicola
Qassem, Tarik
Bebbington, Paul
McManus, Sally
King, Michael
Jenkins, Rachel
Meltzer, Howard
Brugha, Traolach S
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2016-06-09
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Background: The National Psychiatric Morbidity Surveys include English cross-sectional household samples surveyed in 1993, 2000 and 2007. Aims: To evaluate frequency of common mental disorders (CMDs), service contact and treatment. Method: Common mental disorders were identified with the Clinical Interview Schedule - Revised (CIS-R). Service contact and treatment were established in structured interviews. Results: There were 8615, 6126 and 5385 participants aged 16-64. Prevalence of CMDs was consistent (1993: 14.3%; 2000: 16.0%; 2007: 16.0%), as was past-year primary care physician contact for psychological problems (1993: 11.3%; 2000: 12.0%; 2007: 11.7%). Antidepressant receipt in people with CMDs more than doubled between 1993 (5.7%) and 2000 (14.5%), with little further increase by 2007 (15.9%). Psychological treatments increased in successive surveys. Many with CMDs received no treatment. Conclusions: Reduction in prevalence did not follow increased treatment uptake, and may require universal public health measures together with individual pharmacological, psychological and computer-based interventions. © The Royal College of Psychiatrists 2016.
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Spiers N, Qassem T, Bebbington P, McManus S, King M, Jenkins R, Meltzer H, Brugha TS. Prevalence and treatment of common mental disorders in the English national population, 1993-2007. Br J Psychiatry. 2016 Aug;209(2):150-6. doi: 10.1192/bjp.bp.115.174979. Epub 2016 Jun 9. PMID: 27284080.
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