ABSTRACT
Objective: To estimate the 12-month prevalence of mental health services utilization (overall and by type of service sector), the adequacy of treatment provided, and sociodemographic correlates in the Argentinean Study of Mental Health Epidemiology (ASMHE). Methods: The ASMHE is a multistage probability household sample representative of adults in urban areas of Argentina. The World Health Organization World Mental Health Composite International Diagnostic Interview (WMH-CIDI) was used to evaluate psychiatric diagnosis and service utilization. Results: Among those with a disorder, 27.6% received any treatment in the prior 12 months. Of these, 78.3% received minimally adequate treatment using a broad definition and only 43.6% using a stringent definition. For individuals with a disorder, more services were provided by mental health professionals (17.7%) than by general medical professionals (11.5%) or non-healthcare sectors (2.6%). Younger individuals with low education and income were less likely to receive treatment; those never married and those with an anxiety or mood disorder were more likely to receive treatment. Among those in treatment, treatment was least adequate among younger individuals with low education and low income. Conclusions: Policies to increase access to services for mental health disorders in Argentina are needed, as is training for primary care practitioners in the early detection and treatment of psychiatric disorders.
Subject(s)
Humans , Male , Female , Adolescent , Adult , Young Adult , Substance-Related Disorders/therapy , Substance-Related Disorders/epidemiology , Mental Disorders/therapy , Mental Disorders/epidemiology , Mental Health Services/statistics & numerical data , Argentina/epidemiology , Psychiatry/education , Socioeconomic Factors , Urban Population/statistics & numerical data , Patient Acceptance of Health Care/statistics & numerical data , Prevalence , Surveys and Questionnaires , Health Surveys , Substance-Related Disorders/diagnosis , General Practitioners/education , Health Services Accessibility/statistics & numerical data , Mental Disorders/diagnosis , Middle AgedABSTRACT
Se evalúan los cambios en la nomenclatura de las Adicciones en el DSM-5 y la inclusión de una nueva categoría dentro de las mismas, a la que denomina "Trastornos no relacionados a sustancias" y con la cual se designa a las llamadas adicciones conductuales. Dentro ella se incluye como única patología aprobada al juego patológico o ludopatía con un nuevo rótulo: "Trastorno por juego de apuestas". El inconveniente de tal etiqueta diagnóstica para su aceptación y uso por el público en general es que puede dar lugar al supuesto erróneo de que la práctica del juego genera siempre enfermedad. Por otro lado, sin embargo, el considerar al juego patológico una adicción y no un trastorno del control de impulsos ha sido un gran avance. Lamentablemente no fue incluida la "Adicción a Internet" en el nuevo rubro, pese a su enorme y creciente importancia mundial. Se describen además las características clínicas de esta última enfermedad
Changes in DSM-5 nomenclature of Addictions are evaluated and commented upon. Particular attention is paid to the inclusion of a new category named "Non-substance related Disorders" which designates the so-called behavioral addictions. The only entity accepted here is pathological gambling or ludopathy, using the new label "Gambling Addiction". The inconvenience of such label for its acceptance and use by the general public is that it may lead to the erroneous assumption that the practice o gambling can always cause the illness. On the other hand, however, considering pathological gambling as an addiction and not an impulse control disorder constitutes a great step forward. Regrettably "Internet Addiction" has not been included under the new rubric, in spite of its enormous and growing relevance across the world. The clinical characteristics of the latter are described
Subject(s)
Humans , Diagnostic and Statistical Manual of Mental Disorders , Diagnosis , Gambling , Disruptive, Impulse Control, and Conduct DisordersABSTRACT
Se evalúan los cambios en la nomenclatura de las Adicciones en el DSM-5 y la inclusión de una nueva categoríadentro de las mismas, a la que denomina Trastornos no relacionados a sustancias y con la cual se designa alas llamadas adicciones conductuales. Dentro ella se incluye incluye como única patología aprobada al juegopatológico o ludopatía con un nuevo rótulo: Trastorno por juego de apuestas. El inconveniente de tal etiquetadiagnóstica para su aceptación y uso por el público en general es que puede dar lugar al supuesto erróneo de que lapráctica del juego genera siempre enfermedad. Por otro lado, sin embargo, el considerar al juego patológico unaadicción y no un trastorno del control de impulsos ha sido un gran avance. Lamentablemente no fue incluidala Adicción a Internet en el nuevo rubro, pese a su enorme y creciente importancia mundial. Se describenademás las características clínicas de esta última enfermedad.
Changes in DSM-5 nomenclature of Addictions are evaluated and commented upon. Particular attention is paid to the inclusi¢n of a new category named Non-substance related Disorders which designates the so-called behavioral addictions. The only entity accepted here is pathological gambling or ludopathy, using the new label Gambling Addiction. The inconvenience of such label for its acceptance and use by the general public is that it may lead to the erroneous assumption that the practice o gambling can always cause the illness. On the other hand, however, considering pathological gambling as an addiction and not an impulse control disorder constitutes a great step forward. Regrettably Internet Addiction has not been included under the new rubric, in spite of its enormous and growing relevance across the world. The clinical characteristics of the latter are described.