Global epidemiology of mental disorders: what are we missing?

摘要: Background Population-based studies provide the understanding of health-need required for effective public health policy and service-planning. Mental disorders are an important but, until recently, neglected agenda in global health. This paper reviews coverage limitations epidemiological data mental suggests strategies to strengthen data. Methods Systematic were conducted population-based inform new estimates burden disease study. Estimates population calculated, adjusted study parameters (age, gender sampling frames) quantify regional coverage. Results Of 77,000 sources identified, fewer than 1% could be used deriving national prevalence, incidence, remission, mortality disorders. The two major (1) highly variable coverage, (2) methodological issues that prevented synthesis across studies, including use varying case definitions, selection samples not allowing generalization, lack standardized indicators, incomplete reporting. North America Australasia had most complete prevalence while was Europe, Latin America, Asia Pacific, poor other regions Africa. Nationally-representative sparse world. Discussion Recent calls action predicated on high disability However, picture is inadequate planning. Global commensurate with problems, world's population, invisible remain a low priority.