NDLI: Use of primary and specialized mental health care for a major depressive episode in Spain by ESEMeD respondents.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Gabilondo, Andrea Rojas-Farreras, Sònia Rodríguez, Angel Fernández, Ana Pinto-Meza, Alejandra Vilagut, Gemma Haro, Josep M. Alonso, Jordi
Spatial Coverage	Spain
Description	Country affiliation: Spain Author Affiliation: Gabilondo A ( Health Services Research Unit, IMIM-Hospital del Mar, Barcelona, Spain.)
Abstract	OBJECTIVE: This study described use of services for a major depressive episode and determined factors associated with use in Spain, a country with universal access to care and a relatively low prevalence of depression. METHODS: Data were from the European Study of the Epidemiology of Mental Disorders (ESEMeD). ESEMeD-Spain was a cross-sectional, general population survey conducted with a representative sample of noninstitutionalized adults (N=5,473). The Composite International Diagnostic Interview was used, and 12-month use of services for a major depressive episode, types of services used, and receipt of minimally adequate treatment were assessed. RESULTS: Among the 247 respondents with a major depressive episode in the past 12 months, 59% reported any use of past-year services for their disorder; of this group, 76% reported receipt of any active treatment (from a health care or mental health professional). Among respondents with severe depression, 31% used no services. A higher likelihood of service use was found among those who were unemployed or too disabled to work (OR=4.9, CI=1.3-19), who had moderate depression symptoms (OR=3.2, CI=1.1-9.0), and who had one mental disorder comorbid with depression (OR=2.9, CI=1.2-7.0) or two or more such comorbid disorders (OR=4.1, CI=1.9-8.9). In the active treatment group, only 31.2% received treatment that was minimally adequate. CONCLUSIONS: There is a need in Spain to increase use of services for a major depressive episode, especially among certain population groups, such as women, and to improve adequacy of treatments. The role of specific factors, such as availability of services and of professionals, deserves further research.
File Format	HTM / HTML
ISSN	10752730
e-ISSN	15579700
Journal	Psychiatric Services
Issue Number	2
Volume Number	62
Language	English
Publisher	American Psychiatric Association
Publisher Date	2011-02-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline Psychiatry Depressive Disorder, Major Therapy Mental Health Services Utilization Adolescent Cross-sectional Studies Epidemiology Health Care Surveys Logistic Models Statistics & Numerical Data Socioeconomic Factors Spain Research Support, N.i.h., Extramural Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Psychiatry and Mental Health

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