Citation

Wang Y, Henriksen CA, ten Have M, de Graaf R, Stein MB, Enns MW, Sareen J. Adm. Policy Ment. Health 2017; 44(4): 572-581.

Affiliation

PZ430-771 Bannatyne Ave Winnipeg, Winnipeg, MB, R3E 3N4, Canada. sareen@cc.umanitoba.ca.

Copyright

(Copyright © 2017, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s10488-016-0745-2

PMID

27307281

Abstract

The study aimed to determine whether some depressive, anxiety, and substance-use (DAS) disorders are mild, transient cases that remit without treatment. The first two waves of the first Netherlands Mental Health Survey and Incidence Study were used (age 18-64 years at baseline; wave two N = 5618). Mental disorders were assessed using CIDI 1.1. Past-year and past-month measures of DAS disorders, health service use, and quality of life were assessed at both waves. Individuals with a past-year DAS disorder who received no prior lifetime treatment were significantly more likely than those who received treatment to: (1) remit from their index disorder(s) without subsequent treatment, (2) be free of comorbid disorders, and (3) not have attempted suicide during follow-up (remission rates: 68.5 versus 32.0 %, respectively, p < 0.001). However, these individuals had lower quality of life compared to healthy individuals.

RESULTS were similar for past-month measures.

RESULTS show that many people who meet criteria for a DAS disorder remit without treatment. However, the lowered quality of life scores in this group nonetheless underscores the negative impact on the presence of residual symptoms.

Language: en

Keywords

Anxiety; Depression; Mental health service use; Need for treatment; Quality of life; Substance use