Am J Psychiatry 155:62-69, January 1998
© 1998 American Psychiatric Association
Patterns and Predictors of Treatment Contact After First Onset of Psychiatric Disorders
Ronald C. Kessler, Ph.D.,
Mark Olfson, M.D., M.P.H., and
Patricia A. Berglund, M.B.A.
OBJECTIVE: The authors used self-report data to study patterns and predictors of treatment contact after the first onset of DSM-III-R mood, anxiety, and addictive disorders. METHOD: Data from the National Comorbidity Survey, a general population survey of 8,098 respondents, were used. Disorders were assessed by using a modified version of the Composite International Diagnostic Interview. Age at onset and age at first treatment contact were assessed retrospectively. RESULTS: There was great variation across disorders in lifetime probability of treatment contact. Most treatment contact was delayed; the median delay time was between 6 and 14 years across the disorders considered here. Probability of treatment contact was inversely related to age at onset and increased in younger cohorts. The effects of sociodemographic variables were modest and inconsistent across disorders. CONCLUSIONS: The majority of people with the disorders considered here eventually make treatment contact. However, delay was pervasive. Further research is needed on the determinants of delay and on the low probability of lifetime treatment contact among people with early-onset psychiatric disorders. (Am J Psychiatry 1998; 155:62–69)
This article has been cited by other articles:
|
|
|
|
 
O. Vesga-Lopez, C. Blanco, K. Keyes, M. Olfson, B. F. Grant, and D. S. Hasin
Psychiatric Disorders in Pregnant and Postpartum Women in the United States
Arch Gen Psychiatry,
July 1, 2008;
65(7):
805 - 815.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
G. Borges, P. S. Wang, M. E. Medina-Mora, C. Lara, and W. T. Chiu
Delay of First Treatment of Mental and Substance Use Disorders in Mexico
Am J Public Health,
September 1, 2007;
97(9):
1638 - 1643.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. D. Elhai and J. D. Ford
Correlates of Mental Health Service Use Intensity in the National Comorbidity Survey and National Comorbidity Survey Replication
Psychiatr Serv,
August 1, 2007;
58(8):
1108 - 1115.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. B. Goldstein, M. Olfson, P. J. Wickramaratne, and S. I. Wolk
Use of Outpatient Mental Health Services by Depressed and Anxious Children as They Grow Up
Psychiatr Serv,
July 1, 2006;
57(7):
966 - 975.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. A. Heflinger, J. Chatman, and R. C. Saunders
Racial and Gender Differences in Utilization of Medicaid Substance Abuse Services Among Adolescents
Psychiatr Serv,
April 1, 2006;
57(4):
504 - 511.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
L. A. Teplin, K. M. Abram, G. M. McClelland, J. J. Washburn, and A. K. Pikus
Detecting Mental Disorder in Juvenile Detainees: Who Receives Services
Am J Public Health,
October 1, 2005;
95(10):
1773 - 1780.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
P. S. Wang, P. Berglund, M. Olfson, H. A. Pincus, K. B. Wells, and R. C. Kessler
Failure and Delay in Initial Treatment Contact After First Onset of Mental Disorders in the National Comorbidity Survey Replication
Arch Gen Psychiatry,
June 1, 2005;
62(6):
603 - 613.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. R. T. Davidson
Effective Management Strategies for Posttraumatic Stress Disorder
Focus,
July 1, 2003;
1(3):
239 - 243.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
K. S. Kendler, J. Myers, and C. A. Prescott
The Etiology of Phobias: An Evaluation of the Stress-Diathesis Model
Arch Gen Psychiatry,
March 1, 2002;
59(3):
242 - 248.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
P. S. Wang, O. Demler, and R. C. Kessler
Adequacy of Treatment for Serious Mental Illness in the United States
Am J Public Health,
January 1, 2002;
92(1):
92 - 98.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R.K. Chadda, V. Agarwal, M. C. Singh, and D. Raheja
Help Seeking Behaviour of Psychiatric Patients Before Seeking Care At a Mental Hospital
International Journal of Social Psychiatry,
December 1, 2001;
47(4):
71 - 78.
[PDF]
|
|
|
|
|
|
|
R. C. Kessler, S. Aguilar-Gaxiola, P. A. Berglund, J. J. Caraveo-Anduaga, D. J. DeWit, S. F. Greenfield, B. Kolody, M. Olfson, and W. A. Vega
Patterns and Predictors of Treatment Seeking After Onset of a Substance Use Disorder
Arch Gen Psychiatry,
November 1, 2001;
58(11):
1065 - 1071.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. H. Striegel-Moore and F. M. Cachelin
Etiology of Eating Disorders in Women
The Counseling Psychologist,
September 1, 2001;
29(5):
635 - 661.
[Abstract]
[PDF]
|
|
|
|
|
|
|
D. B. Woodside, P. E. Garfinkel, E. Lin, P. Goering, A. S. Kaplan, D. S. Goldbloom, and S. H. Kennedy
Comparisons of Men With Full or Partial Eating Disorders, Men Without Eating Disorders, and Women With Eating Disorders in the Community
Am J Psychiatry,
April 1, 2001;
158(4):
570 - 574.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
K. S. Kendler, J. Myers, C. A. Prescott, and M. C. Neale
The Genetic Epidemiology of Irrational Fears and Phobias in Men
Arch Gen Psychiatry,
March 1, 2001;
58(3):
257 - 265.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. J. BALDESSARINI, L. TONDO, and J. HENNEN
Treatment Delays in Bipolar Disorders
Am J Psychiatry,
May 1, 1999;
156(5):
811a - 811.
[Full Text]
|
|
|
|
|
|
|
M. Olfson, R. C. Kessler, P. A. Berglund, and E. Lin
Psychiatric Disorder Onset and First Treatment Contact in the United States and Ontario
Am J Psychiatry,
October 1, 1998;
155(10):
1415 - 1422.
[Abstract]
[Full Text]
|
|
|
Get information about faster international access.
Privacy Policy
Copyright © 1998
American Psychiatric Association.
All rights reserved.
Home
| Search
| Current Issue
| Past Issues
| Subscribe
| All APPI Journals
| Help
| Contact Us
|
