Lifetime prevalence of mental health disorders and delay in treatment following initial onset: evidence from the Northern Ireland Study of Health and Stress

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Abstract

Background. The current study provides the first epidemiological estimates of lifetime mental disorders across NI based on DSM-IV criteria. Risk factors, delays in treatment and the experience of conflict are also examined.Method. Nationally representative face-to-face household survey of 4340 individuals aged o18 years in NI using the Composite International Diagnostic Interview. Analyses were implemented using SAS and STATA software.Results. Lifetime prevalence of any disorder was 39.1% while projected lifetime risk was 48.6%. Individuals who experienced conflict were more likely to have had an anxiety, mood or impulse-control disorder. Treatment delays were substantial for anxiety and substance disorders.Conclusions. Results from this study show that mental disorders are highly prevalent in Northern Ireland. The elevated rates of post-traumatic stress disorder in relation to other countries and the association of living ‘ in a region of terror ’ disorders suggests that civil conflict has had an additional impact on mental health. Given substantial delays in treatment, further research is required to investigate the factors associated with failure and delay in treatment seeking.
LanguageEnglish
Pages1-13
JournalPsychological Medicine
Volume2011
DOIs
Publication statusPublished - 2011

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Northern Ireland
Mental Disorders
Mental Health
Civil Disorders
Health
Disruptive, Impulse Control, and Conduct Disorders
Post-Traumatic Stress Disorders
Anxiety Disorders
Diagnostic and Statistical Manual of Mental Disorders
Software
Anxiety
Interviews
Research
Conflict (Psychology)

Cite this

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title = "Lifetime prevalence of mental health disorders and delay in treatment following initial onset: evidence from the Northern Ireland Study of Health and Stress",
abstract = "Background. The current study provides the first epidemiological estimates of lifetime mental disorders across NI based on DSM-IV criteria. Risk factors, delays in treatment and the experience of conflict are also examined.Method. Nationally representative face-to-face household survey of 4340 individuals aged o18 years in NI using the Composite International Diagnostic Interview. Analyses were implemented using SAS and STATA software.Results. Lifetime prevalence of any disorder was 39.1{\%} while projected lifetime risk was 48.6{\%}. Individuals who experienced conflict were more likely to have had an anxiety, mood or impulse-control disorder. Treatment delays were substantial for anxiety and substance disorders.Conclusions. Results from this study show that mental disorders are highly prevalent in Northern Ireland. The elevated rates of post-traumatic stress disorder in relation to other countries and the association of living ‘ in a region of terror ’ disorders suggests that civil conflict has had an additional impact on mental health. Given substantial delays in treatment, further research is required to investigate the factors associated with failure and delay in treatment seeking.",
author = "Brendan Bunting and Sam Murphy and Siobhan O'Neill and Finola Ferry",
year = "2011",
doi = "10.1017/S0033291711002510",
language = "English",
volume = "2011",
pages = "1--13",
journal = "Psychological Medicine",
issn = "0033-2917",
publisher = "Cambridge University Press",

}

TY - JOUR

T1 - Lifetime prevalence of mental health disorders and delay in treatment following initial onset: evidence from the Northern Ireland Study of Health and Stress

AU - Bunting, Brendan

AU - Murphy, Sam

AU - O'Neill, Siobhan

AU - Ferry, Finola

PY - 2011

Y1 - 2011

N2 - Background. The current study provides the first epidemiological estimates of lifetime mental disorders across NI based on DSM-IV criteria. Risk factors, delays in treatment and the experience of conflict are also examined.Method. Nationally representative face-to-face household survey of 4340 individuals aged o18 years in NI using the Composite International Diagnostic Interview. Analyses were implemented using SAS and STATA software.Results. Lifetime prevalence of any disorder was 39.1% while projected lifetime risk was 48.6%. Individuals who experienced conflict were more likely to have had an anxiety, mood or impulse-control disorder. Treatment delays were substantial for anxiety and substance disorders.Conclusions. Results from this study show that mental disorders are highly prevalent in Northern Ireland. The elevated rates of post-traumatic stress disorder in relation to other countries and the association of living ‘ in a region of terror ’ disorders suggests that civil conflict has had an additional impact on mental health. Given substantial delays in treatment, further research is required to investigate the factors associated with failure and delay in treatment seeking.

AB - Background. The current study provides the first epidemiological estimates of lifetime mental disorders across NI based on DSM-IV criteria. Risk factors, delays in treatment and the experience of conflict are also examined.Method. Nationally representative face-to-face household survey of 4340 individuals aged o18 years in NI using the Composite International Diagnostic Interview. Analyses were implemented using SAS and STATA software.Results. Lifetime prevalence of any disorder was 39.1% while projected lifetime risk was 48.6%. Individuals who experienced conflict were more likely to have had an anxiety, mood or impulse-control disorder. Treatment delays were substantial for anxiety and substance disorders.Conclusions. Results from this study show that mental disorders are highly prevalent in Northern Ireland. The elevated rates of post-traumatic stress disorder in relation to other countries and the association of living ‘ in a region of terror ’ disorders suggests that civil conflict has had an additional impact on mental health. Given substantial delays in treatment, further research is required to investigate the factors associated with failure and delay in treatment seeking.

U2 - 10.1017/S0033291711002510

DO - 10.1017/S0033291711002510

M3 - Article

VL - 2011

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JO - Psychological Medicine

T2 - Psychological Medicine

JF - Psychological Medicine

SN - 0033-2917

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