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Báo cáo y học: "Typology of adults diagnosed with mental disorders based on socio-demographics and clinical and service use characteristic"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Typology of adults diagnosed with mental disorders based on socio-demographics and clinical and service use characteristic | Fleury et al. BMC Psychiatry 2011 11 67 http www.biomedcentral.com 1471-244X 11 67 BMC Psychiatry RESEARCH ARTICLE Open Access Typology of adults diagnosed with mental disorders based on socio-demographics and clinical and service use characteristics 1.2 f f 2 2 1.2 1.2 Marie-Josée Fleury 1 Guy Grenier Jean-Marie Bamvita Michel Perreault 1 and Jean-Caron 1 Abstract Background Mental disorder is a leading cause of morbidity worldwide. Its cost and negative impact on productivity are substantial. Consequently improving mental health-care system efficiency - especially service utilisation - is a priority. Few studies have explored the use of services by specific subgroups of persons with mental disorder a better understanding of these individuals is key to improving service planning. This study develops a typology of individuals diagnosed with mental disorder in a 12-month period based on their individual characteristics and use of services within a Canadian urban catchment area of 258 000 persons served by a psychiatric hospital. Methods From among the 2 443 people who took part in the survey 406 17 experienced at least one episode of mental disorder as per the Composite International Diagnostic Interview CIDI in the 12 months pre-interview. These individuals were selected for cluster analysis. Results Analysis yielded four user clusters people who experienced mainly anxiety disorder depressive disorder alcohol and or drug disorder and multiple mental and dependence disorder. Two clusters were more closely associated with females and anxiety or depressive disorders. In the two other clusters males were over-represented compared with the sample as a whole namely substance abuses with or without concomitant mental disorder. Clusters with the greatest number of mental disorders per subject used a greater number of mental health-care services. Conversely clusters associated exclusively with dependence disorders used few services. Conclusion The study found considerable .