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Table 14.1 Prevalence of 12-month mental-health service use in separate service
sectors by 12-month DSM-IV/WMH-CIDI disorder
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Health care
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Nonhealth care
|
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Mental health specialty
|
|
|
|
|
|
|
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Psychiatrist
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Non-psychiatrist2
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Any
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General medical3
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Any
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Human services4
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CAM5
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Any
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Any service use
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n1
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|
%
|
(se)
|
%
|
(se)
|
%
|
(se)
|
%
|
(se)
|
%
|
(se)
|
%
|
(se)
|
%
|
(se)
|
%
|
(se)
|
%
|
(se)
|
|
|
I. Anxiety Disorders
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|
Panic disorder
|
21.4
|
(2.5)
|
24.5
|
(2.8)
|
34.6
|
(2.6)
|
43.2
|
(3.2)
|
58.5
|
(3.3)
|
14.1
|
(2.3)
|
8.2
|
(1.9)
|
19.9
|
(2.5)
|
65
|
(3.3)
|
251
|
|
Agoraphobia without panic
|
23.5
|
(6.0)
|
28.5
|
(6.0)
|
33.5
|
(6.7)
|
24.1
|
(5.2)
|
45.8
|
(7.0)
|
19.3
|
(5.5)
|
12.3
|
(3.2)
|
23.2
|
(5.7)
|
52.6
|
(7.4)
|
79
|
|
Specific phobia
|
12.1
|
(1.6)
|
13.6
|
(1.4)
|
19
|
(1.8)
|
21.2
|
(1.5)
|
32.5
|
(2.0)
|
10
|
(1.3)
|
7
|
(0.8)
|
14.5
|
(1.3)
|
38.1
|
(1.9)
|
811
|
|
Social phobia
|
15.1
|
(1.5)
|
18.8
|
(1.5)
|
24.6
|
(1.5)
|
25.1
|
(1.7)
|
39.9
|
(1.8)
|
9.5
|
(1.3)
|
7.7
|
(1.0)
|
15.1
|
(1.2)
|
45.6
|
(1.9)
|
634
|
|
Generalized anxiety disorder
|
16.8
|
(2.3)
|
19.8
|
(2.6)
|
28.3
|
(2.9)
|
33.9
|
(2.8 )
|
45.9
|
(2.9)
|
14.2
|
(2.1)
|
11.4
|
(1.6 )
|
22.2
|
(2.2)
|
53.7
|
(2.5)
|
288
|
|
Post-traumatic stress disorder
|
22.3
|
(2.2)
|
26.1
|
(2.3)
|
33.8
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(2.8)
|
30.6
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(2.5)
|
49.3
|
(3.2)
|
16.2
|
(2.9)
|
12.7
|
(2 .0)
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23.9
|
(2.4)
|
56.8
|
(3.3)
|
201
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|
Obsessive-compulsive disorder
|
30
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(10.0)
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31.5
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(10.0)
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37
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(10.4)
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37.6
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(11.2)
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51.2
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(11.5)
|
15.5
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(7.8)
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5
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(3.7)
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20.5
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(9.2)
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51.2
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(11.5)
|
18
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|
Separation anxiety disorder
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21.2
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(6.8)
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16.1
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(6.5)
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27.7
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(8.0)
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26.7
|
(9.4)
|
37.9
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(10.0)
|
17.4
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(7.7)
|
13.9
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(5.6)
|
28.7
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(9.0)
|
44.9
|
(10.9)
|
27
|
|
Any anxiety disorder
|
13
|
(1.0)
|
16
|
(1.0)
|
21.6
|
(1.2)
|
24.1
|
(1.0)
|
36.8
|
(1.4)
|
9.8
|
(0.9)
|
7.3
|
(0.6)
|
14.9
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(0.8)
|
41.9
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(1.3)
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1,031
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|
II. Mood Disorders
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Major depressive disorder
|
20.6
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(1.8)
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23.2
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(1.9)
|
32.9
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(1.6)
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32.5
|
(2.3)
|
51.7
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(2.2)
|
12.5
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(1.5)
|
9
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(1.3)
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18.7
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(1.8)
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56.8
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(2.2)
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623
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|
Dysthymia
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27.7
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(3.7)
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23.3
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(3.2)
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36.8
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(4.1)
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39.6
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(5.1)
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61.7
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(4.5)
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16
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(3.4)
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7.1
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(2.3)
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19.6
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(4.0)
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67.5
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(4.1 )
|
135
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|
Bipolar I-II disorders
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22.5
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(2.2)
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26.9
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(2.2)
|
33.6
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(2.3)
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33.1
|
(3.0)
|
48.6
|
(2.7)
|
15.4
|
(2.3)
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12.2
|
(2.7)
|
24
|
(2.9)
|
55.3
|
(3.0)
|
244
|
|
Any mood disorder
|
21
|
(1.3)
|
24
|
(1.5)
|
32.9
|
(1.3)
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32.8
|
(1.8)
|
50.9
|
(1.8)
|
13.3
|
(1.4)
|
9.8
|
(1.3)
|
20
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(1.7)
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56.3
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(1.8)
|
884
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III. Impulse-control Disorders
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Intermittent explosive disorder
|
7.3
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(1.8)
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9.6
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(1.7)
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14.2
|
(2.3)
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13.6
|
(2.7)
|
23.7
|
(2.7)
|
8.3
|
(2.1)
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3.7
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(1.2)
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11.3
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(2.6)
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30.4
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(2.9)
|
245
|
|
IV. Substance Disorders
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Alcohol abuse
|
13.1
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(1.8)
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20.4
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(2.7)
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25.8
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(2.3)
|
16.3
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(2.1)
|
33.6
|
(2.5)
|
9.9
|
(2.0)
|
7.4
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(1.9)
|
13.8
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(2.3)
|
37.2
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(2.6)
|
177
|
|
Alcohol dependence
|
19.6
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(2.9)
|
28
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(5.8)
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35.1
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(4.4)
|
19.3
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(3.7)
|
43.6
|
(4.9)
|
12.7
|
(2.9)
|
14.5
|
(3.3)
|
21.3
|
(3.6 )
|
47.9
|
(5.4)
|
76
|
|
Drug abuse
|
15.6
|
(3.8)
|
26.4
|
(4.8)
|
32.9
|
(4.9)
|
21.9
|
(4.2)
|
40.6
|
(4.8)
|
10.7
|
(4.2)
|
8.1
|
(2.7)
|
16.9
|
(5.6)
|
43.7
|
(4.8)
|
78
|
|
Drug dependence
|
30
|
(10.2)
|
29
|
(7.9)
|
42.3
|
(9.7)
|
23.5
|
(7.3)
|
49.1
|
(9.4)
|
5.8
|
(4.1)
|
7.4
|
(4.0)
|
13.2
|
(5.9)
|
52.2
|
(10.0)
|
24
|
|
Any substance disorder
|
13.4
|
(1.6)
|
21.2
|
(2.9)
|
26.4
|
(2.5)
|
18.1
|
(1.7)
|
34.7
|
(2.6)
|
10.1
|
(1.8)
|
7.4
|
(1.7)
|
14.7
|
(2.2 )
|
38.2
|
(2.7)
|
219
|
|
V. Composite
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Any disorder
|
12.3
|
(0.7)
|
16
|
(0.9)
|
21.7
|
(0.9)
|
22.8
|
(0.9)
|
36
|
(1.1)
|
9.7
|
(0.8)
|
6.9
|
(0.6)
|
14.5
|
(0.8)
|
40.9
|
(1.0)
|
1,441
|
|
No disorder
|
1.9
|
(0.2)
|
3
|
(0.3)
|
4.4
|
(0.4)
|
4.7
|
(0.3)
|
8.3
|
(0.5)
|
1.8
|
(0.2)
|
1.4
|
(0.2)
|
3
|
(0.3)
|
9.8
|
(0.6)
|
4,251
|
|
Total sample
|
4.5
|
(0.3)
|
6.3
|
(0.4)
|
8.8
|
(0.5)
|
9.3
|
(0.4)
|
15.3
|
(0.6)
|
3.8
|
(0.2)
|
2.8
|
(0.2)
|
5.9
|
(0.3)
|
17.7
|
(0.7)
|
5,692
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1Weighted number of respondents meeting criteria for
each 12-month DSM-IV/WMH-CIDI disorder.
2Non-psychiatrist defined as psychologists or other non-psychiatrist
mental health professional in any setting, social worker or counselor in a mental
health specialty setting, or use of a mental health hot line.
3General medical defined as primary care doctor, other general medical
doctor, nurse, or any other health professional not previously mentioned.
4Human services professional defined as religious or spiritual advisor,
social worker, or counselor in any setting other than a specialty mental health
setting.
5Complementary-alternative medicine defined as any other type of healer,
participation in an Internet support group, or participation in a self-help group.
Source: Reproduced with permission from Table 1 Wang, P. S., Lane, M., Olfson,
M., Pincus, H. A., Wells, K. B., and Kessler, R. C. (2005). Twelve-month use of
mental health services in the United States: Results from the National Comorbidity
Survey Replication, Archives of General Psychiatry, 62, 629–640. The results
reported here differ slightly from those reported in Wang et al. (2005) because
the latter included updates to the sample weights and diagnostic algorithms that
were developed subsequent to carrying out the analyses reported here. These differences
are for the most part substantively unimportant.
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