Table 2.
DSM-III-R Mental Disorders, % | No Mental Disorders,†% | |||||
---|---|---|---|---|---|---|
Sector | Major Depression | Generalized Anxiety Disorder | Panic Disorder | Any of 3 DSM-III-R Mental Disorders | Serious Mental Illness, % | |
Any sector | 57.7 | 70.2 | 48.6 | 53.8 | 70.2 | 25.3 |
Health care sector‡ | 50.4 | 66.9 | 43.2 | 47.1 | 65.3 | 19.2 |
General medical sector (GMS) | 38.6 | 56.3 | 34.1 | 36.7 | 47.3 | 14.8 |
Nonpsychiatrist MHS sector§ | 20.7 | 30.5 | 17.3 | 19.0 | 33.3 | 5.3 |
Psychiatrist MHS sector§ | 16.3 | 21.1 | 12.2 | 13.3 | 20.5 | 2.2 |
Self-help sector | 12.3 | 11.2 | 11.4 | 11.2 | 17.5 | 5.9 |
Human services sector | 11.0 | 9.8 | 10.0 | 10.4 | 16.2 | 3.6 |
Guideline-concordant mental health care‖ | 16.9 | 24.6 | 16.0 | 14.3 | 25.0 | 3.2 |
With ≥1 GMS visit | 31.7 | 35.2 | 32.2 | 27.9 | 35.8 | 12.3 |
With ≥1 MHS visit | 45.7 | 56.6 | 49.3 | 42.9 | 47.7 | 38.1 |
DSM-III-R indicates Diagnostic and Statistical Manual of Mental Disorders, Third Revised Edition.
“No mental disorders” specifically means none of the 3 disorders assessed in this study (i.e., major depression, generalized anxiety disorder, and panic disorder). Patients may have had another common mental disorder (e.g., dysthymia, social phobia, or alcohol-related disorders).
“Health care sector” is defined as the general medical, nonpsychiatrist mental health specialty (MHS), and psychiatrist sectors.
“MHS (mental health specialty) sector” is defined as treatment by either a psychiatrist or nonpsychiatrist mental health specialist.
“Guideline-concordant mental health care” is defined as either receiving medication from a general medical doctor or psychiatrist plus ≥4 visits to the same type of provider, or receiving 8 visits to a psychiatrist or mental health specialist in the absence of medication.