Delays in seeking treatment for mental disorders in the Belgian general population.
OBJECTIVE
To provide data on rates and predictors of lifetime treatment for mental disorders in Belgium from the European Study on the Epidemiology of Mental Disorders (ESEMeD).


METHODS
This is a cross-sectional population study of 1,043 non-institutionalized adult (18+) inhabitants from Belgium, The third version of the Composite International Diagnostic Interview (CIDI-3.0) was administered to assess lifetime mental disorders according to the Diagnostic and Statistical Manual, 4th version (DSM-IV), failure and delay of treatment for mental disorders, the duration of the delay between onset of the disorder and first treatment contact, and the proportion of persons seeking help in the same year as the onset of the disorder.


RESULTS
Cumulative lifetime probability curves show that the vast majority of persons with mental disorders will eventually make a first treatment contact, although more so for mood (93.7%) and anxiety disorders (84.5%) than for alcohol disorders (61.2%). Median duration of delay in treatment was lowest for mood disorders (1 year), but peaked for anxiety (16 years) and alcohol disorders (18 years). Both older cohorts and late age of onset of the disorder predicted a higher probability of lifetime treatment.


CONCLUSIONS
Although most disorders are eventually treated, the delays between onset of the disorder and first treatment contact are impressive, despite the high-density and high accessibility of primary and specialized care in Belgium.
Dept. of Neurosciences and Psychiatry, University Hospital Gasthuisberg, Herestraat 49, 3000, Leuven, Belgium. ronny.bruffaerts@uz.kuleuven.ac.be
Ronny
R
Bruffaerts
Anke
A
Bonnewyn
Koen
K
Demyttenaere
D000293:Adolescent; D000328:Adult; D017668:Age of Onset; D000368:Aged; D001530:Belgium; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D001523:Mental Disorders / Q000145:classification / Q000628:therapy*; D008605:Mental Health Services / Q000706:statistics & numerical data*; D028642:Persons with Psychiatric Disorders / Q000523:psychology*; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology* / Q000706:statistics & numerical data; D013997:Time Factors