The Romanian Mental Health Study, main aspects of lifetime prevalence and services use of DSM-IV disorders

Florescu, Silvia; Ciutan, Marius; Popovici, G; Galaon, Mihaela; Ladea, Maria; Pethukova, Maria; Hoffnagle, Alison G.

doi:10.5233/mih.2009.0021

Cited by 9 publications

(9 citation statements)

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“…Anxiety and depressive disorders were the most prevalent, followed by other MSDs and substance use disorders. This is similar to other Romanian studies, Florescu et al (2009) showing anxiety (4.9%) and mood disorders (2.3%) as the most prevalent 12 months disorders. Depressive disorder has become one of the most frequent disorders in Romania with a higher prevalence for women and at older age (Patriche et al 2015).…”

Section: Prevalencesupporting

confidence: 92%

The Prevalence and Burden of Mental and Substance Use Disorders in Romania: Findings From the Global Burden of Disease Study 2016

Iovu

Breaz

2019

Psychiat Danub

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Aims: National mental health policies must be grounded in accurate assessments of diseases. In the current article we used the Global Burden of Disease Study 2016 to examine burden due to mental and substance use disorders in Romania.Methods: For each mental and substance use disorder included in the GBD 2016 we reported the yearly estimates for YLL (as a measure for non-fatal burden), YLD (fatal burden) and DALY (summing years lived with disability and years of life lost to give a measure of total burden).Results: Mental and substance use disorders were the third leading cause of non-fatal burden in Romania in 2016, explaining 13.53% of total years lived with disability, the ninth leading cause for fatal burden explaining 0.84% of total years of life lost, and were the fifth leading cause of total burden, accounting for 5.52% of total disability-adjusted life years. Among MSDs, depression, anxiety and alcohol use disorders have the highest rate. Starting 1997 there has been a slow decrease of age-standardized disabilityadjusted life year rates, with no significant change in the last 5 years.Conclusion: Global Burden of Disease Study 2016 found that mental and substance use disorders were the fifth leading contributors to disease burden in Romania, with anxiety and depressive being the most prevalent. Despite national programs and strategies in the area of mental health initiated especially after 1990, the mental health system does not fully meet the needs of the patients. Effective population-level strategic measures are still required in order to reduce the burden of disease.

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Section: Prevalencesupporting

confidence: 92%

The Prevalence and Burden of Mental and Substance Use Disorders in Romania: Findings From the Global Burden of Disease Study 2016

Iovu

Breaz

2019

Psychiat Danub

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“…The 10 countries participating in the EU-WMH project are Belgium, Bulgaria, France, Germany, Italy, Northern Ireland, The Netherlands, Portugal, Romania and Spain. The design and methods used in these studies have been documented extensively elsewhere (Alonso et al 2004 a ; Ferry et al 2008; Tomov et al 2008; Florescu et al 2009) and are only outlined here.…”

Section: Methodsmentioning

confidence: 99%

“…The design and methods used in these studies have been documented extensively elsewhere (Alonso et al 2004a;Ferry et al 2008;Tomov et al 2008;Florescu et al 2009) and are only outlined here.…”

Section: Methodsmentioning

confidence: 99%

Mood and anxiety disorders across the adult lifespan: a European perspective

McDowell¹,

Ryan²,

Bunting³

et al. 2013

Psychol. Med.

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BackgroundThe World Mental Health Survey Initiative (WMHSI) has advanced our understanding of mental disorders by providing data suitable for analysis across many countries. However, these data have not yet been fully explored from a cross-national lifespan perspective. In particular, there is a shortage of research on the relationship between mood and anxiety disorders and age across countries. In this study we used multigroup methods to model the distribution of 12-month DSM-IV/CIDI mood and anxiety disorders across the adult lifespan in relation to determinants of mental health in 10 European Union (EU) countries.MethodLogistic regression was used to model the odds of any mood or any anxiety disorder as a function of age, gender, marital status, urbanicity and employment using a multigroup approach (n = 35500). This allowed for the testing of specific lifespan hypotheses across participating countries.ResultsNo simple geographical pattern exists with which to describe the relationship between 12-month prevalence of mood and anxiety disorders and age. Of the adults sampled, very few aged ⩾80 years met DSM-IV diagnostic criteria for these disorders. The associations between these disorders and key sociodemographic variables were relatively homogeneous across countries after adjusting for age.ConclusionsFurther research is required to confirm that there are indeed stages in the lifespan where the reported prevalence of mental disorders is low, such as among younger adults in the East and older adults in the West. This project illustrates the difficulties in conducting research among different age groups simultaneously.

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“…In Romania, the need for easily accessible treatment programs for mental disorders is very high. 76.4 % of the individuals with mental health problems do not have access to any form of treatment, and only approximately 11.5 % receive psychological or psychiatric treatment [ 12 ]. Internet-based treatments can offer a viable alternative solution to the current situation, considering that internet access has increased rapidly over the past years in Romania (in 2004 only 6 % households had access to the internet, and presently the number has increased to 61 % [ 124 ]).…”

Section: Discussionmentioning

confidence: 99%

“…In some countries, the situation is even worse. In Romania, where the current study is conducted, 76.4 % of the individuals with mental health disorders do not have access to any form of treatment; only about 11.5 % receive psychological or psychiatric help [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Internet-based treatment for Romanian adults with panic disorder: protocol of a randomized controlled trial comparing a Skype-guided with an unguided self-help intervention (the PAXPD study)

et al. 2016

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BackgroundEfficacy of self-help internet-based cognitive behavior therapy (ICBT) for anxiety disorders has been confirmed in several randomized controlled trials. However, the amount and type of therapist guidance needed in ICBT are still under debate. Previous studies have shown divergent results regarding the role of therapist guidance and its impact on treatment outcome. This issue is central to the development of ICBT programs and needs to be addressed directly. The present study aims to compare the benefits of regular therapist guidance via online real-time audio-video communication (i.e. Skype) to no therapist guidance during a 12-week Romanian self-help ICBT program for Panic Disorder. Both treatments are compared to a waiting-list control group.Methods/DesignA parallel group randomized controlled trial is proposed. The participants, 192 Romanian adults fulfilling diagnostic criteria for panic disorder according to a diagnostic interview, conducted via secured Skype or telephone, are randomly assigned to one of the three conditions: independent use of the internet-based self-help program PAXonline, the same self-help treatment with regular therapist support via secured Skype, and waiting-list control group. The primary outcomes are severity of self-report panic symptoms (PDSS-SR) and diagnostic status (assessors are blind to group assignment), at the end of the intervention (12 weeks) and at follow-up (months 3 and 6). The secondary measures address symptoms of comorbid anxiety disorders, depression, quality of life, adherence and satisfaction with ICBT. Additional measures of socio-demographic characteristics, personality traits, treatment expectancies, catastrophic cognitions, body vigilance and working alliance are considered as potential moderators and/ or mediators of treatment outcome.DiscussionTo the best of our knowledge, the present study is the first effort to investigate the efficacy of a self-help internet-based intervention with therapist guidance via real-time video communication. A direct comparison between therapist guided versus unguided self-directed intervention for panic disorder will also be addressed for the first time. Findings from this study will inform researchers and practitioners about the added value of online video-therapy guidance sessions and the type of patients who may benefit the most from guided and unguided ICBT for Panic disorder.Trial registrationACTRN12614000547640 (Australian New Zealand Clinical Trials Registry). Registered 22/05/2014.

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The Romanian Mental Health Study, main aspects of lifetime prevalence and services use of DSM-IV disorders

Cited by 9 publications

References 0 publications

The Prevalence and Burden of Mental and Substance Use Disorders in Romania: Findings From the Global Burden of Disease Study 2016

The Prevalence and Burden of Mental and Substance Use Disorders in Romania: Findings From the Global Burden of Disease Study 2016

Mood and anxiety disorders across the adult lifespan: a European perspective

Internet-based treatment for Romanian adults with panic disorder: protocol of a randomized controlled trial comparing a Skype-guided with an unguided self-help intervention (the PAXPD study)

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