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24.04.2015

List of mental disorders in adults, alternative medicine for depression - For You

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This report was prepared by the Center for Behavioral Health Statistics and Quality (CBHSQ), Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Adults aged 18 or older with a past year substance use disorder were more likely than those without dependence or abuse to have serious thoughts of suicide in the past year (12.6 vs.
In 2012, youths aged 12 to 17 with MDE in the past year were more likely than those without MDE to have a substance use disorder in the past year (16.0 vs. This report presents results pertaining to mental health from the 2012 National Survey on Drug Use and Health (NSDUH), an annual survey of the civilian, noninstitutionalized population of the United States aged 12 years old or older.
Several important changes were made to the adult mental health section in the 2008 NSDUH questionnaire.
From 2004 to 2007, NSDUH collected data for adults aged 18 or older on lifetime and past year MDE. To address SAMHSA's need for estimates of SMI and AMI, as well as data on suicidal ideation and behavior, CBHSQ modified the NSDUH adult mental health items in 2008 to obtain these data. Updated estimates of AMI and SMI for 2008 to 2011 were produced using this revised model and are presented in this report and in a comprehensive set of tables of national mental health estimates.2 These revised 2008 to 2011 NSDUH estimates of AMI and SMI are not comparable with 2008 to 2011 estimates of AMI and SMI shown in many NSDUH reports that were published prior to this report.
The 2008 questionnaire changes did not affect youth MDE or the youth mental health service utilization items. Text, figures, and mental health detailed tables present prevalence measures for the population in terms of both the number of persons and the percentage of the population. This chapter presents findings from the National Survey on Drug Use and Health (NSDUH) on past year mental illness in the United States, including the percentage of adults aged 18 or older with any mental illness (AMI), serious mental illness (SMI), and major depressive episode (MDE).
In order to generate estimates of mental illness in the United States, the Substance Abuse and Mental Health Services Administration (SAMHSA) designed and implemented the Mental Health Surveillance Study (MHSS). A NSDUH module designed to obtain measures of lifetime and past year prevalence of MDE and treatment for depression has been administered to adults aged 18 or older since 2004. In 2012, the percentage of adults with past year MDE was higher among women than among men (8.4 vs.
3 Other Mental Health Professional includes mental health nurses and other therapists where type is not specified.
This section presents data on the receipt of mental health services among adults aged 18 or older, the perceived unmet need for mental health services among adults, and reasons for not receiving mental health services among adults with an unmet need. Questions in NSDUH on mental health service utilization are asked of all adults and are not limited to those with a mental health disorder. Estimates of the receipt of mental health services are presented by level of mental illness for adults. Also described in this section are estimates of the perceived unmet need for mental health services and reasons for not receiving mental health services among adults aged 18 or older with an unmet need. Among adults aged 18 or older in 2012, women were more likely than men to use mental health services in the past year (18.6 vs. In 2012, adult women aged 18 or older were more likely than adult men to use outpatient mental health services (8.6 vs. Among adults aged 18 or older in 2012 who used outpatient mental health services in the past year, several types of locations were reported where services were received. Note: The three types of mental health care are receiving inpatient care, outpatient care, or prescription medication. Among adults aged 18 or older, receipt of prescription medication for mental health problems varied by level of mental illness in the past year.
This chapter presents findings from the 2012 National Survey on Drug Use and Health (NSDUH) on the prevalence of suicidal thoughts and behavior among civilian, noninstitutionalized adults aged 18 or older in the United States. In 2012, adults who were unemployed in the past year were more likely than those who were employed full time or part time to have serious thoughts of suicide (7.2 vs. 1 Other adults include respondents aged 18 to 22 not enrolled in school, enrolled in college part time, enrolled in other grades either full or part time, or enrolled with no other information available.


Adults aged 18 or older who had past year substance dependence or abuse were more likely than those without substance dependence or abuse to have serious thoughts about suicide (12.6 vs. This report presents national estimates of the prevalence of past year mental disorders and past year mental health service utilization for youths aged 12 to 17 and adults aged 18 or older. These changes provide valuable new data on mental health, but they also affect the comparability of some of the measures that have been collected in NSDUH since 2004. Items were added that assessed functional impairment due to mental health problems (abbreviated World Health Organization Disability Assessment Schedule [WHODAS]; Novak, 2007) and that assessed suicidal thoughts and behavior among adults.
Other mental health estimates for adults, such as MDE or suicidal thoughts and behaviors, were not affected.
Figures on mental disorders show prevalence estimates for the 12-month period prior to the survey (also referred to as the past year). In addition, this chapter includes estimates of the percentages of adults who received treatment for mental health problems in the past year overall and among those with AMI, SMI, and MDE. Each year since 2008, a subsample of adults has been selected from the main study to participate in a follow-up telephone interview that obtains a detailed mental health assessment administered by a trained mental health clinician.
Adults who were employed part time also were more likely than those who were employed full time to have AMI in the past year. 102-321, the Alcohol, Drug Abuse, and Mental Health Administration Reorganization Act of 1992, established a block grant for States within the United States to fund community mental health services for adults with SMI. Adults who were employed part time also were more likely than those who were employed full time to have SMI in the past year.
Some questions in the adult depression module differ slightly from questions in the adolescent depression module.
Questions for adults about treatment for MDE also are asked in a section of the interview that is separate from these other questions about mental health service utilization. These include AMI and three levels of mental illness among those with AMI: low (mild) mental illness, moderate mental illness, and SMI. Unmet need is established using a question that asks whether a respondent perceived a need for, but did not receive, mental health treatment or counseling at any time in the 12 months prior to the NSDUH interview. This chapter also presents findings on mental health service utilization by youths for any emotional and behavioral problems (excluding those caused by alcohol or illicit drug use). As described in the next paragraph, some questions in the adolescent depression module differ slightly from questions in the adult depression module to make them more appropriate for youths. Unlike the DSM-IV criteria for MDE, however, no exclusions were made in NSDUH for depressive symptoms caused by medical illness, bereavement, or substance use disorders.
Adults with a substance use disorder also were more likely to make suicide plans compared with adults without dependence or abuse (3.9 vs.
Among adults, estimates presented include rates and numbers of persons with any mental illness (AMI), serious mental illness (SMI), suicidal thoughts and behavior, major depressive episode (MDE), treatment for depression (among adults with MDE), and mental health service utilization.
Appendix C describes data sources that provide estimates of mental health indicators for populations outside of the NSDUH target population.
This allowed trends in MDE among adults for 2005 onward to be included in reports since 2010.
The chapter also presents data on the percentage of adults who had a perceived unmet need for mental health services in the past year. This improved methodology is used to generate estimates of mental illness for each year from 2008 to 2012, which allows statements to be made in this chapter about trends in the prevalence of AMI or SMI among adults. Therefore, the MDE data for adults aged 18 or older should not be compared or combined with MDE data for youths aged 12 to 17.
However, an adjustment was applied to estimates of MDE that were affected by these questionnaire changes to allow trends in MDE among adults for 2005 to 2012 to be included in this report.
The treatment questions in this module do not ask specifically about treatment for a particular disorder.


Thus, respondents could indicate receipt of treatment for depression in the adult MDE section without having indicated in the mental health service utilization section that they received services for any problems with emotions, nerves, or mental health. This measure also includes persons who received some type of mental health service in the past 12 months but reported a perceived need for additional services they did not receive. However, there was an increase between 2011 and 2012 in the percentage of adults who received prescription medication (11.5 vs. These questions ask all adult respondents if at any time during the past 12 months they had serious thoughts of suicide, and among those who had serious thoughts of suicide, whether they planned or attempted suicide in the past year. In 2010, for example, suicide was listed as the cause of death in fewer than 40,000 deaths among persons of all ages in the United States (Murphy, Xu, & Kochanek, 2013). Therefore, these data should not be compared or combined with MDE data for adults aged 18 or older. Estimates presented in this report for youths include MDE, treatment for depression (among youths with MDE), and mental health service utilization. The survey is sponsored by the Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. ACASI is designed to provide the respondent with a highly private and confidential mode for responding to questions in order to increase the level of honest reporting of illicit drug use and about other sensitive topics, including mental health issues.
A list of contributors to the production of this report also is provided (Appendix E). In addition, estimates of MDE and overall mental health treatment are not affected by this change, but estimates of treatment among those with AMI or SMI are affected.
As noted previously, an improved prediction model was developed for the 2012 NSDUH using the clinical interview data that were collected from 2008 to 2012 to produce estimates of AMI for the entire NSDUH adult sample in these years.
It should be noted that, unlike the DSM-IV criteria for MDE, no exclusions were made in NSDUH for depressive symptoms caused by medical illness, bereavement, or substance use disorders.
Measures related to the co-occurrence of mental disorders with substance use or with substance use disorders also are presented for both adults and youths.
Using both the clinical interview and the NSDUH CAI data for the respondents who completed the clinical interview, statistical models were developed that then were applied to data from all adult respondents who had completed the NSDUH CAI interviews (regardless of whether they had clinical interview data) to produce estimates of mental illness among the adult civilian, noninstitutionalized population. Questionnaire changes in 2008 did not affect comparability of estimates based on adult mental health service utilization questions; therefore, estimates of mental health service utilization presented in this report reflect trends from 2002 to 2012.
This shift to the 2010 census data could affect comparisons between mental health estimates for 2011 and onward and those from prior years. The only estimates appreciably affected in this report and the mental health detailed tables were estimates for the Northeast region. SAMHSA defined SMI as persons aged 18 or older who currently or at any time in the past year have had a diagnosable mental, behavioral, or emotional disorder (excluding developmental and substance use disorders) of sufficient duration to meet diagnostic criteria specified within DSM-IV (APA, 1994) that has resulted in serious functional impairment, which substantially interferes with or limits one or more major life activities. Treatment for MDE in adults is defined as seeing or talking to a health professional or other professional or using prescription medication for depression in the past year.
The improved methodology is used to generate estimates of mental illness for each year from 2008 to 2012, which allows statements to be made about trends in mental health service utilization among adults by level of mental illness. Subsequently, using the entire clinical interview sample of approximately 5,000 interviews that were collected in 2008 to 2012, CBHSQ developed a more accurate statistical model for adults. Mental health estimates were affected relatively less, and the effects were restricted to certain estimates and demographic subgroups (CBHSQ, 2012d). Therefore, some estimates for 2010 and other prior years in the 2012 mental health findings report and the 2012 mental health detailed tables will differ from corresponding estimates found in some previous reports and tables. Results for SMI and AMI from this revised model were closer to the direct estimates of SMI and AMI from the clinical interviews in the MHSS than the previous model's results were, especially for young adults aged 18 to 25.



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