BACKGROUND Europe and North America have low rates of mental health service use despite high rates of mental disorder. Little is known about mental health service use among South Africans. DESIGN A nationally representative survey of 4351 adults. Twelve-month DSM-IV (Diagnostic and Statistical Manual, 4th edition) diagnoses, severity, and service utilisation were determined using the World He...

Mental illness exacts enormous costs — both financial and human — on this country. The 1999 Surgeon General’s report on mental health documents ample evidence of these costs. Approximately 28 percent of the U.S. population has a mental illness, but only 15 percent uses any mental health care services. People with mental illness suffer in very real terms. Four of the 10 leading causes of disabil...

Objective: To examine potential reciprocal associations between common mental disorders and obesity, and to assess whether there are dose-response relationships. Design: Prospective cohort study with four measures of common mental disorders and obesity over 19 years (Whitehall II study). Settings: Civil service departments in London. Participants: 4363 adults (28% female, mean age 44 years at b...

BACKGROUND Structural characteristics of social networks such as primary group size have received less attention than measures of perceived social support. Previous research suggests that associations between social network size and later common mental disorder status may differ according to sex and initial mental state. METHOD Adults participating in the 2000 British National Household Surve...

UK Armed Forces (AF) personnel deployed to Afghanistan are frequently exposed to intense combat and yet little is known about the short-term mental health consequences of this exposure and the potential mitigating effects of military factors such as cohesion, morale, and leadership. To assess the possible modulating influence of cohesion, morale, and leadership on post-traumatic stress disorder...

background following the tenets of world polity and innovation diffusion theories, i focus on the coercive and mimetic forces that influence the diffusion of mental health policy across nations. international organizations’ mandates influence government behavior. dependency on external resources, namely foreign aid, also affects governments’ formulation of national policy. and finally, mounting...

OBJECTIVE Despite the number of studies investigating co-occurring disorders, and more recently, co-occurring disorders and criminal offending, few studies have considered samples from forensic mental health services. The present study was conducted to investigate the relationship between mental illness, substance use disorders, antisocial personality disorder, and offending. METHOD The preva...

OBJECTIVES To examine potential reciprocal associations between common mental disorders and obesity, and to assess whether dose-response relations exist. DESIGN Prospective cohort study with four measures of common mental disorders and obesity over 19 years (Whitehall II study). SETTING Civil service departments in London. PARTICIPANTS 4363 adults (28% female, mean age 44 years at baselin...