{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T13:53:10Z","timestamp":1790689990858,"version":"4.1.0"},"reference-count":25,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2007,10,1]],"date-time":"2007-10-01T00:00:00Z","timestamp":1191196800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychol. Med."],"published-print":{"date-parts":[[2008,2]]},"abstract":"<jats:sec id=\"S0033291707001420_sec_a001\"><jats:title>Background<\/jats:title><jats:p>South Africa's history and current social conditions suggest that mental disorders are likely to be a major contributor to disease burden, but there has been no national study using standardized assessment tools.<\/jats:p><\/jats:sec><jats:sec id=\"S0033291707001420_sec_a002\"><jats:title>Method<\/jats:title><jats:p>The South African Stress and Health Study was a nationally representative in-person psychiatric epidemiological survey of 4351 adults (aged \u2a7e18 years) that was conducted as part of the WHO World Mental Health (WMH) Survey Initiative between January 2002 and June 2004. Twelve-month prevalence and severity of DSM-IV disorders, treatment, and sociodemographic correlates were assessed with Version 3.0 of the WHO Composite International Diagnostic Interview (CIDI 3.0).<\/jats:p><\/jats:sec><jats:sec id=\"S0033291707001420_sec_a003\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>The 12-month prevalence of any DSM-IV\/CIDI disorder was 16.5%, with 26.2% of respondents with disorder classified as severe cases and an additional 31.1% as moderately severe cases. The most common disorders were agoraphobia (4.8%), major depressive disorder (4.9%) and alcohol abuse or dependence (4.5%). Twenty-eight percent of adults with a severe or moderately severe disorder received treatment compared to 24.4% of mild cases. Some 13.8% of persons with no disorder received treatment. Treatment was mostly provided by the general medical sector with few people receiving treatment from mental health providers.<\/jats:p><\/jats:sec><jats:sec id=\"S0033291707001420_sec_a004\" sec-type=\"conclusion\"><jats:title>Conclusions<\/jats:title><jats:p>Psychiatric disorders are much higher in South Africa than in Nigeria and there is a high level of unmet need among persons with severe and moderately severe disorders.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0033291707001420","type":"journal-article","created":{"date-parts":[[2007,10,1]],"date-time":"2007-10-01T05:03:46Z","timestamp":1191215026000},"page":"211-220","source":"Crossref","is-referenced-by-count":208,"title":["Twelve-month mental disorders in South Africa: prevalence, service use and demographic correlates in the population-based South African Stress and Health Study"],"prefix":"10.1017","volume":"38","author":[{"given":"D.\u00a0R.","family":"Williams","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Herman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.\u00a0J.","family":"Stein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.\u00a0G.","family":"Heeringa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.\u00a0B.","family":"Jackson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Moomal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.\u00a0C.","family":"Kessler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2007,10,1]]},"reference":[{"key":"S0033291707001420_ref013","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-003-0695-3"},{"key":"S0033291707001420_ref018","volume-title":"A Guide to Treatments that Work","author":"Nathan","year":"1998"},{"key":"S0033291707001420_ref008","doi-asserted-by":"publisher","DOI":"10.1080\/14034940410029469"},{"key":"S0033291707001420_ref004","first-page":"2581","article-title":"Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys","volume":"29","author":"Demyttenaere","year":"2004","journal-title":"Journal of the American Medical Association"},{"key":"S0033291707001420_ref002","doi-asserted-by":"publisher","DOI":"10.1521\/suli.2005.35.5.592"},{"key":"S0033291707001420_ref010","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.188.5.465"},{"key":"S0033291707001420_ref020","doi-asserted-by":"publisher","DOI":"10.15288\/jsa.2005.66.91"},{"key":"S0033291707001420_ref003","doi-asserted-by":"publisher","DOI":"10.1080\/00207599008246811"},{"key":"S0033291707001420_ref015","doi-asserted-by":"publisher","DOI":"10.1002\/mpr.168"},{"key":"S0033291707001420_ref001","doi-asserted-by":"publisher","DOI":"10.1007\/s001270050026"},{"key":"S0033291707001420_ref005","doi-asserted-by":"publisher","DOI":"10.1177\/0886260504263869"},{"key":"S0033291707001420_ref006","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwh194"},{"key":"S0033291707001420_ref007","first-page":"345","volume-title":"Mental Health","author":"Flisher","year":"1999"},{"key":"S0033291707001420_ref009","doi-asserted-by":"publisher","DOI":"10.1016\/S0147-1767(02)00093-7"},{"key":"S0033291707001420_ref011","doi-asserted-by":"publisher","DOI":"10.1002\/mpr.196"},{"key":"S0033291707001420_ref012","first-page":"434","article-title":"Fear of sexually transmitted infections among women with male migrant partners\u00a0\u2013\u00a0relationship to oscillatory migration pattern and risk-avoidance behaviour","volume":"96","author":"Hughes","year":"2006","journal-title":"South African Medical Journal"},{"key":"S0033291707001420_ref014","volume-title":"Mental Disorders: Disease Control Priorities in Developing Countries","author":"Hyman","year":"2006"},{"key":"S0033291707001420_ref016","first-page":"213","article-title":"Managing trauma in the South African mining industry","volume":"7","author":"Maiden","year":"2005","journal-title":"International Journal of Emergency Mental Health"},{"key":"S0033291707001420_ref017","first-page":"62","article-title":"Pathways to mental health care in KwaZulu-Natal","volume":"27","author":"Mkize","year":"2004","journal-title":"Curatonis"},{"key":"S0033291707001420_ref021","first-page":"25","article-title":"Trauma and post-traumatic stress disorder in women: a review","volume":"15","author":"Seedat","year":"2000","journal-title":"International Clinical Psychopharmacology"},{"key":"S0033291707001420_ref022","doi-asserted-by":"publisher","DOI":"10.1136\/emj.2005.025908"},{"key":"S0033291707001420_ref023","doi-asserted-by":"publisher","DOI":"10.1023\/B:MEBR.0000027424.86587.74"},{"key":"S0033291707001420_ref024","volume-title":"World Health Report\u00a0\u2013\u00a0Mental Health: New Understanding, New Hope","year":"2001"},{"key":"S0033291707001420_ref025","volume-title":"Mental Health Atlas 2005","year":"2005"},{"key":"S0033291707001420_ref019","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-005-0915-0"}],"container-title":["Psychological Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0033291707001420","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,1]],"date-time":"2019-05-01T15:02:48Z","timestamp":1556722968000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0033291707001420\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,10,1]]},"references-count":25,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2008,2]]}},"alternative-id":["S0033291707001420"],"URL":"https:\/\/doi.org\/10.1017\/s0033291707001420","relation":{},"ISSN":["0033-2917","1469-8978"],"issn-type":[{"value":"0033-2917","type":"print"},{"value":"1469-8978","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,10,1]]}}}