The British Journal of Psychiatry (2007) 190: 172-173. doi: 10.1192/bjp.bp.106.023507
© 2007 The Royal College of Psychiatrists
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SHORT REPORTS

Treatment adequacy for anxiety and depressive disorders in six European countries

A. FERNÁNDEZ

Paediatrics, Obstetrics and Gynaecology, and Preventive Medicine Department, Universitat Autònoma de Barcelona, Spain

J. M. HARO

Research and Development Unit, Sant Joan de Déu Mental Health Services, Fundació Sant Joan de Déu, Barcelona. Spain

M. MARTINEZ-ALONSO

Health Services Research Unit, Institut Municipal d’Investigació Mèdica (IMIM), Barcelona, Spain

K. DEMYTTENAERE

University Hospital Gasthuisberg, Leuven, Belgium

T. S. BRUGHA

University of Leicester, Leicester, UK

J. AUTONELL

Research and Development Unit, Sant Joan de Déu Mental Health Services, Fundació Sant Joan de Déu, Barcelona, Spain

G. DE GIROLAMO

Azienda USL Città de Bologna, Italy

S. BERNERT

University of Leipzig, Leipzig, Germany

J. P. LÉPINE

Hôpital Fernand Widal, Paris, France

J. ALONSO

Health Services Research Unit, Institut Municipal d’Investigació Medica and Universitat Autònoma de Barcelona, Barcelona. Spain

Correspondence: Anna Fernández, Research and Development Unit, Sant Joan de Déu Mental Health Services, Carrer del Doctor Pujades, 42 08830 Sant Boi de Llobregat, Barcelona, Spain. Tel: + 34 93 640 63 50 ext. 2373; email: afernandez{at}sjd-ssm.com

Declaration of interest Partial funding from several drug companies involved in the manufacture of antidepressant medication; full acknowledgements in a data supplement to the online version of this paper.

The aims of this study are to describe the adequacy of treatment for anxiety and depressive disorders in Europe and how itdiffers between providers, using data from the ESEMeD study. The overall proportion of adequate treatment was 45.8% (57.4% in the specialised sector and 23.3% in the general medical care sector). Between-country differences were found in treatment adequacy in the specialised setting. Organisational and political aspects may explain these findings.


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