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Table 7 Among those with 12-month SAD, percent reporting treatment in the past 12 months by Sheehan impairment severity

From: The cross-national epidemiology of social anxiety disorder: Data from the World Mental Health Survey Initiative

Sector of treatment Sheehan Disability Scale (SDS) categorya
Mild impairment Moderate impairment Severe impairment Any impairment
(Score: 1–3) (Score: 4–6) (Score: 7–10)
% SE Comparison between countriesb % SE Comparison between countriesb % SE Comparison between countriesb % SE Comparison between countriesb
Specialty mental healthc
 Low/lower-middle income 10.7 6.0 χ2 = 1.4, P = 0.25 5.2 2.4 χ2 = 3.4*, P = 0.03 6.3 2.3 χ2 = 33.4*, P < 0.001 7.8 1.9 χ2 = 32.6*, P < 0.001
 Upper-middle income 13.9 4.2 12.4 2.6 15.3 3.0 13.2 1.7
 High income 19.2 2.0 12.6 1.4 34.4 1.7 23.3 0.9
 All countries combined 17.5 1.7   11.7 1.1   27.7 1.4   19.8 0.8  
General medicald
 Low/lower-middle income χ2 = 14.4*, P < 0.001 9.9 3.7 χ2 = 5.1*, P = 0.01 7.0 2.4 χ2 = 44.8*, P < 0.001 7.8 1.7 χ2 = 65.6*, P < 0.001
 Upper-middle income 13.8 3.9 12.3 3.1 15.0 2.8 13.7 1.7
 High income 28.8 2.2 20.9 1.9 39.0 1.9 30.8 1.1
 All countries combined 23.9 1.8   17.8 1.5   31.0 1.5   25.2 0.9  
Health caree
 Low/lower-middle income 12.4 6.0 χ2 = 8.6*, P < 0.001 15.0 4.1 χ2 = 3.3*, P = 0.04 12.7 3.2 χ2 = 43.7*, P < 0.001 14.5 2.6 χ2 = 54.3*, P < 0.001
 Upper-middle income 23.6 4.6 22.6 3.4 26.0 3.6 23.7 1.9
 High income 36.7 2.3 26.7 2.0 54.6 1.9 40.9 1.1
 All countries combined 32.0 2.0   24.5 1.6   44.6 1.6   34.9 0.9  
Human servicesf
 Low/lower-middle income χ2 = 5.1*, P = 0.01 χ2 = 0.3, P = 0.76 3.5 1.7 χ2 = 5.1*, P = 0.01 3.4 1.3 χ2 = 2.5, P = 0.08
 Upper-middle income 4.5 2.4 4.8 2.0 2.3 1.2 3.6 1.1
 High income 7.7 1.6 3.5 0.8 7.1 1.0 5.7 0.5
 All countries combined 6.5 1.2   3.9 0.8   5.8 0.7   5.1 0.5  
CAMg
 Low/lower-middle income χ2 = 14.3*, P < 0.001 χ2 = 12.5*, P < 0.001 1.6 0.6 χ2 = 26.9*, P < 0.001
 Upper-middle income 2.7 1.4 2.5 1.2 2.3 0.7
 High income 9.1 1.7 5.2 0.9 8.5 1.0 7.8 0.6
 All countries combined 7.3 1.3   4.0 0.7   6.6 0.8   6.1 0.5  
Non-health careh
 Low/lower-middle income χ2 = 6.3*, P < 0.001 χ2 = 0.2, P = 0.80 4.7 1.8 χ2 = 11.9*, P < 0.001 4.5 1.4 χ2 = 15.1*, P < 0.001
 Upper-middle income 5.0 2.4 7.3 2.3 4.7 1.7 5.6 1.3
 High income 13.7 1.9 7.6 1.1 13.6 1.3 11.7 0.7
 All countries combined 11.3 1.5   7.2 1.0   11.0 1.0   9.8 0.6  
Any treatmenti
 Low/lower-middle income 15.9 6.1 χ2 = 9.2*, P < 0.001 20.2 4.9 χ2 = 2.0, P = 0.13 15.3 3.4 χ2 = 44.5*, P < 0.001 18.0 2.7 χ2 = 52.3*, P < 0.001
 Upper-middle income 26.6 4.7 24.6 3.5 27.2 3.7 25.7 2.1
 High income 41.8 2.5 29.5 2.0 57.1 1.9 44.2 1.1
 All countries combined 36.6 2.1   27.4 1.7   46.9 1.6   38.0 1.0  
  1. *Significant at the 0.05 level
  2. A dash was inserted for low cell counts (<5 cases)
  3. aHighest severity category across four SDS role domains
  4. bChi-square test of homogeneity to determine if there is variation in prevalence of treatment estimates across countries. Chi-square test is only generated where there is more than one stable cell (> = 5 cases) for each combination of treatment sector and Sheehan impairment
  5. cThe mental health specialist sector, which includes psychiatrist and non-psychiatrist mental health specialists (psychiatrist, psychologist, or other non-psychiatrist mental health professional; social worker or counselor in a mental health specialty setting; use of a mental health helpline; or overnight admissions for a mental health or drug or alcohol problems, with a presumption of daily contact with a psychiatrist)
  6. dThe general medical sector (general practitioner, other medical doctor, nurse, occupational therapist, or any health care professional)
  7. eThe mental health specialist sector or the general medical sector
  8. fThe human services sector (religious or spiritual advisor or social worker or counselor in any setting other than a specialty mental health setting)
  9. gThe CAM (complementary and alternative medicine) sector (any other type of healer such as herbalist or homeopath, participation in an Internet support group, or participation in a self-help group)
  10. hThe human services sector or CAM
  11. iRespondents who sought any form of professional treatments listed in the footnotes above