Objective
In the last two decades, a multitude of investigations into the frequency of mental disorders in the population have emerged,
making it difficult to keep track of recent findings and tasks. Building on a historical review, the present study provides
a comprehensive overview of knowledge about the prevalence of mental disorders.
Method
The review is based on current national surveys with comparable methodology. Study selection, based on a consecutive literature
search through August 2005, led to the inclusion of Australian, German, Dutch and US-American (NCS; NCS-R) surveys of mental
disorders in the general population.
Results
A considerable proportion of the population is found to have a mental disorder. The most frequent disorders within the preceding
12 months are mood disorders (6.6–11.9%) and anxiety disorders (5.6–18.1%). Substance disorders (3.8–11.3%) and somatoform
disorders (11.0%) are also very frequent. The prevalence rates presented in each survey are dependent on the specific disorders
included and the classification system underlying them. Important risk factors are being female, being unmarried, being unemployed
and having a low social status.
Conclusions
Knowledge about mental disorders in the general population can contribute to bringing about considerable improvement in the
treatment of mental disorders. In addition to available knowledge, however, there is a continued need to address existing
challenges from both a methodological and content-related perspective, e.g. the lack of or inadequate inclusion of specific
disorders, the lack of prevalence rates of mental disorders in childhood and adolescence, and the as yet only rare inclusion
of personality disorders.
Keywords epidemiology - mental disorders - prevalence - public health - general population