Silvia Florescu
A5016174630- Mental Health Treatment and Access
- Child and Adolescent Psychosocial and Emotional Development
- Schizophrenia research and treatment
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Posttraumatic Stress Disorder Research
- Health disparities and outcomes
- Child Abuse and Trauma
- Migration, Health and Trauma
- Suicide and Self-Harm Studies
- Substance Abuse Treatment and Outcomes
- Maternal Mental Health During Pregnancy and Postpartum
- Employment and Welfare Studies
- Mental Health Research Topics
- Psychosomatic Disorders and Their Treatments
- Bipolar Disorder and Treatment
- Treatment of Major Depression
- Smoking Behavior and Cessation
- Family Caregiving in Mental Illness
- Cardiac Health and Mental Health
- Resilience and Mental Health
- Healthcare Systems and Public Health
- Human Health and Disease
- Child and Adolescent Health
- Intergenerational Family Dynamics and Caregiving
- Fibromyalgia and Chronic Fatigue Syndrome Research
National School of Public Health, Management and Professional Development
2014-2023
Columbia University
2016
University of Washington
2016
Harvard University
2016
Dalhousie University
2016
Massachusetts General Hospital
2016
University of California, Davis
2016
Parc de Salut
2015
UNSW Sydney
2015
Universitat Pompeu Fabra
2015
Background Although significant associations of childhood adversities with adult mental disorders are widely documented, most studies focus on single predicting disorders. Aims To examine joint 12 first onset 20 DSM–IV in World Mental Health (WMH) Surveys 21 countries. Method Nationally or regionally representative surveys 51 945 adults assessed and lifetime the WHO Composite International Diagnostic Interview (CIDI). Results Childhood were highly prevalent interrelated. associated...
Background Although mental disorders are significant predictors of educational attainment throughout the entire career, most research on among students has focused primary and secondary school years. Method The World Health Organization Mental Surveys were used to examine associations with college entry attrition by comparing ( n = 1572) non-students in same age range (18–22 years; 4178), including who recently left without graduating 702) based surveys 21 countries (four low/lower-middle...
: Although post-traumatic stress disorder (PTSD) onset-persistence is thought to vary significantly by trauma type, most epidemiological surveys are incapable of assessing this because they evaluate lifetime PTSD only for traumas nominated respondents as their 'worst.'
Background Considerable research has documented that exposure to traumatic events negative effects on physical and mental health. Much less examined the predictors of event exposure. Increased understanding risk factors for could be considerable value in targeting preventive interventions anticipating service needs. Method General population surveys 24 countries with a combined sample 68 894 adult respondents across six continents assessed 29 types. Differences prevalence were...
Background To examine barriers to initiation and continuation of mental health treatment among individuals with common disorders. Method Data were from the World Health Organization (WHO) Mental (WMH) surveys. Representative household samples interviewed face in 24 countries. Reasons initiate continue examined a subsample ( n = 636 78) analyzed at different levels clinical severity. Results Among those DSM-IV disorder past 12 months, low perceived need was most reason for not initiating more...
Major depressive disorder (MDD) is a leading cause of disability worldwide.To examine the: (a) 12-month prevalence DSM-IV MDD; (b) proportion aware that they have problem needing treatment and who want care; (c) the latter receiving treatment; (d) such meeting minimal standards.Representative community household surveys from 21 countries as part World Health Organization Mental Surveys.Of 51 547 respondents, 4.6% met criteria for MDD these 56.7% reported treatment. Among those recognised...
Suicide is a leading cause of death worldwide. Mental disorders are among the strongest predictors suicide; however, little known about which uniquely predictive suicidal behavior, extent to predict suicide attempts beyond their association with thoughts, and whether these associations similar across developed developing countries. This study was designed test each questions focus on nonfatal attempts.Data lifetime presence age-of-onset Diagnostic Statistical Manual Disorders, 4th Edition...
Background Although significant associations of childhood adversities with adult mental disorders are widely documented, most studies focus on single predicting disorders. Aims To examine joint 12 first onset 20 DSM–IV in World Mental Health (WMH) Surveys 21 countries. Method Nationally or regionally representative surveys 51 945 adults assessed and lifetime the WHO Composite International Diagnostic Interview (CIDI). Results Childhood were highly prevalent interrelated. associated...
Although suicide is a leading cause of death worldwide, clinicians and researchers lack data-driven method to assess the risk attempts. This study reports results an analysis large cross-national epidemiologic survey database that estimates 12-month prevalence suicidal behaviors, identifies factors for attempts, combines these create index attempts separately developed developing countries.Data come from World Health Organization (WHO) Mental (WMH) Surveys (conducted 2001-2007), in which...
Abstract Background The treatment gap between the number of people with mental disorders and treated represents a major public health challenge. We examine this by socio-economic status (SES; indicated family income respondent education) service sector in cross-national analysis community epidemiological survey data. Methods Data come from 16 753 respondents 12-month DSM-IV surveys 25 countries WHO World Mental Health Survey Initiative. anxiety, mood, or substance these were assessed...
Background Anxiety disorders are a major cause of burden disease. Treatment gaps have been described, but worldwide evaluation is lacking. We estimated, among individuals with 12-month DSM-IV (where DSM Diagnostic Statistical Manual) anxiety disorder in 21 countries, the proportion who (i) perceived need for treatment; (ii) received any and (iii) possibly adequate treatment. Methods Data from 23 community surveys countries World Mental Health (WMH) surveys. mental were assessed (WHO...
The main purpose of the European School Survey Project on Alcohol and Other Drugs (ESPAD) is to collect comparable data substance use among 15- 16-year-old students in order monitor trends ...
It is clear that mental disorders in treatment settings are associated with a higher incidence of chronic physical conditions, but whether this true the community, and how generalized (across range health outcomes) these associations are, less clear. This information has important implications for care primary prevention disease.To investigate 16 temporally prior DSM-IV subsequent onset or diagnosis 10 conditions.Eighteen face-to-face, cross-sectional household surveys community-dwelling...
<h3>Importance</h3> Community-based surveys find that many otherwise healthy individuals report histories of hallucinations and delusions. To date, most studies have focused on the overall lifetime prevalence any these psychotic experiences (PEs), which might mask important features related to types frequencies PEs. <h3>Objective</h3> explore detailed epidemiologic information about PEs in a large multinational sample. <h3>Design, Setting, Participants</h3> We obtained data from World Health...
There is evidence that social anxiety disorder (SAD) a prevalent and disabling disorder. However, most of the available data on epidemiology this condition originate from high income countries in West. The World Mental Health (WMH) Survey Initiative provides an opportunity to investigate prevalence, course, impairment, socio-demographic correlates, comorbidity, treatment across range high, middle, low different geographic regions world, address question whether differences SAD merely reflect...
Background Clinical research suggests that posttraumatic stress disorder (PTSD) patients exposed to multiple traumatic events (TEs) rather than a single TE have increased morbidity and dysfunction. Although epidemiological surveys in the United States Europe also document high rates of exposure, no population-based cross-national data examined this issue. Methods Data were analyzed from 20 population World Health Organization Mental Survey Initiative (n = 51,295 aged 18+). The Composite...
Generalized anxiety disorder (GAD) is poorly understood compared with other disorders, and debates persist about the seriousness of this disorder. Few data exist on GAD outside a small number affluent, industrialized nations. No population-based as it currently defined in DSM-5.To provide first epidemiologic DSM-5 explore cross-national differences its prevalence, course, correlates, impact.Data come from World Health Organization Mental Survey Initiative. Cross-sectional general population...
Suicide is a leading cause of death worldwide, but the precise effect childhood adversities as risk factors for onset and persistence suicidal behaviour (suicide ideation, plans attempts) are not well understood. To examine associations between across 21 countries worldwide. Respondents from nationally representative samples (n = 55 299) were interviewed regarding that occurred before age 18 years lifetime behaviour. Childhood associated with an increased suicide attempt ideation in both...
Community and clinical data have suggested there is an association between trauma exposure suicidal behavior (i.e., suicide ideation, plans attempts). However, few studies assessed which traumas are uniquely predictive of: the first onset of behavior, progression from ideation to attempts, or persistence each form over time. Moreover, available on such associations in developing countries. The current study addresses these issues.Data subsequent were collected via structured interviews...
Background Suicide is a leading cause of death worldwide; however, little information available about the treatment suicidal people, or barriers to treatment. Aims To examine receipt mental health and care among people around world. Method Twenty-one nationally representative samples worldwide ( n =55 302; age 18 years over) from World Health Organization's Mental Surveys were interviewed regarding past-year behaviour healthcare use. Suicidal respondents who had not used services in past...
Associations between specific parent and offspring mental disorders are likely to have been overestimated in studies that failed control for comorbidity.