Health services utilization for mental health disorders is reported to increase sharply in many countries. The aim of this study was to report trends in all aspects of mental health care utilization in a total population sample. Repeated cross-sectional register study of the Stockholm Region (VAL) including both primary and secondary care. Trends in the proportion of adults in the total population of Stockholm Region with a recorded ICD-10 psychiatric diagnosis or psychological therapy during 2007–2017 as well as claims of psychiatric medication from 2011 were calculated. The proportion of adults utilizing any mental health care increased from 13.2% in 2011 to 16.1% in 2017. In 2017, 49.3% were treated in primary care, 32.2% in secondary care and 18.5% were jointly managed. The increase was most pronounced in younger adults. Women were more likely to receive mental health care than men in all ages. Medication decreased from 71.0 to 67.7%, while psychological therapy increased from 33.1 to 37.6%. The use of psychiatric medication increased with age while psychological therapy decreased. All time trends were statistically significant (p < .0001). Care for mental health disorders has been increasing mainly in primary care and was delivered to one in seven adult individuals in 2017. Interventions are needed to address the growing burden of mental health disorders while avoiding overtreatment.

中文翻译：

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瑞典大区域的精神病学诊断，药物和心理疗法的趋势：一项基于人群的研究。

据报告，在许多国家，对精神健康疾病的卫生服务利用急剧增加。这项研究的目的是在总人口样本中报告精神卫生保健利用各个方面的趋势。斯德哥尔摩地区（VAL）的重复横断面登记研究，包括初级保健和二级保健。计算了斯德哥尔摩地区2007年至2017年期间记录了ICD-10精神病学诊断或心理治疗以及2011年以来精神病药物索赔的成年人比例的趋势。使用任何精神卫生保健的成年人比例从2011年的13.2％增加到2017年的16.1％。2017年，初级保健接受治疗的比例为49.3％，二级护理接受治疗的比例为32.2％，联合治疗的比例为18.5％。这种增加在年轻人中最为明显。在所有年龄段，女性比男性更容易接受心理保健。药物治疗从71.0下降到67.7％，而心理治疗从33.1上升到37.6％。精神药物的使用随着年龄的增长而增加，而心理疗法的减少。所有时间趋势均具有统计学意义（p <.0001）。对精神健康疾病的护理主要在初级保健方面有所增加，并于2017年提供给七分之一的成年人。需要采取干预措施，以解决日益严重的精神健康疾病负担，同时避免过度治疗。所有时间趋势均具有统计学意义（p <.0001）。对精神健康疾病的护理主要在初级保健方面有所增加，并于2017年提供给七分之一的成年人。需要采取干预措施，以解决日益严重的精神健康疾病负担，同时避免过度治疗。所有时间趋势均具有统计学意义（p <.0001）。对精神健康疾病的护理主要在初级保健方面有所增加，并于2017年提供给七分之一的成年人。需要采取干预措施，以解决日益严重的精神健康疾病负担，同时避免过度治疗。