Evidence map›Paper›PMID 27466746›Full record

ArticleJournal of affective disorders2016

Sexual orientation and treatment-seeking for depression in a multilingual worldwide sample.

Tara M Rutter, Annesa Flentje, James W Dilley, Suzanne Barakat, Nancy H Liu, Margaret S Gross, Ricardo F Muñoz, Yan Leykin

Abstract read
In one paragraph

Article in Journal of affective disorders, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Tara M RutterUniversity of California, San Francisco, USA.
Annesa FlentjeUniversity of California, San Francisco, USA.
James W DilleyUniversity of California, San Francisco, USA; San Francisco General Hospital, USA.
Suzanne BarakatUniversity of California, San Francisco, USA.
Nancy H LiuUniversity of California, Berkeley, USA.
Margaret S GrossUniversity of California, San Francisco, USA.
Ricardo F MuñozUniversity of California, San Francisco, USA; San Francisco General Hospital, USA; Palo Alto University, USA.
Yan LeykinUniversity of California, San Francisco, USA; Palo Alto University, USA. Electronic address: yleykin@paloaltou.edu.

Funding

Gene expression outcomes in interventions for substance using HIV+ minority menK23DA039800 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI FLENTJE, ANNESA · 2015 to 2019
$1.0M
Does depression affect quality of decisions to participate in clinical trials?K08MH091501 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LEYKIN, YAN · 2010 to 2014
$885k
NIDA NIH HHS K23 DA039800NIMH NIH HHS K08 MH091501
6 · The paper itself

Abstract

backgroundPrior research has found higher rates of mental health problems among sexual minority individuals. We examine treatment-seeking for depression, as well as its relationship with sexual orientation, in a large, multilingual, international sample.

methodParticipants in an automated, quintilingual internet-based depression screening tool were screened for depression, and completed several background measures, including sexual orientation (with an option to decline to state) and past and current depression treatment seeking.

results3695 participants screened positive for current or past depression and responded to the sexual orientation question. Those who declined to state their sexual orientation were far less likely to seek any treatment than individuals endorsing any orientation; they were especially unlikely to seek psychotherapy. Individuals identifying as bisexual sought both psychotherapy and alternative treatments at a higher rate than other groups. An interaction was observed between sexual orientation and gender, such that lesbian women were especially likely to have used psychotherapy. Other variables that emerged as significant predictors of treatment-seeking for depression included age and participant's language. LIMITATIONS: Limitations include possible misinterpretation of translated terms due to regional differences, and possible limits to generalizability due to this study being conducted on the internet.

conclusionsOur results suggest that individuals who decline to state their sexual orientation may be more likely to forgo effective treatments for depression. Further studies of depression service utilization should focus on developing treatment modalities that could better engage sexual minority individuals, especially those who are reluctant to disclose their orientation.

Indexed as

BisexualityHeterosexualityHomosexualityPatient Acceptance of Health CarePatient PreferenceAdultDepressionDepressive DisorderFemaleHumansInternetMaleMass ScreeningPsychotherapySex FactorsSexual BehaviorAntidepressantDepressionLGBTPsychotherapyService useSexual minority

Identifiers

PMID27466746
PMCPMC5077638

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.