Evidence map›Paper›PMID 27965352›Full record

ArticleCanadian family physician Medecin de famille canadien2016

Burden of common mental disorders in a community health centre sample.

Farah Ahmad, Yogendra Shakya, Liane Ginsburg, Wendy Lou, Peggy T Ng, Meb Rashid, Manuela Ferrari, Cliff Ledwos, Kwame McKenzie

Abstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

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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

9 authors.

Farah AhmadAssociate Professor in the School of Health Policy and Management at York University in Toronto, Ont, and Research Scientist at the North York General Hospital. farahmad@yorku.ca.
Yogendra ShakyaSenior Research Scientist at Access Alliance Multicultural Health and Community Services and Assistant Professor in the Dalla Lana School of Public Health at the University of Toronto.
Liane GinsburgAssociate Professor in the School of Health Policy and Management at York University.
Wendy LouProfessor and Head of the Biostatistics Division of the Dalla Lana School of Public Health at the University of Toronto.
Peggy T NgProfessor in the School of Administrative Studies at York University.
Meb RashidDirector of Cross Roads Clinic at Women's College Hospital and Assistant Professor at the Department of Family and Community Medicine at the University of Toronto.
Manuela FerrariPostdoctoral fellow in the School of Health Policy and Management at York University.
Cliff LedwosDirector of Primary Health Care and Special Initiatives at Access Alliance Multicultural Health and Community Services.
Kwame McKenziePsychiatrist and Medical Director of Underserved Populations at the Centre for Addiction and Mental Health in Toronto, Ont, and Chief Executive Officer of The Wellesley Institute.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine the rates of common mental disorders (CMDs) such as depression, anxiety, posttraumatic stress disorder (PTSD), and alcohol use in an urban community health care centre (CHC) serving vulnerable immigrant and ethnoracial communities in order to improve knowledge on the rates of CMDs specific to these groups accessing primary care settings.

designEnglish or Spanish, self-administered, tablet-based survey known as the Interactive Computer-Assisted Client Assessment Survey (iCCAS).

settingAccess Alliance Multicultural Health and Community Services CHC in Toronto, Ont.

participantsAdult patients waiting to see a clinician.

main outcome measuresThe iCCAS screened for depression (using the PHQ-9 [Patient Health Questionnaire]), anxiety (using the GAD-7 [Generalized Anxiety Disorder 7-item scale]), PTSD (using the PC-PTSD [Primary Care PTSD Screen]), and alcohol dependency (using the CAGE questionnaire); those with an existing diagnosis and active treatment for one of these conditions were not asked to complete that condition-specific screening scale. An exit survey measured demographic characteristics and relevant indicators.

resultsA response rate of 78.6% was achieved. The iCCAS survey was completed by 75 patients (26 men and 49 women) with a mean age of 36.5 years. Almost all were first-generation immigrants: 32.0% originated from Latin America, 28.0% from South Asia, and 17.3% from Africa or the Middle East. Major depression was found among 44.0% of participants (11 with diagnosis and treatment, 22 with a score of 10 or greater on the PHQ-9). Generalized anxiety disorder was present in 26.7% of participants (7 with diagnosis and treatment, 13 with a score of 10 or greater on the GAD-7 scale). Posttraumatic stress disorder was detected in 37.3% of participants (7 with diagnosis and treatment, 21 with a score of 3 or greater on the PC-PTSD tool). Alcohol dependency was found among 10.7% of participants (1 with diagnosis and treatment, 7 with a score of 2 or greater on the CAGE questionnaire).

conclusionThe high rates of probable depression, generalized anxiety, and PTSD that were found in the studied population suggest a need for systematic assessment of CMDs in CHCs, as well as training and resources to increase readiness to handle identified cases.

Indexed as

AdultAlcoholismAnxiety DisordersCommunity Health CentersEmigrants and ImmigrantsFemaleHumansMajor Depressive DisorderMaleMass ScreeningMental HealthMiddle AgedOntarioPsychiatric Status Rating ScalesStress Disorders, Post-TraumaticSurveys and Questionnaires

Identifiers

PMID27965352
PMCPMC5154667

What OpenQuestion holds

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Registered trials

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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.