Evidence map›Paper›PMID 28127925›Full record

ArticleWorld psychiatry : official journal of the World Psychiatric Association (WPA)2017

Has increased provision of treatment reduced the prevalence of common mental disorders? Review of the evidence from four countries.

Anthony F Jorm, Scott B Patten, Traolach S Brugha, Ramin Mojtabai

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in World psychiatry : official journal of the World Psychiatric Association (WPA), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05757180 (Recalling and Anticipating Specific Positive Events to Boost Resilience in Adolescents), which is not on this map. Cited by 224 papers, 19 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
224citing papers in PubMed, 19 pooled it
–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.

NCT05757180 nacompletednot on this mapstarted 2022, after this paper: background citation

Recalling and Anticipating Specific Positive Events to Boost Resilience in Adolescents

TypeinterventionalSponsorProf. dr. Filip RaesRan2022 to 2023Enrolled191ConditionsSpecific Positive Memories, Specific Positive Future Events, Resilience, Mental WellbeingArmsPositive Events Training (PET), CREAtive writing Training (CREAT)
3 · Its place in the literature

Who cites it

224 citing papers in PubMed, 19 syntheses or guidelines pooled it.

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164 more citing papers are in PubMed but not listed here.

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

4 authors.

Anthony F JormMelbourne School of Population and Global Health, University of Melbourne, Parkville, Victoria, Australia.
Scott B PattenDepartment of Community Health Sciences, University of Calgary, Calgary, Canada.
Traolach S BrughaDepartment of Health Sciences, College of Medicine, Biological Sciences and Psychology, University of Leicester, Leicester General Hospital, Leicester, UK.
Ramin MojtabaiDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Many people identified as having common mental disorders in community surveys do not receive treatment. Modelling has suggested that closing this "treatment gap" should reduce the population prevalence of those disorders. To evaluate the effects of reducing the treatment gap in industrialized countries, data from 1990 to 2015 were reviewed from four English-speaking countries: Australia, Canada, England and the US. These data show that the prevalence of mood and anxiety disorders and symptoms has not decreased, despite substantial increases in the provision of treatment, particularly antidepressants. Several hypotheses for this lack of improvement were considered. There was no support for the hypothesis that reductions in prevalence due to treatment have been masked by increases in risk factors. However, there was little evidence relevant to the hypothesis that improvements have been masked by increased reporting of symptoms because of greater public awareness of common mental disorders or willingness to disclose. A more strongly supported hypothesis for the lack of improvement is that much of the treatment provided does not meet the minimal standards of clinical practice guidelines and is not targeted optimally to those in greatest need. Lack of attention to prevention of common mental disorders may also be a factor. Reducing the prevalence of common mental disorders remains an unsolved challenge for health systems globally, which may require greater attention to the "quality gap" and "prevention gap". There is also a need for nations to monitor outcomes by using standardized measures of service provision and mental disorders over time.

Indexed as

antidepressantsanxiety disordersCommon mental disordersdepressionprevalencepreventionpsychological therapiesquality of treatmenttreatment gap

Identifiers

PMID28127925
PMCPMC5269479

What OpenQuestion holds

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Registered trials

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.