Evidence map›Paper›PMID 29540248›Full record

ArticleEpidemiology and psychiatric sciences2019

Delays in making initial treatment contact after the first onset of mental health disorders in the Argentinean Study of Mental Health Epidemiology.

J C Stagnaro, A H Cia, H Vommaro, S Sustas, N Vázquez, E Serfaty, R C Kessler, C Benjet

Registry-linked trialAbstract read
In one paragraph

Article in Epidemiology and psychiatric sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05449561 (Beyond Efficacy- Eliciting Preference for Face-to-face and Internet-based Psychotherapy Among People with Depression), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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.

NCT05449561 completednot on this mapstarted 2022, after this paper: background citation

Beyond Efficacy- Eliciting Preference for Face-to-face and Internet-based Psychotherapy Among People with Depression: Using Discrete Choice Experiment to Advance Future Service Implementation

TypeobservationalSponsorChinese University of Hong KongRan2022 to 2023Enrolled20ConditionsDepression
3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Lifetime treatment of DSM-IV mental disorders in the Saudi National Mental Health Survey.International journal of methods in psychiatric research · 2020
    Article
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.

J C StagnaroUniversidad de Buenos Aires,Facultad de Medicina,Buenos Aires,Argentina.
A H CiaAnxiety Clinic and Research Center,Buenos Aires,Argentina.
H VommaroUniversidad de Buenos Aires,Facultad de Medicina,Buenos Aires,Argentina.
S SustasUniversidad de Buenos Aires,Facultad de Medicina,Buenos Aires,Argentina.
N VázquezUniversidad de Buenos Aires,Facultad de Medicina,Buenos Aires,Argentina.
E SerfatyAcademia Nacional de Medicina,Centro de Estudios Epidemiológicos,Buenos Aires,Argentina.
R C KesslerDepartment of Health Care Policy,Harvard Medical School,Boston.
C BenjetNational Institute of Psychiatry Ramón de la Fuente Muñiz,Mexico.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsWhile there are effective treatments for psychiatric disorders, many individuals with such disorders do not receive treatment and those that do often take years to get into treatment. Information regarding treatment contact failure and delay in Argentina is needed to guide public health policy and planning. Therefore, this study aimed to provide data on prompt treatment contact, lifetime treatment contact, median duration of treatment delays and socio-demographic predictors of treatment contact after the first onset of a mental disorder.

methodsThe Argentinean Study of Mental Health Epidemiology (EAESM) is a multistage probability sample representative of adults (aged 18+) living in large urban areas of Argentina. A total of 2116 participants were evaluated with the World Mental Health Composite International Diagnostic Interview to assess psychiatric diagnosis, treatment contact and delay.

resultsProjections of cases that will make treatment contact by 50 years taken from a survival curve suggest that the majority of individuals with a mood (100%) or anxiety disorder (72.5%) in Argentina whose disorder persist for a sufficient period of time eventually make treatment contact while fewer with a substance disorder do so (41.6%). Timely treatment in the year of onset is rare (2.6% for a substance disorder, 14.6% for an anxiety disorder and 31.3% of those with a mood disorder) with mean delays between 8 years for mood disorders and 21 years for anxiety disorders. Younger cohorts are more likely to make treatment contact than older cohorts, whereas those with earlier ages of disorder onset are least likely to make treatment contact. Those with anxiety disorders and major depressive disorder are more likely to make treatment contact when they have comorbid disorders, whereas those with substance use disorders are less likely.

conclusionsArgentina needs to implement strategies to get individuals with substance use disorders into treatment, and to reduce treatment delays for all, but particularly to target early detection and treatment among children and adolescents.

Indexed as

Delayed DiagnosisTime-to-TreatmentAdolescentAdultAge FactorsAge of OnsetAnxiety DisordersArgentinaHealth Services ResearchHumansMajor Depressive DisorderMental DisordersMental Health ServicesMood DisordersPatient Acceptance of Health CarePopulation SurveillanceCommon mental disordersepidemiologyhealth service researchpopulation surveypsychiatric services

Identifiers

PMID29540248
PMCPMC6998935

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