Evidence map›Paper›PMID 30447688›Full record

ArticleBMC family practice2018

Initiation and cessation of mental healthcare after mental health screening in primary care: a prospective cohort study.

Christine Geyti, Else-Marie Dalsgaard, Annelli Sandbæk, Helle Terkildsen Maindal, Kaj Sparle Christensen

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in BMC family practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02028195 (The CORE-trial), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
24.4field-weighted citation impact, top 1% of its field
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.

NCT02028195 naunknown statusnot on this map

The CORE-trial: a Pragmatic Randomized Controlled Trial in Primary Care Investigating Effectiveness and Cost-effectiveness of the Check Your Health Preventive Programme Offered Population-wide to 30-49 Years

TypeinterventionalSponsorUniversity of AarhusRan2013 to 2019Enrolled11,000ConditionsHealth Promotion, Cardiovascular Disease, Physical Inactivity, Selfreported Quality of HealthArmsHealth check
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 25 citations in OpenAlex.

  1. Review
  2. Youth Mental Health Screening and Linkage to Care.Psychiatric services (Washington, D.C.) · 2023
    Article
  3. Article
  4. Article
  5. Article
  6. 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

5 authors at 1 institution in 1 country.

Christine GeytiSection for General Medical Practice, Department of Public Health, Aarhus University, Bartholins Allé 2, 8000, Aarhus, Denmark. christine.geyti@ph.au.dk.ORCID 0000-0002-3046-4901
Else-Marie DalsgaardSection for General Medical Practice, Department of Public Health, Aarhus University, Bartholins Allé 2, 8000, Aarhus, Denmark.
Annelli SandbækSection for General Medical Practice, Department of Public Health, Aarhus University, Bartholins Allé 2, 8000, Aarhus, Denmark.
Helle Terkildsen MaindalSection for Health Promotion and Health Services, Department of Public Health, Aarhus University, Bartholins Allé 2, 8000, Aarhus, Denmark.
Kaj Sparle ChristensenSection for General Medical Practice, Department of Public Health, Aarhus University, Bartholins Allé 2, 8000, Aarhus, Denmark.
Aarhus University · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMental health (MH) problems have considerable personal and societal implications. Systematic MH screening may raise general practitioners' (GP) awareness of the current need of treatment in their listed patients. The focus of MH screening has so far been on increasing diagnostic rates and treatment of mental disorders, whereas cessation of MH treatment after normal test results has rarely been studied. This study aims to examine the mental healthcare trajectories after MH screening combined with feedback on both positive and negative screening results to the GP.

methodsThis prospective cohort study is based on data from 11,714 randomly selected individuals aged 30-49 years, who were invited to a preventive health check in Denmark during 2012-2015. A total of 5970 (51%) were included. MH status was assessed using the SF-12 Health Survey Mental Component Summary score, and scores were categorised into poor, moderate, and good MH. 'Mental healthcare' within 1 year of follow-up covered the following MH support: psychometric testing by GP, talk therapy by GP, contact to psychologist, contact to psychiatrist, and psychotropic medication.

resultsMH was found to be poor in 9%, moderate in 25%, and good in 66% of participants. After 1 year, mental healthcare was initiated in 29% of the participants with poor MH who did not receive mental healthcare at baseline, and mental healthcare was ceased in 44% of the participants with good MH who received mental healthcare at baseline. Odds ratio (OR) for initiation of mental healthcare was associated with worse MH screening status: poor MH: OR 7.1 (5.4-9.4), moderate MH: OR 2.4 (1.9-3.1), compared to those with good MH. OR for cessation of mental healthcare was associated with better MH screening status: good MH: OR 1.6 (1.1-2.6), moderate MH: OR 1.6 (1.0-2.4), compared to those with poor MH. Initiation and cessation of mental healthcare appeared to be time-related to the MH screening.

conclusionsMH screening combined with feedback on both positive and negative screening results to the GP may contribute to relevant initiation and cessation of mental healthcare.

trial registrationRegistration of the Check Your Health-trial: ClinicalTrials.gov ( NCT02028195 ), 7 March 2014.

Indexed as

General PractitionersMental HealthAdultDenmarkFemaleHumansMaleMass ScreeningMental DisordersMiddle AgedMorbidityPreventive Health ServicesPrimary Health CareProspective StudiesGeneral practiceHealth promotionMental healthMental healthcareMental health screeningPreventive health servicesPrimary healthcare

Identifiers

PMID30447688
PMCPMC6240182
OpenAlexW2900793984

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.