Evidence map›Paper›PMID 30981056›Full record

ArticleJournal of affective disorders2019

Online help-seeking prior to diagnosis: Can web-based resources reduce the duration of untreated mood disorders in young people?

Anna R Van Meter, Michael L Birnbaum, Asra Rizvi, John M Kane

Abstract read
In one paragraph

Article in Journal of affective disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 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.

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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  17. How Search Engines Handle Suicide Queries.Journal of online trust & safety · 2021
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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

4 authors.

Anna R Van MeterDepartment of Psychiatry Research, The Zucker Hillside Hospital, 75-59 263rd Street, Glen Oaks, 11004 NY, USA; Department of Psychiatry, Hofstra Northwell School of Medicine, Hempstead, NY, USA; The Feinstein Institute for Medical Research, Manhasset, NY, USA. Electronic address: avanmeter@northwell.edu.
Michael L BirnbaumDepartment of Psychiatry Research, The Zucker Hillside Hospital, 75-59 263rd Street, Glen Oaks, 11004 NY, USA; Department of Psychiatry, Hofstra Northwell School of Medicine, Hempstead, NY, USA; The Feinstein Institute for Medical Research, Manhasset, NY, USA.
Asra RizviDepartment of Psychiatry Research, The Zucker Hillside Hospital, 75-59 263rd Street, Glen Oaks, 11004 NY, USA.
John M KaneDepartment of Psychiatry Research, The Zucker Hillside Hospital, 75-59 263rd Street, Glen Oaks, 11004 NY, USA; Department of Psychiatry, Hofstra Northwell School of Medicine, Hempstead, NY, USA; The Feinstein Institute for Medical Research, Manhasset, NY, USA.

Funding

Trials Operation Unit (OPERATIONS CORE)P30MH090590 · NIMH · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI CORRELL, CHRISTOPH U · 2010 to 2014
$7.9M
NIMH NIH HHS P30 MH090590
6 · The paper itself

Abstract

objectiveMood and anxiety disorders typically begin in adolescence or early adulthood, but those at the age of highest risk are among those least likely to access mental health services. However, they may be more likely than other demographic groups to seek help online. The goal of the present study was to investigate the online help- and information-seeking activity of young people newly diagnosed with mood and anxiety disorders in order to better understand how digital resources might serve this population.

methodParticipants, aged 15 to 35, with a diagnosis of a mood or anxiety disorder were eligible if they had received their first mental health diagnosis within 24 months. Participants were interviewed with the Pathways to Care Questionnaire, which inquires about online activity prior to one's first interaction with mental healthcare providers.

resultsForty people participated (depression n = 30, bipolar disorder n = 5, generalized anxiety disorder n = 5); average age 21 years (SD=3.2), 60% female. Eighty-one percent reported seeking help and/or information about their symptoms online. The gap between symptom onset and in-person help seeking was 91.90 weeks (SD=133.7). Most participants (85%) reported they would be open to communicating with a mental health professional online.

conclusionA majority of young people experiencing clinically-significant symptoms seek help online. However, the gap between symptom onset and treatment initiation remains unacceptably long. Better strategies are needed to translate young people's interest in online resources into meaningful care, whether through web-based services or facilitated pathways to traditional treatment.

Indexed as

Help-Seeking BehaviorInternetAdolescentAdultAnxiety DisordersFemaleHumansMaleMental Health ServicesMood DisordersPatient Acceptance of Health CareSurveys and QuestionnairesTime-to-TreatmentYoung Adult

Identifiers

PMID30981056
PMCPMC6529208

What OpenQuestion holds

Textmetadata
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Read underepoch 390

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.