Evidence map›Paper›PMID 31317246›Full record

ArticleSocial psychiatry and psychiatric epidemiology2020

Minding the treatment gap: results of the Singapore Mental Health Study.

Mythily Subramaniam, Edimansyah Abdin, Janhavi Ajit Vaingankar, Saleha Shafie, Hong Choon Chua, Weng Mooi Tan, Kelvin Bryan Tan, Swapna Verma, Derrick Heng, Siow Ann Chong

Open access · hybridAbstract read
In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 1 pooled it
13.5field-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.

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

59 citing papers in PubMed, 1 synthesis or guideline pooled it, 106 citations in OpenAlex.

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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

10 authors at 3 institutions in 1 country.

Mythily SubramaniamResearch Division, Institute of Mental Health, Buangkok Green Medical Park, 10 Buangkok View, Singapore, 539747, Singapore. Mythily@imh.com.sg.ORCID http://orcid.org/0000-0003-4530-1096
Edimansyah AbdinResearch Division, Institute of Mental Health, Buangkok Green Medical Park, 10 Buangkok View, Singapore, 539747, Singapore.
Janhavi Ajit VaingankarResearch Division, Institute of Mental Health, Buangkok Green Medical Park, 10 Buangkok View, Singapore, 539747, Singapore.
Saleha ShafieResearch Division, Institute of Mental Health, Buangkok Green Medical Park, 10 Buangkok View, Singapore, 539747, Singapore.
Hong Choon ChuaCEO Office, Institute of Mental Health, Singapore, Singapore.
Weng Mooi TanCommunity Mental Health Division, Agency for Integrated Care (AIC), Singapore, Singapore.
Kelvin Bryan TanPolicy, Research and Evaluation Division, Ministry of Health, Singapore, Singapore.
Swapna VermaDepartment of Psychosis and East Region, Institute of Mental Health, Singapore, Singapore.
Derrick HengEpidemiology and Disease Control Division, Ministry of Health, Singapore, Singapore.
Siow Ann ChongResearch Division, Institute of Mental Health, Buangkok Green Medical Park, 10 Buangkok View, Singapore, 539747, Singapore.
Institute of Mental Health · SGMinistry of Health · SGAgency for Integrated Care · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo establish the 12-month treatment gap and its associated factors among adults with mental disorders in the Singapore resident population using data from the second Singapore Mental Health Study and to examine the changes since the last mental health survey conducted in 2010.

methods6126 respondents were administered selected modules of the Composite International Diagnostic Interview, to assess major depressive disorder (MDD), dysthymia, bipolar disorder, generalized anxiety disorder (GAD), obsessive compulsive disorder (OCD) and alcohol use disorder (AUD) (which included alcohol abuse and dependence). Past year treatment gap was defined as the absolute difference between the prevalence of a particular mental disorder in the past 12 months preceding the interview and those who had received treatment for that disorder.

resultsThe prevalence of overall 12-month treatment gap in this population was high (78.6%). A multiple logistic regression analysis revealed significantly higher odds of treatment gap among those diagnosed with OCD (compared to those with MDD) and in those with a comorbid chronic physical disorder; while those who had primary education and below and those who were unemployed were less likely to have a treatment gap as compared to those with post-secondary education and those employed, respectively.

conclusionsThe high treatment gap in the population is concerning and highlights the need to promote help-seeking and uptake of treatment. Given the unique demographic characteristics, i.e., those with higher education and employed were more likely not to seek treatment, targeted interventions in the educational and workplace settings should be implemented.

Indexed as

Major Depressive DisorderMental DisordersObsessive-Compulsive DisorderAdultAnxiety DisordersComorbidityHumansMental HealthPrevalenceSingaporeAlcohol use disorderGeneralized anxiety disorderMajor depressive disorderObsessive compulsive disorderPrevalence

Identifiers

PMID31317246
PMCPMC7578124
OpenAlexW2962563583

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.