Evidence map›Paper›PMID 31893031›Full record

SynthesisJournal of global health2019

A systematic review and meta-analysis of the prevalence of common mental disorders in people with non-communicable diseases in Bangladesh, India, and Pakistan.

Eleonora P Uphoff, Louise Newbould, Ian Walker, Nabila Ashraf, Santosh Chaturvedi, Arun Kandasamy, Papiya Mazumdar, Nick Meader, Aliya Naheed, Rusham Rana and 5 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of global health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 4 pooled it
3.5field-weighted citation impact, top 7% 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

28 citing papers in PubMed, 4 syntheses or guidelines pooled it, 64 citations in OpenAlex.

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  11. Integrating mental & physical health: Towards a paradigm shift.The Indian journal of medical research · 2025
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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

15 authors at 7 institutions in 4 countries.

Eleonora P UphoffCochrane Common Mental Disorders, Centre for Reviews and Dissemination, University of York, York, UK.
Louise NewbouldMental Health and Addictions Research Group, Department of Health Sciences, University of York, York, UK.
Ian WalkerMental Health and Addictions Research Group, Department of Health Sciences, University of York, York, UK.
Nabila AshrafInternational Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.
Santosh ChaturvediDepartment of Mental Health Education, National Institute of Mental Health and Neurosciences, Bangalore, India.
Arun KandasamyCentre for Addiction Medicine, National Institute of Mental Health and Neurosciences, Bangalore, India.
Papiya MazumdarMental Health and Addictions Research Group, Department of Health Sciences, University of York, York, UK.
Nick MeaderCentre for Reviews and Dissemination, University of York, York, UK.
Aliya NaheedInternational Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.
Rusham RanaInstitute of Psychiatry, Benazir Bhutto Hospital, Rawalpindi, Pakistan.
Jerome WrightMental Health and Addictions Research Group, Department of Health Sciences, University of York, York, UK.
Judy M WrightLeeds Institute of Health Sciences, University of Leeds, Leeds, UK.
Najma SiddiqiMental Health and Addictions Research Group, Department of Health Sciences, University of York, York, UK.
Rachel ChurchillCochrane Common Mental Disorders, Centre for Reviews and Dissemination, University of York, York, UK.
NIHR Global Health Research Group – IMPACT
University of York · GBInternational Centre for Diarrhoeal Disease Research · BDNational Institute of Mental Health and Neurosciences · INUniversity of Leeds · GBBenazir Bhutto Hospital · PKCochrane · GBPublic Health England · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prevalence of mental and physical comorbidities is unknown in South Asia, as estimates of mental ill health in patients with non-communicable diseases (NCDs) have predominantly come from studies based in the United States, Europe and Australasia. This systematic review and meta-analysis summarises evidence and provides pooled estimates of the prevalence of common mental disorders in adults with non-communicable diseases in South Asia.

methodsWe included prevalence studies of depression and anxiety in adults with diabetes, cancer, cardiovascular disease, and chronic respiratory conditions in Bangladesh, India, and Pakistan, published from 1990 onwards in international and country-specific databases.

resultsOut of 96 included studies, 83 provided data for random effects meta-analyses. The pooled prevalence of depression was 44% (95% confidence interval (CI) = 26 to 62) for patients with COPD, 40% (95% CI = 34 to 45) for diabetes, 39% (95% CI = 23 to 56) for stroke, 38% (95% CI = 32 to 45) for hypertension, and 37% (95% CI = 30 to 45) for cancer. The pooled prevalence of anxiety based on 28 studies was 29% (95% CI = 22 to 36). Many quality issues were identified in a critical appraisal of included studies, mostly relating to the sampling frame and selection process, the description of the methods and basic data, and the description of non-responders.

conclusionsDepression and anxiety are prevalent and underdiagnosed in people with physical comorbidities in Bangladesh, India, and Pakistan.

Indexed as

AnxietyBangladeshComorbidityDepressionHumansIndiaNoncommunicable DiseasesPakistanPrevalence

Identifiers

PMID31893031
PMCPMC6925965
OpenAlexW2996487725

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.