Evidence map›Paper›PMID 32131837›Full record

ArticleHealth and quality of life outcomes2020

Understanding the relationships between mental disorders, self-reported health outcomes and positive mental health: findings from a national survey.

Janhavi Ajit Vaingankar, Siow Ann Chong, Edimansyah Abdin, Fiona Devi Siva Kumar, Boon Yiang Chua, Rajeswari Sambasivam, Saleha Shafie, Anitha Jeyagurunathan, Esmond Seow, Mythily Subramaniam

Open access · goldAbstract read
In one paragraph

Article in Health and quality of life outcomes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.6field-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

21 citing papers in PubMed, 45 citations in OpenAlex.

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  5. COVID-19 in Rural Ontario Communities: Exploring Women's Mental Health During a Pandemic.International journal of environmental research and public health · 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

10 authors at 1 institution in 1 country.

Janhavi Ajit VaingankarResearch Division, Institute of Mental Health, 10 Buangkok View, Singapore, 539747, Singapore. janhavi_vaingankar@imh.com.sg.
Siow Ann ChongResearch Division, Institute of Mental Health, 10 Buangkok View, Singapore, 539747, Singapore.
Edimansyah AbdinResearch Division, Institute of Mental Health, 10 Buangkok View, Singapore, 539747, Singapore.
Fiona Devi Siva KumarResearch Division, Institute of Mental Health, 10 Buangkok View, Singapore, 539747, Singapore.
Boon Yiang ChuaResearch Division, Institute of Mental Health, 10 Buangkok View, Singapore, 539747, Singapore.
Rajeswari SambasivamResearch Division, Institute of Mental Health, 10 Buangkok View, Singapore, 539747, Singapore.
Saleha ShafieResearch Division, Institute of Mental Health, 10 Buangkok View, Singapore, 539747, Singapore.
Anitha JeyagurunathanResearch Division, Institute of Mental Health, 10 Buangkok View, Singapore, 539747, Singapore.
Esmond SeowResearch Division, Institute of Mental Health, 10 Buangkok View, Singapore, 539747, Singapore.
Mythily SubramaniamResearch Division, Institute of Mental Health, 10 Buangkok View, Singapore, 539747, Singapore.
Institute of Mental Health · SG

Funding

Ministry of Health, Singapore NATemasek Foundation Innovates (SG) NA
6 · The paper itself

Abstract

backgroundThe link between mental illness and mental health is gaining focus in research and practice. This study aimed to investigate the association of mental disorders with positive mental health (PMH), overall health and quality of life. In addition, the role of PMH in mediating the relationships between mental disorders and health outcomes was assessed.

methodsThe study sample comprised 2270 residents aged 18 years and above who participated in a nationally representative, cross-sectional survey estimating the lifetime prevalence of mood, anxiety and alcohol use disorders, and health outcomes (self-reported overall health, quality of life and PMH) in Singapore. The Positive Mental Health Instrument was used to estimate the level of Total PMH among the respondents with and without mental disorders. Associations between mental disorders and health outcomes were assessed through regression models. Path analyses were conducted to investigate mediating role of PMH.

resultsTotal PMH (Mean ± SD) was significantly lower among individuals having any of the studied lifetime mental disorders (4.23 ± 0.64 versus 4.50 ± 0.67 among those without these disorders). Although having a mood or anxiety disorder was associated with significantly lower Total PMH even after controlling for socio-demographic characteristics, similar relationship was not observed for alcohol use disorders. History of any mental disorders was also associated with lower overall health and quality of life. Total PMH mediated the relationships between mental disorders and overall health and quality of life by reducing the effect sizes for the associations between mental disorders and these health outcomes.

conclusionsMental disorders were associated with poor health outcomes in affected individuals. This study showed that PMH can mediate the relationships between mental disorders and health outcomes, and act as an underlying mechanism to improve overall health and quality of life in individuals with mental disorders. Findings thus highlight the significance of incorporating mental health promotion and interventions in clinical populations.

Indexed as

Quality of LifeAdolescentAdultAgedCross-Sectional StudiesFemaleHumansMaleMental DisordersMental HealthMiddle AgedPrevalenceSelf ReportSingaporeYoung AdultAnxietyMediationMental well-beingMood disordersQuality of life

Identifiers

PMID32131837
PMCPMC7057535
OpenAlexW3012323766

What OpenQuestion holds

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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.