SynthesisSocial psychiatry and psychiatric epidemiology2023
The association between social class and the impact of treatment for mental health problems: a systematic review and narrative synthesis.
Synthesis in Social psychiatry and psychiatric epidemiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled 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.
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.
Who cites it
13 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- What works for whom: a systematic review of inequalities in inclusion and effectiveness of social interventions for mental ill- health.Social psychiatry and psychiatric epidemiology · 2026Pooled it
- Social inclusion inequalities between individuals with mental disorders and the general population: a systematic review and meta-analysis.Epidemiology and psychiatric sciences · 2026Pooled it
- Targeted interventions to improve the social and economic circumstances of people with mental ill-health from marginalised communities: a systematic review.Psychological medicine · 2025Pooled it
- Mental Health Service Use in Sexually and Gender Diverse Youths and Cisgender Heterosexual Youths.JAMA network open · 2026Article
- Discriminatory Practices in the German Mental Healthcare System: An Intersectional Grounded Theory Study.Qualitative health research · 2026Article
- Intersectional patterns in dose-response associations between chronic diseases and mental health treatment utilization among New York City adults.Discover mental health · 2026Article
- Physical Activity Levels and Barriers Among Young People with Mental Disorders: A Mixed Methods Analysis Supporting the Development of a National Sport Mental Health Clinic.Sports (Basel, Switzerland) · 2025Article
- The Sociology of Suicide After COVID-19: Assessment of the Spanish Case.Behavioral sciences (Basel, Switzerland) · 2025Review
- Age-Dependent Efficacy of Electroconvulsive Therapy in Depression: A Longitudinal Study of Symptom Trajectories and Treatment Predictions.Brain and behavior · 2025Article
- A Serial Mediation Model of Perceived Social Class and Cyberbullying: The Role of Subjective Vitality in Friendship Relations and Psychological Distress.Iranian journal of psychiatry · 2025Article
- Distributions of recorded pain in mental health records: a natural language processing based study.BMJ open · 2024Article
- Mental health crisis situations: the nurse's work in Primary Health Care.Revista latino-americana de enfermagem · 2024Article
- Experiences of Every Mind Matters, Public Health England's adult mental health literacy campaign: a qualitative interview study.BMC public health · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis systematic review aimed to synthesise all quantitative literature on the association between social class and the effectiveness of interventions for mental health disorders.
methodsSystematic literature searches (inception-March 2021) were conducted across 7 databases, and all quantitative studies meeting inclusion criteria, examining the impact of social class on access to treatment, or intervention effectiveness, or the impact of treatment on social mobility, were synthesised narratively.
resultsEvidence suggests that lower social class may be associated with reduced access to primary and secondary mental health care and increased likelihood of access via crisis services, and patients of lower social class may not benefit from all mental health interventions, with reduced effectiveness. While limited, there was some indication that psychosocial interventions could encourage increased employment rates.
conclusionSocial class is associated with the effectiveness of psychological interventions, and should be considered when designing new interventions to prevent barriers to access and improve effectiveness.
Indexed as
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What OpenQuestion holds
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.