Articlehybrid2019

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 +4 more

105 citations0/0 files storedSocial Psychiatry and Psychiatric Epidemiology

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Mental Health Treatment and Access Psychiatric care and mental health services Psychology and Mental Health

Abstract

PURPOSE: To 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. METHODS: 6126 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. RESULTS: The 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. CONCLUSIONS: The 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.

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References

2013Diagnostic and Statistical Manual of Mental Disorders 2000Diagnostic and Statistical Manual of Mental Disorders.2004The World Mental Health (WMH) Survey Initiative version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI)2004Prevalence, Severity, and Unmet Need for Treatment of Mental Disorders in the World Health Organization World Mental Health Surveys 2010Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review 2014What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies 2016Correctional Populations in the United States, 2015 2008Treatment gap in mental health care.

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