Treatment gap in common mental disorders: the Singapore perspective

2012 ◽  
Vol 21 (2) ◽  
pp. 195-202 ◽  
Author(s):  
S. A. Chong ◽  
E. Abdin ◽  
C. Sherbourne ◽  
J. Vaingankar ◽  
D. Heng ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Help Seeking ◽  
Age Of Onset ◽  
Common Mental Disorders ◽  
Treatment Gap ◽  
Help Seeking Behavior ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Treatment Gaps ◽  
Seeking Behavior

Aims.The problem of wide treatment gaps in mental disorders is endemic world wide. The study aims to establish the treatment gap of common mental disorders in Singapore.Methods.A national sample of 6616 persons aged 18 years and above was surveyed with the World Mental Health Composite International Diagnostic Interview in which for each diagnostic module, respondents were asked a series of questions regarding treatment contact.Results.Treatment gap varied considerably between disorders; alcohol abuse had the largest treatment gap (96.2%), followed by obsessive compulsive disorder (89.8%) and alcohol dependence (88.3%). The disorder for which people were most likely to seek help was major depressive disorder. Women with dysthmia were more likely than men to seek help but this help seeking behavior was reversed among those with alcohol abuse and dependence. Age of onset was significantly associated with treatment contact with those who had an earlier age of onset less likely to have treatment contact than those with late age of onset for all disorders except obsessive compulsive disorder.Conclusions.Our findings suggest that treatment gaps are wide even in an economically developed country like Singapore and other than sociodemographic factors, cultural influences might play an important role in help seeking behavior.

scholarly journals Help-seeking behavior for problematic substance uses in Bahir Dar town, North-West Ethiopia

2018 ◽  
Author(s):  
Habte Belete ◽  
Tesfa Mekonen ◽  
Wubalem Fekadu ◽  
Getasew Legas ◽  
Asmamaw Getnet
Keyword(s):  
Substance Use ◽  
Mental Disorders ◽  
Help Seeking ◽  
Common Mental Disorders ◽  
Bahir Dar ◽  
Help Seeking Behavior ◽  
Substance Users ◽  
Seeking Behavior ◽  
Problematic Substance ◽  
History Of

AbstractBackgroundMental, neurological and substance use disorders are common, but 76% to 85% of people with those disorders in low and middle-income countries did not receive treatment.ObjectiveOur objective was to assess the level of help seeking behavior and associated factors among residents with problematic substance uses (alcohol, khat, tobacco and hashish).MethodsCommunity based cross sectional study was conducted in Bahir Dar town among total of 548 participants with problematic substance users. We had interviewed for help seeking behavior by pre-tested modified General Help Seeking Questionnaire. Logistic regression was done and p-value < 0.05 was used for declaration of significant level. Adjusted odds ratios (AOR) and 95% confidence intervals (CI) have been used.ResultsAmong five hundred and forty-eight participants with problematic substance users, only one hundred and sixty-eight (30.7%) sought help for their substance related problems. Participants’ age above 35 years [AOR = .47 95% CI (.25, .90)], positively screened for common mental disorders [AOR = 4.12, 95% CI (2.7, 6.3)], comorbid medical [AOR = 3.0, 95% CI (1.7, 5.3)], and grand-families’ history of substance user [AOR = 2.18, 95% CI (1.4, 3.4)] found significantly associated with help seeking.ConclusionThere was low proportion of help seeking behavior among participants with problematic substance users. Advanced age was a barrier to seek help while medical illnesses, common mental disorders and history of substance use in grand families were found to enforce to seek help.

Mental health literacy among adolescents: Evidence from a community-based study in Delhi

2021 ◽  
pp. 002076402110061
Author(s):  
Aftab Ahmad ◽  
Harshal Ramesh Salve ◽  
Baridalyne Nongkynrih ◽  
Rajesh Sagar ◽  
Anand Krishnan
Keyword(s):  
Mental Health ◽  
Health Literacy ◽  
Mental Disorders ◽  
Help Seeking ◽  
Mental Health Literacy ◽  
Common Mental Disorders ◽  
P Value ◽  
Depression And Anxiety ◽  
Help Seeking Behavior ◽  
Seeking Behavior

Background: Mental Health Literacy (MHL) is the ability to recognize mental disorders, along with knowledge of professional help available, effective self-help strategies, skills to give support to others, and knowledge of how to prevent mental disorders. Adequate MHL is linked to better health-seeking behavior and management of mental illness. Aim: To assess the MHL related to depression and anxiety among adolescents of age 15 to 19 years residing in Delhi Methods: A survey was conducted among adolescents in southeast Delhi. MHL was assessed using sex-matched vignettes of Common Mental Disorders (CMDs) like depression and anxiety. MHL was assessed under domains of identifications of disorders, help-seeking behavior, knowledge about prevention, and stigmatizing attitude toward the respective illness. Statistical analysis was done in STATA and percentage of participants with adequate MHL in various domains was calculated, and difference between various groups was examined using chi-square test. Results: A total of 491 adolescents participated (response rate of 87.2%) of whom a 50.3% were girls and 57.8% were 15 to 17 years of age. Only 50 (10.2%) participants identified depression vignette as that of depression and 51 (10.4%) identified vignette of anxiety disorder as the same. No statistically significant gender differential in MHL was seen ( p value = .8). The stigmatizing attitude, assessed by asking a series of questions suggesting stigma toward the particular illness, was observed among almost all participants (depression -99.4%, and anxiety disorders -96.1%). 18.3% and 18.7% of participants reported correct knowledge about the prevention of depression and anxiety respectively. Four hundred and twenty-two (86%) identified the need to seek help for symptoms reported in vignettes. Of these, 234 (55%) preferred parents, and 62 (14.7%) look after friends for any help. Conclusion: Adolescents residing in Delhi reported poor MHL for Common Mental Disorders. High stigma and poor help-seeking behavior was also observed among the participants toward CMDs

The impact of Covid-19 pandemic on mental health and help-seeking behavior among Italian university students. A descriptive and cross-sectional study (Preprint)

2021 ◽  
Author(s):  
Micaela Di Consiglio ◽  
Sheila Merola ◽  
Tiziana Pascucci ◽  
Cristiano Violani ◽  
Alessandro Couyoumdjian
Keyword(s):  
Mental Health ◽  
University Students ◽  
Help Seeking ◽  
Negative Impact ◽  
Female Students ◽  
Help Seeking Behavior ◽  
Obsessive Compulsive ◽  
Paranoid Ideation ◽  
Seeking Behavior ◽  
The Impact

BACKGROUND To reduce the spread of Covid-19 the Italian government imposed a rigid lockdown and, for a whole year, it kept declaring stringent rules to curb the community spread. The pandemic had a great negative impact on general population mental health, including the one of university students. OBJECTIVE The study provides an overview about symptomatology and help-seeking behavior of university students before and during the Covid-19 pandemic and it aims to evaluate the impact of the different phases of the pandemic on students' mental health. METHODS We collected data in four time points: (1) March 2019-February 2020, (2) March-May 2020, (3) October-December 2020, (4) January 2020-March 2021. A total of 454 students have been included in the study. Students answered a socio-demographic questionnaire and a standardized questionnaire to evaluate a broad range of symptoms of psychopathology. Descriptive analyses have been conducted to explore student’s symptomatology and help-seeking behavior. Considering the significant gender-difference distribution between groups, groups comparison analysis has been conducted considering male and female separately. RESULTS Considering the total sample size, results suggest that students have experienced moderate to severe levels of depressive, obsessive-compulsive and anxiety symptomatology. About 14% of the sample met criteria for at least one mental health disorders, but most of them were not receiving mental health care. Moreover, during the lockdown, compared with other phases, female students reported worse symptoms in the following dimension: obsessive-compulsive, interpersonal sensitivity, depression, paranoid ideation and psychoticism. The increasing symptomatology quickly disappeared after the lifting of the quarantine. Results showed any difference in the male groups. CONCLUSIONS Our findings support the view of a negative mental health condition of university students and indicate an increase of symptomatology during the lockdown among female students. Preventive and support strategies should be improved in the university context.

scholarly journals HUBUNGAN KEPERCAYAAN DENGAN PERILAKU MENCARI PERTOLONGAN PADA KELUARGA ORANG DENGAN GANGGUAN JIWA DI KOTA TERNATE

2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Sriyani Masita ◽  
Andi Buanasari ◽  
Wico Silolonga
Keyword(s):  
Mental Disorders ◽  
Help Seeking ◽  
Sampling Technique ◽  
Total Sample ◽  
The Other ◽  
Help Seeking Behavior ◽  
Purposive Sampling ◽  
Or Groups ◽  
Seeking Behavior ◽  
Seeking Help

Abstrack : Believe is the willingness of a party to trust the other party based on the expectation that the other party will take certain important actions to heal the family member. Help seeking behavior of individuals or groups who make a way to seek help, treatment in the community an be done by means of bringing individuals to helath services, help from sharmans or other alternatives The purpose of this study was to determine the relationship of trust with behavior seeking help in families of people with mental disorders in Ternate City. the method of This research uses descriptive analytic research design. Sampling technique uses purposive sampling technique with a total sample of 124 respondents. Results Spearman correlation test obtained significant value trust with help seeking behavior 0,000. The conclusions of the results of this study indicate that there is a relationship between stigma and trust with behavior seeking help in people with mental disorders a families.Keywords: Mental disorders, trust, help seeking behaviorAbstrak : Kepercayaan adalah kesediaan suatu pihak untuk mempercayai pihak lain didasarkan pada harapan bahwa pihak lain tersebut akan melakukan tindakan tertentu yang penting untuk menyembuhkan anggota keluarganya. Perilaku mencari pertolongan adalah suatu perilaku individu atau kelompok yang melakukan suatu cara untuk mencari pertolongan. Pengobatan di masyarakat bisa dilakukan dengan cara membawa individu ke pelayanan kesehatan, pertolongan dukun atau alternatif lainya. Tujuan penelitian untuk mengidentifikasi hubungan antara kepercayaan dengan perilaku mencari pertolongan pada keluarga orang dengan gangguan jiwa di kota Ternate. Metode penelitian ini menggunakan desain penelitian deskriptif analitik. Teknik pengambilan Sampel menggunakan teknik purposive sampling dengan jumlah sampel sebanyak 124 responden. Hasil dengan menggunakan uji spearman korelasi didapatkan nilai signifikan kepercayaan dengan perilaku mencari pertolongan 0,000. Kesimpulan hasil penelitian ini menunjukan bahwa terdapat hubungan antara kepercayaan dengan perilaku mencari pertolongan pada keluarga orang dengan gangguan jiwa.Kata kunci : Gangguan jiwa, kepercayaan, perilaku mencari pertolongan

scholarly journals Help-seeking behavior of individuals with schizophrenia in the general population of Hunan, China

2020 ◽  
Author(s):  
Jing Ma ◽  
Qiongjuan Zheng ◽  
Yun Zhang ◽  
Chunyu Liu ◽  
Xuefei Tian ◽  
...  
Keyword(s):  
Family History ◽  
Mental Disorders ◽  
Help Seeking ◽  
Hunan Province ◽  
Help Seeking Behavior ◽  
First Choice ◽  
Education Levels ◽  
Seeking Behavior ◽  
History Of ◽  
Seeking Help

Abstract Purpose : This study aims to know the seeking help behavior (including seeking help or not, first choice, influential factors and barriers in seeking help) of individuals with SZ in Hunan province of China. Methods : The participants are from a larger epidemiological study of severe mental disorders in Hunan province of China. Self-made questionnaires were used to collect relative information. Results : 1) Of the 367 participants, 68.9% (253/367) sought help; of those, 64.6% (n=163) pursued professional psychiatric services and 30.8% (n=78) pursued non-medical options (i.e., relatives, praying to Buddha) as the most common first choices. 2) The help-seeking behavior ratio (seeking help individuals/total sample size) is significantly lower in the illiterate group than in other education levels. Those with a family history of mental disorders tend to have a higher help-seeking behavior ratio. And the first choice of help is largely related to education level. 3) Frequent reasons behind not seeking help include fear of stigmatization (72.9%), poor mental health literacy (64.5%), concerns over cost (50.6%), and limited access to medical services (47.0%). Conclusion : About one third of the individuals do not seek help. Individuals with SZ tend to choose psychiatric hospital and relatives as their first choice. A family history of mental disorders and higher education levels are meaningfully associated with help-seeking behavior, and individuals with more education tend to seek for professional help first. The primary reasons for not seeking help include fear of stigmatization, lack of awareness about mental illness, concerns over cost, etc.

scholarly journals Help-Seeking Behavior of Individuals With Schizophrenia in the General Population of Hunan, China

2020 ◽  
Author(s):  
Jing Ma ◽  
Qiongjuan Zheng ◽  
Yun Zhang ◽  
Chunyu Liu ◽  
Xuefei Tian ◽  
...  
Keyword(s):  
Family History ◽  
Mental Disorders ◽  
Help Seeking ◽  
Hunan Province ◽  
Help Seeking Behavior ◽  
First Choice ◽  
Education Levels ◽  
Seeking Behavior ◽  
History Of ◽  
Seeking Help

Abstract Background This study aims to know the seeking help behavior (including seeking help or not, first choice, influential factors and barriers in seeking help) of individuals with SZ (Schizophrenia) in Hunan province of China. Methods The participants are from a larger epidemiological study of severe mental disorders in Hunan province of China. Self-made questionnaires were used to collect relative information. Results (1) Of the 367 participants, 68.9% (253/367) sought help; of those, 64.6% (n=163) pursued professional psychiatric services and 30.8% (n=78) pursued non-medical options (i.e., relatives, praying to Buddha) as the most common first choices. (2) The help-seeking behavior ratio (seeking help individuals/total sample size) is significantly lower in the illiterate group than in other education levels. Those with a family history of mental disorders tend to have a higher help-seeking behavior ratio. And the first choice of help is largely related to education level. (3) Frequent reasons behind not seeking help include fear of stigmatization (72.9%), poor mental health literacy (64.5%), concerns over cost (50.6%), and limited access to medical services (47.0%). Conclusions About one third of the individuals do not seek help. Individuals with SZ tend to choose psychiatric hospital and relatives as their first choice. A family history of mental disorders and higher education levels are meaningfully associated with help-seeking behavior, and individuals with more education tend to seek for professional help first. The primary reasons for not seeking help include fear of stigmatization, lack of awareness about mental illness, concerns over cost, etcTrial registration This study is approved by ‘the ethics committee of the Brain Hospital of Hunan Province’,the committee’s reference numberis ‘Z2019045’.

scholarly journals Help-seeking Behavior of Individuals with Schizophrenia in the General Population of Hunan, China

2021 ◽  
Author(s):  
Jiawen Hu ◽  
Qiongjuan Zheng ◽  
Yun Zhang ◽  
Chunyu Liu ◽  
Xuefei Tian ◽  
...  
Keyword(s):  
Family History ◽  
Mental Disorders ◽  
Help Seeking ◽  
Hunan Province ◽  
Help Seeking Behavior ◽  
First Choice ◽  
Education Levels ◽  
Seeking Behavior ◽  
History Of ◽  
Seeking Help

Abstract PurposeThis study aims to know the seeking help behavior of individuals with SZ (Schizophrenia) in Hunan province of China. MethodsThe participants are from a larger epidemiological study of severe mental disorders in Hunan province of China. Self-made questionnaires were used to collect relative information. Results1) Of the 367 participants, 68.9% (253/367) sought help; of those, 64.6% (n=163) pursued professional psychiatric services and 30.8% (n=78) pursued non-medical options (i.e., relatives, praying to Buddha) as the most common first choices. 2) The help-seeking behavior ratio is significantly lower in the illiterate group than in other education levels. Those with a family history of mental disorders tend to have a higher help-seeking behavior ratio. 3) Frequent reasons behind not seeking help include fear of stigmatization (72.9%), poor mental health literacy (64.5%), concerns over cost (50.6%), and limited access to medical services（47.0%）.ConclusionAbout one third of the individuals do not seek help. Individuals with SZ tend to choose psychiatric hospital and relatives as their first choice. A family history of mental disorders and higher education levels are meaningfully associated with help-seeking behavior, and individuals with more education tend to seek for professional help first. The primary reasons for not seeking help include fear of stigmatization, lack of awareness about mental illness, concerns over cost, etc.

Role of traditional healers in the pathway of service for a sample of obsessive compulsive disorder patients in Egypt

2020 ◽  
pp. 002076402096335
Author(s):  
Tarek Okasha ◽  
Mahmoud M Elhabiby ◽  
Nesreen Mohsen ◽  
Hussein Sharaf ◽  
Zeinab Elnagar
Keyword(s):  
Mentally Ill ◽  
Help Seeking ◽  
Religious Commitment ◽  
Structured Interview ◽  
Traditional Healers ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Clinical Correlates ◽  
Seeking Behavior

Background: The diagnosis and treatment of an illness using traditional medicine is in most cases culture-specific and based on beliefs in the community. The majority of mentally ill patients prefer to attend to traditional healers because of the trust problems in the system, affordability, accessibility, and ease of the service. Aim: To assess the role of traditional healers among the pathway of psychiatric services of OCD patients, and to highlight its clinical correlates. Methods: we assessed 93 patients with OCD after confirmation of the diagnosis with fifth version of MINI semi structured interview, using a questionnaire designed and accustomed by authors to assess help seeking behavior in OCD patients and its sociodemographic and clinical correlates. Type of symptomatology and its severity were assessed using Y-BOCS. Results: A total of 39.8% sought traditional healers help, 94.6% were before psychiatric advice, main symptoms related to traditional healers seeking were religious and sexual obsessions. Main causes of traditional healers’ preference were stigma of seeking psychiatric advice in 89.2% of cases, considering disease related to religion in 81.1%, considering that religious commitment help in treatment 75, 7%, and considering disease related to magic and superstitions in 45.9%. Religious origin of illness was the most statistically significant factor related to seeking advice at traditional healers. Conclusion: This study shows that a significant percentage of the patients suffering from OCD prefer to approach traditional healers first due to their own beliefs mainly religious, and society acceptance.

scholarly journals Awareness on Mental Health Problems and Help Seeking Behavior among College Students

2017 ◽  
Vol 5 (1) ◽  
Author(s):  
P. Viswanatha Reddy
Keyword(s):  
Mental Health ◽  
College Students ◽  
Help Seeking ◽  
Mental Health Problems ◽  
Common Mental Disorders ◽  
Developed Countries ◽  
Health Problems ◽  
Help Seeking Behavior ◽  
Seeking Behavior ◽  
Distress Scale

Mental health has become a thoroughly studied concept in developed countries. Accordingly, a significant amount of research has focused on the intentions of college students and adolescents to seek help for mental health problems. This study aims at assessing help-seeking behavior for common mental disorders among students from Narayana group of institutions. Multi stage sampling technique was employed. Help sources were assessed using the Actual Help Seeking Questionnaire and mental health status was assessed using the 10-item Kessler psychological distress scale. A total of 760 students were involved in the study. Instruments were self-administered; Multi regression analysis was used. From the respondents, 58.4% students were found to have current mental health problems and 7.9% of the students reported ideas of harming themselves. 78.4% students had sought help for their problems. 83.8% sought help from one or more of the informal help sources. Parents, friends and religious leaders were the source of help. This may be due to lack of information about availability of mental health services.

Sign in / Sign up

Export Citation Format

Share Document