Help-Seeking Patterns Among the General Population in Singapore: Results from the Singapore Mental Health Study 2016

Subramaniam, Mythily; Abdin, Edimansyah; Vaingankar, Janhavi Ajit; Sambasivam, Rajeswari; Zhang, Yunjue; Shahwan, Shazana; Chang, Sherilyn; Jeyagurunathan, Anitha; Chong, Siow Ann

doi:10.1007/s10488-020-01092-5

Cited by 14 publications

(10 citation statements)

References 47 publications

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“…Both major stakeholders acknowledged that help-seeking behavior among university students is lacking. This was supported by a recent mental health survey in Singapore, which found that more than one-third of those with mental health conditions never sought help for their mental health issues in their lives [ 5 ]. Our study, however, found a much more complex structure of support among our participants.…”

Section: Discussionmentioning

confidence: 87%

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Exploring the Perceptions of mHealth Interventions for the Prevention of Common Mental Disorders in University Students in Singapore: Qualitative Study

Salamanca-Sanabria¹,

Jabir²,

Lin³

et al. 2023

J Med Internet Res

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Background Mental health interventions delivered through mobile health (mHealth) technologies can increase the access to mental health services, especially among university students. The development of mHealth intervention is complex and needs to be context sensitive. There is currently limited evidence on the perceptions, needs, and barriers related to these interventions in the Southeast Asian context. Objective This qualitative study aimed to explore the perception of university students and mental health supporters in Singapore about mental health services, campaigns, and mHealth interventions with a focus on conversational agent interventions for the prevention of common mental disorders such as anxiety and depression. Methods We conducted 6 web-based focus group discussions with 30 university students and one-to-one web-based interviews with 11 mental health supporters consisting of faculty members tasked with student pastoral care, a mental health first aider, counselors, psychologists, a clinical psychologist, and a psychiatrist. The qualitative analysis followed a reflexive thematic analysis framework. Results The following 6 main themes were identified: a healthy lifestyle as students, access to mental health services, the role of mental health promotion campaigns, preferred mHealth engagement features, factors that influence the adoption of mHealth interventions, and cultural relevance of mHealth interventions. The interpretation of our findings shows that students were reluctant to use mental health services because of the fear of stigma and a possible lack of confidentiality. Conclusions Study participants viewed mHealth interventions for mental health as part of a blended intervention. They also felt that future mental health mHealth interventions should be more personalized and capable of managing adverse events such as suicidal ideation.

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Section: Discussionmentioning

confidence: 87%

“…The median age of onset of CMDs in Singapore is 22 years and most people with CMDs do not seek treatment within the first year of onset [ 4 ]. Furthermore, only 32% of those who have ever been diagnosed with a CMD have sought help from a specialized service provider [ 5 ], with a notable treatment gap identified among youth [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Exploring the Perceptions of mHealth Interventions for the Prevention of Common Mental Disorders in University Students in Singapore: Qualitative Study

Salamanca-Sanabria¹,

Jabir²,

Lin³

et al. 2023

J Med Internet Res

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“…Such discrepancy contributes to excess mortality and reduced life expectancy amongst PMDD (Parks et al 2006). Moreover, community-based primary care represented the first point of contact where persons with mental health conditions would seek help (Shafie et al 2021). Thus, existing community resources should be revised accordingly to integrate the care of both physical and psychological ailments amongst PMDD.…”

Section: Discussionmentioning

confidence: 99%

Community mental health interventions for people with major depressive disorder: A scoping review

Tan

Goh

2022

Int J Mental Health Nurs

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People with major depressive disorder continue to be marred by chronically pernicious yet preventable outcomes in the biopsychosocial aspects. With the reallocation of healthcare resources towards the fight against the coronavirus 2019 pandemic, much emphasis has been placed on existing community mental health interventions to ameliorate the disruption of mental health services. Moreover, the recent propulsion of community mental health services by the World Health Organization Mental Health Action Plan 2013-2030 ignited the need to bolster existing community interventions by providing comprehensive, responsive and integrated mental healthcare. The enhanced emphasis on mental healthcare in the community and the heightened demands of people with major depressive disorder underscores the need to explore the current state of community mental health interventions. This scoping review examined 51 primary studies published from year 2010 to 2020 using Arskey & O 0 Malley's five-stage framework and provided an overview of the impact of existing community mental health interventions for people with major depressive disorder. Findings using thematic analysis have recommended the adoption of person-centred community mental healthcare via the biopsychosocial approach for people with major depressive disorder. Enablers of community mental health interventions were driven by culturally appropriate care and augmented by technology-driven modalities. Challenges and gaps of community mental health interventions include the perpetuation of stigma and misconception, complex demands of persons with major depressive disorder and lack of holistic and long-term outcomes. Given the impact of major depressive disorder on the various biopsychosocial aspects, it is envisioned that our insights into the enablers and barriers of community mental health interventions will guide prospective interdisciplinary and nurse-led interventions in holistically improving the care of persons with major depressive disorder in the community settings.

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“…Version 3.0 of the Composite International Diagnostic Interview (CIDI-3.0) was initially developed for use in the World Health Organization-World Mental Health (WHO-WMH) survey and optimized for better effectiveness in community surveys [27]. CIDI-3.0 was used to assess lifetime and 12-month occurrence of DSM-IV disorders including MDD, dysthymia, generalized anxiety disorder, another anxiety disorder and/or alcohol abuse or dependence [28,29]. Prior literature has found that (1) the sensitivity of CIDI-3.0 screening was between 60.4% and 93.1%, the specificity was between 33.6% and 92.7%, the positive predictive value was between 60.1% and 95.1%, and the negative predictive value was between 68.1% and 93.7%; (2) the specificity of CIDI-3.0 diagnosis was between 97.1% and 98.9%, the sensitivity was between 33.3% and 70.3%, the positive predictive value was between 66.7% and 95.7%, and the negative predictive value was between 87.7% and 95.4%; (3) the diagnostic consistency of investigators Kappa = 0.78; (4) the test-retest reliability Kappa was between 0.737 and 1.0 [26].…”

Section: Major Depressive Disordermentioning

confidence: 99%

Perceived parenting styles and incidence of major depressive disorder: results from a 6985 freshmen cohort study

Cheng

Liu

et al. 2023

BMC Psychiatry

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Background Even though a fair amount of studies focus on depression among college students, the effect of perceived parenting styles on the incidence of major depressive disorder (MDD) among representative freshmen in Chinese context is scarcely studied. The aim of this study is to investigate the effect of parenting styles on MDD in Chinese freshmen. Methods A total of 9,928 Chinese freshmen were recruited in 2018. 6985 valid questionnaires were collected at one-year follow-up. Composite International Diagnostic Interview 3.0 (CIDI-3.0) was used for the diagnosis of MDD. Egna Minnen Beträffande Uppfostran (EMBU) questionnaire and Beck Depression Inventory-II (BDI-II) were used to assess parenting styles and baseline depressive symptoms, respectively. The associations between parenting styles and MDD incidence was analyzed with logistic regression. Results The incidence of MDD in freshmen was 2.23% (95%CI: 1.91-2.60%). Maternal overprotection (OR = 1.03, 95%CI: 1.01–1.05) and disharmony relationship between parents (OR = 2.35, 95% CI: 1.42–3.89) increased the risk of new-onset MDD in freshmen, respectively. Mild depressive symptoms (OR = 2.06, 95%CI: 1.06–4.02), moderate (OR = 4.64, 95%CI: 2.55–8.44) and severe depressive symptoms (OR = 7.46, 95%CI: 2.71–20.52) at baseline increased the risk of new-onset MDD. Conclusions Maternal overprotection, disharmony relationship between parents and baseline depressive symptoms are risk factors for new-onset MDD in Chinese freshmen.

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Help-Seeking Patterns Among the General Population in Singapore: Results from the Singapore Mental Health Study 2016

Cited by 14 publications

References 47 publications

Exploring the Perceptions of mHealth Interventions for the Prevention of Common Mental Disorders in University Students in Singapore: Qualitative Study

Exploring the Perceptions of mHealth Interventions for the Prevention of Common Mental Disorders in University Students in Singapore: Qualitative Study

Community mental health interventions for people with major depressive disorder: A scoping review

Perceived parenting styles and incidence of major depressive disorder: results from a 6985 freshmen cohort study

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