Understanding clinician perception of common presentations in South Asians seeking mental health treatment and determining barriers and facilitators to treatment

Rastogi, Pramit; Khushalani, Sunil; Dhawan, Swaran; Goga, Joshana; Hemanth, Naveena; Kosi, Razia; Sharma, Rashmi; Black, Betty S.; Jayaram, Geetha; Rao, Vani

doi:10.1016/j.ajp.2013.09.005

Cited by 41 publications

(43 citation statements)

References 22 publications

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“…For example, stigmas about mental illness42 or the belief that mental health problems can be overcome on their own26,42 have been identified as significant barriers to treatment. And while those of Asian race/ethnicity were less likely to receive mental health care in the past year (vs. White, non-Hispanic), this association was of borderline statistical significance in the final adjusted model (PR=0.3, 95% CI=0.1–1.1), but is consistent with other reports that stigmatization of mental health conditions may be particularly important in this population 44,45. Lack of continuity of care with primary health care providers has also been reported as a hindrance to establishing the comfort level needed for patients to initiate conversations about mental health problems 42.…”

Section: Discussionsupporting

confidence: 85%

Psychological well-being among US adults with arthritis and the unmet need for mental health care

Straub¹,

Cisternas

2017

OARRR

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PurposeMental health conditions can increase the risk of disability among adults with arthritis. The objective of this analysis was to compare the prevalence of serious psychological distress (SPD), depression, and anxiety among US adults with arthritis vs. those without; characterize adults with arthritis with and without SPD; and determine correlates of seeing a mental health professional during the year for adults with arthritis and SPD.Materials and methodsCross-sectional analysis of adults in the 2011–2013 National Health Interview Survey.ResultsHigher proportions of adults with arthritis had SPD (6.8% vs. 2.4%), depression (19.4% vs. 7.3%), and anxiety (29.3% vs. 16.3%) compared to those without. Of the estimated 3.5 million adults with arthritis and SPD, only 39% saw a mental health professional during the year. Adjusted analyses identified the following statistically significant relationships: those who were older (45–64 and ≥65 [vs.18–44], prevalence ratio [PR]=0.8 and 0.4, respectively), less educated (PR=0.5 and 0.7 for high school or less vs. college degree, respectively), and without health insurance coverage (vs. any private, PR=0.7), were less likely to see a mental health professional, whereas the disabled or unemployed (vs. employed, PR=1.6 and 1.5, respectively), and those unable to afford mental health care throughout the year (PR=1.3) were more likely.ConclusionThe high prevalence of SPD, anxiety, and depression in adults with arthritis suggests the need for increased mental health screening, with subsequent referral to mental health professionals or other treatment programs, in that population.

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Section: Discussionsupporting

confidence: 85%

Psychological well-being among US adults with arthritis and the unmet need for mental health care

Straub¹,

Cisternas

2017

OARRR

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“…Second, self-reported data are subject to social desirability; therefore, it is possible that psychological symptoms are under-reported because such symptoms may not be culturally acceptable in this ethnic group (24). To gain a better understanding of the emotional aspects of diabetes in the South Asian community, qualitative approaches should be explored.…”

Section: Discussionmentioning

confidence: 99%

Diabetes Distress and Depression in South Asian Canadians with Type 2 Diabetes

Sidhu

Tang

2017

Canadian Journal of Diabetes

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“…() reported that beliefs about causation and treatment efficacy anchored in culture and transmitted via social networks were significantly related to poor uptake of mental health services in Tamil refugees in Canada; findings which are echoed in other studies in South Asian migrant communities (Karasz , Rastogi et al . ).…”

Section: The Network Episode Model (Nem)mentioning

confidence: 97%

Agency, activation and compatriots: the influence of social networks on health‐seeking behaviours among Sri Lankan migrants and Anglo‐Australians with depression

Antoniades

Mazza

Brijnath

2018

Sociology Health & Illness

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The nexus between social networks and illness behaviours is important in uptake of health care, however scant research has explored this relationship in South Asian migrants living with mental illness. We explored the interplay between culture, social networks and health seeking in Sri Lankan migrants and Anglo-Australians living with depression. Forty-eight in-depth interviews were conducted and data were analysed through the theoretical prism of the network episode model. Results showed that social networks were important in negotiating care. Decisions to initiate care occurred along a continuum of choice and agency; some took charge of their care, others were coerced into care, however some Sri Lankan migrants were led through various informal channels of care. Selective activation of compatriots - those perceived to understand mental illness-became increasingly important to participants through their illness careers. Compatriots were considered of greater benefit as participants progressed through depression than otherwise meaningful social networks based on ethnicity, culture and kinship. We argue that the role of social networks is pivotal in uptake of formal care, and engaging with communities to improve responses of social networks to mental illnesses may provide a bottom-up avenue for improving uptake of mental health services in migrant communities.

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Understanding clinician perception of common presentations in South Asians seeking mental health treatment and determining barriers and facilitators to treatment

Cited by 41 publications

References 22 publications

Psychological well-being among US adults with arthritis and the unmet need for mental health care

Psychological well-being among US adults with arthritis and the unmet need for mental health care

Diabetes Distress and Depression in South Asian Canadians with Type 2 Diabetes

Agency, activation and compatriots: the influence of social networks on health‐seeking behaviours among Sri Lankan migrants and Anglo‐Australians with depression

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