Bogdanova, Nadezhda;
Cooper, Claudia;
Ahmad, Gargie;
McManus, Sally;
Shoham, Natalie;
(2022)
Associations between sociodemographic characteristics and receipt of professional diagnosis in Common Mental Disorder: Results from the Adult Psychiatric Morbidity Survey 2014.
Journal of Affective Disorders
, 319
pp. 112-118.
10.1016/j.jad.2022.09.085.
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Abstract
BACKGROUND: Many people with Common Mental Disorders (CMDs), especially men, people from older age groups, and ethnic minority backgrounds, receive no treatment. Self-acknowledgement of mental illness symptoms, and a professional diagnosis are usually required to access treatment. To understand barriers, we therefore tested whether these groups were relatively less likely to self-diagnose a CMD, or to receive a professional diagnosis. METHODS: We analysed data from the 2014 English Adult Psychiatric Morbidity Survey (APMS). We used regression models to examine whether gender, age, and minority ethnic status were associated with professional and self-diagnosis, after controlling for CMD symptoms. RESULTS: 27.3 % of the population reported a professional and self-diagnosis of CMD, 15.9 % a self- diagnosis only, and the remainder no diagnosis. Odds of professional diagnosis were lower for men compared with women (adjusted odds ratio [AOR] 0.54, 95 % confidence intervals [CI] 0.47–0.62). People from White Other (0.49, 0.36–0.67), Black (0.31, 0.18–0.51), and Asian (0.22, 0.15–0.33) groups were less likely than the White British group to receive a professional diagnosis. The least likely age group to have a professional CMD diagnosis (relative to adults aged 16–34) were people aged over 75 (0.52, 0.39–0.69). Patterns were similar for self-diagnosis. LIMITATIONS: Ethnicity categories were heterogeneous. Data are cross-sectional, and selection and response bias are possible. CONCLUSIONS: For every three people who self-diagnose CMD, two have a professional diagnosis. Men, ethnic minority, and older age groups are less likely to receive a diagnosis or self-diagnose after adjustment for presence of symptoms.
| Type: | Article |
|---|---|
| Title: | Associations between sociodemographic characteristics and receipt of professional diagnosis in Common Mental Disorder: Results from the Adult Psychiatric Morbidity Survey 2014 |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1016/j.jad.2022.09.085 |
| Publisher version: | https://doi.org/10.1016/j.jad.2022.09.085 |
| Language: | English |
| Additional information: | Copyright © 2022 The Authors. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/) |
| Keywords: | Diagnosis, Common Mental Disorders, Ethnicity, Age, Gender |
| UCL classification: | UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL |
| URI: | https://discovery-pp.ucl.ac.uk/id/eprint/10156178 |
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