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BMC Psychiatry
Published in: BMC Psychiatry 1/2016

Open Access 01-12-2016 | Research article

Recognition of mental disorders among a multiracial population in Southeast Asia

Authors: Siow Ann Chong, Edimansyah Abdin, Louisa Picco, Shirlene Pang, Anitha Jeyagurunathan, Janhavi Ajit Vaingankar, Kian Woon Kwok, Mythily Subramaniam

Published in: BMC Psychiatry | Issue 1/2016

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Abstract

Background

Mental health literacy is an important mediating factor in help-seeking behavior. An important component of this literacy is the proper recognition of mental disorders. The aim of this population-based study in Singapore was to determine the proportion of adults in the resident population who were able to recognize vignettes pertaining to alcohol abuse, dementia, depression, obsessive compulsive disorder (OCD) and schizophrenia correctly. The sociodemographic characteristics that were associated with the ability to correctly recognize these disorders were also examined.

Methods

This was a nationwide cross-sectional study that involved establishing mental health literacy using a vignette approach. Respondents were recruited using a disproportionate stratified sampling design by age and ethnic groups. Face-to face-interviews were conducted with respondents aged 18 to 65 years belonging to Chinese, Malay, Indian and Other ethnic groups.

Results

A total of 3,006 respondents completed the survey (response rate of 71 %). The most well recognized conditions were dementia (66.3 %), alcohol abuse (57.1 %) and depression (55.2 %). The least recognized were OCD (28.7 %) and schizophrenia (11.5 %). Younger age and higher educational levels were found to be significant factors associated with the better recognition of specific disorders.

Conclusion

The relatively high rate of recognition of dementia was likely to be due to the emphasis on public education programmes on dementia which is viewed as an emerging challenge due to Singapore’s rapidly ageing population. The role of education and the portrayal of depression and alcohol related problems in the local mass media are possible influences in their better recognition as compared to OCD and schizophrenia. Sociodemographic characteristics influencing mental health literacy need to be considered in planning intervention strategies that target mental health literacy.
Appendix
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Literature
1.
Demyttenaere K, Bruffaerts R, Posada-Villa J, Gasquet I, Kovess V, Lepine JP; WHO World Mental Health Survey Consortium. Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. J Am Med Assoc. 2004;291:2581–90.CrossRef
2.
Chong SA, Abdin E, Vaingankar JA, Heng D, Sherbourne C, Yap M, et al. A population-based survey of mental disorders in Singapore. Ann Acad Med Singapore. 2012;41:49–66.PubMed
3.
Chong SA, Abdin E, Sherbourne C, Vaingankar J, Heng D,M, Yap M, Subramaniam M. Treatment gap in common mental disorders: the Singapore perspective. Epidemiol Psychiatric Sci. 2012;21(2):195–202.CrossRef
4.
Chong SA, Abdin E, Vaingankar JA, Kwok KW, Subramaniam M. Where do people with mental disorders in Singapore go to for help? Ann Acad Med Singapore. 2012;41(4):154–60.PubMed
5.
Jorm AF, Korten AE, Jacomb PA, Christensen H, Rodgers B, Pollitt P. Mental health literacy: A survey of the public’s ability to recognize mental disorders and their beliefs about the effectiveness of treatment. Med J Aust. 1997;166:182–6.PubMed
6.
Angermeyer MC, Dietrich S. Public beliefs about and attitudes towards people with mental illness: a review of population studies. Acta Psychiatr Scand. 2006;113:163–79.CrossRefPubMed
7.
McGorry PD, Purcell R, Hickie IB, Jorm AF. Investing in youth mental health is a best buy. Med J Aust. 2007;187:S5–7.
8.
Gulliver A, KM G t, Christensen H. Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review. BMC Psychiatry. 2010;10:113.CrossRefPubMedPubMedCentral
9.
Razali SM, Khan UA, Hasanah CI. Belief in supernatural causes of mental illness among Malay patients: impact on treatment. Acta Psychiatr Scand. 1996;94:331–5.CrossRef
10.
Kessler D, Lloyd K, Lewis G, Gray DP. Cross sectional study of symptom attribution and recognition of depression and anxiety in primary care. Br Med J. 1999;318:436–9.CrossRef
11.
Jacob KS, Bhugra D, Lloyd KR, Mann AH. Common mental disorders, explanatory models and consultation behaviour among Indian women living in the UK. J R Soc Med. 1998;91:66–7.PubMedPubMedCentral
12.
13.
Cotton SM, Wright A, Harris MG, Jorm AF, McGorry PD. Influence of gender on mental health literacy in young Australians. Aust N Z J Psychiatry. 2006;40(9):790–6.CrossRefPubMed
14.
Goldney RD, Fisher LJ, Dal Grande E, Taylor AW. Changes in mental health literacy about depression: South Australia, 1998 to 2004. Med J Aust. 2005;183:134–7.PubMed
15.
Francis C, Pirkis J, Dunt D, Blood RW, Davis C. Improving mental health literacy: Review of the literature. Melbourne: Centre for Health Program Evaluation, University of Melbourne; 2002.
16.
Subramaniam M, Chong SA, Vaingankar JA, Abdin E, Chua BY, Chua HC, et al. Prevalence of dementia in people aged 60 years and above: results from the WiSE study. J Alzheimers Dis. 2015;45(4):1127–38.PubMed
17.
18.
Kish L. Survey sampling. New York: Wiley; 1965.
19.
Chong SA, Verma S, Vaingankar JA, Chan YH, Wong LY, Heng BH. Perception of the public towards the mentally ill in developed Asian country. Soc Psychiatry Psychiatr Epidemiol. 2007;42:734–9.CrossRefPubMed
20.
Klein RJ, Proctor SE, Boudreault MA, Turczyn KM. Healthy People 2010 criteria for data suppression. Statistical notes, no 24. Hyattsville, Maryland: National Center for Health Statistics; 2002.
21.
22.
23.
Wong DEF, He X. Schizophrenia literacy among Chinese in Shanghai, China: a comparison with Chinese-speaking Australians in Melbourne and Chinese in Hong Kong. Aust N Z J Psychiatry. 2011;45:524–31.CrossRefPubMed
24.
Jorm AF, Christensen H, Griffiths KM. The public’s ability to recognize mental disorders and their beliefs about treatment: changes in Australia over 8 years. Aust N Z J Psychiatry. 2006;40:36–41.CrossRefPubMed
25.
Coles ME, Heimberg RG, Weiss BD. The public’s knowledge and beliefs about obsessive compulsive disorder. Depress Anxiety. 2013;30(8):778–85.CrossRefPubMed
26.
Subramaniam M, Abdin E, Vaingankar JA, Chong SA. Obsessive--compulsive disorder: prevalence, correlates, help-seeking and quality of life in a multiracial Asian population. Soc Psychiatry Psychiatr Epidemiol. 2012;47(12):2035–43.CrossRefPubMed
27.
Reavley NJ, Jorm AF. Recognition of mental disorders and beliefs about treatment and outcome: findings from an Australian National Survey of Mental Health Literacy and Stigma. Aust N Z J Psychiatry. 2011;45:947–56.CrossRefPubMed
28.
Bijl RV, Ravelli A. Psychiatric morbidity, service use, and need for care in the general population: results of the Netherlands mental health survey and incidence study. Am J Public Health. 2000;90:602–7.CrossRefPubMedPubMedCentral
29.
Saitz R, Svikis D, D’Onofrio G, Kraemer KL, Perl H. Challenges applying alcohol brief interventions in diverse practice settings: populations, outcomes, and costs. Alcohol Clin Expl Res. 2006;30:332–8.CrossRef
30.
Waldon I. Sex differences in illness incidence, prognosis, mortality: issues and evidence. Soc Sci Med. 1983;17:1107–23.CrossRef
31.
32.
Linzer M, Spitzer R, Kroenke K, Williams JB, Hahn S, Brody D, et al. Gender, quality of life, and mental disorders in primary care; results from the PRIMEMD 1000 study. Am J Med. 1996;101:526–33.CrossRefPubMed
33.
34.
Khan TM, Sulaiman SA, Hassali MA. Mental health literacy towards depression among non-medical students at a Malaysian university. Ment Health Fam Med. 2010;7:27–35.PubMedPubMedCentral
35.
Burns JR, Rapee RM. Adolescent mental health literacy: young people’s knowledge of depression and help seeking. J Adolesc. 2006;29:225–39.CrossRefPubMed
36.
Furnham A, Chan E. Lay theories of schizophrenia: a cross-cultural comparison of British and Hong Kong Chinese attitudes, attributions and beliefs. Soc Psychiatry Psychiatr Epidemiol. 2004;39:543–52.CrossRefPubMed
37.
Jorm AF, Nakane Y, Christensen H, Yoshioka K, Griffiths KM, Wata Y. Public beliefs about treatment and outcome of mental disorders: a comparison of Australia and Japan. BMC Med. 2005;3:12.CrossRefPubMedPubMedCentral
38.
Chong SA, Vaingankar J, Abdin E, Subramaniam M. The prevalence and impact of major depressive disorder among Chinese, Malays and Indians in an Asian multi-racial population. J Affect Disord. 2012;138(1–2):128–36.CrossRefPubMed
Metadata
Title
Recognition of mental disorders among a multiracial population in Southeast Asia
Authors
Siow Ann Chong
Edimansyah Abdin
Louisa Picco
Shirlene Pang
Anitha Jeyagurunathan
Janhavi Ajit Vaingankar
Kian Woon Kwok
Mythily Subramaniam
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2016
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-016-0837-2

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