Associations between sociodemographic characteristics and receipt of professional diagnosis in Common Mental Disorder: Results from the Adult Psychiatric Morbidity Survey 2014

TY - JOUR

T1 - Associations between sociodemographic characteristics and receipt of professional diagnosis in Common Mental Disorder: Results from the Adult Psychiatric Morbidity Survey 2014

AU - Bogdanova, Nadezhda

AU - Cooper, Claudia

AU - Ahmad, Gargie

AU - McManus, Sally

AU - Shoham, Natalie

PY - 2022/9/22

Y1 - 2022/9/22

N2 - 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. 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. 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. Ethnicity categories were heterogeneous. Data are cross-sectional, and selection and response bias are possible. 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. [Abstract copyright: Copyright © 2022. Published by Elsevier B.V.]

AB - 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. 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. 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. Ethnicity categories were heterogeneous. Data are cross-sectional, and selection and response bias are possible. 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. [Abstract copyright: Copyright © 2022. Published by Elsevier B.V.]

KW - Gender

KW - Diagnosis

KW - Common Mental Disorders

KW - Ethnicity

KW - Age

U2 - 10.1016/j.jad.2022.09.085

DO - 10.1016/j.jad.2022.09.085

M3 - Article

C2 - 36155230

SN - 0165-0327

VL - 319

SP - 112

EP - 118

JO - Journal of affective disorders

JF - Journal of affective disorders

ER -