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Recognition and beliefs about treatment for mental disorders in mainland China: a systematic review and meta-analysis

Purpose This review aimed to systematically investigate the Chinese public’s ability to recognize specific mental disorders and their knowledge and beliefs about available treatments. Methods Eight electronic databases were searched to identify quantitative studies examining recognition of depressio...

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Published in:Social Psychiatry and Psychiatric Epidemiology 2020-02, Vol.55 (2), p.129-149
Main Authors: Li, Wenjing, Reavley, Nicola
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description Purpose This review aimed to systematically investigate the Chinese public’s ability to recognize specific mental disorders and their knowledge and beliefs about available treatments. Methods Eight electronic databases were searched to identify quantitative studies examining recognition of depression, anxiety and/or schizophrenia, knowledge and beliefs about treatments, and/or correlates of each of the three constructs among the general population in China. Prevalence estimates were calculated for themes under each construct. Effect size r was computed for each relationship between an independent variable and one of the three constructs. Results A total of 65 studies ( N  = 174,253) were included in this review. Depression (25.4%), anxiety (18.2%) and schizophrenia (18.4%) had low recognition rates. More than 80% of people agreed that one should seek professional help for mental illnesses, but fewer than 40% were likely to use professional services for their own mental health issues. Regarding psychiatric medications, 57% of the respondents agreed that medications should be taken regularly, but more than 60% believed that they would be harmful. Gender, income, residential area, occupation, education and marital status were significantly associated with level of mental health knowledge. Conclusions The public’s level of mental health literacy related to recognition of specific mental disorders, and knowledge and beliefs about treatments is still relatively low. The government should consider public education campaigns to improve this.
doi_str_mv 10.1007/s00127-019-01799-3
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Methods Eight electronic databases were searched to identify quantitative studies examining recognition of depression, anxiety and/or schizophrenia, knowledge and beliefs about treatments, and/or correlates of each of the three constructs among the general population in China. Prevalence estimates were calculated for themes under each construct. Effect size r was computed for each relationship between an independent variable and one of the three constructs. Results A total of 65 studies ( N  = 174,253) were included in this review. Depression (25.4%), anxiety (18.2%) and schizophrenia (18.4%) had low recognition rates. More than 80% of people agreed that one should seek professional help for mental illnesses, but fewer than 40% were likely to use professional services for their own mental health issues. Regarding psychiatric medications, 57% of the respondents agreed that medications should be taken regularly, but more than 60% believed that they would be harmful. Gender, income, residential area, occupation, education and marital status were significantly associated with level of mental health knowledge. Conclusions The public’s level of mental health literacy related to recognition of specific mental disorders, and knowledge and beliefs about treatments is still relatively low. The government should consider public education campaigns to improve this.</description><identifier>ISSN: 0933-7954</identifier><identifier>EISSN: 1433-9285</identifier><identifier>DOI: 10.1007/s00127-019-01799-3</identifier><identifier>PMID: 31641829</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Analysis ; Anxiety ; Care and treatment ; Depression, Mental ; Education ; Epidemiology ; Health aspects ; Health literacy ; Illnesses ; Independent variables ; Medicine ; Medicine &amp; Public Health ; Mental depression ; Mental disorders ; Mental health ; Mental health care ; Meta-analysis ; Professional services ; Psychiatry ; Recognition ; Residential areas ; Review ; Schizophrenia ; Systematic review</subject><ispartof>Social Psychiatry and Psychiatric Epidemiology, 2020-02, Vol.55 (2), p.129-149</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2019</rights><rights>COPYRIGHT 2020 Springer</rights><rights>Social Psychiatry and Psychiatric Epidemiology is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c486t-473e003b98bbf24ec03742ef261dec0c037bcdf1d4adeebdcd1ef924b3309a263</citedby><cites>FETCH-LOGICAL-c486t-473e003b98bbf24ec03742ef261dec0c037bcdf1d4adeebdcd1ef924b3309a263</cites><orcidid>0000-0001-8091-6470</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31641829$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Li, Wenjing</creatorcontrib><creatorcontrib>Reavley, Nicola</creatorcontrib><title>Recognition and beliefs about treatment for mental disorders in mainland China: a systematic review and meta-analysis</title><title>Social Psychiatry and Psychiatric Epidemiology</title><addtitle>Soc Psychiatry Psychiatr Epidemiol</addtitle><addtitle>Soc Psychiatry Psychiatr Epidemiol</addtitle><description>Purpose This review aimed to systematically investigate the Chinese public’s ability to recognize specific mental disorders and their knowledge and beliefs about available treatments. Methods Eight electronic databases were searched to identify quantitative studies examining recognition of depression, anxiety and/or schizophrenia, knowledge and beliefs about treatments, and/or correlates of each of the three constructs among the general population in China. Prevalence estimates were calculated for themes under each construct. Effect size r was computed for each relationship between an independent variable and one of the three constructs. Results A total of 65 studies ( N  = 174,253) were included in this review. Depression (25.4%), anxiety (18.2%) and schizophrenia (18.4%) had low recognition rates. More than 80% of people agreed that one should seek professional help for mental illnesses, but fewer than 40% were likely to use professional services for their own mental health issues. Regarding psychiatric medications, 57% of the respondents agreed that medications should be taken regularly, but more than 60% believed that they would be harmful. Gender, income, residential area, occupation, education and marital status were significantly associated with level of mental health knowledge. Conclusions The public’s level of mental health literacy related to recognition of specific mental disorders, and knowledge and beliefs about treatments is still relatively low. 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Gender, income, residential area, occupation, education and marital status were significantly associated with level of mental health knowledge. Conclusions The public’s level of mental health literacy related to recognition of specific mental disorders, and knowledge and beliefs about treatments is still relatively low. The government should consider public education campaigns to improve this.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>31641829</pmid><doi>10.1007/s00127-019-01799-3</doi><tpages>21</tpages><orcidid>https://orcid.org/0000-0001-8091-6470</orcidid><oa>free_for_read</oa></addata></record>
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subjects Analysis
Anxiety
Care and treatment
Depression, Mental
Education
Epidemiology
Health aspects
Health literacy
Illnesses
Independent variables
Medicine
Medicine & Public Health
Mental depression
Mental disorders
Mental health
Mental health care
Meta-analysis
Professional services
Psychiatry
Recognition
Residential areas
Review
Schizophrenia
Systematic review
title Recognition and beliefs about treatment for mental disorders in mainland China: a systematic review and meta-analysis
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