Searching Databases – Mental Health
Clinical Issue of Interest
The clinical issue of interest is exploring the impact of stigma and discrimination on the misdiagnosis or underdiagnosis of mental health disorders and treatments for adolescents and young adult minorities.
PICOT Question
In adolescents and young adult minorities (P), how does stigma and discrimination (I) compared to no stigma and discrimination (C) affect the misdiagnosis or underdiagnosis of mental health disorders and access to appropriate treatments (O) over the period of 10 years (T)?
Search Results and Strategies
I conducted a search on the Walden Library databases using the keywords “mental health,” “stigma,” “discrimination,” “misdiagnosis,” “underdiagnosis,” “adolescents,” and “minorities.” Initially, the search returned a large number of articles (over 1,000), many of which were not directly relevant to the clinical issue of interest. To streamline my search and make the search more effective, I applied Boolean operators and supplemented the PICO(T) components with specific terms.
- Population: “adolescents” OR “young adults” AND “Minorities”
- Issue/Problem: “mental health” AND (“stigma” OR “discrimination”)
- Comparison: (Not applicable)
- Outcome: (“misdiagnosis” OR “underdiagnosis” OR “treatment”)
With these terms combined with AND and OR operators, the search results became more focused and relevant. As a result, it returned about 50 articles. However, some of these articles were still not directly related to the clinical issue or were systematic reviews that were excluded based on the assignment instructions. Moreover, I improved the credibility as well as seeking efficiency of my research through;
- Limiting searches to peer-reviewed papers that were published within five years in order to get updated information concerning the subject matter.
- Using extra words or subject headings for particular mental disorders, e.g., depression, anxiety, or PTSD, in order to confine my scope.
- The use of filters found on databases, like limiting searches to original research articles, specific age groups, or even geographical areas when necessary.
- Conducting cited reference searches and related article suggestions given by the database.
- Working with librarians or experts in a certain discipline who can direct me toward other databases pertinent to this case or suggest alternative searching methods.
Therefore, such approaches allowed me to identify four peer-reviewed articles that address this clinical problem specifically; they will be used as a basis for further analysis and development of evidence-based practice (Castillo, 2019; Jimenez et al., 2022; Jörns-Presentati et al., 2021; Lu et al., 2021).
References
Castillo, E. G. (2019). Community interventions to promote mental health and social equity. Current Psychiatry Reports, 21(5), 1–14. https://doi.org/10.1007/s11920-019-1017-0
Jimenez, D. E., Park, M., Rosen, D., Joo, J. hui, Garza, D. M., Weinstein, E. R., Conner, K., Silva, C., & Okereke, O. (2022). Centering culture in mental health: Differences in diagnosis, treatment, and access to care among older people of color. The American Journal of Geriatric Psychiatry, 30(11). https://doi.org/10.1016/j.jagp.2022.07.001
Jörns-Presentati, A., Napp, A.-K., Dessauvagie, A. S., Stein, D. J., Jonker, D., Breet, E., Charles, W., Swart, R. L., Lahti, M., Suliman, S., Jansen, R., van den Heuvel, L. L., Seedat, S., & Groen, G. (2021). The prevalence of mental health problems in sub-Saharan adolescents: A systematic review. PLOS ONE, 16(5), e0251689. https://doi.org/10.1371/journal.pone.0251689
Lu, W., Todhunter-Reid, A., Mitsdarffer, M. L., Muñoz-Laboy, M., Yoon, A. S., & Xu, L. (2021). Barriers and facilitators for mental health service use among racial/ethnic minority adolescents: A systematic review of the literature. Frontiers in Public Health, 9. https://doi.org/10.3389/
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Question 
To Prepare:
• Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
• Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources.
Searching Databases – Mental Health
• Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least two different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
• Review the Resources for guidance and develop a PICO(T) question of interest to you for further study. It is suggested that an Intervention-type PICOT question be developed as these seem to work best for this course.
Post a brief description of your clinical issue of interest. (MENTAL HEALTH-stigma/ discrimination leads to mis/underdiagnosing of mental health disorders/treatments for adolescents and young adult minorities) This clinical issue will remain the same for the entire course and will be the basis for the development of your PICOT question. Describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators. Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question. Be specific and provide examples.