Title:Mapping Actionable Gaps in Patient Journey for Depression in the United Arab
Emirates: A Strategic Framework
Volume: 5
Author(s): Samer Makhoul*, Osama Ali, Nahida Nayaz Ahmed, Urooj Siddiqui and Amina Cherchali
Affiliation:
- Reem Hospital, Emirates Future Neuroscience Center, Abu Dhabi, United Arab Emirates
Keywords:
Depression, UAE population, Burden, Evidence gap, Mental health, Actionable, Strategic framework, Continuity of care.
Abstract:
Background:
Depression is on a steady rise across the United Arab Emirates (UAE), causing much socio-economic burden to the country. Identifying patient
journey gaps for depression, beginning with awareness and screening, diagnosis, and treatment to sustained remission and rehabilitation, can help
design health policies with actionable solutions, mitigating the burden of the disease.
Methods:
Studies in the English language between 2010 and 2021 were shortlisted using a structured search in electronic databases followed by an
unstructured search using government websites and Google Scholar and anecdotal data from local professional experts. Synthesized data was
subjected to weighted mean calculation, and an evidence gap map was charted.
Results:
Varying prevalence of depression (5.1%-82.2%) was reported across different settings and population sample sizes in the UAE. One study reported
that 13.0% of the UAE population was aware of their depressive condition. Screening rates of depression were reported to be relatively high
(34.2%-90.5%), while depression was diagnosed in 0.5%-48.5% of patients. The treatment rate was 36.1%, while adherence rates were estimated
to be low at 0.3%. No evidence of control or remission of depression could be gathered.
The reviewed studies used only the Diagnostic and Statistical Manual of Mental Disorders (DSM) diagnostic criteria for diagnosing depression.
The review also lacked large-scale research studies that may have limited the actual representation of the prevalence of depression across the
country.
Conclusion:
Addressing the gaps identified through evidence mapping methodology can shape a ‘model of care’ for depression. This model should aim to
harmonize collaborations among the mental health stakeholders and advocate for the social reintegration of patients.
