Hosain G M Monawar, Chatterjee Nilesh, Ara Nighat, Islam Tariqul
Gono University, Savar, Dhaka, Bangladesh.
Public Health. 2007 Jan;121(1):18-24. doi: 10.1016/j.puhe.2006.06.018. Epub 2006 Oct 20.
Very few studies have examined mental health morbidity in Bangladesh. This community-based study of rural Bangladesh in 2000-2001 estimated the burden of mental morbidity among rural people of working age.
Community surveys were conducted with one respondent from each household of three selected villages in the service provision area of a non-profit public health organization. General Health Questionnaire 60 (GHQ-60) was used as a screening tool in Stage I, and clinical examination by a Western-trained psychiatrist was undertaken for concurrent validation in Stage II.
The overall prevalence of psychiatric disorders in this rural area was 16.5%. Depressive disorders and anxiety disorders constituted about one-half and one-third of the total cases, respectively. A significantly higher prevalence of mental disorders was found in the economically poor respondents, those over 45 years of age, and women from large families.
There is a high prevalence of psychiatric disorders in rural Bangladesh. These findings should aid the planning of locally relevant and appropriate mental healthcare programmes. There is an urgent need for a national mental healthcare policy that strengthens primary mental healthcare services.
极少有研究对孟加拉国的心理健康发病率进行调查。这项于2000年至2001年在孟加拉国农村地区开展的社区研究，估算了工作年龄农村人口的精神疾病负担。
在一个非营利性公共卫生组织的服务提供区域，对三个选定村庄的每户家庭中的一名受访者进行社区调查。在第一阶段使用一般健康问卷60（GHQ - 60）作为筛查工具，在第二阶段由一名接受西方培训的精神科医生进行临床检查以进行同步验证。
该农村地区精神疾病的总体患病率为16.5%。抑郁症和焦虑症分别约占病例总数的一半和三分之一。在经济贫困的受访者、45岁以上的人群以及大家庭中的女性中，精神障碍的患病率显著更高。
孟加拉国农村地区精神疾病的患病率很高。这些研究结果应有助于规划与当地相关且合适的精神卫生保健项目。迫切需要一项加强初级精神卫生保健服务的国家精神卫生保健政策。
