M. VENKATASWAMY REDDY, Ph.D., Associate Professor of Biostatistics, National Institute of Mental Health & Neurosciences, Bangalore - 560 029.
Indian J Psychiatry. 1998 Apr;40(2):149-57.
A meta-analysis of 13 psychiatric epidemiological studies consisting of 33572 persons in 6550 families yielded an estimate prevalence rate of 58.2 per thousand population. Organic psychosis (prevalence rate 0.4), schizophrenia (2.7), affective disorders (12.3) contributed a rate of 15.4 for psychoses. The prevalence rate for mental retardation (6.9), epilepsy (4.4), neurotic disorders (20.7), alcohol/drug addiction (6.9; and miscellaneous group (3.9) were estimated. Higher prevalence for urban sector, females, age group of 35-44, married/widowers/divorced, lower socioeconomic status, and nuclear family members were confirmed. Epilepsy and hysteria were found significantly high in rural communities. Manic affective psychosis, mental retardation, alcohol/ drug addiction and personality disorders were significantly high in males. The findings indicated that there are 1.5 crore people suffering from severe mental disorders (psychoses) in India, and that severe diseases have higher representation at specialized as well as general hospital clinics. Among other things, the results aid in conducting morbidity surveys by more methodological approach.
对包含 6550 个家庭的 33572 人的 13 项精神流行病学研究进行了荟萃分析,得出的患病率估计为每千人中有 58.2 人。器质性精神病(患病率为 0.4%)、精神分裂症(2.7%)和情感障碍(12.3%)导致精神病的患病率为 15.4%。精神发育迟滞(6.9%)、癫痫(4.4%)、神经症(20.7%)、酒精/药物成瘾(6.9%)和其他各类疾病(3.9%)的患病率也被估算出来。城市地区、女性、35-44 岁年龄组、已婚/鳏夫/离婚、较低的社会经济地位和核心家庭成员的患病率较高得到了证实。农村社区的癫痫和歇斯底里症患病率显著较高。躁狂情感性精神病、精神发育迟滞、酒精/药物成瘾和人格障碍在男性中的患病率显著较高。研究结果表明,印度有 1500 万人患有严重精神障碍(精神病),严重疾病在专科医院和综合医院的就诊率更高。除其他事项外,这些结果有助于通过更具方法学的方法开展发病率调查。