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苏图尔研究:南印度农村人口精神障碍的流行病学研究。

Suttur study: An epidemiological study of psychiatric disorders in south Indian rural population.

机构信息

Department of Psychiatry, JSS Medical College, JSS University, Mysore, India.

Department of Community Medicine, JSS Medical College, JSS University, Mysore, India.

出版信息

Indian J Psychiatry. 2014 Jul;56(3):238-45. doi: 10.4103/0019-5545.140618.

DOI:10.4103/0019-5545.140618
PMID:25316934
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4181178/
Abstract

BACKGROUND

Based on review of literature World Health Organization (WHO) Global Burden of Disease Study has estimated that psychiatric disorders are among the most burdensome, around the globe and has suggested general population surveys for future research. This study aims to estimate the prevalence of psychiatric disorders and study their association with various socioeconomic variables.

MATERIALS AND METHODS

This was an exploratory study where a door-to-door survey of the entire population residing in a South Indian village was done (n = 3033). Mini international neuropsychiatric interview kid (MINI) or MINI plus were administered to all the subjects according to the age group.

RESULTS

It was found that 24.40% of the subjects were suffering from one or more diagnosable psychiatric disorder. Prevalence of depressive disorders was found to be 14.82% and of anxiety disorders was 4%. Alcohol dependence syndrome was diagnosed in 3.95% of the population. Prevalence of dementia in subjects above 60 years was found to be 10%.

CONCLUSION

Our study is among the very few epidemiological studies with respect to methodological design which does not use screening questionnaires and evaluates each subject with detailed administration of MINI. It concluded that one among four were suffering from a psychiatric disorder. Improving the training of undergraduate medical and nursing students is likely to play a significant role in addressing the increasing psychiatric morbidities.

摘要

背景

基于文献回顾,世界卫生组织(WHO)全球疾病负担研究估计,精神障碍是最具负担的疾病之一,在全球范围内,并建议进行一般人群调查以进行未来的研究。本研究旨在估计精神障碍的患病率,并研究其与各种社会经济变量的关系。

材料和方法

这是一项探索性研究,对印度南部一个村庄的所有居民进行了逐户调查(n=3033)。根据年龄组,对所有受试者进行了迷你国际神经精神访谈儿童版(MINI)或 MINI 加版。

结果

发现 24.40%的受试者患有一种或多种可诊断的精神障碍。抑郁障碍的患病率为 14.82%,焦虑障碍为 4%。3.95%的人口被诊断为酒精依赖综合征。发现 60 岁以上受试者的痴呆患病率为 10%。

结论

我们的研究是为数不多的具有尊重方法论设计的流行病学研究之一,它不使用筛查问卷,而是通过详细管理 MINI 来评估每个受试者。它得出的结论是,每四个受试者中就有一个患有精神障碍。提高本科医学生和护理学生的培训可能对解决日益增加的精神疾病负担发挥重要作用。

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