Channaveerachari Naveen Kumar, Raj Aneel, Joshi Suvarna, Paramita Prajna, Somanathan Revathi, Chandran Dhanya, Kasi Sekar, Bangalore N Roopesh, Math Suresh Bada
Department of Psychiatry, Hosur Raod, Bengaluru, Karnataka, India.
National Institute of Mental Health and Neurosciences (NIMHANS), Hosur Raod, Bengaluru, Karnataka, India.
Indian J Psychol Med. 2015 Apr-Jun;37(2):138-43. doi: 10.4103/0253-7176.155610.
To present the descriptive data on the frequency of medical and psychiatric morbidity and also to discuss various pertinent issues relevant to the disaster management, the future challenges and psychosocial needs of the 2013 floods in Uttarakhand, India.
Observation was undertaken by the disaster management team of National Institute of Mental Health and Neurosciences in the worst affected four districts of Uttarakhand. Qualified psychiatrists diagnosed the patients using the International Classification of Diseases-10 criteria. Data were collected by direct observation, interview of the survivors, group sessions, individual key-informant interview, individual session, and group interventions.
Patients with physical health problems formed the majority of treatment seekers (39.6%) in this report. Only about 2% had disaster induced psychiatric diagnoses. As was expected, minor mental disorders in the form of depressive disorders and anxiety disorders formed majority of the psychiatric morbidity. Substance use disorders appear to be very highly prevalent in the community; however, we were not able to assess the morbidity systematically.
The mental health infrastructure and manpower is abysmally inadequate. There is an urgent need to implement the National Mental Health Program to increase the mental health infrastructure and services in the four major disaster-affected districts.
呈现关于医疗和精神疾病发病率的描述性数据，并讨论与印度北阿坎德邦2013年洪水灾害管理、未来挑战及社会心理需求相关的各种问题。
由国家心理健康和神经科学研究所的灾害管理团队在北阿坎德邦受灾最严重的四个地区进行观察。合格的精神科医生使用国际疾病分类第10版标准对患者进行诊断。数据通过直接观察、对幸存者的访谈、小组会议、个体关键信息提供者访谈、个体会议以及小组干预收集。
在本报告中，寻求治疗的患者中身体健康问题患者占大多数（39.6%）。仅有约2%的患者被诊断为灾害所致精神疾病。正如预期的那样，以抑郁症和焦虑症形式存在的轻度精神障碍构成了精神疾病发病率的大部分。物质使用障碍在社区中似乎非常普遍；然而，我们未能系统地评估其发病率。
心理健康基础设施和人力严重不足。迫切需要实施国家心理健康计划，以增加四个主要受灾地区的心理健康基础设施和服务。
