Chavan B S, Das Subhash, Garg Rohit, Puri Sonia, Banavaram Aravind A
Department of Psychiatry, Government Medical College and Hospital, Chandigarh, Punjab, India.
Department of Psychiatry, Government Medical College and Rajindra Hospital, Patiala, Punjab, India.
Indian J Psychiatry. 2018 Jan-Mar;60(1):121-126. doi: 10.4103/psychiatry.IndianJPsychiatry_221_17.
Knowledge of the prevalence of mental disorders is essential for setting up services and allocation of resources. Existing studies suffer from methodological problems which limit their utility and generalizability. There was a long felt need to conduct a scientifically robust study in different regions of India to have national prevalence rates.
This study aims to estimate the prevalence of mental disorders in a representative population of Punjab as a part of the National Mental Health Survey.
Community-based survey carried out in rural and urban areas of Punjab using multistage, stratified, random cluster sampling technique and random selection was based on Probability Proportion to Size.
The survey was conducted in 60 clusters of 4 districts (Faridkot, Ludhiana, Moga, and Patiala) of Punjab. Mini-International Neuropsychiatric Interview adult version 6.0 for mental morbidity, case definition for generalized tonic-clonic seizure, an expansion of the Fagerström Nicotine Dependence Scale for tobacco use and screener for intellectual disability were used. Appropriate statistical methods were applied.
A total of 2895 respondents aged >18 years from 719 households were interviewed. The prevalence of lifetime and current mental morbidity was 17.94% and 13.42%, respectively. Higher prevalence of mental morbidity was found among persons aged >60 years and those belonging to lower income group and rural population.
The prevalence of mental morbidity is high in the population. The findings give a clear picture of magnitude of the problem and will help policy planners to tackle the situation which looks grave and warrants immediate intervention.
了解精神障碍的患病率对于建立服务体系和资源分配至关重要。现有研究存在方法学问题，限制了其效用和可推广性。长期以来，人们一直需要在印度不同地区开展一项科学严谨的研究，以得出全国患病率。
本研究旨在作为全国心理健康调查的一部分，估计旁遮普邦代表性人群中精神障碍的患病率。
采用多阶段、分层、随机整群抽样技术，在旁遮普邦农村和城市地区开展基于社区的调查，随机选择基于规模概率比例。
调查在旁遮普邦4个区（法里德科特、卢迪亚纳、莫加和帕蒂亚拉）的60个群组中进行。使用用于精神疾病的迷你国际神经精神病学访谈成人版6.0、全身性强直阵挛发作的病例定义、用于烟草使用的法格斯特伦尼古丁依赖量表扩展版以及智力残疾筛查工具。应用了适当的统计方法。
共对来自719户家庭的2895名18岁以上受访者进行了访谈。终生和当前精神疾病的患病率分别为17.94%和13.42%。60岁以上人群、低收入群体和农村人口中的精神疾病患病率较高。
该人群中精神疾病的患病率较高。研究结果清楚地呈现了问题的严重程度，将有助于政策制定者应对这一严峻且需要立即干预的情况。
