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印度农村地区常见精神障碍及其风险因素:SMART心理健康项目的基线数据

Common mental disorders and risk factors in rural India: baseline data from the SMART mental health project.

作者信息

Kallakuri Sudha, Devarapalli Siddhardha, Tripathi Anadya Prakash, Patel Anushka, Maulik Pallab K

机构信息

Research Assistant, George Institute for Global Health, New Delhi, India.

Research Fellow, George Institute for Global Health, New Delhi, India.

出版信息

BJPsych Open. 2018 Jun 22;4(4):192-198. doi: 10.1192/bjo.2018.28. eCollection 2018 Jul.

Abstract

BACKGROUND

About 10% Indians suffer from stress, depression or substance use disorders. Few receive care for these problems, especially in rural areas.

AIMS

As part of a broader initiative to deliver technology-enabled mental health services for rural communities (adults ≥18 years), information was collected about the prevalence of depression, anxiety and suicide risk.

METHOD

The study was conducted in 12 villages in the West Godavari district of Andhra Pradesh. Depression and anxiety were assessed using the Patient Health Questionnaire-9 and Generalized Anxiety Disorder-7, respectively. Additionally, data were collected about sociodemographic factors and stressful events, among others.

RESULTS

Anxiety, depression and suicidal ideation affected 10.8, 14.4 and 3.5% of participants, respectively ( = 22 377). These were more common among women, and among those who were aged 30-59 years, uneducated, or divorced/ separated/ widowed. Stress due to financial loss was significant.

CONCLUSIONS

The study identified a significant number of people at risk of depression, anxiety and suicide, and needing care.

DECLARATION OF INTEREST

None.

摘要

背景

约10%的印度人患有压力、抑郁或物质使用障碍。很少有人针对这些问题接受治疗,尤其是在农村地区。

目的

作为为农村社区(18岁及以上成年人)提供技术支持的心理健康服务这一更广泛倡议的一部分,收集了有关抑郁症、焦虑症和自杀风险患病率的信息。

方法

该研究在安得拉邦西戈达瓦里区的12个村庄进行。分别使用患者健康问卷9和广泛性焦虑症量表7评估抑郁症和焦虑症。此外,还收集了社会人口学因素和压力事件等数据。

结果

焦虑症、抑郁症和自杀意念分别影响了10.8%、14.4%和3.5%的参与者(n = 22377)。这些情况在女性中更为常见,在30 - 59岁、未受过教育或离婚/分居/丧偶的人群中也更为常见。经济损失导致的压力很大。

结论

该研究发现大量有抑郁症、焦虑症和自杀风险且需要护理的人群。

利益声明

无。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb41/6034434/b20ee9f6fc9a/S2056472418000285_fig1.jpg

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