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印度在册部落的心理健康研究。

Mental health research on scheduled tribes in India.

作者信息

Devarapalli S V Siddhardh Kumar, Kallakuri Sudha, Salam Abdul, Maulik Pallab K

机构信息

Research and Development, George Institute for Global Health, Hyderabad, Telangana, India.

University of New South Wales, Sydney, Australia.

出版信息

Indian J Psychiatry. 2020 Nov-Dec;62(6):617-630. doi: 10.4103/psychiatry.IndianJPsychiatry_136_19. Epub 2020 Dec 12.

Abstract

BACKGROUND

The burden of mental illness among the scheduled tribe (ST) population in India is not known clearly.

AIM

The aim was to identify and appraise mental health research studies on ST population in India and collate such data to inform future research.

MATERIALS AND METHODS

Studies published between January 1980 and December 2018 on STs by following exclusion and inclusion criteria were selected for analysis. PubMed, PsychINFO, Embase, Sociofile, Cinhal, and Google Scholar were systematically searched to identify relevant studies. Quality of the included studies was assessed using an appraisal tool to assess the quality of cross-sectional studies and Critical Appraisal Checklist developed by Critical Appraisal Skills Programme. Studies were summarized and reported descriptively.

RESULTS

Thirty-two relevant studies were found and included in the review. Studies were categorized into the following three thematic areas: alcohol and substance use disorders, common mental disorders and sociocultural aspects, and access to mental health-care services. Sociocultural factors play a major role in understanding and determining mental disorders.

CONCLUSION

This study is the first of its kind to review research on mental health among the STs. Mental health research conducted among STs in India is limited and is mostly of low-to-moderate quality. Determinants of poor mental health and interventions for addressing them need to be studied on an urgent basis.

摘要

背景

印度在册部落(ST)人群的精神疾病负担尚不清楚。

目的

旨在识别和评估印度ST人群的心理健康研究,并整理此类数据以为未来研究提供参考。

材料与方法

选择1980年1月至2018年12月间发表的符合排除和纳入标准的关于ST人群的研究进行分析。系统检索了PubMed、PsychINFO、Embase、Sociofile、Cinhal和谷歌学术以识别相关研究。使用评估横断面研究质量的评估工具和由批判性评估技能计划制定的批判性评估清单对纳入研究的质量进行评估。对研究进行总结并进行描述性报告。

结果

共找到32项相关研究并纳入综述。研究分为以下三个主题领域:酒精和物质使用障碍、常见精神障碍及社会文化方面,以及获得精神卫生保健服务的情况。社会文化因素在理解和确定精神障碍方面起主要作用。

结论

本研究是同类研究中首次对ST人群心理健康研究进行综述。印度ST人群中开展的心理健康研究有限,且大多质量为低到中等。急需对不良心理健康的决定因素及其应对干预措施进行研究。

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