Saldanha Daniel, Mujawar Swaleha, Chaudhury Suprakash, Banerjee Amitav
Department of Psychiatry, Dr. D Y Patil Medical College, Hospital and Research Centre, Dr. D Y Patil Vidyapeeth, Pune, Maharashtra, India.
Department of Community Medicine, Dr. D Y Patil Medical College, Hospital and Research Centre, Dr. D Y Patil Vidyapeeth, Pune, Maharashtra, India.
Ind Psychiatry J. 2021 Jan-Jun;30(1):96-101. doi: 10.4103/ipj.ipj_2_21. Epub 2021 May 11.
Depression is a significant public health issue that needs to be taken care of, as it poses a great economic burden on the society at large. Early identification and treatment of the patients will reduce mental morbidity and disability.
The aim is to study the prevalence and functional status of subjects with major depressive disorder in the community.
After identification of the sample population, the sociodemographic details were recorded. Subsequently, assessment was carried out by General Health Questionnaire (GHQ), Patient Health Questionnaire-9 (PHQ-9), Functional Status Questionnaire (FSQ), and Mini Mental State examination (MMSE).
A total of 2000 subjects were screened using the GHQ and PHQ and 544 subjects were selected. These 544 subjects were further assessed with FSQ and MMSE. Out of the 544 subjects, 65.1% had a GHQ score of <14, 22.1% had a score between 15 and 19, and 12.9% had a score of >20. The PHQ-9 score was found to be <5 in 28.9% subjects, 5-14 in 64.3% subjects, and >14 in 6.8% subjects. Majority of the sample population was in the warning zone according to the FSQ. The MMSE scores were ≥23 in 86% and ≤22 in 14% of the patients. Over 65% of the subjects were relatively mentally healthy. Out of the remaining 35%, 22% of the subjects required screening for psychiatric disorders and 13% of them did require active psychiatric intervention.
It would be beneficial to the community if a database is created regarding the psychiatric disorders such as depression prevalent in the community and their functional status so that the effective measures can be implemented to minimize the suffering by providing effective psychiatric care at the earliest and follow them up in the long run.
抑郁症是一个重大的公共卫生问题，需要加以关注，因为它给整个社会带来了巨大的经济负担。对患者进行早期识别和治疗将降低精神疾病的发病率和残疾率。
旨在研究社区中重度抑郁症患者的患病率和功能状态。
确定样本人群后，记录其社会人口学详细信息。随后，通过一般健康问卷（GHQ）、患者健康问卷-9（PHQ-9）、功能状态问卷（FSQ）和简易精神状态检查（MMSE）进行评估。
使用GHQ和PHQ对总共2000名受试者进行了筛查，选出544名受试者。对这544名受试者进一步用FSQ和MMSE进行评估。在544名受试者中，65.1%的GHQ得分<14，22.1%的得分在15至19之间，12.9%的得分>20。发现28.9%的受试者PHQ-9得分<5，64.3%的受试者得分在5至14之间，6.8%的受试者得分>14。根据FSQ，大多数样本人群处于警戒区。86%的患者MMSE得分≥23，14%的患者得分≤22。超过65%的受试者精神状态相对健康。在其余35%的受试者中，22%的受试者需要筛查精神疾病，其中13%确实需要积极的精神科干预。
如果建立一个关于社区中普遍存在的抑郁症等精神疾病及其功能状态的数据库，将对社区有益，这样就可以实施有效措施，通过尽早提供有效的精神科护理并长期随访，将痛苦降至最低。
