Manjunatha Narayana, Jayasankar Pavithra, Suhas Satish, Rao Girish N, Gopalkrishna Gururaj, Varghese Mathew, Benegal Vivek
Department of Psychiatry, Tele-Medicine Centre, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
Indian J Psychiatry. 2022 Mar-Apr;64(2):138-142. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_964_21. Epub 2022 Mar 24.
Anxiety disorders (ADs) impact the quality of life and productivity at an individual level and result in substantial loss of national income. Representative epidemiological studies estimating the burden of ADs are limited in India. National Mental Health Survey (NMHS) 2016 of India aimed to strengthen mental health services across India assessed the prevalence and pattern of public health priority mental disorders for mental health-care policy and implementation. This article focuses on the current prevalence, sociodemographic correlates, disability, and treatment gap in ADs in the adult population of NMHS 2016.
NMHS 2016 was a nationally representative, multicentered study across 12 Indian states during 2014-2016. Diagnosis of ADs (generalized AD, panic disorder, agoraphobia, and social AD) was based on Mini-International Neuropsychiatric Interview 6.0.0. Disability was by Sheehan's Disability Scale.
The current weighted prevalence of ADs was 2.57% (95% confidence interval: 2.54-2.60). Risk factors identified were female gender, 40-59 age group, and urban metro dwellers. Around 60% suffered from the disability of varying severity. The overall treatment gap for ADs was 82.9%.
The burden of AD is similar to Depressive disorders, and this article calls for the immediate attention of policymakers to institute effective management plans in existing public health programs.
焦虑症在个人层面影响生活质量和生产力,并导致国家收入的大量损失。在印度,估算焦虑症负担的代表性流行病学研究有限。印度2016年国家心理健康调查旨在加强全印度的心理健康服务,评估了公共卫生重点精神障碍的患病率和模式,以制定心理健康护理政策并付诸实施。本文重点关注2016年国家心理健康调查成年人群中焦虑症的当前患病率、社会人口统计学相关因素、残疾情况和治疗缺口。
2016年国家心理健康调查是一项在2014 - 2016年期间对印度12个邦进行的具有全国代表性的多中心研究。焦虑症(广泛性焦虑症、惊恐障碍、广场恐惧症和社交焦虑症)的诊断基于《迷你国际神经精神病学访谈》6.0.0版本。残疾情况通过希恩残疾量表评估。
焦虑症当前加权患病率为2.57%(95%置信区间:2.54 - 2.60)。确定的风险因素为女性、40 - 59岁年龄组以及城市地铁居住者。约60%的人患有不同严重程度的残疾。焦虑症的总体治疗缺口为82.9%。
焦虑症的负担与抑郁症相似,本文呼吁政策制定者立即关注,在现有的公共卫生项目中制定有效的管理计划。