Sivakumar Thanapal, Jadhav Prabhu, Nabi Junaid, Tripathi Adarsh, Goyal Shri Gopal, Munda Sanjay Kumar, Sarkar Sharmila, Subramanyam Alka A, Oswal Rajat M, Ramasubramanian Chellamuthu, Chakrabarti Subho, Kattimani Shivanand
Department of Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India.
Department of Psychiatry, Government Medical College, Srinagar, Jammu and Kashmir, India.
Indian J Psychiatry. 2022 Jul-Aug;64(4):335-341. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_236_22. Epub 2022 Jul 13.
To study the sociodemographic and clinical profile of subjects receiving disability certificates (DCs) issued for psychiatric disorders across multiple centres in India.
Eleven centres, including ten government and one non-governmental organization spread across the country, participated in the study. Data on the sociodemographic and clinical profiles of patients who were issued DC in the calendar year 2019 were collected on a proforma designed for the study.
Overall, 2018 patients were issued DC for various psychiatric disorders across 11 centres in 2019. The number of certificates issued across different centres varied from 34 to 622. In terms of diagnostic profile, intellectual disability accounted for most of the certificates issued. In terms of psychiatric diagnosis, schizophrenia was the most common psychiatric diagnosis, followed by bipolar disorder, for which a DC was issued. When the diagnosis was considered, centre wise, intellectual disability (6 centres), mental illness (MI; 4 centres), and autism and specific learning disability (1 centre) accounted for the most DCs issued. Schizophrenia (9 centres), bipolar affective disorder (1 centre), and dementia (1 centre) were the most common MI for which DC was issued. Across centres, more than two-thirds of DC were issued to males.
There is a wide variation in the number and clinical profile of DC issued across centres.
研究在印度多个中心领取因精神障碍而颁发的残疾证书(DC)的受试者的社会人口统计学和临床特征。
包括分布在全国的10个政府机构和1个非政府组织在内的11个中心参与了该研究。使用为该研究设计的表格收集了2019日历年领取DC的患者的社会人口统计学和临床特征数据。
总体而言,2019年11个中心共有2018名患者因各种精神障碍领取了DC。不同中心颁发的证书数量从34份到622份不等。在诊断方面,智力残疾占颁发证书的大多数。在精神疾病诊断方面,精神分裂症是最常见的精神疾病诊断,其次是双相情感障碍,也颁发了DC。按中心来看,当考虑诊断时,智力残疾(6个中心)、精神疾病(MI;4个中心)以及自闭症和特定学习障碍(1个中心)占颁发DC最多的情况。精神分裂症(9个中心)、双相情感障碍(1个中心)和痴呆症(1个中心)是颁发DC最常见的MI。在各个中心,超过三分之二的DC颁发给了男性。
各中心颁发的DC数量和临床特征存在很大差异。