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印度克什米尔成年人口焦虑与抑郁状况评估:一项横断面研究

Assessment of Anxiety and Depression among Adult Population of Kashmir, India: A Cross-sectional Study.

作者信息

Bashir Aadil, Khurshid Shabana, Altaf Mubashir, Bhatia Triptish, Singh Ravinder, Shoib Sheikh

机构信息

Assistant Professor, Department of Social Work, University of Kashmir, Srinagar, Jammu and Kashmir, India.

Senior Research Fellow, Department of Social Work, University of Kashmir, Srinagar, Jammu and Kashmir, India.

出版信息

J Clin Diagn Res. 2022 Jul;16(7):25-29. doi: 10.7860/jcdr/2022/53746.16649.

DOI:10.7860/jcdr/2022/53746.16649
PMID:36926295
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10011808/
Abstract

INTRODUCTION

Mental health in Kashmir remains a concern and is threatening to become an ever-increasing epidemic. The changing social structure and the low-intensity armed conflict have become the basis of a deteriorating state of mental health among Kashmiris. In addition to this, the other factors are widespread poverty, uncertainty, grief, oppression, fear and high unemployment with limited employment generating sectors.

AIM

To assess the depression, anxiety and mental distress among the adult population of Budgam district, Kashmir, India.

MATERIALS AND METHODS

A cross-sectional study was conducted at the community level in District Budgam, Jammu and Kashmir, India, from December 2019 to March 2020. Total three Investigators, one Senior Research Fellow (SRF) and two Junior Research Fellow (JRF) collected the data. The SRF was a Clinical Psychologist while the JRF were trained social workers. A door to door survey was conducted in the villages which were selected randomly from the list of the villages. The probability random sampling technique was used for the research purpose. Hopkins Symptoms Checklist-25 (HSCL-25) was used in the study and whereby after analysing the scores of the scale, results were derived. Chi-square and t-test were applied for statistical comparison.

RESULTS

Out of 133 individuals, 55 were males and 78 were females.The age of the sample ranged from 18 to 45 years, with a mean age of 37 years. Total 29.32% of the adults scored above the cut-off for anxiety symptoms and 34.58% scored above the cut-off for depressive symptoms, while 39% of these adults fall above the cut-off for mental distress scores.The validated cut-off score for the anxiety was 1.75 and for the depression was 1.57. Feeling tense, being worried, nervousness and low energy were reported as the symptoms of the mental distress among the people. Females, unemployed and individuals from lower socio-economic status reported higher degree of mental distress than others.

CONCLUSION

Mental health issues in terms of anxiety, depression, and mental distress are found among the adult population in district Budgam. There was a significant mean difference in the mental distress levels concerning various socio-demographic variables. The study concluded that being female, having some medical condition, being unemployed, belonging to lower socio-economic status, belonging to nuclear family predict mental health distress.

摘要

引言

克什米尔地区的心理健康状况依然令人担忧,并有演变成日益严重的流行病的趋势。社会结构的变化和低强度武装冲突已成为克什米尔人心理健康状况恶化的根源。除此之外,其他因素还包括普遍的贫困、不确定性、悲伤、压迫、恐惧以及就业创造部门有限导致的高失业率。

目的

评估印度克什米尔地区布德加姆县成年人口中的抑郁、焦虑和心理困扰情况。

材料与方法

2019年12月至2020年3月在印度查谟和克什米尔邦布德加姆县的社区层面开展了一项横断面研究。共有三名调查员,一名高级研究员(SRF)和两名初级研究员(JRF)收集数据。高级研究员是一名临床心理学家,而初级研究员是经过培训的社会工作者。在从村庄名单中随机挑选出的村庄进行挨家挨户的调查。研究采用概率随机抽样技术。本研究使用了霍普金斯症状清单-25(HSCL-25),通过分析该量表的得分得出结果。应用卡方检验和t检验进行统计比较。

结果

在133名个体中,男性55名,女性78名。样本年龄在18至45岁之间,平均年龄为37岁。共有29.32%的成年人焦虑症状得分高于临界值,34.58%的成年人抑郁症状得分高于临界值,而这些成年人中有39%的心理困扰得分高于临界值。焦虑的有效临界值为1.75,抑郁的有效临界值为1.57。人们报告称感到紧张、担忧、焦虑和精力不足是心理困扰的症状。女性、失业者以及社会经济地位较低的个体报告的心理困扰程度高于其他人。

结论

在布德加姆县的成年人口中发现了焦虑、抑郁和心理困扰等心理健康问题。在心理困扰水平方面,不同社会人口学变量存在显著的平均差异。研究得出结论,女性、患有某些疾病、失业、社会经济地位较低、属于核心家庭预示着心理健康困扰。

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