Department of Mental Health Nursing, School of Nursing and Midwifery, University of Ghana, P.O. Box LG 43, Legon, Accra, Ghana.
Research and Grant Institute of Ghana. P.O. Box LG 1004, Legon Post Office, Accra, Ghana.
Int Health. 2024 Mar 28;16(Supplement_1):i12-i21. doi: 10.1093/inthealth/ihae001.
Neglected tropical diseases (NTDs) are a group of disease conditions that affect the world's poorest people in low- and middle-income countries. NTDs are associated with negative behavioural experiences, including discrimination, rejection and stigmatization, that predisposes those affected to mental health problems. Consequently, researchers have shown profound interest in elucidating the mental health burden associated with NTDs. To address pertinent issues in the burgeoning literature relating to the prevalence, assessment and correlates of mental health problems in NTDs, a systematic review methodology was used. Underpinned by the PRISMA guidelines, a search was conducted of electronic databases, individual journals and bibliographies for articles that were screened and subjected to predetermined inclusion and exclusion criteria. Sixteen articles from African, Asian and South American countries were included in the review. Depression was the most widely investigated mental health issue, followed by stress and anxiety, with prevalence estimates of 7-54%, 8-43% and 19-53%, respectively. The PHQ-9 and GAD-7 and Self-Reporting Questionnaire were the most widely administered mental health screening tools. The major correlates of mental health problems are lower education and economic status and female gender. We recommend multisectoral and multilayered mental health and related interventions to address the increasing burden of mental health in NTDs.
被忽视的热带病（NTDs）是一组影响中低收入国家最贫困人口的疾病。NTDs 与负面行为体验有关，包括歧视、拒绝和污名化，使受影响者易患心理健康问题。因此，研究人员对阐明 NTDs 相关的心理健康负担表现出了浓厚的兴趣。为了解决与 NTDs 相关的心理健康问题的流行率、评估和相关性在不断增长的文献中出现的相关问题，采用了系统综述方法。在 PRISMA 指南的支持下，对电子数据库、个别期刊和参考文献进行了搜索，筛选出符合预定纳入和排除标准的文章。来自非洲、亚洲和南美洲的 16 篇文章被纳入综述。抑郁症是研究最多的心理健康问题，其次是压力和焦虑，患病率分别为 7-54%、8-43%和 19-53%。PHQ-9 和 GAD-7 和自我报告问卷是应用最广泛的心理健康筛查工具。心理健康问题的主要相关因素是教育和经济地位较低以及女性性别。我们建议采取多部门和多层次的心理健康及相关干预措施，以应对 NTDs 中日益增加的心理健康负担。
