Cargando…
Psychiatric morbidity in the community: A population based-study from Kerala
BACKGROUND: Estimates of psychiatric morbidity in the community will help service development. Participation of trained nonspecialist health-care providers will facilitate scaling up of services in resource-limited settings. AIMS: This study aimed to estimate the prevalence of priority mental health...
Autores principales: | , , , , , , , , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2017
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5547854/ https://www.ncbi.nlm.nih.gov/pubmed/28827860 http://dx.doi.org/10.4103/psychiatry.IndianJPsychiatry_162_17 |
_version_ | 1783255747498344448 |
---|---|
author | Shaji, K. S. Raju, D. Sathesh, V Krishnakumar, P. Punnoose, Varghese P. Kiran, P. S Mini, B. S. Kumar, Shibu Anish, P. K Kaimal, Ganga G. Gupthan, Lekshmy Sumesh, T. P. Nikhil, U. G Cyriac, Nisha Vinod, M. D. Kumar, R. Prasad Chandran, Ramesh Rejani, P. P Amrutha, R Mahesh, Anand, TN |
author_facet | Shaji, K. S. Raju, D. Sathesh, V Krishnakumar, P. Punnoose, Varghese P. Kiran, P. S Mini, B. S. Kumar, Shibu Anish, P. K Kaimal, Ganga G. Gupthan, Lekshmy Sumesh, T. P. Nikhil, U. G Cyriac, Nisha Vinod, M. D. Kumar, R. Prasad Chandran, Ramesh Rejani, P. P Amrutha, R Mahesh, Anand, TN |
author_sort | Shaji, K. S. |
collection | PubMed |
description | BACKGROUND: Estimates of psychiatric morbidity in the community will help service development. Participation of trained nonspecialist health-care providers will facilitate scaling up of services in resource-limited settings. AIMS: This study aimed to estimate the prevalence of priority mental health problems in populations served by the District Mental Health Program (DMHP). SETTINGS AND DESIGN: This is a population-based cross-sectional survey. MATERIALS AND METHODS: We did stratified cluster sampling of households in five districts of Kerala. Trained Accredited Social Health Activists (ASHAs) identified people who had symptoms suggestive of schizophrenia or bipolar disorder. Clinicians evaluated the information collected by the ASHAs and designated individuals as probable cases of psychosis or noncases. Screening instruments such as General Health Questionnaire-12, CAGE questionnaire, and Everyday Abilities Scale for India were used for identifying common mental disorders (CMDs), clinically significant alcohol-related problems, and functional impairment. RESULTS: We found 12.43% of the adult population affected by mental health conditions. We found CMD as most common with a prevalence of 9%. The prevalence of psychosis was 0.71%, clinically significant alcohol-related problems was 1.46%, and dementia and other cognitive impairments was 1.26%. We found informant-based case finding to be useful in the identification of psychosis. CONCLUSIONS: Mental health problems are common. Nonspecialist health-care providers can be trained to identify psychiatric morbidity in the community. Their participation will help in narrowing the treatment gap. Embedding operational research to DMHP will make scaling up more efficient. |
format | Online Article Text |
id | pubmed-5547854 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-55478542017-08-21 Psychiatric morbidity in the community: A population based-study from Kerala Shaji, K. S. Raju, D. Sathesh, V Krishnakumar, P. Punnoose, Varghese P. Kiran, P. S Mini, B. S. Kumar, Shibu Anish, P. K Kaimal, Ganga G. Gupthan, Lekshmy Sumesh, T. P. Nikhil, U. G Cyriac, Nisha Vinod, M. D. Kumar, R. Prasad Chandran, Ramesh Rejani, P. P Amrutha, R Mahesh, Anand, TN Indian J Psychiatry Original Article BACKGROUND: Estimates of psychiatric morbidity in the community will help service development. Participation of trained nonspecialist health-care providers will facilitate scaling up of services in resource-limited settings. AIMS: This study aimed to estimate the prevalence of priority mental health problems in populations served by the District Mental Health Program (DMHP). SETTINGS AND DESIGN: This is a population-based cross-sectional survey. MATERIALS AND METHODS: We did stratified cluster sampling of households in five districts of Kerala. Trained Accredited Social Health Activists (ASHAs) identified people who had symptoms suggestive of schizophrenia or bipolar disorder. Clinicians evaluated the information collected by the ASHAs and designated individuals as probable cases of psychosis or noncases. Screening instruments such as General Health Questionnaire-12, CAGE questionnaire, and Everyday Abilities Scale for India were used for identifying common mental disorders (CMDs), clinically significant alcohol-related problems, and functional impairment. RESULTS: We found 12.43% of the adult population affected by mental health conditions. We found CMD as most common with a prevalence of 9%. The prevalence of psychosis was 0.71%, clinically significant alcohol-related problems was 1.46%, and dementia and other cognitive impairments was 1.26%. We found informant-based case finding to be useful in the identification of psychosis. CONCLUSIONS: Mental health problems are common. Nonspecialist health-care providers can be trained to identify psychiatric morbidity in the community. Their participation will help in narrowing the treatment gap. Embedding operational research to DMHP will make scaling up more efficient. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5547854/ /pubmed/28827860 http://dx.doi.org/10.4103/psychiatry.IndianJPsychiatry_162_17 Text en Copyright: © 2017 Indian Journal of Psychiatry http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Shaji, K. S. Raju, D. Sathesh, V Krishnakumar, P. Punnoose, Varghese P. Kiran, P. S Mini, B. S. Kumar, Shibu Anish, P. K Kaimal, Ganga G. Gupthan, Lekshmy Sumesh, T. P. Nikhil, U. G Cyriac, Nisha Vinod, M. D. Kumar, R. Prasad Chandran, Ramesh Rejani, P. P Amrutha, R Mahesh, Anand, TN Psychiatric morbidity in the community: A population based-study from Kerala |
title | Psychiatric morbidity in the community: A population based-study from Kerala |
title_full | Psychiatric morbidity in the community: A population based-study from Kerala |
title_fullStr | Psychiatric morbidity in the community: A population based-study from Kerala |
title_full_unstemmed | Psychiatric morbidity in the community: A population based-study from Kerala |
title_short | Psychiatric morbidity in the community: A population based-study from Kerala |
title_sort | psychiatric morbidity in the community: a population based-study from kerala |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5547854/ https://www.ncbi.nlm.nih.gov/pubmed/28827860 http://dx.doi.org/10.4103/psychiatry.IndianJPsychiatry_162_17 |
work_keys_str_mv | AT shajiks psychiatricmorbidityinthecommunityapopulationbasedstudyfromkerala AT rajud psychiatricmorbidityinthecommunityapopulationbasedstudyfromkerala AT satheshv psychiatricmorbidityinthecommunityapopulationbasedstudyfromkerala AT krishnakumarp psychiatricmorbidityinthecommunityapopulationbasedstudyfromkerala AT punnoosevarghesep psychiatricmorbidityinthecommunityapopulationbasedstudyfromkerala AT kiranps psychiatricmorbidityinthecommunityapopulationbasedstudyfromkerala AT minibs psychiatricmorbidityinthecommunityapopulationbasedstudyfromkerala AT kumarshibu psychiatricmorbidityinthecommunityapopulationbasedstudyfromkerala AT anishpk psychiatricmorbidityinthecommunityapopulationbasedstudyfromkerala AT kaimalgangag psychiatricmorbidityinthecommunityapopulationbasedstudyfromkerala AT gupthanlekshmy psychiatricmorbidityinthecommunityapopulationbasedstudyfromkerala AT sumeshtp psychiatricmorbidityinthecommunityapopulationbasedstudyfromkerala AT nikhilug psychiatricmorbidityinthecommunityapopulationbasedstudyfromkerala AT cyriacnisha psychiatricmorbidityinthecommunityapopulationbasedstudyfromkerala AT vinodmd psychiatricmorbidityinthecommunityapopulationbasedstudyfromkerala AT kumarrprasad psychiatricmorbidityinthecommunityapopulationbasedstudyfromkerala AT chandranramesh psychiatricmorbidityinthecommunityapopulationbasedstudyfromkerala AT rejanipp psychiatricmorbidityinthecommunityapopulationbasedstudyfromkerala AT amruthar psychiatricmorbidityinthecommunityapopulationbasedstudyfromkerala AT mahesh psychiatricmorbidityinthecommunityapopulationbasedstudyfromkerala AT anandtn psychiatricmorbidityinthecommunityapopulationbasedstudyfromkerala |