{"title":"东印度农村地区非传染性疾病患者中常见精神障碍的患病率和治疗差距。","authors":"Varsha Rajan, Priyamadhaba Behera, Suravi Patra, Arvind Kumar Singh, Binod Kumar Patro","doi":"10.1007/s00127-024-02618-0","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Mental and physical non-communicable diseases (NCDs) coexist, because they share common environmental and behavioral risk factors. The treatment gap for common mental disorders, such as depression, anxiety, and substance use, is large compared to other NCDs.</p><p><strong>Objective: </strong>To determine the prevalence and treatment gap of common mental disorders among patients with non-communicable diseases.</p><p><strong>Methodology: </strong>The community-based cross-sectional study was conducted in the rural parts of East India, in people aged 30 years and older with NCDs. A simple random sample was chosen to select the villages and participants. Eligible participants administered with screening and diagnostic questionnaire for depression, anxiety, and substance use. Those diagnosed with mental disorders were again assessed for treatment status in the last 12 months. Non-receipt of treatment was considered as treatment gap.</p><p><strong>Results: </strong>A total of 515 participants were included in the analysis. The overall prevalence of common mental disorders among the study population was 46.4% (95% CI 42.0-50.8), and excluding substance use, the prevalence was 11.7% (95% CI 9.0-14.7). The treatment gap for common mental disorders among patients with non-communicable diseases, including and excluding substance use, was 98.3% (95% CI 95.8-99.5) and 93.3% (95% CI 83.8-98.2), respectively.</p><p><strong>Conclusion: </strong>The prevalence and treatment gap of common mental disorders among persons with NCDs was high. Public health interventions need to be emphasized for the integration of mental health care into NCD care.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"1599-1606"},"PeriodicalIF":3.6000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Prevalence of common mental disorders and treatment gap among patients with non-communicable diseases in the rural areas of East India.\",\"authors\":\"Varsha Rajan, Priyamadhaba Behera, Suravi Patra, Arvind Kumar Singh, Binod Kumar Patro\",\"doi\":\"10.1007/s00127-024-02618-0\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Mental and physical non-communicable diseases (NCDs) coexist, because they share common environmental and behavioral risk factors. The treatment gap for common mental disorders, such as depression, anxiety, and substance use, is large compared to other NCDs.</p><p><strong>Objective: </strong>To determine the prevalence and treatment gap of common mental disorders among patients with non-communicable diseases.</p><p><strong>Methodology: </strong>The community-based cross-sectional study was conducted in the rural parts of East India, in people aged 30 years and older with NCDs. A simple random sample was chosen to select the villages and participants. Eligible participants administered with screening and diagnostic questionnaire for depression, anxiety, and substance use. Those diagnosed with mental disorders were again assessed for treatment status in the last 12 months. Non-receipt of treatment was considered as treatment gap.</p><p><strong>Results: </strong>A total of 515 participants were included in the analysis. The overall prevalence of common mental disorders among the study population was 46.4% (95% CI 42.0-50.8), and excluding substance use, the prevalence was 11.7% (95% CI 9.0-14.7). The treatment gap for common mental disorders among patients with non-communicable diseases, including and excluding substance use, was 98.3% (95% CI 95.8-99.5) and 93.3% (95% CI 83.8-98.2), respectively.</p><p><strong>Conclusion: </strong>The prevalence and treatment gap of common mental disorders among persons with NCDs was high. 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引用次数: 0
摘要
背景：精神疾病和身体非传染性疾病（NCDs）共存，因为它们具有共同的环境和行为风险因素。与其他非传染性疾病相比，常见精神障碍（如抑郁症、焦虑症和药物使用）的治疗差距很大：确定非传染性疾病患者中常见精神障碍的患病率和治疗差距：这项基于社区的横断面研究在印度东部农村地区进行，研究对象为 30 岁及以上的非传染性疾病患者。研究采用简单随机抽样的方式选择村庄和参与者。对符合条件的参与者进行了抑郁、焦虑和药物使用的筛查和诊断问卷调查。对确诊患有精神障碍的人再次评估其在过去 12 个月中的治疗情况。未接受治疗被视为治疗空白期：共有 515 名参与者参与了分析。研究人群中常见精神障碍的总体患病率为 46.4%（95% CI 42.0-50.8），不包括药物使用的患病率为 11.7%（95% CI 9.0-14.7）。非传染性疾病患者中常见精神障碍的治疗差距（包括药物使用和不包括药物使用）分别为 98.3% (95% CI 95.8-99.5) 和 93.3% (95% CI 83.8-98.2)：结论：在非传染性疾病患者中，常见精神障碍的患病率很高，治疗差距也很大。需要强调公共卫生干预措施，以便将精神卫生保健纳入非传染性疾病的治疗中。
Prevalence of common mental disorders and treatment gap among patients with non-communicable diseases in the rural areas of East India.
Background: Mental and physical non-communicable diseases (NCDs) coexist, because they share common environmental and behavioral risk factors. The treatment gap for common mental disorders, such as depression, anxiety, and substance use, is large compared to other NCDs.
Objective: To determine the prevalence and treatment gap of common mental disorders among patients with non-communicable diseases.
Methodology: The community-based cross-sectional study was conducted in the rural parts of East India, in people aged 30 years and older with NCDs. A simple random sample was chosen to select the villages and participants. Eligible participants administered with screening and diagnostic questionnaire for depression, anxiety, and substance use. Those diagnosed with mental disorders were again assessed for treatment status in the last 12 months. Non-receipt of treatment was considered as treatment gap.
Results: A total of 515 participants were included in the analysis. The overall prevalence of common mental disorders among the study population was 46.4% (95% CI 42.0-50.8), and excluding substance use, the prevalence was 11.7% (95% CI 9.0-14.7). The treatment gap for common mental disorders among patients with non-communicable diseases, including and excluding substance use, was 98.3% (95% CI 95.8-99.5) and 93.3% (95% CI 83.8-98.2), respectively.
Conclusion: The prevalence and treatment gap of common mental disorders among persons with NCDs was high. Public health interventions need to be emphasized for the integration of mental health care into NCD care.
期刊介绍：
Social Psychiatry and Psychiatric Epidemiology is intended to provide a medium for the prompt publication of scientific contributions concerned with all aspects of the epidemiology of psychiatric disorders - social, biological and genetic.
In addition, the journal has a particular focus on the effects of social conditions upon behaviour and the relationship between psychiatric disorders and the social environment. Contributions may be of a clinical nature provided they relate to social issues, or they may deal with specialised investigations in the fields of social psychology, sociology, anthropology, epidemiology, health service research, health economies or public mental health. We will publish papers on cross-cultural and trans-cultural themes. We do not publish case studies or small case series. While we will publish studies of reliability and validity of new instruments of interest to our readership, we will not publish articles reporting on the performance of established instruments in translation.
Both original work and review articles may be submitted.
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