常见精神障碍及其相关因素:印度南部卡纳塔克邦妇女社区调查

Rakshitha R Shenoy, Divya Arvind Prabhu, A. Pandey, S. Praharaj, RS Shetty
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摘要

约 10% 的印度人患有常见精神障碍(CMD),其中包括抑郁症和焦虑症。这些疾病常见于女性,不仅影响她们的生活质量,也影响她们的家庭成员。这项研究的目的是估计居住在卡纳塔克邦沿海地区的妇女中常见精神障碍的发病率及其相关因素。从 2019 年至 2021 年,对 980 名年龄在 18 岁至 60 岁之间的妇女进行了横断面研究。研究人员对妇女进行了基线问卷调查,同时还进行了患者健康问卷-9(PHQ-9)、广泛性焦虑症问卷-7(GAD-7)和科恩感知压力量表-4(PSS-4)的问卷调查。数据使用 Epi-info 收集,并使用 SPSS 15.0 版进行分析。CMD与社会人口学、生殖健康和行为因素之间的关系以粗略和调整后的几率比(OR)及95%置信区间(CI)表示。妇女的 CMD 患病率为 5.7%,其中 4.6% 患有抑郁症,3.37% 患有焦虑症。多变量逻辑回归分析显示,居住在城市地区(OR = 2.15; 95% CI:1.10-4.17)、患有慢性疾病(OR = 2.38; 95% CI:1.14-4.97)、家庭近期有丧偶史(OR = 2.20; 95% CI:1。在该样本中,早婚(OR = 2.63;95% CI:1.09-6.33)、流产史(OR = 2.89;95% CI:1.42-5.92)和遭受家庭暴力(OR = 3.08;95% CI:1.14-8.33)与 CMDs 显著相关。研究显示,CMD 在受访妇女中很普遍,这就要求在初级保健机构中对妇女进行常规的 CMD 筛查,以便及早发现并采取适当的干预措施。
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Common Mental Disorders and Their Correlates: A Community-based Survey Among Women in Southern Karnataka, India
About 10% of Indians have common mental disorders (CMDs) which include depression and anxiety. These disorders are common in women, which not only impacts on their quality of life but also their family members. The objective of the study was to estimate the prevalence of CMDs, and factors associated with them among women residing in coastal Karnataka. A cross-sectional study was carried out among 980 women aged between 18 and 60 years from 2019 to 2021. Women were administered a baseline questionnaire along with Patient Health Questionnaire-9 (PHQ-9), Generalised Anxiety Disorder questionnaire-7 (GAD-7) and Cohen’s Perceived Stress Scale-4 (PSS-4). Data were collected using Epi-info and were analysed using SPSS version 15.0. Association between CMDs and socio-demographic, reproductive health and behavioural factors were expressed as crude and adjusted odds ratio (OR) with 95% confidence intervals (CI). The prevalence of CMDs among women was 5.7%, with 4.6% having depression and 3.37% with anxiety disorders. Multivariate logistic regression analysis showed that residing in urban areas (OR = 2.15; 95% CI:1.10–4.17), having a chronic illness (OR = 2.38; 95% CI:1.14–4.97), history of recent bereavement in the family (OR = 2.20; 95% CI:1.02–4.75), early marriage (OR = 2.63; 95% CI:1.09–6.33), history of abortion (OR = 2.89; 95% CI:1.42–5.92), and exposure to domestic violence (OR = 3.08; 95% CI:1.14–8.33) were significantly correlated with CMDs in this sample. The study revealed that CMDs were prevalent among the surveyed women, which calls for routine screening of women for CMDs in primary care settings for early identification and appropriate interventions.
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