Epidemiological correlates of Common Mental Disorders in a rural community of South India: A cross sectional study

Authors

  • Shreyaswi Sathyanath M A J Institute of Medical Sciences and Research Centre, Mangalore, Karnataka https://orcid.org/0000-0002-5919-1222
  • Rashmi Kundapur K S Hegde Medical Academy, Deralaktte, Mangalore

DOI:

https://doi.org/10.47203/IJCH.2019.v31i04.012

Keywords:

Epidemiology, Mental Health, Community

Abstract

Background: Common Mental Disorders (CMDs) encompass a range of anxiety/depressive disorders. They cause considerable morbidity at individual level and pose a significant burden to the community in terms of the suffering and cost. Objectives: This study was done to determine the prevalence, determinants, patterns and severity of CMDs in a rural community of Udupi district. Methods: A cross sectional two- stage study was done in rural field practice area of Department of Community Medicine with the help of the Rural Psychiatry team from Department of Psychiatry. Screening for psychological distress in the first stage was done using SRQ-20. In second stage screen positive patients were assessed in Nitte CHC by trained psychiatrists using M.I.N.I schedule. Assessment of severity was done using Hamilton A scale (HAM A), Hamilton D scale (HAM D), Yale Brown Obsessive Compulsive Scale (YBOCS) and the Scale for Assessment of Somatic Symptoms (SASS). Results: Prevalence of CMDs was 26.5 per thousand population. Dysthymia was the most common diagnosis. Gender, marital status and educational status were the significant determinants of CMDs. Those who were married but staying separate/ divorced, illiterates and those educated up to primary school were the only groups with higher adjusted odds on multivariate analysis. The common presenting symptoms were sad mood/ crying episodes and somatic complaints. Conclusion: Prevalence of CMDs was low at 26.5 per thousand. Sad mood/ crying episodes as well as somatic complaints are the common presentations which have to be borne in mind when treating patients at the primary care level.

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Author Biography

Rashmi Kundapur, K S Hegde Medical Academy, Deralaktte, Mangalore

MD Community Medicine,

Professor,

Department of Community Medicine,

K S Hegde medical Academy, Deralakatte, Mangalore

References

Goldberg DP, Huxley P. Common Mental Disorders: A Bio-social Model. Illustrated edition. London, New York: Tavistock/Routledge; 1992.

National Commission on Macroeconomics and Health, India Gururaj G, Girish N, Isaac MK. Mental, neurological and substance abuse disorders: Strategies towards a systems approach. New Delhi, India; 2005

Rosendal M, Olde Hartman TC, Aamland A, van der Horst H, Lucassen P, Budtz-Lilly A, Burton C. "Medically unexplained" symptoms and symptom disorders in primary care: prognosis-based recognition and classification. BMC Fam Pract. 2017 Feb 7;18(1):18. doi: 10.1186/s12875-017-0592-6. PubMed PMID: 28173764; PubMed Central PMCID: PMC5297117.[PubMed].

Stein DJ, Benjet C, Gureje O, Lund C, Scott KM, Poznyak V, van Ommeren M. Integrating mental health with other non-communicable diseases. BMJ. 2019 Jan 28;364:l295. doi: 10.1136/bmj.l295. PubMed PMID: 30692081; PubMed Central PMCID: PMC6348425.[PubMed].

Depression and Other Common Mental Disorders. Available at: http://www.who.int/mental_health/management/depression/prevalence_global_health_estimates/en/. Accessed on June 19, 2019

Math SB, Srinivasaraju R. Indian psychiatric epidemiological studies: Learning from the past. Indian J Psychiatry. 2010;52(7):95.

National Family Health Survey. Available from [cited 2019 Jun 3]. Available at: http://rchiips.org/nfhs/NFHS-4Report.shtml. Accessed on June 3, 2019

ICD-10 Version:2016 [Internet]. [cited 2019 May 4]. Available at: https://icd.who.int/browse10/2016/en#/F30-F39. Accessed on May 4,2019

A User’s Guide to the Self Reporting Questionnaire (SRQ). Available at: whqlibdoc.who.int/hq/1994/WHO_ MNH_PSF_94.8.pdf. Accessed on Sep 16,2013

Singh T, Sharma S, Nagesh S. Socio-economic status scales updated for 2017. Int J Res Med Sci. 2017;5(7):3264–7.

Chipimo PJ, Fylkesnes K. Comparative Validity of Screening Instruments for Mental Distress in Zambia. Clin Pract Epidemiol Ment Health CP EMH. 2010; 6:4–15.

Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, et al. The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry. 1998;59 Suppl 20:22-33; quiz 34-57.

HAMILTON M. The assessment of anxiety states by rating. Br J Med Psychol. 1959;32(1):50-5. doi: 10.1111/j.2044-8341.1959.tb00467.x. PubMed PMID: 13638508.[PubMed].

HAMILTON M. A rating scale for depression. J Neurol Neurosurg Psychiatry. 1960 Feb;23:56-62. doi: 10.1136/jnnp.23.1.56. PubMed PMID: 14399272; PubMed Central PMCID: PMC495331.[PubMed].

Goodman WK, Price LH, Rasmussen SA, Mazure C, Fleischmann RL, Hill CL, Heninger GR, Charney DS. The Yale-Brown Obsessive Compulsive Scale. I. Development, use, and reliability. Arch Gen Psychiatry. 1989 Nov;46(11):1006-11. doi: 10.1001/archpsyc.1989.01810110048007. PubMed PMID: 2684084.[PubMed].

Chaturvedi SK, Sarmukaddam S. Scale for assessment of somatic symptoms: reliability and validity. Available at: Paper presented at 3rd ISSP Conference at Bombay. Accessed on Sep 16, 2013

Nandi D, Mukherjee S, Banerjee G, Boral G, Ghosh A, Sarkar S, et al. Psychiatric Morbidity in An Uprooted Community in Rural West Bengal. Indian J Psychiatry. 1978;20(2):137.

Reddy VM, Chandrashekar CR. Prevalence of mental and behavioural disorders in India : a meta-analysis. Indian J Psychiatry. 1998 Apr;40(2):149-57. PubMed PMID: 21494462; PubMed Central PMCID: PMC2965838.[PubMed].

Chisholm D, Sekar K, Kumar KK, Saeed K, James S, Mubbashar M, Murthy RS. Integration of mental health care into primary care. Demonstration cost-outcome study in India and Pakistan. Br J Psychiatry. 2000 Jun;176:581-8. doi: 10.1192/bjp.176.6.581. PubMed PMID: 10974966.[PubMed].

Patel V, Kirkwood BR, Pednekar S, Pereira B, Barros P, Fernandes J, Datta J, Pai R, Weiss H, Mabey D. Gender disadvantage and reproductive health risk factors for common mental disorders in women: a community survey in India. Arch Gen Psychiatry. 2006 Apr;63(4):404-13. doi: 10.1001/archpsyc.63.4.404. PubMed PMID: 16585469.[PubMed].

Shah AV, Goswami UA, Maniar RC, Hajariwala DC, Sinha BK. Prevalence of psychiatric disorders in Ahmedabad (An epidemiological study). Indian J Psychiatry. 1980;22(4):384–9.

Kishore J, Reddaiah VP, Kapoor V, Gill JS. Characteristics of mental morbidity in a rural primary health centre of haryana. Indian J Psychiatry. 1996;38(3):137–42.

Sen B, Nandi DN, Mukherjee SP, Mishra DC, Banerjee G, Sarkar S. Psychiatric morbidity in an urban slum-dwelling community. Indian J Psychiatry. 1984;26(3):185–93.

Araya R, Rojas G, Fritsch R, Acuña J, Lewis G. Common mental disorders in Santiago, Chile: prevalence and socio-demographic correlates. Br J Psychiatry J Ment Sci. 2001; 178:228–33.

Kessler RC, Chiu WT, Demler O, Walters EE. Prevalence, Severity, and Comorbidity of Twelve-month DSM-IV Disorders in the National Comorbidity Survey Replication (NCS-R). Arch Gen Psychiatry. 2005;62(6):617–27.

Wang PS, Berglund P, Kessler RC. Recent care of common mental disorders in the United States : prevalence and conformance with evidence-based recommendations. J Gen Intern Med. 2000 May;15(5):284-92. doi: 10.1046/j.1525-1497.2000.9908044.x. PubMed PMID: 10840263; PubMed Central PMCID: PMC1495452.[PubMed].

Bebbington P, Brugha T, Coid J, Crawford M, Deverill C, D’Souza J, et al. Adult psychiatric morbidity in England, 2007: results of a household survey - Joint Commissioning Panel for Mental Health. Available at: http://www.jcpmh.info/resource/adult-psychiatric-morbidity-in-england-2007-results-of-a-household-survey/. Accessed on Sep 17, 2013

Patel V, Kleinman A. Poverty and common mental disorders in developing countries. Bull World Health Organ. 2003;81(8):609–15.

Lund C, Breen A, Flisher AJ, Kakuma R, Corrigall J, Joska JA, et al. Poverty and common mental disorders in low- and middle-income countries: A systematic review. Soc Sci Med 1982. 2010;71(3):517–28.

Fryers T, Melzer D, Jenkins R, Brugha T. The distribution of the common mental disorders: social inequalities in Europe. Clin Pract Epidemiol Ment Health CP EMH. 2005; 1:14.

Patel V, Kirkwood BR, Pednekar S, Weiss H, Mabey D. Risk factors for common mental disorders in women. Population-based longitudinal study. Br J Psychiatry J Ment Sci. 2006; 189:547–55.

Narayan D, Chambers R, Shah MK, Petesch P. Voices of the poor: crying out for change. The World Bank; 2000..Available at: http://documents.worldbank.org/curated/en/501121468325204794/Voices-of-the-poor-crying-out-for-change. Accessed on May 4, 2019

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Published

2019-12-31

How to Cite

1.
M SS, Kundapur R. Epidemiological correlates of Common Mental Disorders in a rural community of South India: A cross sectional study. Indian J Community Health [Internet]. 2019 Dec. 31 [cited 2024 May 20];31(4):490-8. Available from: https://www.iapsmupuk.org/journal/index.php/IJCH/article/view/1078

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