关键词: India National Mental Health Survey PTSD post-traumatic stress disorder resilience

来  源:   DOI:10.4103/indianjpsychiatry.indianjpsychiatry_830_23   PDF(Pubmed)

Abstract:
UNASSIGNED: Post-traumatic stress disorder (PTSD) is a chronic psychiatric condition associated with significant distress and dysfunction. While worldwide estimates of prevalence range from 3.9% to 24%, little research has been conducted to identify the prevalence of PTSD in the general population of India. This study analyzes data from the National Mental Health Survey 2015-2016, a comprehensive epidemiological study of mental health disorders in India, to explore the unique characteristics and prevalence of PTSD in the Indian population.
UNASSIGNED: The National Mental Health Survey 2015-2016 employed a multiple-stage, stratified, cluster-sampling methodology, covering 39,532 individuals in 12 states of India. The Mini-International Neuropsychiatric Interview (MINI) version 6.0.0 was used to diagnose psychiatric disorders, including PTSD. A detailed analysis of sociodemographic profiles, prevalence patterns, comorbidities, economic and social impact, and treatment-seeking behavior was conducted. Firth penalized logistic regression was employed to identify associated sociodemographic factors.
UNASSIGNED: The study revealed a low prevalence of PTSD in India at 0.2%, significantly lower than global averages. Factors associated with PTSD included female gender, middle age (40-49 years), and urban residence. The study also highlighted a high rate of comorbid mood and anxiety disorders, substantial disability, poor treatment-seeking behavior, and significant suicidal risk among individuals with PTSD.
UNASSIGNED: Our findings underscore the need for culturally informed diagnostic and management programs to accurately identify and address PTSD in the Indian population. Cultural nuances, stigma, and the use of Western-derived diagnostic instruments likely contribute to the underidentification and undertreatment of PTSD in India. The study emphasizes the importance of recognizing and addressing these challenges to improve mental health outcomes in India.
摘要:
创伤后应激障碍(PTSD)是一种与严重的痛苦和功能障碍相关的慢性精神疾病。虽然全世界对患病率的估计范围从3.9%到24%,很少有研究来确定印度普通人群中PTSD的患病率。这项研究分析了2015-2016年全国心理健康调查的数据,这是一项针对印度心理健康障碍的全面流行病学研究。探索印度人群PTSD的独特特征和患病率。
2015-2016年全国心理健康调查采用了多个阶段,分层,整群抽样方法,覆盖印度12个州的39532人。迷你国际神经精神访谈(MINI)版本6.0.0用于诊断精神疾病,包括PTSD.对社会人口统计概况的详细分析,流行模式,合并症,经济和社会影响,并进行了寻求治疗的行为。Firth惩罚逻辑回归用于识别相关的社会人口统计学因素。
该研究显示,印度的PTSD患病率较低,为0.2%,大大低于全球平均水平。与PTSD相关的因素包括女性性别,中年(40-49岁),城市住宅。该研究还强调了情绪和焦虑症的高发病率,严重残疾,不良的寻求治疗行为,创伤后应激障碍患者的自杀风险显著。
我们的研究结果强调了需要文化知情的诊断和管理计划,以准确识别和解决印度人口中的PTSD。文化细微差别,污名,西方衍生的诊断工具的使用可能导致印度PTSD的识别不足和治疗不足。该研究强调了认识和解决这些挑战以改善印度心理健康结果的重要性。
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