■社交焦虑症(SAD),也被称为社交恐惧症,是一种致残的精神疾病,在印度的流行病学研究有限。这项研究,使用国家心理健康调查(NMHS)的数据,2016年,是第一个探索其目前在印度的流行和相关因素。
■印度的NMHS使用了一项基于人群的综合研究,该研究通过多阶段分层随机整群抽样技术在12个州中选择了受试者。该研究包括34,802名接受迷你国际精神病学访谈6.0.0采访的成年人。Firth惩罚逻辑回归(FPLR)用于估计协变量比值比(OR),并计算了使用Sheehan的残疾量表测量的SAD和残疾的治疗差距。
■该研究发现SAD的患病率为0.47%,受影响者的平均年龄为35.68岁(标准偏差(SD)=15.23)。因素,比如男性,失业,生活在城市地区,与更高的SAD几率相关,而老年人的几率较低。患有SAD的人中有很大一部分经历了工作中的残疾(63%),社会生活(77%),家庭生活(68%)。他们每月花费的中位数为2500卢比,患有精神疾病的比例很高(58%)。治疗差距很大,为82%。
■印度相当一部分人口(约>65万人口)受到SAD的影响。令人惊讶的是,NMHS2016年报告显示,与女性相比,男性患SAD的风险更高,这一趋势值得进一步调查。印度的SAD与严重的残疾和相当大的治疗差距有关,强调需要创新的方法来解决这一问题,受影响人口,特别是考虑到心理健康专业人员的稀缺。
UNASSIGNED: Social anxiety disorder (SAD), also termed as social phobia, is a disabling psychiatric condition with limited epidemiological research on it in India. This study, using data from the National Mental Health Survey (NMHS), 2016, is the first to explore its current prevalence and associated factors in India.
UNASSIGNED: The NMHS in India used a comprehensive population-based study with subjects selected through a multistage stratified random cluster sampling technique across 12 states. The study included 34,802 adults interviewed with the Mini-International Psychiatric Interview 6.0.0. Firth penalized logistic regression (FPLR) was used to estimate covariate odds ratios (ORs), and the treatment gap for SAD and disability measured using Sheehan\'s disability scale was calculated.
UNASSIGNED: The study found a 0.47% prevalence of SAD, with an average age of 35.68 years (standard deviation (SD) = 15.23) among those affected. Factors, such as male gender, unemployment, and living in urban areas, were associated with higher odds of SAD, while the elderly had lower odds. A significant proportion of individuals with SAD experienced disability in work (63%), social life (77%), and family life (68%). They spent a median of ₹ 2500 per month on treatment and had a high rate of comorbid psychiatric disorders (58%). The treatment gap was substantial at 82%.
UNASSIGNED: A considerable portion of India\'s population (approximately >65 lakhs) is affected by SAD. Surprisingly, the NMHS 2016 report indicates a higher risk of SAD among males compared with females, a trend that warrants further investigation. SAD in India is linked to significant disability and a considerable treatment gap, emphasizing the need for innovative approaches to address this large, affected population, especially in light of the scarcity of mental health professionals.