Stress and psychiatric disorder in rural Punjab - A community survey

被引:127
作者
Mumford, DB [1 ]
Saeed, K [1 ]
Ahmad, I [1 ]
Latif, S [1 ]
Mubbashar, MH [1 ]
机构
[1] RAWALPINDI MED COLL,DEPT PSYCHIAT,RAWALPINDI,PAKISTAN
关键词
D O I
10.1192/bjp.170.5.473
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background The prevalence of psychiatric disorders in rural Punjab;is unknown. Previous studies in rural areas elsewhere in the Indian subcontinent have yielded widely differing estimates. Method First-stage screening of a village near Gujar Khan used the Bradford Somatic Inventory and Self Reporting Questionnaire. Psychiatric interviews were conducted with stratified samples using the ICD-10 Diagnostic Criteria for Research. Results It is estimated that 66% of women and 25% of men suffered from anxiety and depressive disorders. Levels of emotional distress increased with age in both genders. Women living in unitary households reported more distress than those living in extended or joint families. With younger men and women, lower levels of education were associated with greater risk of psychiatric disorders. Social disadvantage was associated with more emotional distress. Conclusions This study in rural Punjab confirms the findings of a previous study in Chitral, northern Pakistan, of high levels of emotional distress and psychiatric morbidity among women in rural areas of Pakistan.
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页码:473 / 478
页数:6
相关论文
共 23 条
[1]  
[Anonymous], 1976, The Great Universe Of Kota: Stress, Change and Mental disorders in an Indian Village
[2]  
Brown GW., 1978, SOCIAL ORIGINS DEPRE
[3]  
Cattell R.B., 1988, HDB MULTIVARIATE EXP, P131
[4]  
Desjarlais R, 1995, WORLD MENTAL HLTH PR
[5]  
Dube K C, 1970, Acta Psychiatr Scand, V46, P327, DOI 10.1111/j.1600-0447.1970.tb02124.x
[6]  
GUARNACCIA PJ, 1990, AM J PSYCHIAT, V147, P1449
[7]   MENTAL-DISORDERS IN PRIMARY HEALTH-CARE - A STUDY OF THEIR FREQUENCY AND DIAGNOSIS IN 4 DEVELOPING-COUNTRIES [J].
HARDING, TW ;
DEARANGO, MV ;
BALTAZAR, J ;
CLIMENT, CE ;
IBRAHIM, HHA ;
LADRIDOIGNACIO, L ;
MURTHY, RS ;
WIG, NN .
PSYCHOLOGICAL MEDICINE, 1980, 10 (02) :231-241
[8]  
KAKAR S, 1981, INNER WORLD PSYCHOAN, P113
[9]   INCREASING RATES OF DEPRESSION [J].
KLERMAN, GL ;
WEISSMAN, MM .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1989, 261 (15) :2229-2235
[10]  
LYNN R, 1988, HDB MULTIVARIATE EXP, P939