Common mental disorders and risk factors in rural India: baseline data from the SMART mental health project
- PMID: 29988932
- PMCID: PMC6034434
- DOI: 10.1192/bjo.2018.28
Common mental disorders and risk factors in rural India: baseline data from the SMART mental health project
Abstract
Background: About 10% Indians suffer from stress, depression or substance use disorders. Few receive care for these problems, especially in rural areas.
Aims: As part of a broader initiative to deliver technology-enabled mental health services for rural communities (adults ≥18 years), information was collected about the prevalence of depression, anxiety and suicide risk.
Method: The study was conducted in 12 villages in the West Godavari district of Andhra Pradesh. Depression and anxiety were assessed using the Patient Health Questionnaire-9 and Generalized Anxiety Disorder-7, respectively. Additionally, data were collected about sociodemographic factors and stressful events, among others.
Results: Anxiety, depression and suicidal ideation affected 10.8, 14.4 and 3.5% of participants, respectively (N = 22 377). These were more common among women, and among those who were aged 30-59 years, uneducated, or divorced/ separated/ widowed. Stress due to financial loss was significant.
Conclusions: The study identified a significant number of people at risk of depression, anxiety and suicide, and needing care.
Declaration of interest: None.
Keywords: India; Mental health services; common mental disorders; epidemiology; low- and middle-income countries; mental health intervention; rural communities.
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References
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- Office of the Registrar General & Census Commissioner. Rural Urban Distribution of Population, Census of India 2011. Ministry of Home Affairs, Government of India, 2011.
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- Reddy KS. India's aspirations for universal health coverage. N Engl J Med 2015; 373: 1–5. - PubMed
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