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Psychiatric impairment in rural communities.

B A Husaini, J A Neff, R H Stone

    Journal of Community Psychology
    |March 13, 1979
    PubMed
    Summary

    Approximately 12% of rural adults experience psychiatric impairment, with higher prevalence in females, divorced/widowed/separated individuals, and lower socioeconomic groups. Impairment correlates with self-perceived need for professional help.

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    Area of Science:

    • Psychiatry
    • Public Health
    • Rural Health

    Background:

    • Assessing psychiatric impairment in rural populations is crucial for targeted interventions.
    • Understanding demographic disparities in mental health is essential for equitable healthcare access.
    • Validating mental health assessment tools in diverse populations is a public health priority.

    Purpose of the Study:

    • To estimate the prevalence of psychiatric impairment in rural Middle Tennessee adults.
    • To identify demographic groups with higher psychiatric impairment levels.
    • To evaluate the validity of the Health and Outlook Survey (HOS), Center for Epidemiologic Studies Depression Scale (CES-D), and General Well-Being (GWB) indices.

    Main Methods:

    • A household survey was conducted with 713 adults across nine rural Middle Tennessee counties.
    • Data were collected to estimate psychiatric impairment prevalence and identify associated demographic factors.
    • Three psychiatric impairment indices (HOS, CES-D, GWB) were assessed for validity and predictive power regarding service utilization.

    Main Results:

    • An estimated 12% of the rural adult population may experience psychiatric impairment.
    • Females, divorced/widowed/separated individuals, and those in lower socioeconomic strata showed higher impairment levels.
    • Depression was more prevalent in younger respondents, while physical/psychosomatic complaints were higher in older adults.

    Conclusions:

    • The study highlights significant psychiatric impairment in the rural Middle Tennessee population, particularly among specific demographic groups.
    • Impaired individuals recognized their need for professional help, indicating potential for increased service engagement.
    • The General Well-Being (GWB) index demonstrated better discrimination of service utilization compared to the HOS and CES-D indices.

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