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Indian Psychiatric epidemiological studies: Learning from the past.
Suresh Bada Math1, Ravindra Srinivasaraju
1Department of Psychiatry, National Institute of Mental Health and Neuro Sciences (Deemed University), Bangalore - 560 029, India.
This systematic review found that approximately 20% of India's adult population experiences psychiatric disorders. The findings highlight the need to shift mental healthcare focus to common disorders and primary health centers.
Area of Science:
- Psychiatry
- Epidemiology
- Public Health
Background:
- Mental health disorders represent a significant public health challenge globally and in India.
- Understanding the epidemiological landscape of psychiatric disorders is crucial for effective healthcare planning.
Purpose of the Study:
- To systematically review the epidemiology of psychiatric disorders in India.
- To analyze prevalence data from studies published between 1960 and 2009.
Main Methods:
- Conducted an extensive literature search across databases like PubMed, NeuroMed, and MEDLARS.
- Included manual searches of journals and cross-references.
- Applied specific inclusion and exclusion criteria for study selection.
Main Results:
- Prevalence rates for psychiatric disorders in India varied widely, from 9.5 to 370 per 1000 population.
- Available data suggests approximately 20% of the adult community population is affected by psychiatric disorders.
- International studies also show variations in prevalence rates.
Conclusions:
- Mental healthcare priorities should shift towards common mental disorders and primary health centers.
- Increasing issues like substance use and suicidal attempts necessitate a paradigm shift in community mental health services.
- Future research should focus on longitudinal, multi-center studies assessing disability, co-morbidity, and quality of life.
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