在阿萨姆邦的精神和物质使用障碍的分布中,区级差异存在
Vijay Gogoi1, Priyadarshee Abhishek2, Soumik Sengupta1
1Department of Psychiatry, LGBRIMH, Tezpur, Assam, India.
Indian journal of psychiatry
|February 1, 2024
概括
精神健康障碍在阿萨姆各个地区都存在很大差异. 在迪布鲁加德,常见的精神障碍 (CMD) 普遍存在,而严重的精神障碍 (SMD) 在卡查尔更高,影响了医疗保健需求.
科学领域:
- 心理健康研究 心理健康研究
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 在阿萨姆州,精神疾病的终身患病率为8% (NMHS 2015-16).
- 了解区级精神障碍分布对于有针对性的编程至关重要.
- 各地区的社会地缘政治变化表明心理障碍模式的预期差异.
研究的目的:
- 评估常见精神障碍 (CMD) 和严重精神障碍 (SMD) 的区间差异.
- 评估阿萨姆州三个地区的社会经济影响,医疗保健利用率和精神障碍.
- 根据国家心理健康调查 (NMHS) 数据,识别精神疾病的差异.
主要方法:
- 在Dibrugarh,Barpeta和Cachar地区使用分层随机集群采样进行横截面研究.
- 评估精神疾病,残疾,社会经济影响和医疗保健利用率,使用标准化尺度和验证的问卷.
- 智方测试用于分析精神障碍分布的区间差异.
主要成果:
- 常见精神障碍 (CMD) 占精神疾病的79%.
- 迪布鲁加德地区的CMD比例较高 (79%),而卡查尔地区的重度精神障碍 (SMD) 比例较高 (55%).
- 酒精使用障碍在迪布鲁加德最为普遍 (71.6%),在残疾和医疗保健利用方面存在显著的区间差异.
结论:
- 阿萨姆州在CMD,SMD,医疗保健利用率和残疾方面存在显著的区间差异.
- 需要进一步的研究来探索影响这些分布的社会民族文化,宗教和地缘政治因素.
- 承认这些差异对于在阿萨姆州有效实施心理健康计划至关重要.
相关概念视频
Substance Use Disorders Affecting Sleep
167
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
167
Diagnostic and Statistical Manual of Mental Disorders (DSM)
56
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
56
Stress and Mental Health
157
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
157
Depressive Disorders: MDD and Dysthymia
136
Depressive disorders are a group of mental health conditions characterized by pervasive feelings of sadness, diminished pleasure in life, and a significant impact on daily functioning. These conditions are most prevalent in individuals during their 30s and affect women at twice the rate of men. Contrary to popular belief, younger individuals are generally more susceptible to these disorders than older adults. Two key types of depressive disorders include Major Depressive Disorder (MDD) and...
136
Drug Abuse and Addiction: Pharmacological Phenomena
476
Drug dependence, abuse, and addiction are complex phenomena that can precipitate various abnormal states. Physical dependence refers to a state of pharmacological adaptation to a drug. This adaptation often results in tolerance—a reduced response to the drug after repeated administrations. When the drug use is abruptly stopped, withdrawal symptoms occur due to the body's need to readjust from the pharmacologically induced imbalance. However, tolerance and withdrawal symptoms do not...
476
Attention-Deficit/Hyperactivity Disorder
68
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
68


