恐慌症:印度全国代表性普通人口的流行病学,残疾和治疗差距
Pavithra Jayasankar1, Suhas Satish1, Hari Hara Suchandra1
1Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
Indian journal of psychiatry
|February 1, 2024
概括
恐慌症 (PD) 影响印度0.3%的成年人,严重残疾和71.7%的治疗差距. 这项研究凸显了印度迫切需要更好的心理健康政策和对恐慌症的干预措施.
科学领域:
- 流行病学 流行病学
- 心理健康 心理健康
- 精神病学是一个精神病学.
背景情况:
- 恐慌症 (PD) 是一种常见且具有严重经济和社会影响的令人衰弱的焦虑症.
- 了解印度PD的患病率和模式至关重要,因为印度的医疗保健利用率和缺勤率很高.
- 从一般人口的角度来看,印度PD流行病学的以前数据是有限的.
研究的目的:
- 为了确定印度使用全国代表性样本的恐慌障碍的患病率.
- 评估印度人口中与恐慌症相关的残疾.
- 为了计算印度恐慌症治疗缺口.
主要方法:
- 利用印度2016年国家心理健康调查的数据,这是一项全国代表性的流行病学调查.
- 使用迷你国际神经精神病学面试 (MINI) 诊断的精神疾病 6.0.0.0.
- 使用希恩残疾量表评估残疾并分析社会人口统计学相关性,使用Firth惩罚后勤回归.
主要成果:
- 目前PD的加权患病率为0.3% (95% CI:0.28-0.41),终身患病率为0.5%.
- 在老年人,城市大都市居民和已婚/离婚个人中观察到现有PD的几率更高. 伴随性疾病包括 agoraphobia (42.3%) 和抑郁症 (30.9%).
- 目前患有PD的个体中,约有80%的人经历了一定程度的残疾,整体治疗差距为71.7%.
结论:
- 这是第一个从全国代表性的印度普通人口样本中报告PD患病率的研究.
- 这些发现强调了印度PD的重大负担,其特点是严重的残疾和大量的治疗差距.
- 迫切需要制定包容性心理健康政策和干预措施,以应对PD带来的挑战.
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