Mental disorders in Bangladesh: a systematic review.

Mental disorders in Bangladesh: a systematic review.
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DOI:
10.1186/s12888-014-0216-9
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发表时间:
2014-07-30
期刊:
影响因子:
4.4
通讯作者:
Alam DS
Alam DS
中科院分区:
医学2区
文献类型:
--
作者:
Hossain MD;Ahmed HU;Chowdhury WA;Niessen LW;Alam DS

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精神障碍是全球主要的公共卫生问题,低收入和中等收入国家的负担更高。在孟加拉国,系统收集的精神障碍数据很少,这使得问题的严重程度尚不明确。我们回顾了孟加拉国精神健康障碍的文献,总结了现有数据并找出证据差距。我们通过系统、全面的检索,找到了 1975 年至 2013 年 10 月期间发表的孟加拉国精神障碍相关文献。从所选文章中提取相关信息并以表格形式呈现。我们确定了 32 篇符合我们预先定义的资格标准的文章。据报告,成人精神障碍患病率为 6.5% 至 31.0%,儿童精神障碍患病率为 13.4% 至 22.9%。社区层面存在一些关于精神健康障碍的认识。人们对受影响者的治疗持消极态度,治疗并不是医疗保健服务的优先事项。精神卫生服务集中在大城市的三级医院,初级保健机构缺乏。孟加拉国的精神障碍负担很重,但这一领域在很大程度上未被认识和研究不足。为了改善孟加拉国的精神卫生服务,需要进一步精心设计的流行病学和临床研究。
Mental disorders constitute a major public health problem globally with higher burden in low and middle-income countries. In Bangladesh, systematically-collected data on mental disorders are scarce and this leaves the extent of the problem not so well defined. We reviewed the literature on mental health disorders in Bangladesh to summarize the available data and identify evidence gaps. We identified relevant literature on mental disorders within Bangladesh published between 1975 and October, 2013 through a systematic and comprehensive search. Relevant information from the selected articles was extracted and presented in tables. We identified 32 articles which met our pre-defined eligibility criteria. The reported prevalence of mental disorders varied from 6.5 to 31.0% among adults and from 13.4 to 22.9% among children. Some awareness regarding mental health disorders exists at community level. There is a negative attitude towards treatment of those affected and treatment is not a priority in health care delivery. Mental health services are concentrated around tertiary care hospitals in big cities and absent in primary care. The burden of mental disorders is high in Bangladesh, yet a largely unrecognized and under-researched area. To improve the mental health services in Bangladesh, further well-designed epidemiological and clinical research are needed.
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