Lifetime and 12-month prevalence of mental disorders in the Nigerian Survey of Mental Health and Well-Being
Lifetime and 12-month prevalence of mental disorders in the Nigerian Survey of Mental Health and Well-Being
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DOI：
10.1192/bjp.188.5.465
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发表时间：
2006-05-01
影响因子：
10.5
通讯作者：
Makanjuola, Victor A.
中科院分区：
文献类型：
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作者：
Gureje, Oye;Lasebikan, Victor O.;Makanjuola, Victor A.
背景：在撒哈拉以南非洲，使用标准化评估工具对精神障碍流行率进行大规模社区研究的情况很少见。目的对尼日利亚约鲁巴语地区的家庭进行多阶段分层整群抽样。面对面访谈采用了世界精神卫生版的综合国际诊断访谈（WMH-CIDI）。结果4984人（回复率79.9%）中，12。1%的人一生中至少有一种DSM - IV障碍，5.8%的人有12个月的障碍。焦虑症是最常见的（5.7%）。1%（2个月的比率），但几乎没有发现广泛性焦虑或创伤后应激障碍。在23%的严重致残障碍患者中，只有8%的人在过去12个月内接受了治疗。治疗主要由普通医生提供；只有少数人接受了传统治疗师等替代疗法的治疗。结论观察到的低发病率似乎反映了人口统计学和确定因素。严重疾病患者的护理需求未得到满足，负担很大。利益声明无。资金详情见致谢。
Background Large-scale community studies of the prevalence of mental disorders using standardised assessment tools are rare in sub-Saharan Africa.Aims To conduct such a studyMethod Multistage stratified clustered sampling of households in the Yoruba-speaking parts of Nigeria. Face-to-face interviews used the World Mental Health version of the Composite International Diagnostic Interview (WMH-CIDI).Results Of the 4984 people interviewed (response rate 79.9%),12. 1 % had a lifetime rate of at least one DSM - IV disorder and 5.8% had 12-month disorders. Anxiety disorders were the most common (5.7% lifetime, 4. 1 % (2-month rates) but virtually no generalised anxiety or post-traumatic stress disorder were identified. Of the 23% who had seriously disabling disorders, only about 8% had received treatment in the preceding 12 months. Treatment was mostly provided by general medical practitioners; only a few were treated by alternative practitioners such as traditional healers.Conclusions The observed low rates seem to reflect demographic and ascertainment factors. There was a large burden of unmet need for care among people with serious disorders.Declaration of interest None. Funding detailed in Acknowledgements.