Risk factors, prevalence, and treatment of anxiety and depressive disorders in Pakistan: systematic review
Risk factors, prevalence, and treatment of anxiety and depressive disorders in Pakistan: systematic review
复制标题
DOI：
10.1136/bmj.328.7443.794
复制
发表时间：
2004-04-03
影响因子：
105.7
通讯作者：
Jenkins, R
中科院分区：
文献类型：
--
作者：
Mirza, I;Jenkins, R
目的评估焦虑和抑郁障碍在巴基斯坦的患病率、病因、治疗和预防方面的现有证据。设计系统的文献综述：回顾20项研究，其中17项给出患病率估计，11项讨论危险因素。主要结果指标焦虑和抑郁障碍的患病率、危险因素、治疗效果。结果与焦虑和抑郁障碍呈正相关的因素有女性、中年、低文化程度、经济困难、家庭主妇和人际关系问题。在3/11研究中，与丈夫的争吵和与姻亲的关系问题呈正相关。那些有亲密信任关系的人不太可能患上焦虑和抑郁障碍。社区人群中焦虑和抑郁障碍的平均总患病率为34%(女性为29-66%，男性为10-33%)。这些疾病的治疗方法没有严格的对照试验。结论现有证据表明，焦虑和抑郁障碍在巴基斯坦是一个主要的社会原因。由于方法问题，这些证据是有限的，因此在将其推广到巴基斯坦全体人口时必须谨慎行事。
Objectives To assess the available evidence on the prevalence, aetiology, treatment, and prevention of anxiety and depressive disorders in Pakistan.Design Systematic review of published literature:Studies reviewed 20 studies, of which 17 gave prevalence estimates and 11 discussed risk factors..Main outcome measures Prevalence of anxiety and depressive disorders, risk factors, effects of treatment.Results Factors positively associated with anxiety and depressive disorders were female sex, middle age, low , level of education, financial difficulty, being a housewife, and relationship problems. Arguments with husbands and relational problems with in-laws were positively associated in 3/11 studies. Those who had close confiding relationships were less likely to have anxiety and depressive disorders. Mean overall prevalence of anxiety and depressive disorders in the community population was 34% (range 29-66% for women and 10-33% for men). There were no rigorously controlled trials of treatments for these disorders.Conclusions Available evidence suggests a major social cause for anxiety and depressive disorders in Pakistan. This evidence is limited because of methodological problems, so caution must be exercised in generalising this to the whole of the population of Pakistan.