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首页> 外文期刊>The British journal of psychiatry : >Common mental disorders among those attending primary health clinics and traditional healers in urban Tanzania
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Common mental disorders among those attending primary health clinics and traditional healers in urban Tanzania

机译：坦桑尼亚城市初级保健诊所和传统治疗师中常见的精神障碍

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Background Traditional healers provide a popular and accessible service across the African continent. Little is known of the characteristics or mental health status of those using these services. Aims To determine and compare the prevalence of common mental disorder among, and the characteristics of, those attending primary health care clinics (PHCs) and traditional healer centres (THCs) in Dar-es-Salaam. Method The Clinical Interview Schedule a€“ Revised was used to determine the prevalence of mental disorders in 178 patients from PHCs and 176 from THCs, aged 16a€“65 years. Results The prevalence of common mental disorders among THC patients (48%) was double that of PHC patients (24%). Being older, Christian, better educated, and divorced, separated or widowed were independently associated with THC attendance. None of these factors explained the excess of mental disorder amongTHC attenders. Conclusions The high prevalence of mental disorders among THC attenders may reflect the failure of primary health care services adequately to detect and treat these common and disabling disorders. Traditional healers should be involved in planning comprehensive mental health care.
机译：背景技术传统的治疗师为整个非洲大陆提供了一种受欢迎且可访问的服务。使用这些服务的人的特征或心理健康状况知之甚少。目的确定和比较在达累斯萨拉姆的初级保健诊所（PHC）和传统治疗中心（THC）的普通精神障碍的患病率及其特征。方法采用修订后的临床访谈表确定16岁至65岁的178例PHC患者和176例THC患者的精神障碍患病率。结果THC患者中常见精神障碍的患病率（48％）是PHC患者（24％）的两倍。年龄较大，基督教徒，受过良好教育，离婚，分居或丧偶与THC出勤率独立相关。这些因素均不能解释THC参与者中过度精神错乱的原因。结论THC参与者的精神障碍患病率很高，可能反映出初级卫生保健服务不足以检测和治疗这些常见和致残性障碍。传统治疗师应参与计划全面的精神保健。

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