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Lifetime and 12-month prevalence of mental disorders in the Nigerian Survey of Mental Health and Well-Being

机译:尼日利亚精神健康与福祉调查中的精神障碍的终生和12个月患病率

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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 study. Method 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 (WMHa€“CIDI). Results Of the 4984 people interviewed (response rate 79.9%), 12.1% had a lifetime rate of at least one DSMa€“IV disorder and 5.8% had 12-month disorders. Anxiety disorders were the most common (5.7% lifetime, 4.1% 12-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.
机译:背景技术在撒哈拉以南非洲,很少有人使用标准化的评估工具对精神障碍的患病率进行大规模的社区研究。目的进行这样的研究。方法对尼日利亚约鲁巴语地区的家庭进行多阶段分层聚类抽样。面对面访谈使用了世界心理健康版本的综合国际诊断访谈(WMHa€“ CIDI”)。结果在访问的4984人中,回答率为79.9%,其中12.1%的患者终生率为至少一种DSMa IV疾病,而5.8%的患者为12个月疾病。焦虑症是最常见的(5.7%的生命,4.1%的12个月患病率),但实际上没有发现广泛的焦虑症或创伤后应激障碍。在23%的严重残疾患者中,只有8%的患者在过去12个月中接受过治疗。主要由普通医生提供治疗;只有极少数人被传统医生等替代医生治疗。结论观察到的低发生率似乎反映了人口和确定因素。在严重疾病患者中,未满足的照料需求负担很大。

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