Knowledge of and Attitudes Toward Clinical Depression Among Health Providers in Gujarat, India (original) (raw)
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Depression: A Mental Health Illness that needs to be validated by the Indian Society
International Journal for Research in Applied Science and Engineering Technology IJRASET, 2020
This research paper talks about the mental health illness-Depression. Depression is a medical illness that interferes with an individual's capacity to deal with day to day activities. Our society has a habit of shunning the topic of mental illness and treating it as a taboo. Through our research paper, we have explained the causes, symptoms and different treatments available in India to cure Depression. This report also explores the awareness regarding this subject. There is an urgent need of society to accept that health includes physical as well as mental health.
Emerging issues and needs to focus on mental health and well-being in India: a qualitative analysis
J Clin Med Kaz, 2019
Mental health and wellbeing of the whole are the most neglected area of care in the country leading to the highest number of teenage suicide rates. Mental illness is still considered as an illness not to be treated, resulting India becoming the most depressed country in the world, followed by China and USA as per the latest World Health Organization report. At present, 150 million Indians are suffering from mental illness and desperately in need of immediate care assessment for their mental health condition. However, 70-92% of the mental ill populations failed to receive any medical assessments, due to the minimal availability of the mental healthcare workers like psychologists and psychiatrists, which is at the ratio of 1:100,000. It would not be an exaggeration to state that India becomes the hub for global mental health epidemic. However, only 0.06 per cent of India’s health budget is devoted to mental health treatment, in which the available data suggests that the state of spending the sanctioned budget in this regard is abysmal. Lack of awareness, ignorance, social stigma, and discriminations becomes the underlying factors for worsening the individual mental health conditions. Thus, the need of the hour is the immediate mental healthcare intervention, awareness about the issue, availability of the professional help and forming the adequate policies on mental health assessment. It is through timely assessment intervention a positive outcome that is meaningful for the people and for many sectors of the society can be delivered.
Cross-sectional study of depression and help-seeking in Uttarakhand, North India
Objectives: This study sought to use a population-based cross-sectional survey to describe depression prevalence, healthcare seeking and associations with socioeconomic determinants in a district in North India. Participants: A population-based sample of 960 people over the age of 18 years was selected in 30 randomised clusters after being stratified by rural:urban census ratios. Primary outcome measures: The survey used a validated screening tool, Patient Health Questionnaire, to identify people with depression, and collected information regarding socioeconomic variables and help-seeking behaviours. Depression prevalence and health seeking behaviours were calculated, and multivariable logistic regression was used to assess associations between risk factors and depression. Results: Prevalence of depression was 6% (58/960), with a further 3.9% (37/960) describing a depressive episode of over 2 weeks in the past 12 months. Statistically significant adjusted OR for depression of more than 2 were found for people who were illiterate, classified as Scheduled Caste/Tribe or Other Backward Castes, living in temporary material housing and who had recently taken a loan. While over three quarters of people with depression (79%) had attended a private or government general medical practitioner in the past 3 months, none had received talking therapy (100% treatment gap) and two people (3.3%) had been prescribed antidepressants.
International Journal of Medical Science and Public Health, 2019
Background: Depression an illness that affects both the body and mind and is one of the leading causes of disability, decreased productivity, workplace absenteeism, and high suicide rates. If diagnosed at an earlier stage, the associated morbidities can be prevented, and the prognosis will be good. Objective: The objective of this study was to find out the prevalence of depression in an urban area of Kancheepuram district, Tamil Nadu. Materials and Methods: This is a descriptive cross-sectional study conducted among outpatients attending Urban Health Training Centre situated in Anakaputhur, an urban area of Kancheepuram district, Tamil Nadu. All the outpatients >18 years of age attending the Urban Health Training Center during the month of August were including in the study after obtaining informed consent. A pre-tested structured questionnaire was used to collect the sociodemographic details and Patient Health Questionnaire -9 questionnaire to assess the prevalence of depression. Data were analyzed using SPSS version 22. Results: The prevalence of depression was found to be 33.1%. It was higher in females (38.1%) when compared to males (27.3%). Around 12.3% of the participants suffered from mild depression, followed by moderate (14%), moderately severe (5.7%), and severe depression (1.4%). Nearly 44% of the depressed patients felt somewhat difficult to carry out their everyday activities. Among male participants, depressed persons were more likely to be alcohol and tobacco consumers. Among female participants, depressed persons were more likely to be unemployed. Conclusion: The high prevalence of depression shows that apart from increasing mental health services and integrating this with general health services in our community there is also a dire need to focus on greater Information, Education and Communication activities regarding awareness of causes of the depression and its prevention. This can lead to early diagnosis and management which can improve the overall morbidity due to depression. KEY WORDS: Mental Health; Stress; Suicide
Prevalence and treatment coverage for depression: a population-based survey in Vidarbha, India
Social Psychiatry and Psychiatric Epidemiology, 2016
Purpose VISHRAM is a community-based mental health program to address psycho-social distress and risk factors for suicide in a predominantly rural population in Central India, through targeted interventions for the prevention and management of Depression and Alcohol Use Disorders (AUD). The evaluation was designed to assess the impact of program on the contact coverage of evidence-based treatments for depression and AUD through a repeated survey design. This paper describes the baseline prevalence of depression among adults in rural community, association of various demographic and socioeconomic factors with depression and estimates contact coverage and costs of care for depression. Methods Population-based cross-sectional survey of adults in 30 villages of Amravati district in Vidarbha region of Central India. The outcome of interest was a probable diagnosis of depression which was measured using the Patient Health Questionnaire (PHQ-9). Data were analyzed using simple and multiple logistic regression. Results The outcome of current depression (PHQ-9 C 10) was observed in 14.6 % of the sample (95 % CI 12.8-16.4 %). The contact coverage for current depression was only 4.3 % (95 % CI 1.5-7.1 %). Prevalence of depression varied greatly between the two sites of the study; higher age, female gender, lower education, economic status below poverty line and indebtedness were associated with depression; and while a contact coverage with formal health care was very low, a large proportion of affected persons had consulted family members. Conclusions Our findings clearly indicate that psychosocial distress in rural communities in Maharashtra is strongly associated with social determinants such as gender, poverty and indebtedness and affects the entire population and not just farmers.
Mental Health: Current Issues and Challenges in India
Journal of Comprehensive Health
The World Health Organisation defined “Health as a state of complete physical, mental and social being and not merely absence of the disease or infirmityâ€. It is very vital for the growth, development and productivity of a society. There is no health without mental health as it is the integral and essential component of health. Mental disorders are known to be caused by a complex interaction of biological, social, environmental, cultural and economic factors. A close association between mental disorders and several other morbid conditions or diseases was shown by different studies. For example, depression and cancer are known to coexist, while anxiety disorders are linked to the occurrence of cardiovascular disorders. Non-recognition of associated mental health problems often leads to delayed recognition and recovery. Mental disorders are gradually on increase in recent times. This is probably due to industrialisation, rapid urbanization, globalization, changing lifestyles, accu...
American Journal of Applied Psychology, 2021
Depression is a leading mental health issue taking a toll on the physical and psychological health of young students across the globe. Mental illness, stress and associated stigma is highly unaddressed within the Indian student population. Suicide, a consequence of the same, is the leading cause of death among Indians aged between 15 and 29. The study explored the degree of prevalence of symptoms of physical and psychological health, primarily linked to depression and stress, across students of different Indian states, gender, age groups, academic courses and year of study. An electronic survey including questions based on Beck Depression Inventory and other indicators of physical health and stress was used to capture data from 292 respondents pursuing professional courses in various educational institutions of India. Analysis showed that 28% of respondents reported symptoms of borderline to severe depression and 30% of respondents were also facing moderate physical health issues to...
Introduction: There is a heavy burden of depressive disorders in the present day world. This was a study that addressed the sociodemographic and clinical profile various severe depressive disorders in the valley of Kashmir (Southeast-Asia) as well as their association with the socio-demographic factors. Material and methods: We conducted a cross-sectional study among the patients visiting Institute of Mental Health and Neurosciences (IMHANS), Srinagar, India. A standard questionnaire to know the socio-demographic and clinical profile of depressive disorders was provided to study volunteers. In order to obtain the means and proportions, descriptive statistics were performed. Results: The mean age of the study sample was 39.6 (±11.76) years. The age group 41-50 years (28.6%), followed by 31-40 years (26.8%) had the maximum number of patients. Males constituted 51.8% of the total patients and the rest were females (48.2%). Most of the patients had unipolar depression (53.6%) followed by those with Bipolar affective disorder in mania (19.7). 66.1% and 33.9% patients were rural and urban dwellers, respectively. 53.6% patients were married, while 33.9% patients were unmarried, 10.7% patients were widowed and 1.8% patients were divorced. The highest number (50%) of patients had income between Rs. 5000-15000. 41% of the studied population were illiterate followed by 26.8% graduates. Most of the patients (48.2%) patients belonged to socioeconomic class 2. Conclusion: The depressive disorders are not uncommon in Kashmir Valley. These can have an early onset as well as are highly co-morbid. Priority should be given to the prevention, early detection and treatment of the depressive disorders.
The Current Challenges of Mental Health in India
GLOBAL PUBLISHING HOUSE INDIA. , 2023
The advances in physiological research and other health sciences bring new development that enhances the concept of health and illness into a more extensive understanding. The new idea of health views the human ill experience as a combination of the biological, psychological, social, and spiritual factors that need the biopsychosocial-spiritual assessment alongside treating the physical pain symptoms. According to the World Health Organization (WHO), health is not merely the absence of disease symptoms alone. It is the whole person's well-being regarding the individual physical, psychoemotional, mental, and socio-spiritual well-being. The psychological understanding of illness and symptoms surpassed the biomedicine knowledge in delivering the whole-person treatment that produces a quality of life. The modern holistic concept makes the role of psychologists in health sciences a growing concern that draws special attention as health expands from its bio-medicinal realm to psychosocial-spiritual well-being. Unfortunately, the role of psychologists in health science remains unclear in many clinical practices in the country. None is more effective than assessing the patient's emotional sufferings and mental disharmony for the whole's quality of life and well-being. The psychological approach to health Suantak Demkhosei Vaiphei (89) care is also an essential effective treatment plan and policy in clinical practices.Objective: The ultimate aim is to study the new concept and the current state of India's mental health and well-being. It is also to analyze and identify the contributions of psychologists in restoring, maintaining, and promoting health and well-being for quality of life. Methods: The current study is a qualitative analysis of the existing documents and literature.Results: The findings are: (1). In India, the burden of mental health problems is estimated as 2,443 DALYs per 100,000 population by WHO, India, 2020. (2). Minimal availability of mental health care centers and the rapid increase of the mentally ill population. (3). 70% of mental health patients in India experience a treatment gap due to insufficient funding for mental, neurological, and substance use disorders. (4). Mental ill diagnosis requires a multidisciplinary team for neuroscientific explorations to understand the psychotic and unstable conditions of the human brain and the nervous system.