Melur Sukumar Gautham1, Gopalkrishna Gururaj1, Mathew Varghese2, Vivek Benegal2, Girish N Rao1, Arun Kokane3, Bir Singh Chavan4, Pronob Kumar Dalal5, Daya Ram6, Kangkan Pathak7, Raj Kumar Lenin Singh8, Lokesh Kumar Singh9, Pradeep Sharma10, Pradeep Kumar Saha11, Chellamuthu Ramasubramanian12, Ritambhara Yeshwant Mehta13, Theerthankara Meethal Shibukumar14. 1. Department of Epidemiology, National Institute of Mental Health and Neurosciences Bangalore, India. 2. Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, India. 3. Department of Community Medicine, All India Institute of Medical Sciences, Bhopal, India. 4. Department of Psychiatry, Government Medical College and Hospital, Chandigarh, India. 5. Department of Psychiatry, King George's Medical University, Lucknow, India. 6. Department of Psychiatry, Central Institute of Psychiatry, Ranchi, India. 7. Department of Psychiatry, Lokopriya Gopinath Bordoloi (LGB) Regional Institute of Mental Health, Tezpur, India. 8. Department of Psychiatry, Regional Institute of Medical Sciences, Imphal, India. 9. Department of Psychiatry, All India Institute of Medical Sciences, Raipur, India. 10. Department of Psychiatry, Sawai Man Singh Medical College, Jaipur, India. 11. Department of Psychiatry, Institute of Psychiatry, Kolkata, India. 12. State Nodal Officer, Mental Health Program Office, Tamil Nadu, India. 13. Department of Psychiatry, Government Medical College, Surat, India. 14. Department of Psychiatry, Institute of Mental Health and Neuro Sciences, Kozhikode, India.
Abstract
BACKGROUND: Recognizing the need for good quality, scientific and reliable information for strengthening mental health policies and programmes, the National Mental Health Survey (NMHS) of India was implemented by National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, in the year 2015-2016. AIM: To estimate the prevalence, socio-demographic correlates and treatment gap of mental morbidity in a representative population of India. METHODS: NMHS was conducted across 12 Indian states where trained field investigators completed 34,802 interviews using tablet-assisted personal interviews. Eligible study subjects (18+ years) in households were selected by a multi-stage, stratified, random cluster sampling technique. Mental morbidity was assessed using MINI 6. Three-tier data monitoring system was adopted for quality assurance. Weighted and specific prevalence estimates were derived (current and lifetime) for different mental disorders. Mental morbidity was defined as those disorders as per the International Statistical Classification of Diseases, Tenth Revision Diagnostic Criteria for Research (ICD-10 DCR). Multivariate logistic regression was conducted to examine risk for mental morbidity by different socio-demographic factors. Survey was approved by central and state-level institutional ethical committees. RESULTS: The weighted lifetime prevalence of 'any mental morbidity' was estimated at 13.67% (95% confidence interval (CI) = 13.61, 13.73) and current prevalence was 10.56% (95% CI = 10.51, 10.61). Mental and behavioural problems due to psychoactive substance use (F10-F19; 22.44%), mood disorders (F30-F39; 5.61%) and neurotic and stress-related disorders (F40-F48; 3.70%) were the most commonly prevalent mental morbidity in India. The overall prevalence was estimated to be higher among males, middle-aged individuals, in urban-metros, among less educated and in households with lower income. Treatment gap for overall mental morbidity was 84.5%. CONCLUSION: NMHS is the largest reported survey of mental morbidity in India. Survey estimated that nearly 150 million individuals suffer from one or the other mental morbidity in India. This information is to be used for planning, delivery and evaluating mental health programming in the country.
BACKGROUND: Recognizing the need for good quality, scientific and reliable information for strengthening mental health policies and programmes, the National Mental Health Survey (NMHS) of India was implemented by National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, in the year 2015-2016. AIM: To estimate the prevalence, socio-demographic correlates and treatment gap of mental morbidity in a representative population of India. METHODS: NMHS was conducted across 12 Indian states where trained field investigators completed 34,802 interviews using tablet-assisted personal interviews. Eligible study subjects (18+ years) in households were selected by a multi-stage, stratified, random cluster sampling technique. Mental morbidity was assessed using MINI 6. Three-tier data monitoring system was adopted for quality assurance. Weighted and specific prevalence estimates were derived (current and lifetime) for different mental disorders. Mental morbidity was defined as those disorders as per the International Statistical Classification of Diseases, Tenth Revision Diagnostic Criteria for Research (ICD-10 DCR). Multivariate logistic regression was conducted to examine risk for mental morbidity by different socio-demographic factors. Survey was approved by central and state-level institutional ethical committees. RESULTS: The weighted lifetime prevalence of 'any mental morbidity' was estimated at 13.67% (95% confidence interval (CI) = 13.61, 13.73) and current prevalence was 10.56% (95% CI = 10.51, 10.61). Mental and behavioural problems due to psychoactive substance use (F10-F19; 22.44%), mood disorders (F30-F39; 5.61%) and neurotic and stress-related disorders (F40-F48; 3.70%) were the most commonly prevalent mental morbidity in India. The overall prevalence was estimated to be higher among males, middle-aged individuals, in urban-metros, among less educated and in households with lower income. Treatment gap for overall mental morbidity was 84.5%. CONCLUSION: NMHS is the largest reported survey of mental morbidity in India. Survey estimated that nearly 150 million individuals suffer from one or the other mental morbidity in India. This information is to be used for planning, delivery and evaluating mental health programming in the country.
Entities:
Keywords:
India; National Mental Health Survey; mental health policy; mental morbidity; prevalence; treatment gap
Authors: Sandeep Grover; Swapnajeet Sahoo; Aseem Mehra; Ajit Avasthi; Adarsh Tripathi; Alka Subramanyan; Amrit Pattojoshi; G Prasad Rao; Gautam Saha; K K Mishra; Kaustav Chakraborty; Naren P Rao; Mrugesh Vaishnav; Om Prakash Singh; P K Dalal; Rakesh K Chadda; Ravi Gupta; Shiv Gautam; Siddharth Sarkar; T S Sathyanarayana Rao; Vinay Kumar; Y C Janardran Reddy Journal: Indian J Psychiatry Date: 2020-07-27 Impact factor: 1.759
Authors: Vikhram Ramasubramanian; Anusa Arunachalam Mohandoss; Gopi Rajendhiran; P Raja Soundara Pandian; C Ramasubramanian Journal: Indian J Psychol Med Date: 2020-07-06