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

British Journal of Psychiatry - Tập 188 Số 5 - Trang 465-471 - 2006
Oye Gureje1, Victor Olufolahan Lasebikan1, Lola Kola2, Victor A. Makanjuola3
1Department of Psychiatry, University of Ibadan
2Department of Medical Social Services
3Department of Psychiatry, University College Hospital, Ibadan, Nigeria

Tóm tắt

BackgroundLarge-scale community studies of the prevalence of mental disorders using standardised assessment tools are rare in sub-Saharan Africa.AimsTo conduct such a study.MethodMultistage 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 (WMH-CIDI).ResultsOf the 4984 people interviewed (response rate 79.9%), 12.1% had a lifetime rate of at least one DSM–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.ConclusionsThe 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.

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