Sociodemographic Predictors of Psychiatric Disability in India

Journal of Psychosocial Rehabilitation and Mental Health - Tập 4 Số 1 - Trang 29-33 - 2017
Sadath, Anvar1, Kumar, Shibu1, Mathew, Suja1
1Institute of Mental Health and Neurosciences (IMHANS), Government Medical College Campus, Kozhikode, India

Tóm tắt

Psychiatric illnesses constitute one of the leading causes of disability. Socio-demographic variables are expected to influence the extent of disability. However the nature and strength of this influence is not well understood, especially in Indian context. This study was conducted to examine the influence of selected sociodemographic variables on disability in persons with psychiatric disorders. We recruited 723 patients with severe mental illness from 12 community mental health clinics in a South Indian district. The Indian Disability Assessment and Evaluation Scale (IDEAS) administered to measure disability. Multiple linear regression analysis was performed to examine the significant sociodemographic predictors for disability. Disability was significantly associated with gender, years of education, occupation, and duration of illness. Patients’ age and marital status were not associated with disability. Overall the model was significant at p < .001 level (F = 15.591). Results underscore sociodemographic inclusive policy and programs for persons with disability in India.

Tài liệu tham khảo

citation_journal_title=Lancet; citation_title=Global burden of disease attributable to mental and substance use disorders: findings from the Global Burden of Disease Study 2010; citation_author=HA Whiteford, L Degenhardt, J Rehm, AJ Baxter, AJ Ferrari, HE Erskine, FJ Charlson, RE Norman, AD Flaxman, N Johns, R Burstein, CJ Murray, T Vos; citation_publication_date=2013; citation_id=CR1 Mathers C, Fat DM, Boerma JT (2008) The global burden of disease: 2004 update. World Health Organization. citation_journal_title=Indian J Psychiatry; citation_title=Prevalence of mental and behavioural disorders in India: a meta-analysis; citation_author=VM Reddy, CR Chandrashekar; citation_volume=40; citation_issue=2; citation_publication_date=1998; citation_pages=149-157; citation_id=CR3 citation_journal_title=Indian J Med Res; citation_title=Disability assessment in mental illnesses using Indian disability evaluation assessment scale (IDEAS); citation_author=I Mohan, R Tandon, H Kalra, J Trivedi; citation_volume=121; citation_issue=6; citation_publication_date=2005; citation_pages=759; citation_id=CR4 citation_journal_title=Indian J Psychiatry; citation_title=Indian Psychiatric epidemiological studies: learning from the past; citation_author=SB Math, R Srinivasaraju; citation_volume=52; citation_issue=Suppl 1; citation_publication_date=2010; citation_pages=S95-S103; citation_doi=10.4103/0019-5545.69220; citation_id=CR5 citation_journal_title=J Occup Rehabil; citation_title=Prognostic factors of long term disability due to mental disorders: a systematic review; citation_author=L Cornelius, J Klink, J Groothoff, S Brouwer; citation_volume=21; citation_issue=2; citation_publication_date=2011; citation_pages=259-274; citation_doi=10.1007/s10926-010-9261-5; citation_id=CR6 citation_journal_title=Psychiatry Res; citation_title=Socio-demographic and clinical predictors of quality of life in patients with schizophrenia or schizo-affective disorder; citation_author=J Caron, C Mercier, P Diaz, A Martin; citation_volume=137; citation_issue=3; citation_publication_date=2005; citation_pages=203-213; citation_doi=10.1016/j.psychres.2005.07.002; citation_id=CR7 citation_journal_title=Singap Med J; citation_title=Gender differences in major depressive disorder: findings from the Singapore Mental Health Study; citation_author=L Picco, M Subramaniam, E Abdin, JA Vaingankar, SA Chong; citation_publication_date=2016; citation_id=CR8 citation_journal_title=PLoS ONE; citation_title=Prevalence and psychosocial correlates of depressive symptoms in urban Chinese women during midlife; citation_author=CKM Wong, J Liang, ML Chan, YH Chan, L Chan, KY Wan, MS Ng, DCC Chan, SYS Wong, MCS Wong; citation_volume=9; citation_issue=11; citation_publication_date=2014; citation_pages=e110877; citation_doi=10.1371/journal.pone.0110877; citation_id=CR9 citation_journal_title=Int J Environ Res Public Health; citation_title=Prevalence of common mental disorders in a rural district of Kenya, and socio-demographic risk factors; citation_author=R Jenkins, F Njenga, M Okonji, P Kigamwa, M Baraza, J Ayuyo, N Singleton, S McManus, D Kiima; citation_volume=9; citation_issue=5; citation_publication_date=2012; citation_pages=1810-1819; citation_doi=10.3390/ijerph9051810; citation_id=CR10 citation_journal_title=Soc Sci Med; citation_title=Socio-demographic correlates of psychiatric morbidity among low-income women in Aleppo, Syria; citation_author=W Maziak, T Asfar, F Mzayek, FM Fouad, N Kilzieh; citation_volume=54; citation_issue=9; citation_publication_date=2002; citation_pages=1419-1427; citation_doi=10.1016/S0277-9536(01)00123-X; citation_id=CR11 citation_journal_title=J Gerontol Ser B Psychol Sci Soc Sci; citation_title=Gender differences in correlates of mental health among elderly Koreans; citation_author=G-S Jeon, S-N Jang, S-J Rhee, I Kawachi, S-I Cho; citation_volume=62; citation_issue=5; citation_publication_date=2007; citation_pages=S323-S329; citation_doi=10.1093/geronb/62.5.S323; citation_id=CR12 citation_journal_title=World Psychiatry; citation_title=Disability and mental illness are different entities and should be assessed separately; citation_author=N Sartorius; citation_volume=8; citation_issue=2; citation_publication_date=2009; citation_pages=86; citation_doi=10.1002/j.2051-5545.2009.tb00220.x; citation_id=CR13 citation_journal_title=Psychol Med; citation_title=Community outreach for untreated schizophrenia in rural India: a follow-up study of symptoms, disability, family burden and costs; citation_author=RS Murthy, KK Kumar, D Chisholm, T Thomas, K Sekar, C Chandrashekar; citation_volume=35; citation_issue=03; citation_publication_date=2005; citation_pages=341-351; citation_doi=10.1017/S0033291704003551; citation_id=CR14 citation_journal_title=J Postgrad Med; citation_title=Family burden, quality of life and disability in obsessive compulsive disorder: an Indian perspective; citation_author=G Gururaj, SB Math, J Reddy, C Chandrashekar; citation_volume=54; citation_issue=2; citation_publication_date=2008; citation_pages=91; citation_doi=10.4103/0022-3859.40773; citation_id=CR15 citation_journal_title=Indian J Psychiatry; citation_title=The schedule for assessment of psychiatric disability-A modification of the DAS-II; citation_author=R Thara, S Rajkumar, V Valecha; citation_volume=30; citation_issue=1; citation_publication_date=1988; citation_pages=47; citation_id=CR16 citation_journal_title=Indian J Psychiatry; citation_title=Nature and course of disability in schizophrenia; citation_author=R Thara, S Rajkumar; citation_volume=35; citation_issue=1; citation_publication_date=1993; citation_pages=33; citation_id=CR17 citation_journal_title=Indian J Psychiatry; citation_title=Prevalence and pattern of mental disability using Indian disability evaluation assessment scale in a rural community of Karnataka; citation_author=SG Kumar, A Das, P Bhandary, SJ Soans, HH Kumar, M Kotian; citation_volume=50; citation_issue=1; citation_publication_date=2008; citation_pages=21; citation_doi=10.4103/0019-5545.39754; citation_id=CR18 citation_journal_title=Ann Gen Psychiatry; citation_title=Relationship of cognitive function in patients with schizophrenia in remission to disability: a cross-sectional study in an Indian sample; citation_author=R Krishnadas, BP Moore, A Nayak, RR Patel; citation_volume=6; citation_issue=1; citation_publication_date=2007; citation_pages=1; citation_doi=10.1186/1744-859X-6-19; citation_id=CR19 citation_journal_title=Indian J Psychiatry; citation_title=Do antipsychotics limit disability in schizophrenia? A naturalistic comparative study in the community; citation_author=J Thirthalli, BK Venkatesh, MN Naveen, G Venkatasubramanian, U Arunachala, KVK Kumar, BN Gangadhar; citation_volume=52; citation_issue=1; citation_publication_date=2010; citation_pages=37; citation_doi=10.4103/0019-5545.58893; citation_id=CR20 citation_journal_title=Schizophr Res; citation_title=Gender differences in disability: a comparison of married patients with schizophrenia; citation_author=R Shankar, S Kamath, AA Joseph; citation_volume=16; citation_issue=1; citation_publication_date=1995; citation_pages=17-23; citation_doi=10.1016/0920-9964(94)00064-F; citation_id=CR21 citation_journal_title=Singap Med J; citation_title=Gender differences in mental health; citation_author=M Afifi; citation_volume=48; citation_issue=5; citation_publication_date=2007; citation_pages=385-391; citation_id=CR22 citation_journal_title=BMJ; citation_title=Fortnightly review: aggressive behaviour in childhood; citation_author=S Scott; citation_volume=316; citation_issue=7126; citation_publication_date=1998; citation_pages=202-206; citation_doi=10.1136/bmj.316.7126.202; citation_id=CR23 Woodside DB, Kennedy SH (1995) Gender differences in eating disorders. Gender psychopathol 253–268. citation_journal_title=Psychol Bull; citation_title=Sex differences in unipolar depression: evidence and theory; citation_author=S Nolen-Hoeksema; citation_volume=101; citation_issue=2; citation_publication_date=1987; citation_pages=259; citation_doi=10.1037/0033-2909.101.2.259; citation_id=CR25 citation_journal_title=Br J Psychiatry; citation_title=Gender differences in depression; citation_author=M Piccinelli, G Wilkinson; citation_volume=177; citation_issue=6; citation_publication_date=2000; citation_pages=486-492; citation_doi=10.1192/bjp.177.6.486; citation_id=CR26 Rosenfield S, Mouzon D (2013) Gender and mental health. In: Handbook of the sociology of mental health. Springer, pp 277–296. citation_journal_title=Indian J Psychiatry; citation_title=Women and mental health in India: an overview; citation_author=S Malhotra, R Shah; citation_volume=57; citation_issue=Suppl 2; citation_publication_date=2015; citation_pages=S205; citation_doi=10.4103/0019-5545.161479; citation_id=CR28 citation_journal_title=Compr Psychiatry; citation_title=Gender differences in a sample of schizophrenic outpatients; citation_author=J Usall, S Araya, S Ochoa, E Busquets, A Gost, M Márquez; citation_volume=42; citation_issue=4; citation_publication_date=2001; citation_pages=301-305; citation_doi=10.1053/comp.2001.24582; citation_id=CR29 citation_journal_title=Oman Med J; citation_title=Profile difference between male and female psychiatric patients seeking certificate of disability; citation_author=YPS Balhara, D Gauba, SN Deshpande; citation_volume=26; citation_issue=6; citation_publication_date=2011; citation_pages=410-415; citation_doi=10.5001/omj.2011.105; citation_id=CR30 citation_journal_title=Arch Gen Psychiatry; citation_title=National institute of mental health longitudinal study of chronic schizophrenia: prognosis and predictors of outcome; citation_author=A Breier, JL Schreiber, J Dyer, D Pickar; citation_volume=48; citation_issue=3; citation_publication_date=1991; citation_pages=239-246; citation_doi=10.1001/archpsyc.1991.01810270051007; citation_id=CR31 citation_journal_title=Occup Med (Lond); citation_title=Depressed and absent from work: predicting prolonged depressive symptomatology among employees; citation_author=V Brenninkmeijer, I Houtman, R Blonk; citation_volume=58; citation_issue=4; citation_publication_date=2008; citation_pages=295-301; citation_doi=10.1093/occmed/kqn043; citation_id=CR32 Cook JA (2006) Employment barriers for persons with psychiatric disabilities: update of a report for the President’s Commission. Psychiatric services. citation_journal_title=Psychosoc Rehabil J; citation_title=How psychiatric disability expresses itself as a barrier to employment; citation_author=ID Rutman; citation_volume=17; citation_issue=3; citation_publication_date=1994; citation_pages=15; citation_doi=10.1037/h0095577; citation_id=CR34 citation_journal_title=Br J Psychiatry; citation_title=Socio-economic differentials in mental disorders and suicide attempts in Australia; citation_author=R Taylor, A Page, S Morrell, G Carter, J Harrison; citation_volume=185; citation_publication_date=2004; citation_pages=486-493; citation_doi=10.1192/bjp.185.6.486; citation_id=CR35 citation_journal_title=Psychiatric Rehabil J; citation_title=Barriers to higher education for individuals with psychiatric disabilities; citation_author=D Megivern, S Pellerito, C Mowbray; citation_volume=26; citation_issue=3; citation_publication_date=2003; citation_pages=217; citation_doi=10.2975/26.2003.217.231; citation_id=CR36