scholarly journals Prevalence of Mental Disorders in Martinique, French West Indies: A Community-based Epidemiological Study

2018 ◽  
pp. 317-322 ◽  
Author(s):  
J Lacoste ◽  
S Merle ◽  
N Ballon ◽  
A Charles-Nicolas ◽  
G Ursulet ◽  
...  

Objective: This study aimed to estimate the prevalence of mental disorders in the population of Martinique, as part of the survey entitled ‘Mental Health in the General Population – Images and Realities’ (Santé Mentale en Population Générale – Images et Réalités). The survey was a multicentre epidemiological study in the general population, conducted in mainland France and French overseas islands between 1997 and 2006, under the authority of the World Health Organization Collaborating Centre for Training and Research in Mental Health (Lille, France). Methods: The study took place in 2000. Participants aged 18 years or over were recruited in public places, using the quota sampling method, and interviewed using the Mini International Neuropsychiatric Interview. Results: A total of 900 participants (52.7% women) with a mean age of 43 years completed the survey. Lifetime prevalence of any mental disorder was 29%. Mood (15%) and anxiety disorders (17%) were the most frequent. The rate of suicide attempts was low (4.2% lifetime), while the frequency of suicidal thoughts was high (11% past month) and similar to the frequency in mainland France. Conclusion: Mental disorders, especially mood and anxiety disorders, were as frequent in Martinique as in mainland France. The lower rates of suicide attempts, in spite of high rates of suicidal thoughts, might deserve further investigation. Our results should strengthen the development of a system of diagnosis and care for these disorders, especially to prevent suicidal behaviours and reduce morbidity and mortality.

Author(s):  
Rebecca McKnight ◽  
Jonathan Price ◽  
John Geddes

One in four individuals suffer from a psychiatric disorder at some point in their life, with 15– 20 per cent fitting cri­teria for a mental disorder at any given time. The latter corresponds to around 450 million people worldwide, placing mental disorders as one of the leading causes of global morbidity. Mental health problems represent five of the ten leading causes of disability worldwide. The World Health Organization (WHO) reported in mid 2016 that ‘the global cost of mental illness is £651 billion per year’, stating that the equivalent of 50 million working years was being lost annually due to mental disorders. The financial global impact is clearly vast, but on a smaller scale, the social and psychological impacts of having a mental dis­order on yourself or your family are greater still. It is often difficult for the general public and clin­icians outside psychiatry to think of mental health dis­orders as ‘diseases’ because it is harder to pinpoint a specific pathological cause for them. When confronted with this view, it is helpful to consider that most of medicine was actually founded on this basis. For ex­ample, although medicine has been a profession for the past 2500 years, it was only in the late 1980s that Helicobacter pylori was linked to gastric/ duodenal ul­cers and gastric carcinoma, or more recently still that the BRCA genes were found to be a cause of breast cancer. Still much of clinical medicine treats a patient’s symptoms rather than objective abnormalities. The WHO has given the following definition of mental health:… Mental health is defined as a state of well- being in which every individual realizes his or her own po­tential, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to her or his community.… This is a helpful definition, because it clearly defines a mental disorder as a condition that disrupts this state in any way, and sets clear goals of treatment for the clinician. It identifies the fact that a disruption of an individual’s mental health impacts negatively not only upon their enjoyment and ability to cope with life, but also upon that of the wider community.


2016 ◽  
Vol 208 (s56) ◽  
pp. s13-s20 ◽  
Author(s):  
Rahul Shidhaye ◽  
Sanjay Shrivastava ◽  
Vaibhav Murhar ◽  
Sandesh Samudre ◽  
Shalini Ahuja ◽  
...  

BackgroundThe large treatment gap for mental disorders in India underlines the need for integration of mental health in primary care.AimsTo operationalise the delivery of the World Health Organization Mental Health Gap Action Plan interventions for priority mental disorders and to design an integrated mental healthcare plan (MHCP) comprising packages of care for primary healthcare in one district.MethodMixed methods were used including theory of change workshops, qualitative research to develop the MHCP and piloting of specific packages of care in a single facility.ResultsThe MHCP comprises three enabling packages: programme management, capacity building and community mobilisation; and four service delivery packages: awareness for mental disorders, identification, treatment and recovery. Challenges were encountered in training primary care workers to improve identification and treatment.ConclusionsThere are a number of challenges to integrating mental health into primary care, which can be addressed through the injection of new resources and collaborative care models.


2000 ◽  
Vol 30 (5) ◽  
pp. 1189-1196 ◽  
Author(s):  
INGA-LILL RAMBERG ◽  
DANUTA WASSERMAN

Background. Higher rates of suicidal behaviour have been reported among staff in mental health care than in the general population. However, no studies of these two groups have been carried out simultaneously, using the same methods. This study aims to investigate whether they differ in terms of age- and sex-standardized prevalence of suicidal behaviour.Methods. Identical questions about suicidal behaviour were addressed in the same year to a random sample of the general population and to mental health-care staff in Stockholm. Life weariness among the latter was also investigated.Results. Age- and sex-standardized past year prevalences of suicidal thoughts and suicide attempts were found to be similar among mental health-care staff and the general population. Lifetime prevalence of both suicidal thoughts and suicide attempts was significantly higher among mental health-care staff than among the general population. Psychologists/social workers have a higher probability of: lifetime thoughts of life is not worth living; death wishes; and, suicidal thoughts, than nurses/assistant nurses.Conclusions. Reports on lifetime prevalence of suicidal behaviour may be biased in populations that are not reminded of these problems in everyday life. Data on past year prevalence of suicidal behaviour show clearly the similarity between the general population and the mental health-care staff.


2020 ◽  
Author(s):  
Norito Kawakami ◽  
Maiko Fukasawa ◽  
Kiyomi Sakata ◽  
Ruriko Suzuki ◽  
Hiroaki Tomita ◽  
...  

Abstract Background: People living in temporary housing for long periods after a disaster are at risk of poor mental health. This study investigated the post-disaster incidence and remission of common mental disorders among adults living in temporary housing for the three years following the 2011 Great East Japan Earthquake.Methods: Three years after the disaster, face-to-face interviews were conducted with 1,089 adult residents living in temporary housing in the disaster area, i.e., the shelter group, and a random sample of 852 community residents from non-disaster areas of East Japan. The World Health Organization Composite International Diagnostic Interview was used to diagnose DSM-IV mood, anxiety, and alcohol use disorders. Information on demographic variables and disaster experiences was also collected. Results: Response rates were 49% and 46% for the shelter group and the community residents, respectively. The incidence of mood/anxiety disorder in the shelter group was elevated only in the first year post-disaster compared to that of the general population. The rate of remission for mood and anxiety disorders was significantly lower in the shelter group than in the community residents. The proportion seeking medical treatment was higher in the shelter group.Conclusions: The onset of common mental disorders increased in the first year, but then levelled off in the following years among residents in temporary housing after the disaster. Remission from incident post-disaster mental disorders was slower in the shelter group than in the general population. Post-disaster mental health service could consider the greater incidence in the first year and prolonged remission of mental disorders among survivors with a long-term stay in temporary housing after a disaster.


2020 ◽  
Author(s):  
Norito Kawakami ◽  
Maiko Fukasawa ◽  
Kiyomi Sakata ◽  
Ruriko Suzuki ◽  
Hiroaki Tomita ◽  
...  

Abstract Background: People living in temporary housing for long periods after a disaster are at risk of (developing) poor mental health. This study investigated the post-disaster incidence and remission of common mental disorders among adults living in temporary housing for the three years following the 2011 Great East Japan Earthquake.Methods: Three years after the disaster, face-to-face interviews were conducted with 1,089 adult residents living in temporary housing in the disaster area, i.e., the shelter group, and a random sample of 852 community residents of East Japan. The World Health Organization Composite International Diagnostic Interview was used to diagnose DSM-IV mood, anxiety, and alcohol use disorders. Information on demographic variables and disaster experiences was also collected. Results: Response rates were 49% and 46%, for the shelter group and the community residents, respectively. The incidence of mood/anxiety disorder in the shelter group was elevated only in the first year post-disaster compared to that of the general population. The rate of remission for mood and anxiety disorders was significantly lower in the shelter group than in the community residents. The proportion seeking medical treatment was higher in the shelter group.Conclusions: The onset of common mental disorders increased in the first year, but then levelled off in the following years among residents in temporary housing after the disaster. Remission from incident post-disaster mental disorders was slower in the shelter group than in the general population. Post-disaster mental health service could consider the greater incidence in the first year and prolonged remission of mental disorders among survivors with a long-term stay in temporary housing after a disaster.


2018 ◽  
Vol 24 (1) ◽  
pp. 565-567
Author(s):  
Nazish Imran

According to World Health Organization (WHO), approximately 10-15% of children and adolescents worldwide suffer from mental health problems.(1) The WHO also highlights that “Lack of attention to mental health of children & adolescents may lead to mental disorders with lifelong consequences, undermines compliance with health regimens and reduces the capacity of societies to be safe and productive”. (2) More than half of all mental disorders have an onset in childhood and adolescence with suicide being the third leading cause of death among adolescents. (1), (3) Child & adolescent mental health thus needs to be considered & emphasized as an integral component of overall health & growth of young population. Youth with positive mental health have positive self-efficacy beliefs, are productive and able to tackle developmental challenges adequately.


2008 ◽  
Vol 14 (1) ◽  
pp. 5
Author(s):  
Carlos Augusto De Mendonca Lima ◽  
Annette Leibing ◽  
Rudiger Buschfort

<div style="left: 80.7408px; top: 560.329px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.890161);" data-canvas-width="54.285000000000004"><strong><br /></strong></div><div style="left: 135.026px; top: 560.329px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.878143);" data-canvas-width="332.05499999999995">Africa is a region where a demographic transition</div><div style="left: 80.7408px; top: 583.658px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.923852);" data-canvas-width="386.355">from high child mortality and low life expectancy, to low</div><div style="left: 80.7408px; top: 606.988px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.917491);" data-canvas-width="386.3250000000001">child mortality and high life expectancy is only just beginning.</div><div style="left: 80.7408px; top: 630.317px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.90105);" data-canvas-width="386.325">Nevertheless, some countries already have a growing number</div><div style="left: 80.7408px; top: 653.647px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.86776);" data-canvas-width="386.36999999999995">of persons over the age of 60 – a number that is likely to</div><div style="left: 80.7408px; top: 676.976px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.910465);" data-canvas-width="386.29499999999985">increase rapidly. As a consequence, the number of older</div><div style="left: 80.7408px; top: 700.306px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.856441);" data-canvas-width="386.355">persons with mental disorders is likely to increase. To better</div><div style="left: 80.7408px; top: 723.635px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.876054);" data-canvas-width="386.3249999999999">understand the organisation of care for older persons, data</div><div style="left: 80.7408px; top: 746.965px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.904425);" data-canvas-width="386.32499999999993">are being collected to reduce the imbalance between ‘disease</div><div style="left: 80.7408px; top: 770.294px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.928667);" data-canvas-width="386.31">information’ and ‘resource information’ – information that</div><div style="left: 80.7408px; top: 793.624px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.886607);" data-canvas-width="386.28">addresses older persons’ needs in terms of mental health care.</div><div style="left: 80.7408px; top: 816.953px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.848252);" data-canvas-width="386.28">This review presents some results from the continent. Mental</div><div style="left: 80.7408px; top: 840.283px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.891655);" data-canvas-width="386.2500000000001">health problems among older adults are still not a public health</div><div style="left: 80.7408px; top: 863.612px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.911932);" data-canvas-width="386.3550000000001">priority in Africa, but careful examination of each country</div><div style="left: 80.7408px; top: 886.942px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.890423);" data-canvas-width="386.325">nevertheless reveals certain specificities, such as divergent life</div><div style="left: 80.7408px; top: 910.271px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.892481);" data-canvas-width="386.3550000000001">expectancy and different values regarding ageing. The authors</div><div style="left: 80.7408px; top: 933.601px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.862913);" data-canvas-width="386.355">present some recommendations for the development of care</div><div style="left: 80.7408px; top: 956.93px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.940383);" data-canvas-width="386.3249999999999">for old persons with mental disorders, based on the general</div><div style="left: 80.7408px; top: 980.26px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.903367);" data-canvas-width="386.32499999999993">recommendations made by the World Health Organization</div><div style="left: 80.7408px; top: 1003.59px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.961406);" data-canvas-width="386.3250000000001">(WHO) in the World Health Report 2001 (WHR 2001), and</div><div style="left: 80.7408px; top: 1026.92px; font-size: 15.45px; font-family: sans-serif; transform: scaleX(0.928591);" data-canvas-width="386.325">by the WHO and the World Psychiatric Association (WPA) in</div>some consensus statements on psychiatry of the elderly.


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