The prevalence of psychiatric disorders among 5–10 year olds in rural, urban and slum areas in Bangladesh
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No previous epidemiological studies of child mental health have been conducted in Bangladesh, partly due to lack of suitable measures.
A Bangla translation of a standardised child psychiatric interview, the Development and Well-Being Assessment (DAWBA), was validated against routine clinical diagnoses on a consecutive series of 100 referrals to a child mental health service. A two-phase study of prevalence was applied to random samples of 5- to 10-year-olds (N=922) drawn from three contrasting areas: a rural area, a moderately prosperous urban area, and an urban slum.
There was substantial agreement between the DAWBA and the independent clinic diagnosis (kappa=0.63–0.94). The estimated prevalence of any ICD-10 diagnosis was 15% (95% CI 11–21%). The rate of obsessive–compulsive disorder was higher than in previous studies. Children from the slum area were significantly more likely to have serious behavioural problems, and marginally more likely to have post-traumatic stress disorder.
A conservative extrapolation is that around 5 million Bangladeshi children and adolescents have psychiatric disorders. In a country with very few child mental health professionals, there is a vast gap between need and provision that must be addressed.
Key wordsstandardized assessment epidemiology child and adolescent mental health problems psychiatric disorder Bangladesh
The study was supported by a grant from the Wellcome Trust.
- 1.Associacao Nacional de Empresas de Pesquisa-ANEP (2000) Criterio de Classificacao Economica Brasil. URL http://www.anep.org.br/codigosguias/CCEB.pdf
- 2.Bangladesh Bureau of Statistics (2003) Bangladesh population census 2001: national report (Provisional). Bangladesh Bureau of Statistics, DhakaGoogle Scholar
- 3.Bangladesh Bureau of Statistics (2004) Statistical pocket book of Bangladesh 2002. Bangladesh Bureau of Statistics, DhakaGoogle Scholar
- 15.Goodman R, Neves dos Santos D, Robatto Nunes AP, Pereira de Miranda D, Fleitlich-Bilyk B, Almeida Filho N (2005a) The Ilha de Maré study: a survey of child mental health problems in a predominantly African–Brazilian rural community. Soc Psychiatry Psychiatr Epidemiol 40:11–17CrossRefPubMedGoogle Scholar
- 17.Guinness E (1992) Patterns of mental illness in the early stages of urbanization. Br J Psychiatry 160(Supplement 16):4–72Google Scholar
- 21.Meltzer H, Gatward R, Goodman R, Ford T (2000) Mental health of children and adolescents in Great Britain. The Stationery Office, LondonGoogle Scholar
- 23.Patel V (2003) Where there is no psychiatrist. Gaskell, LondonGoogle Scholar
- 26.Seuss L, Halpern MS (1989) Obsessive–compulsive disorder: a religious perspective. In: Rapoport JL (ed) Obsessive–compulsive disorder in children and adolescents. American Psychiatric Press, Washington DC, pp 311–325Google Scholar
- 27.World Health Organization (1993) The ICD-10 Classification of mental and behavioural disorders: diagnostic criteria for research. World Health Organization, GenevaGoogle Scholar