Social Psychiatry and Psychiatric Epidemiology

, Volume 40, Issue 8, pp 663–671 | Cite as

The prevalence of psychiatric disorders among 5–10 year olds in rural, urban and slum areas in Bangladesh

An exploratory study
  • Mohammad Sayadul Islam Mullick
  • Robert Goodman
Original Paper

Abstract

Background

No previous epidemiological studies of child mental health have been conducted in Bangladesh, partly due to lack of suitable measures.

Methods

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.

Results

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.

Conclusion

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 words

standardized assessment epidemiology child and adolescent mental health problems psychiatric disorder Bangladesh 

Notes

Acknowledgements

The study was supported by a grant from the Wellcome Trust.

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Copyright information

© Springer-Verlag 2005

Authors and Affiliations

  • Mohammad Sayadul Islam Mullick
    • 1
  • Robert Goodman
    • 2
  1. 1.Dept. of PsychiatryBangabandhu Sheikh Mujib Medical UniversityDhakaBangladesh
  2. 2.Dept. of Child and Adolescent PsychiatryInstitute of Psychiatry, King’s College LondonLondonUK

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