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Prevalence of common mental disorders and treatment gap among patients with non-communicable diseases in the rural areas of East India

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Abstract

Background

Mental and physical non-communicable diseases (NCDs) coexist, because they share common environmental and behavioral risk factors. The treatment gap for common mental disorders, such as depression, anxiety, and substance use, is large compared to other NCDs.

Objective

To determine the prevalence and treatment gap of common mental disorders among patients with non-communicable diseases.

Methodology

The community-based cross-sectional study was conducted in the rural parts of East India, in people aged 30 years and older with NCDs. A simple random sample was chosen to select the villages and participants. Eligible participants administered with screening and diagnostic questionnaire for depression, anxiety, and substance use. Those diagnosed with mental disorders were again assessed for treatment status in the last 12 months. Non-receipt of treatment was considered as treatment gap.

Results

A total of 515 participants were included in the analysis. The overall prevalence of common mental disorders among the study population was 46.4% (95% CI 42.0–50.8), and excluding substance use, the prevalence was 11.7% (95% CI 9.0–14.7). The treatment gap for common mental disorders among patients with non-communicable diseases, including and excluding substance use, was 98.3% (95% CI 95.8–99.5) and 93.3% (95% CI 83.8–98.2), respectively.

Conclusion

The prevalence and treatment gap of common mental disorders among persons with NCDs was high. Public health interventions need to be emphasized for the integration of mental health care into NCD care.

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References

  1. Hypertension [Internet]. World Health Organization. 2021. Available from: https://www.who.int/news-room/fact-sheets/detail/hypertension. Accessed 10 Dec 2022

  2. Diabetes facts & figures [Internet]. International Diabetes Federation. 2021. Available from: https://idf.org/aboutdiabetes/what-is-diabetes/facts-figures.html. Accessed 10 Dec 2022

  3. Saeedi P, Petersohn I, Salpea P, Malanda B, Karuranga S, Unwin N et al (2019) Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Res Clin Pract 157:107843

    Article  PubMed  Google Scholar 

  4. Zhou B, Carrillo-Larco RM, Danaei G, Riley LM, Paciorek CJ, Stevens GA et al (2021) Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019: a pooled analysis of 1201 population-representative studies with 104 million participants. Lancet (London, England) 398(10304):957–980

    Article  Google Scholar 

  5. Mental disorders [Internet]. World Health Organization. 2022. Available from: https://www.who.int/news-room/fact-sheets/detail/mental-disorders. Accessed 10 Dec 2022

  6. Dandona L, Dandona R, Kumar GA, Shukla DK, Paul VK, Balakrishnan K et al (2017) Nations within a nation: variations in epidemiological transition across the states of India, 1990–2016 in the global burden of disease study. Lancet 390(10111):2437–2460

    Article  Google Scholar 

  7. Gautham MS, Gururaj G, Varghese M, Benegal V, Rao GN, Kokane A et al (2020) The National Mental Health Survey of India (2016): prevalence, socio-demographic correlates and treatment gap of mental morbidity. Int J Soc Psychiatry 66(4):361–372

    Article  PubMed  Google Scholar 

  8. Armstrong K, Henshall S (2013) Mental health, NCDs and the post-2015 development goals a focus on children and adolescents in low-and middle-income countries. Commonw Heal Partnersh 33–8

  9. Michael R, Korff V, Scott KM, Gureye O (2009) Global perspectives on mental-physical comorbidity in the who world mental health surveys. Cambridge University Press

    Google Scholar 

  10. Uphoff EP, Newbould L, Walker I, Ashraf N, Kandasamy A, Meader N et al (2019) A systematic review and meta-analysis of the prevalence of common mental disorders in people with non-communicable diseases in Bangladesh, India, and Pakistan. J Glob. https://doi.org/10.7189/jogh.09.020417

    Article  Google Scholar 

  11. O’Neil A, Jacka FN, Quirk SE, Cocker F, Taylor CB, Oldenburg B et al (2015) A shared framework for the common mental disorders and non-communicable disease: key considerations for disease prevention and control. BMC Psychiatry 15(1):1–6

    Article  Google Scholar 

  12. Gururaj GVM (2016) National mental health survey of india, 2015–2016 Prevalence, Pattern and Outcome. NImhans Rep 2015–2016

    Google Scholar 

  13. Ministry of Law and Justice (2013) The National Food Secrity Act 2013

    Google Scholar 

  14. Daré LO, Bruand P, Gérard D, Marin B, Lameyre V (2019) Co-morbidities of mental disorders and chronic physical diseases in developing and emerging countries : a meta-analysis. BMC Pub Health. https://doi.org/10.1186/s12889-019-6623-6

    Article  Google Scholar 

  15. Hussain S, Habib A, Singh A, Akhtar M, Najmi AK (2018) Prevalence of depression among type 2 diabetes mellitus patients in India: a meta-analysis. Psychiatry Res 270:264–273

    Article  PubMed  Google Scholar 

  16. Sagar R, Pattanayak RD, Chandrasekaran R, Chaudhury PK, Deswal BS (2017) Twelve-month prevalence and treatment gap for common mental disorders : findings from a large-scale epidemiological survey in. Indian J Psychiatry 59(1):46–55

    Article  PubMed  PubMed Central  Google Scholar 

  17. Subramaniam M, Abdin E, Vaingankar JA, Shafie S, Chua HC, Tan WM et al (2020) Minding the treatment gap: results of the Singapore mental health study. Soc Psychiatry Psychiatr Epidemiol 55(11):1415–1424

    Article  PubMed  Google Scholar 

  18. Andrade et al (2014) Barriers to mental health treatment: results from the WHO World mental health surveys. Pschological Med 44(6):1303–1317

    Article  CAS  Google Scholar 

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Funding

Varsha Rajan received partial support for MD thesis from Indian Council of Medical Research New Delhi, Reference No.3/2/June-2020/PG-Thesis-HRD (36) dated 02-09-2020.

Author information

Authors and Affiliations

  1. Department of Community Medicine and Family Medicine, Academic Block, AIIMS, Patrapada, Bhubaneswar, Odisha, India

    Varsha Rajan, Priyamadhaba Behera, Arvind Kumar Singh & Binod Kumar Patro

  2. Department of Psychiatry, AIIMS, Bhubaneswar, Odisha, India

    Suravi Patra

Authors
  1. Varsha Rajan
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  2. Priyamadhaba Behera
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  3. Suravi Patra
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  4. Arvind Kumar Singh
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  5. Binod Kumar Patro
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Contributions

The authors confirm their contribution to the paper as follows: Study conception and design: BKP, SP, PB, AKS. Data Collection: VR. Analysis and Interpretation of Results: BKP, VR, PB. Draft Manuscript preparation: VR, BKP. All authors reviewed the results and approved the final version of the manuscript

Corresponding author

Correspondence to Binod Kumar Patro.

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Conflict of interest

The authors declare no competing interests.

Ethical approval

The study was approved by IEC AIIMS Bhubaneswar (Ref. Number: IEC/AIIMS BBSR/PG Thesis/2020-21/49). The written informed consent form was obtained from every participant.

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Rajan, V., Behera, P., Patra, S. et al. Prevalence of common mental disorders and treatment gap among patients with non-communicable diseases in the rural areas of East India. Soc Psychiatry Psychiatr Epidemiol (2024). https://doi.org/10.1007/s00127-024-02618-0

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  • DOI: https://doi.org/10.1007/s00127-024-02618-0

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