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Mental disorders in primary health care: a study of their frequency and diagnosis in four developing countries

  • T. W. Harding (a1), V. De Arango (a1), J. Baltazar (a1), C. E. Climent (a1), H. H. A. Ibrahim (a1), L. Ladrido-Ignacio (a1) and N. N. Wig (a1)...
Synopsis
SYNOPSIS

1624 patients who were attending primary health facilities in 4 developing countries were examined to determine how many were suffering from mental disorder. Using stringent criteria to establish the presence of psychiatric morbidity, 225 cases were found, indicating an overall frequency of 13·9 %. The great majority of cases were suffering from neurotic illnesses and for most the presenting complaint was of a physical symptom, such as headache, abdominal pain, cough or weakness. The health workers following their normal procedure correctly detected one third of the psychiatric cases.

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Corresponding author
1Address for correspondence: Dr T. W. Harding, Medical Officer, World Health Organization, 1211 Geneva 27, Switzerland. Principal investigator for the study.
References
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Climent C. E. & Plutchick R. (1980). Confiabilidad, validez y sensibilidad de los itemes de una escala de auto-reportaje de sintomas de enfermedad mental. Revista Colombiana de Psiquiatria (in the press).
Dilling H., Weyerer S. & Enders I. (1978). Patienten mit psychischen Störungen in der Allgemeinpraxis und ihre psychiatrische Überweisungsbedürftigkeit. Monographien aus dem Gesamtgebiete der Psychiatrie (Berlin) 17, 135160.
Foulds G. A. & Hope K. (1968). Manual of the Symptom Sign Inventory (SSI) University of London Press: London.
Giel R. & Harding T. W. (1976). Psychiatric priorities in developing countries. British Journal of Psychiatry 128, 513522.
Giel R. & Van Luijk V. N. (1969). Psychiatric morbidity in a small Ethiopian town. British Journal of Psychiatry 115, 149162.
Giel R. & Le Nobel C. P. J. (1971). Neurotic instability in a Dutch village. Acta psychiatrica scandinavica 47, 462472.
Giel R. & Workneh F. (1980). Coping with outpatients who cannot cope – management of persistent complainers in an African country. Transactions of the Royal Society of Tropical Medicine and Hygiene (in the press).
Giel R., de Arango M. V., Climent C. E., Harding T. W., Ibrahim H. H. A., Ladrido-Ignacio L., Srinivasa Murthy R., Salazar M. C. I., Wig N. N. & Younis Y. O. A. (in preparation). Childhood mental disorders in primary health care.
Goldberg D. P. (1972). The Detection of Psychiatric Illness by Questionnaire Oxford University Press: London.
Goldberg D. P. (1974). Psychiatric disorders (a series on ‘screening for disease’). Lancet ii, 12451247.
Goldberg D. P. & Blackwell B. (1970). Psychiatric illness in general practice. A detailed study using a new method of case identification. British Medical Journal ii 439443.
Harding T. W. (1973). The detection of psychiatric illness by questionnaire in Jamaica. West Indian Medical Journal 22, 190191.
Harding T. W. (1976). Validating a method of psychiatric case identification in Jamaica. Bulletin of the World Health Organization 54, 225231.
Harding T. W. (1978). Psychiatry in rural agrarian societies. Psychiatric Annals 8, 7484.
Harding T. W., Climent C. E., Collignon R., Diop B. S. M., Giel R., Guèye M., Ibrahim H. H. A., Ladrido-Ignacio L. & Wig N. N. (1979). Santé mentale et soins de santé primaires: premiers résultats d'une étude concertée de L'OMS. Psychopathologie africaine 15 (1), 528.
Holmes J. A. & Speight A. N. P. (1975). The problem of non-organic illness in Tanzanian urban medical practice. East African Medical Journal 52, 225236.
Kessel W. I. N. (1960). Psychiatric morbidity in a London general practice. British Journal of Preventive and Social Medicine 14, 1622.
Kessel W. I. N. (1962). Conducting a psychiatric survey in general practice. In The Burden on the Community (ed. Hill J. D. N.), pp. 1330. Nuffield Provincial Hospitals Trust: London.
Kessel N. & Shepherd M. (1962). Neurosis in hospital and general practice. Journal of Mental Science 108, 159165.
Mbanefo S. E. (1971). The general practitioner and psychiatry. In Psychiatry and Mental Health Care in General Practice (ed. Boroffka A.), pp. 4549. University of Ibadan: Ibadan.
McEvoy P. J. & McEvoy H. F. (1976). Management of psychiatric problems in a Kenyan mission hospital. British Medical Journal i, 14541456.
Mezey A. G. & Syed I. A. (1975). Psychiatric illness and attitudes to psychiatry. Social Psychiatry 10, 133138.
Ndetei D. M. & Muhangi J. (1979). The prevalence and clinical presentation of psychiatric illness in a rural setting in Kenya. British Journal of Psychiatry 135, 269272.
Pemberton J. (1949). Illness in general practice. British Medical Journal i, 306308.
Shepherd M., Cooper B., Brown A. C. & Kalton G. (1966). Psychiatric Illness in General Practice Oxford University Press: London.
Verma S. K. & Wig N. N. (1977). Standardisation of a neuroticism questionnaire in Hindi. Indian Journal of Psychiatry 19, 6772.
Wig N. N., Suleiman M. A., Routledge R., Srinivasa Murthy R., Ladrido-Ignacio L., Ibrahim H. H. A. & Harding T. W. (1980). Community reactions to mental disorders: a key informant study in three developing countries. Acta psychiatrica scandinavica 61, 111126
Wing J. K., Cooper J. E. & Sartorius N. (1974). The Measurement and Classification of Psychiatric Symptoms Cambridge University Press: Cambridge.
World Health Organization (1975). Organization of Mental Health Services in Developing Countries. Sixteenth Report of the WHO Expert Committee on Mental Health Technical Report Series No. 564. WHO: Geneva.
World Health Organization Regional Office for Africa (1979). Mental Health: Report of the WHO Regional Expert Panel on Mental Health AFRO Technical Report Series No. 7. Brazzaville.
World Health Organization (in preparation). Provisional title: Community Mental Health in Developing Countries.
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Psychological Medicine
  • ISSN: 0033-2917
  • EISSN: 1469-8978
  • URL: /core/journals/psychological-medicine
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