RESUMO
This questionnaire has been designed considering transcultural differences. Its validation includes an approximately 400-patient sample, with their relatives as control sample population. Such populations come from General Health Centers located in Colombia, India, the Philippines, and Sudan. In each area, different cut-off points were used on the calculation of sensitivity and specificity. This instrument is currently used in different parts of the world: It is demonstrating to be valuable and sensitive a tool for identifying mental disorders among individuals seeking treatment at General Health Services. At the same time, it is being used in a training manual for Psychiatry primary care workers. Even though the instrument does not diagnosticate, it nonetheless identifies individuals suffering from psychological disrupting symptoms. Both its simplicity and high sensitivity help in a practical approach to Psychiatry primary care strategies.
Assuntos
Comparação Transcultural , Transtornos Mentais/diagnóstico , Inquéritos e Questionários , Adulto , Colômbia , Humanos , Índia , Filipinas , Atenção Primária à Saúde , Estudos de Amostragem , SudãoRESUMO
This questionnaire has been designed considering transcultural differences. Its validation includes an approximately 400-patient sample, with their relatives as control sample population. Such populations come from General Health Centers located in Colombia, India, the Philippines, and Sudan. In each area, different cut-off points were used on the calculation of sensitivity and specificity. This instrument is currently used in different parts of the world: It is demonstrating to be valuable and sensitive a tool for identifying mental disorders among individuals seeking treatment at General Health Services. At the same time, it is being used in a training manual for Psychiatry primary care workers. Even though the instrument does not diagnosticate, it nonetheless identifies individuals suffering from psychological disrupting symptoms. Both its simplicity and high sensitivity help in a practical approach to Psychiatry primary care strategies.
RESUMO
As part of the WHO Collaborative Study on Strategies for Extending Mental Health Care 259 families in four developing countries (Colombia, India, Sudan and the Philippines) were screened with regard to the social burden caused by mental illness of one of its members. Levels of subsistence, previous illness, financial burden, personal relations and social acceptance were studied. The social burden was greatest in the urban areas.
Assuntos
Família , Transtornos Mentais , Adulto , Colômbia , Comparação Transcultural , Países em Desenvolvimento , Feminino , Humanos , Índia , Masculino , Transtornos Mentais/economia , Serviços de Saúde Mental , Pessoa de Meia-Idade , Filipinas , Sudão , Organização Mundial da SaúdeRESUMO
To ascertain the frequency of mental disorders in Sudan, Philippines, India, and Columbia, 925 children attending primary health care facilities were studied. Rates of between 12% and 29% were found in the four study areas. The range of mental disorders diagnosed was similar to the encountered in industrialized countries. The research procedure involved a two-stage screening in which a ten-item "reporting questionnaire" constituted the first stage. The study has shown that mental disorders are common among children attending primary health care facilities in four developing countries and that accompanying adults (usually the mothers) readily recognize and report common psychologic and behavioral symptoms when these are solicited by means of a simple set of questions. Despite this, the primary health workers themselves recognized only between 10% and 22% of the cases of mental disorder. The result have been used to design appropriate brief training courses in childhood mental disorders for primary health workers in the countries participating in the study.