Child and adolescent psychiatric epidemiology in India.

POORNIMA BHOLA, Ph.D. (Clinical Psychology), Junior Research Fellow, National Institute of Mental Health and Neum Sciences, Bangalore. 502E. Ranks. Corner Apartments, I" Main. Cambridge Layout, Ulsoor, Bangalore-560 008. .
Indian Journal of Psychiatry 10/2003; 45(4):208-17.
Source: PubMed

ABSTRACT The increasing focus on child mental health in developing countries like India points to the importance of epidemiological data in developing training, service and research paradigms.This review attempts to synthesise and evaluate the available research on the prevalence of child and adolescent psychiatric disorders in India and highlight significant conceptual and methodological trends. It identified 55 epidemiological studies conducted between 1964 and 2002 in the community and school settings. Despite considerable progress, various methodological lacunae continue to limit the value of the epidemiological surveys. These include issues related to sampling, case definition methods, tools, multi-informant data and data analysis. The importance of a socio-culturally relevant research framework has been highlighted. The review suggests directions for future research to guide planning of services that meet the mental health needs of vulnerable children and adolescents.

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    ABSTRACT: Aim: To study the prevalence of psychiatric diagnosis and psychopathology in adolescent offspring of parents with panic disorder, depression and normal controls Methods: Adolescent offspring (11-16 years) of parents with a diagnosis of panic disorder and major depression, and normal controls were interviewed using Missouri Assessment of Genetics Interview for Children (MAGIC), Scale for Childhood Anxiety Related Emotional Disorders (SCARED), Strengths and Difficulties Questionnaire (SDQ) and the Children's Global Assessment Scale (CGAS). Results: Thirty three adolescent offspring of parents with panic disorder, 47 of parents with unipolar depression, and 37 of normal controls were interviewed. A diagnosis of simple phobia was made significantly more often in adolescent offspring of parents with panic disorder compared to controls. Adolescent offspring of parents with depression had significantly higher rates of panic disorder and depression compared to controls. The total scores on SCARED and SDQ were significantly higher among the offspring of parents with panic disorder and depression compared to controls and the former were more functionally impaired. Conclusions: There was an excess prevalence of psychopathology and a greater degree of functional impairment in adolescent offspring of parents with panic disorder and depression compared to adolescent offspring of normal controls.
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    ABSTRACT: There is increasing concern about suicide rates in the vulnerable developmental stage of adolescence. The experiences and expressions of suicidality among adolescents are often “hidden” and occur due to complex and cumulative interactions of multiple factors. A cross-sectional survey assessed self-reported suicidal ideation, suicide attempts and helpseeking behaviour among adolescents attending a pre-university college in Bangalore, India. This formed part of a 2-year teacher training project for Adolescent Mental Health and Suicide Prevention in the college. 1087 male and female adolescents aged 16–18 years, completed the Columbia Teen Screen which assessed self-reported suicide attempt/s (lifetime, past 3 months) as well as suicidal ideation (current, past 3 months) and associated intensity, severity and duration. Adolescents’ perceptions about the need for help and mental health consultation were also assessed. Emotional and behavioural difficulties were reported on the Strengths and Difficulties Questionnaire. The results indicated that 25.4% of the adolescents reported suicidal ideation (past 3 months) and 12.9% of the total sample expressed their need for seeking help. The rate of suicide attempt was 12.9% (lifetime) and 6% (past 3 months). Logistic Regression analysis identified factors associated with recent suicidal ideation and attempt. Females had higher rates of suicide ideation and attempts than males (Ideation OR = 1.4, CI = 1.04–1.9; Attempt OR = 2.2, CI = 1.0–4.5) and adolescents with abnormal emotional and behavioural problems were at higher risk for suicidal ideation (emotional difficulties OR = 4.6, CI = 3.2–6.6; hyperactivity/inattention OR = 2.1, CI = 1.3–3.2). The findings add to the limited database on youth suicidality in India and have implications for prevention and intervention.
    Asian Journal of Psychiatry 01/2013;

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