همه گیری شناسی اختلالات روان پزشکی در استان ‌مازندران (سال 1380)

Background and purpose: The burden of psychiatric disorders in the developed countries has been identified by screening questionnaires and standard clinical interviews at a high level, but the epidemiological studies of psychiatric disorders in our country are brief and their numbers are few. Planning for providing essential mental health services to the people requires proper knowledge about the present status of psychiatric disorders in our society. The objective of this research was to carry out an epidemiological study of the psychiatric disorders in the individuals 18 years and above, living in urban and rural areas of mazandaran province. Materials and methods: Ïn this study, 1022 individuals selected through randomized systematic and clustered sampling method from mazandaran province families and presence of Âffective Disorders and Schizophrenia(SÂDS) were diagnosed by clinical psychologist through filling of questionnaires and also based on DSM-ÏV classification criteria. Results: Results of the study showed that the prevalence of psychiatric disorders in the province is 21.52% which comprises 30.13% in women and 12.33% in men. The rate of anxiety and mood disorders were 10.17% and 5.48% respectively, which were the highest rate of prevalence in this province. The prevalence of psychologic disorders in this study was 1.67%, neuro-cognitive disorders 2.73% and dissociative disorders 1.47%. Ïn the mood disorders group, main depression was 4.60% and in the anxiety disorders group, phobia was 2.74%, which were the higher prevalence rates. The prevalence of psychiatric disorders in the province among the individuals of 66 years and above was 21.84%, individuals of expired spouses 26.92%, residents of Sari city 18.82%, illiterate individuals 23.04% and housewives 22.56% were more than the other individuals in this study. Çonclusion: This study showed that 14.58% of individuals under study suffered from at least one of the psychiatric disorders and prevalence of these disorders is nearly same as the previous epidemiological study done in Ïran and the other countries. Knowledge on the result of this study, clarifies the responsibility of the health policy makers and programmers on prevention, treatment and medical education more than before relating to prepration of application and executive plans in Mazandaran province for mental health.