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Social Psychiatry and Psychiatric Epidemiology
Published in: Social Psychiatry and Psychiatric Epidemiology 12/2006

Open Access 01-12-2006 | ORIGINAL PAPER

Regional differences in psychiatric disorders in Chile

Authors: Benjamin Vicente, MD, PhD, Robert Kohn, MD, Pedro Rioseco, MD, Sandra Saldivia, PhD, Gonzalo Navarrette, MD, Paula Veloso, MD, Silverio Torres

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 12/2006

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Abstract

Background

Psychiatric epidemiological surveys in developing countries are rare and are frequently conducted in regions that are not necessarily representative of the entire country. In addition, in large countries with dispersed populations national rates may have low value for estimating the need for mental health services and programs.

Methods

The Chile Psychiatric Prevalence Study using the Composite International Diagnostic Interview was conducted in four distinct regions of the country on a stratified random sample of 2,978 people. Lifetime and 12-month prevalence and service utilization rates were estimated.

Results

Significant differences in the rates of major depressive disorder, substance abuse disorders, non-affective psychosis, and service utilization were found across the regions. The differential prevalence rates could not be accounted by socio-demographic differences between sites.

Conclusions

Regional differences across countries may exist that have both implications for prevalence rates and service utilization. Planning mental health services for population centers that span wide geographical areas based on studies conducted in a single region may be misleading, and may result in areas with high need being underserved.
Literature
1.
Bjil RV, de Graff R, Hiripi E, Kessler RC, Kohn R, Offord DR, Ustun TB, Vicente B, Vollebergh WAM, Walters EE, Wittchen HU (2003) The prevalence of treated and untreated mental disorders in five countries. Health Affairs 22:122–133CrossRef
2.
WHO International Consortium in Psychiatric Epidemiology (2000) Cross-national comparisons of the prevalences and correlates of mental disorders. Bull World Health Organ 78:413–25
3.
Weissman MM, Bland RC, Canino GJ, Garavelli C, Greenwald S, Hwu HG, Joyce PR, Karam EG, Lee CK, Lellouch J, Lepine JP, Newman SC, Rubio-Stipec M, Wells JE, Wickramaratne PJ, Wittchen HU, Yeh EK (1996) Cross-national epidemiology of major depression and bipolar disorder. JAMA 276:293–299PubMedCrossRef
4.
Hwu HG, Yeh EK, Chang LY (1989) Prevalence of psychiatric disorders in Taiwan defined by the Chinese Diagnostic Interview Schedule. Acta Psychiatr Scand 79:136–147PubMed
5.
Wang CH, Liu WT, Zhang MY, Yu ESH, Xia ZY, Fernandez M, Lung CT, Xu CL, Qu GY (1992) Alcohol use, abuse, and dependency in Shanghai. In: Helzer JE, Canino GJ (eds) Alcoholism in North America, Europe, and Asia. Oxford University Press, New York
6.
WHO World Mental Health Survey Consortium (2004) Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. JAMA 291:2581–2590CrossRef
7.
Kleinman A (1997) Rethinking psychiatry from cultural category to personal experience. Simon and Schuster, New York
8.
Kessler RC, McGonagle KA, Zhao S, Nelson CB, Hughes M, Eshleman S, Wittchen HU, Kendler K (1994) Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Arch Gen Psychiatr 51:8–19PubMed
9.
Robins LN, Regier DA (eds) (1989) Psychiatric disorders in America: the epidemiologic catchment area study. Free Press, New York
10.
Almeida-Filho N, Mari JJ, Coutinho E, França JF, Fernandes J, Andreoli SB, Busnello ED (1977) Brazilian multicentric study of psychiatric morbidity. Methodological features and prevalence estimates. Br J Psychiatr 171:524–529
11.
Lewis G, Booth M (1992) Regional differences in mental health in Great Britain. J Epidemiol Community Health 46:608–611PubMedCrossRef
12.
Dembling BP, Rovnyak V, Mackey S, Blank M (2002) Effect of geographic migration on SMI prevalence estimates. Ment Health Serv Res 4:7–12PubMedCrossRef
13.
Harrison G, Glazebrook C, Brewin J, Cantwell R, Dalkin T, Fox R, Jones P, Medley I (1997) Increased incidence of psychotic disorders in migrants from the Caribbean to the United Kingdom. Psychol Med 27:799–806PubMedCrossRef
14.
Haukka J, Suvisaari J, Varilo T, Lönnqvist J (2001) Regional variation in the incidence of schizophrenia in Findland: a study of birth corhorts born from 1950 to 1969. Psychol Med 31:1045–1053PubMedCrossRef
15.
Youssef HA, Kinsella A, Waddington JL (1991) Evidence for geographical variations in the prevalence of schizophrenia in rural Ireland. Arch Gen Psychiatr 48:254–255PubMed
16.
Marsella AJ (1998) Urbanization, mental health, and social deviancy. A review of issues and research. Am Psychol 53:624–634PubMedCrossRef
17.
Paykel E, Abbott R, Jenkins R, Brugha TT, Meltzer H (2003) Urban–rural mental health differences in Great Britain findings from the National Morbidity Survey. Int Rev Psychiatry 15:87–107CrossRef
18.
Caraveo-Anduaga JJ, Colmenares E, Saldivar GJ (1999) Morbilidad psiquiátrica en la ciudad de México: prevalencia y comorbilidad a lo largo de la vida. Salud Mental 34:62–67
19.
Andrade LH, Walters EE, Gentil V, Laurenti R (2002) Prevalence of ICD-10 mental disorders in a catchment area in the city of São Paulo, Brazil. Soc Psychiatr Psychiat Epidemiol 37:316–325CrossRef
20.
Hayashi S, Perales A, Sogi C, Warthon D, Llanos R, Novara J (1985) Prevalencia de vida de trastornos mentales en Independencia (Lima, Peru). Anales de Salud Mental 1:206–222
21.
Vicente B, Rioseco P, Saldivia S, Kohn R, Torres S (2002) Estudio Chileno de prevalencia de patología psiquiátrica (DSM-III-R/CIDI) (ECPP). Rev Med Chile 130:527–536PubMed
22.
Robins LN, Wing J, Wittchen HU, Helzer JE, Babor TF, Burke J, Farmer A, Jablensky A, Pickens R, Regier DA, Sartorius N, Towle LH (1988) The composite international diagnostic interview: an epidemiologic instrument suitable for use in conjunction with different diagnostic systems and in different cultures. Arch Gen Psychiatr 45:1069–1077PubMed
23.
American Psychiatric Association (1987) Diagnostic and statistical manual of mental disorders, DSM-III-R, 3rd edn. revised. American Psychiatric Association, Washington, DC
24.
Sartorius N, Kuyken W (1994) Translation of health status instruments. In: Orley J, Kuyken W (eds) Quality of life assessment in health care settings, volume 1. Springer, Berlin
25.
Vielma M, Vicente B, Rioseco P, Castro P, Castro N, Torres S (1992) Validación en Chile de la entrevista diagnóstica estandarizada para estudios epidemiológicos CIDI. Rev Psiquiatría 9:1039–1049
26.
Pfister H, Wittchen HU (1990) CIDI core computer manual for data entry and diagnostic programmes for the composite international diagnostic interview (CIDI). World Health Organization, Geneva
27.
Shah BV, Barnwell BG, Bieler GS (1997) SUDAAN user’s manual. Release 7.5. Research Triangle Institute, Research Triangle Park, NC
28.
Muñoz L, Marconi J, Horwitz J, Naveillan P (1966) Crosscultural definitions applied to the study of functional psychoses in Chilean Mapuches. Br J Psychiatr 112:1205–1215CrossRef
29.
Kohn R, Levav I, de Almeida JM, Vicente B, Andrade L, Caraveo-Anduaga JJ, Saxena S, Saraceno B (2005) Mental disorders in Latin America and the Caribbean: a public health priority. Rev Panam Salud Publica 18:229–240PubMed
Metadata
Title
Regional differences in psychiatric disorders in Chile
Authors
Benjamin Vicente, MD, PhD
Robert Kohn, MD
Pedro Rioseco, MD
Sandra Saldivia, PhD
Gonzalo Navarrette, MD
Paula Veloso, MD
Silverio Torres
Publication date
01-12-2006
Publisher
Steinkopff-Verlag
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 12/2006
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-006-0124-5

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