Indian Journal of PsychiatryIndian Journal of Psychiatry
Home | About us | Current Issue | Archives | Ahead of Print | Submission | Instructions | Subscribe | Advertise | Contact | Login 
    Users online: 310 Small font sizeDefault font sizeIncrease font size Print this article Email this article Bookmark this page
Search Again
 Back
 Table of Contents
 
 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Article Access Statistics
 Reader Comments
 Email Alert
 Add to My List
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1404    
    Printed101    
    Emailed2    
    PDF Downloaded272    
    Comments [Add]    
    Cited by others 1    

Recommend this journal

 
TILAK VENKOBA RAO ORATION
Year : 2005  |  Volume : 47  |  Issue : 1  |  Page : 15-20

Social origins, biological treatments: The public health implications of common mental disorders in India


London School of Hygiene and Tropical Medicine, London, UK

Correspondence Address:
Vikram Patel
Sangath, 841/1 Alto-Porvorim, Goa 403521, India

Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5545.46068

Rights and Permissions

Common mental disorders (CMD) is a term used to describe depressive and anxiety disorders. It replaces the old term 'neuroses' and is widely used because of the high level of co-morbidity of depression and anxiety, which limits the validity of categorical models of classification of neurotic disorders, particularly in primary care settings. The global public health significance of CMD is highlighted by the fact that in developing countries, depression is the leading cause of years lived with disability in both men and women aged 15-44 years. This oration brings together research evidence, mostly from South Asia, to show that although the aetiology of CMD may lie in the socioeconomic circumstances faced by many patients, biological treatments such as antidepressants may be among the most cost-effective treatments in resource-poor settings. The oration demonstrates the public health implications of CMD by briefly reviewing the burden of CMD in the region and presents evidence linking the risk for CMD associated with two of the region's most important public health risk factors-poverty and gender disadvantage. The oration also presents recent evidence to establish the association of CMD with some of the region's most important public health issues: maternal and child health; and reproductive and sexual health. Next, the evidence for the efficacy of treatments for CMD in developing countries is presented, focusing on a series of recent trials that show that both psychosocial and biological treatments are effective. Finally, the implications for policy and future research are considered.



[FULL TEXT] [PDF]*

        

Print this article         Email this article