Anxiety and Depression in an Outpatient-Clinic in Lesotho, Africa

Hollifield, M. and Katon, W. and Morojele, N. (1994) Anxiety and Depression in an Outpatient-Clinic in Lesotho, Africa. International Journal of Psychiatry in Medicine, 24 (2). pp. 179-188. ISSN 0091-2174. (The full text of this publication is not available from this repository)

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Abstract

Objective: Past studies of psychiatric disorders in primary care in developing countries have utilized measures to determine conspicuous psychiatric morbidity (CPM) rather than diagnoses. Our goal was to determine the prevalence of DSM-III major depression (DEP), panic disorder (PD), and generalized anxiety disorder (GAD) in an outpatient clinic in Lesotho, Africa. Methods: As part of a larger community study, we utilized a translated version of the N.I.M.H. Diagnostic Interview Schedule to determine the prevalence of DEP, PD, and GAD in 126 randomly selected outpatients (response rate = 77%) attending a general hospital clinic. We compared these data to information about demographics and symptom presentation. Results: We found twenty-nine (23%) patients with DEP, thirty (24%) with PD, and thirty-six (29%) with GAD. Forty-six (36%) had either DEP or PD, with thirteen (45%) having concurrent illness. Patients with DEP and/or PD presented with a significantly higher number of physical symptoms, and a higher percentage of symptoms that were pain or autonomic nervous system related than patients with no disorder ever. Conclusion: There is significant psychiatric morbidity of common diagnoses in outpatient clinic in Lesotho, and patients present primarily with somatic symptoms, as in developed countries. There is a need for better elucidation of cross-cultural phenomenology, medical co-morbidity as a confounder, and help-seeking and treatment patterns in the developing world.

Item Type: Article
Uncontrolled keywords: ANXIETY; DEPRESSION; OUTPATIENT; PRIMARY CARE; AFRICA; CROSS-CULTURAL PSYCHIATRY; PSYCHIATRIC EPIDEMIOLOGY
Subjects: R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Divisions: Faculties > Science Technology and Medical Studies > Kent Institute of Medicine and Health Sciences (KIMHS)
Depositing User: P. Ogbuji
Date Deposited: 25 Jun 2009 13:56
Last Modified: 25 Jun 2009 13:56
Resource URI: http://kar.kent.ac.uk/id/eprint/20255 (The current URI for this page, for reference purposes)
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