A systematic review and meta-analysis of the prevalence of common mental disorders in people with non-communicable diseases in Bangladesh, India, and Pakistan

Uphoff, Eleonora; Newbould, Louise; Walker, Ian; Ashraf, Nabila; Chaturvedi, Santosh K.; Kandasamy, Arun; Mazumdar, Papiya; Meader, Nick; Naheed, Aliya; Rana, Rusham Zahra; Wright, Jerome; Wright, Judy; Siddiqi, Najma; Churchill, Rachel

doi:10.7189/jogh.09.020417

Cited by 38 publications

(31 citation statements)

References 27 publications

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“…In view of the rapid spread of COVID-19 and the increase in the number of cases in Pakistan, it is necessary to have a clear picture of the state of public awareness and their practices in the context of the precautionary measures. In addition, Pakistan is a populous country and is facing enormous pressure on non-communicable diseases [17]. Both of these factors increase the country's vulnerability to this deadly infection and results in higher mortality and morbidity.…”

Section: Discussionmentioning

confidence: 99%

Public’s Knowledge and Practices regarding COVID-19: A cross-sectional survey from Pakistan

Saqlain

Ahmed

Gulzar

et al. 2020

Preprint

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Effective mitigation of coronavirus diseases (COVID-19) pandemic required true adoption of precautionary measures by the masses, that primarily depends upon their knowledge and practices behaviors. The current study aimed to evaluate the knowledge; practices of Pakistani residents regarding COVID-19 and factors associated with good knowledge and positive practices. A cross-sectional online survey was conducted from 15-April 2020 to 20 May 2020 among 689 Pakistanis by using a validated self-administered questionnaire. Regression analysis was applied to find potential predictor of knowledge and practices. Of 689 participants, more than half had good knowledge; 80% had good practices regarding COVID-19 and majority seek knowledge from social media. Knowledge was significantly higher (OR>1.00, p<0.05) among educated and higher income participants. Positive practices were significantly (OR>1.00, p<0.05) related to the older age (≥50 years), higher education, higher income and good knowledge regarding COVID-19. The study concluded that Pakistani residents had good knowledge and practices towards COVID-19 yet there are gaps in specific aspects of knowledge, and practice that should be focused in future awareness and educational campaigns. The study recommends the ministry of health authorities to promote all precautionary and preventive measures of COVID-19-consisting of a better-organized approach- to all strata of society: less privileged people, older ones and less educated people, in order to have equilibrium of knowledge about COVID-19; hence effective implementation of precautionary measures.

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Section: Discussionmentioning

confidence: 99%

Public’s Knowledge and Practices regarding COVID-19: A cross-sectional survey from Pakistan

Saqlain

Ahmed

Gulzar

et al. 2020

Preprint

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“…Recent epidemiological studies have enabled good estimates of the prevalence of mental illness and co‐morbidities in the country (Gautham et al, 2020; Uphoff et al, 2019). The National Mental Health Survey (NMHS) 2016 demonstrated a 13.7% lifetime prevalence and 10.6% point prevalence of mental illness (National Mental Health Survey of India , 2015‐16 , 2020).…”

Section: Methodsmentioning

confidence: 99%

The state of psychiatric research in the Asia Pacific region

Roche

Fung

Ransing

et al. 2020

Asia-Pacific Psychiatry

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Introduction This study aims to review recent scientific publications and research output in the field of psychiatry, from a series of countries in the Asia‐Pacific region (Australia, India, Indonesia, Iran, Lebanon, Malaysia, and Nepal), with a view to identify themes and similarities across regions, as well as to examine the barriers and challenges in mental health research faced by countries in the region. Methods Seven psychiatrists from seven countries reviewed recent published and ongoing research in psychiatry in their respective nations, with respect to themes, as well as any barriers or challenges faced by mental health researchers. Results While the seven nations included in this review vary in terms of research capabilities and economic development level, they share many similarities both in terms of research direction, and with regards to challenges faced. Limitations in the form of sociocultural differences from the West, and a lack of funding were some of the barriers identified. Discussion Mental health research in the region has been progressing well. However, more varied research in the form of qualitative or economic studies are lacking, as are multi‐center studies. The similar issues that nations face with regards to research could perhaps benefit from collaborative efforts and initiatives for the furtherance of research in the region.

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“…The prevalence of depression is two to three times higher in people with an NCD [11,12]. A recent systematic review of hospital-based studies in South Asia, revealed a pooled estimate of depression of 40% in patients with diabetes, 37% for patients with cancer, 38% in patients with hypertension, 39% in patients with stroke, and 44% in patients with chronic obstructive pulmonary disease [13]. This co-morbidity of depression with an NCD is important because it worsens the outcomes for both and is associated with poorer self-management and treatment adherence, reduced treatment response and higher morbidity and mortality for both [14,15].…”

Section: Introductionmentioning

confidence: 99%

Integrating depression care within NCD provision in Bangladesh and Pakistan: a qualitative study

Wright

Mazumdar

Barua

et al. 2020

Int J Ment Health Syst

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Background: Co-morbidity of depression with other non-communicable diseases (NCDs) worsens clinical outcomes for both conditions. Low-and middle-income countries need to strengthen mechanisms for detection and management of co-morbid depression within NCDs. The Behavioural Activation for Comorbid Depression in Non-communicable Disease (BEACON) study explored the acceptability and feasibility of integrating a brief depression intervention (behavioural activation, BA) into NCD services in healthcare facilities in Bangladesh and Pakistan. Methods: Face-to-face qualitative interviews were conducted with 43 patients and 18 health workers attending or working in NCD centres in four healthcare facilities in Bangladesh and Pakistan, and with three policy makers in each country. The interviews addressed four research questions (1) how NCD care is delivered, (2) how NCD patients experience distress, (3) how depression care is integrated within NCD provision, and (4) the challenges and opportunities for integrating a brief depression intervention into usual NCD care. The data were analysed using framework analysis, organised by capability, opportunity and motivation factors, cross-synthesised across countries and participant groups. Results: Patients and health workers described NCD centres as crowded and time pressured, with waiting times as long as five hours, and consultation times as short as five minutes; resulting in some patient frustration. They did not perceive direct links between their distress and their NCD conditions, instead describing worries about family and finance including affordability of NCD services. Health worker and policy maker accounts suggested these NCD centres lacked preparedness for treating depression in the absence of specific guidelines, standard screening tools, recording systems or training. Barriers and drivers to integrating a brief depression intervention reflected capability, opportunity and motivation factors for all participant groups. While generally valuing the purpose, significant challenges included the busy hospital environment, skill deficits and different conceptions of depression. Conclusions: Given current resource constraints and priorities, integrating a brief psychological intervention at these NCD centres appears premature. An opportune first step calls for responding to patients' expressed concerns on service gaps in provisioning steady and affordable NCD care. Acknowledging differences of conceptions of depression

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A systematic review and meta-analysis of the prevalence of common mental disorders in people with non-communicable diseases in Bangladesh, India, and Pakistan

Cited by 38 publications

References 27 publications

Public’s Knowledge and Practices regarding COVID-19: A cross-sectional survey from Pakistan

Public’s Knowledge and Practices regarding COVID-19: A cross-sectional survey from Pakistan

The state of psychiatric research in the Asia Pacific region

Integrating depression care within NCD provision in Bangladesh and Pakistan: a qualitative study

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