Common mental disorders in primary care in Harare, Zimbabwe: associations and risk factors.

Journal: The British journal of psychiatry : the journal of mental science

Volume: 171

Issue: 

Year of Publication: 1997

Affiliated Institutions:  University of Zimbabwe Medical School, Harare, Zimbabwe.

Abstract summary 

This study aimed to investigate the associations for common mental disorders (CMD) among primary care attenders in Harare.This was an unmatched case-control study of attenders at primary health clinics, general practitioner surgeries and traditional medical practitioner clinics; 199 cases with CMD as identified by an indigenously developed case-finding questionnaire, and 197 controls (non-cases), were interviewed using measures of sociodemographic data, disability, care-giver diagnoses and treatment, explanatory models, life events and alcohol use.CMD was associated with female gender (P = 0.04) and older age (P = 0.02). After adjustment for age, gender and site of recruitment, CMD was significantly associated with chronicity of illness; number of presenting complaints; beliefs in "thinking too much" and witchcraft as a causal model; economic impoverishment; infertility; recent unemployment; an unhappy childhood for females; disability; and consultations with traditional medical practitioners and religious priests.Mental disorders are associated with female gender, disability, economic deprivation, and indigenous labels of distress states.

Authors & Co-authors:  Patel V V Todd C C Winston M M Gwanzura F F Simunyu E E Acuda W W Mann A A

Study Outcome 

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Statistics
Citations : 
Authors :  7
Identifiers
Doi : 
SSN : 0007-1250
Study Population
Female
Mesh Terms
Age Factors
Other Terms
Study Design
Case Control Trial
Study Approach
Country of Study
Zimbabwe
Publication Country
England