Prevalence of psychiatric morbidity at Mobile Health Clinic in an urban community in North India
Abstract
Objective The objective was to estimate the prevalence of psychiatric morbidity amongst patients attending Mobile Health Clinic (MHC) in an urban community in South Delhi.Methods Adult subjects were recruited by systematic random sampling at outpatient MHC. Primary Care Evaluation of Mental Disorder Patient Health Questionnaire (PHQ) was used for screening, and Mini International Neuropsychiatric Interview (M.I.N.I.) was used for the confirmation of diagnosis of psychiatric disorder of all PHQ-positive and 20% of PHQ-negative patients. Association of selected sociodemographic factors with psychiatric morbidity was also assessed.Results In total, 350 subjects were recruited, out of which 92 (26.3%) [95% confidence interval (CI) 21.7-31.0] were found to be PHQ positive. M.I.N.I. was administered to 141 subjects (92 PHQ positives and 52 PHQ negatives). Total estimated magnitude of psychiatric morbidity by M.I.N.I. was 25.4% (95% CI 20.9-29.9). Depression (15.7%) was observed to be the most common psychiatric disorder followed by generalized anxiety disorder (11.1%) and phobic disorders (10.1%). Suicidal ideation was reported by 37 (10.6%) patients. Literate status [odds ratio (OR)=0.43] and duration of migration >20 years to study area (OR=1.27) were found to be significantly associated with psychiatric morbidity.Conclusion In resource-poor country like India, high psychiatric morbidity at MHC justifies the use of MHC for providing outreach mental health services in difficult areas.
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The PHQ has previously been validated among South Asian populations and used in previous studies measuring the prevalence of depressive symptoms among various communities in India.
“The PHQ has previously been validated among South Asian populations and used in previous studies measuring the prevalence of depressive symptoms among various communities in India.15–19”
From Mental Health, Suicidality, Health, and Social Indicators Among College Students Across Nine States in India (2025) · cites this paper as [18]
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Self-citation
- Authors
- Salve, H., Goswami, K., Nongkynrih, B., Sagar, R., & Sreenivas, V.
- Affiliations
- All India Institute of Medical Sciences (IN)
- Corresponding author
- Salve, Harshal
- Venue
- General Hospital Psychiatry
- Publisher
- Elsevier BV
- Published
- 2012-03
- Volume
- 34
- Issue
- 2
- Pages
- 121-126
- ISSN
- 0163-8343 (ISSN-L)
- OpenAlex
- W2026309810
- Cited by
- 26
- References
- 36
- Citations by year
- 2024: 2 · 2023: 1 · 2021: 4 · 2020: 3 · 2019: 4 · 2017: 3 · 2016: 2 · 2014: 3 · 2013: 4
- FWCI
- 3.06
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- General Hospital Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- psychiatric morbidity, prevalence, mobile clinics, primary care mental health, depression, generalized anxiety disorder, phobia, suicidal ideation, sociodemographic risk factors, literacy, migration duration, urban communities, South Delhi
- MeSH terms
- Adolescent, Adult, Ambulatory Care, Mental Disorders, Female, Humans, India, Interviews as Topic, Male, Middle Aged, Mobile Health Units, Surveys and Questionnaires, Urban Population, Young Adult
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