A significant number of patients with severe psychiatric disorders remain untreated in the community although health services are available.
The factors related to non-treatment are not well understood.
A door-to-door survey was conducted on an Indian urban population of 100 000 using standardized screening and clinical instruments as a part of a larger epidemiological study.
Treatment status was determined from multiple sources of information.
Nearly one-third of 261 schizophrenia patients were found never to have received treatment.
They were older in age and ill for a longer duration than those who had been treated and were more symptomatic and severely disabled.
They were more often uneducated and divorced and lived with larger extended/joint families.
This last factor was considered as being the important factor in determining whether the patient received treatment.
The larger extended/joint family, which was able to compensate and cope with the dysfunctional member, seemed to be the crucial factor related to non-treatment of the schizophrenic patient.
Mots-clés Pascal : Schizophrénie, Utilisation, Service santé, Inde, Asie, Milieu urbain, Milieu culturel, Environnement social, Santé mentale, Homme, Psychose
Mots-clés Pascal anglais : Schizophrenia, Use, Health service, India, Asia, Urban environment, Cultural environment, Social environment, Mental health, Human, Psychosis
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0469674
Code Inist : 002B18H05B. Création : 19/02/1999.