Major anxiety disorders in Iran: prevalence, sociodemographic correlates and service utilization

BMC Psychiatry

Afarin Rahimi-Movaghar¹  Masoumeh Amin-Esmaeili¹  Reza Radgoodarzi¹  Mitra Hefazi¹  Vandad Sharifi²  Ahmad Hajebi³  Seyed Abbas Motevalian³ 

[1] Iranian National Center for Addiction Studies (INCAS), Tehran University of Medical Sciences;Psychiatry and Psychology Research Center, Tehran University of Medical Sciences;Research Center for Addiction and Risky Behavior (ReCARB), Iran University of Medical Sciences;

关键词: Anxiety disorders;    Generalized anxiety disorder;    Obsessive-compulsive disorder;    PTSD;    Social phobia;    Mental health services;   

DOI  :  10.1186/s12888-018-1828-2

来源: DOAJ

【 摘 要 】

Abstract Background It has been shown in the past two decades that anxiety disorders are the most common mental disorders in general population across the world. This study sought to assess the prevalence of major anxiety disorders, their sociodemographic correlates and mental health service utilization as part of the Iranian Mental Health Survey (IranMHS). Methods A national household face-to-face survey was carried out on a representative sample of Iranian adults from January to June 2011 using Composite International Diagnostic Interview (CIDI 2.1). A total of 7886 subjects between 15 and 64 years who can understand Persian language were included. The 12-month prevalence of anxiety disorders according to Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), their socio-demographic correlates, health service use and days out of role were measured in this study. Results The 12-month prevalence of anxiety disorders (not including specific phobias) was 15.6%. The prevalence was 12.0% in males and 19.4% in females. The three most prevalent anxiety disorders were generalized anxiety disorder (5.2%), obsessive-compulsive disorder (5.1%) and social phobia (3.2%), respectively. Factors found to be significantly associated with anxiety disorders were: female gender (OR = 1.16, 95% CI: 1.09–1.23), middle (OR = 1.23, 95%CI: 1.01–1.50) or low (OR = 1.66, 95%CI: 1.31–2.10) socioeconomic status, unemployment (OR = 1.98, 95%CI: 1.49–2.62), and urban residence (OR = 1.31, 95%CI: 1.10–1.57). Comorbidity with non-anxiety disorders significantly increased service utilization. In all subgroups, service utilization was higher among females while the number of days out of role was higher among males. Conclusions Anxiety disorders are common conditions with a higher prevalence among the female gender, unemployed individuals, and people with low socioeconomic conditions living in urban areas. Comorbidity of anxiety disorders with other psychological disorders aggravates the disability and significantly increases the number of days out of role.

【 授权许可】

Unknown