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  • Perinatal mental health around the world: priorities for research and service development in China

  • Simone Eliane Schwank, Qiongjie Zhou, Yanling He, Ganesh Acharya
  • Journal: BJPsych International / Volume 17 / Issue 3 / August 2020
  • Published online by Cambridge University Press: 18 February 2020, pp. 50-53
  • Print publication: August 2020
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  • China's healthcare is improving together with rapid economic growth. Yet, mental healthcare is lagging behind. Prevalence of perinatal depression is high among women of the one-child generation, but access to qualified care is limited. Chinese healthcare professionals, policy makers and patients alike express concerns about insufficient knowledge among the public as well as healthcare providers regarding mental disorders. There appears to be a general lack of help-seeking behaviour for mental disorders owing to perceived risk of social stigmatisation. Social support through family and friends, use of online resources and community healthcare services are preferred, rather than seeking help from mental health specialists.

  • Chapter 2 - Burden of illness

  • from Section 1 - History and background of global mental health
  • Edited by Samuel O. Okpaku
  • Book: Essentials of Global Mental Health
  • Published online: 05 March 2014
  • Print publication: 27 February 2014, pp 11-26

  • Summary

    This chapter discusses the results of the World Mental Health (WMH) surveys regarding the burden of mental disorders. The mental disorders were assessed with Composite International Diagnostic Interview (CIDI), a fully structured lay-administered interview designed to generate research diagnoses of commonly occurring mental disorders according to the definitions and criteria of both the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and International Classification of Diseases (ICD-10) Diagnostic Criteria for Research (DCR) diagnostic systems. Generalized linear modeling (GLM) was used to assess the effects of mental disorders on continuous outcome variables with skewed distributions. The CIDI included retrospective disorder age-of-onset (AOO) reports based on a special question sequence that has been shown experimentally to improve recall accuracy. Mental disorders are important causes of productivity loss and low perceived health. They are among the most important disorders at both individual and societal levels.

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