Anxiety Disorder in Homemakers of Kumaon Region of Uttarakhand, India

Amandeep Kaur, Mrinmay Das, Hariom Kumar Solanki, Sadhana Awasthi, Anuradha Hyanki

Abstract


Background: Anxiety is graded as the sixth major contributor to nonfatal health loss worldwide and is included in the top ten causes of years lived with disability. National Mental Health Survey 2015–2016 too reported the prevalence of anxiety spectrum disorders as 3.5%, and way higher among females than males. The present study was undertaken to find the prevalence of anxiety disorders in homemakers aged 15–59 years and identify factors causing anxiety disorders in this population. Methods: In the present cross‑sectional study, a total of 324 ever‑married, apparently healthy women aged less than 60 years were included using systematic random sampling from the four selected urban areas after applying proportional sampling. A generalized anxiety disorder‑7 (Hindi version) questionnaire was used for screening the anxiety disorders. Additional information was collected using a pretested questionnaire for assessing determinants. The data so collected were coded and compiled in MS Excel and analyzed using IBMSPSSStatistics (version 17.0). Results: Forty‑four (13.6%) out of 324 women were screened positive for anxiety disorder. Moderate anxiety was present in 10.2% and severe anxiety in 3.4% of study subjects. Anxiety symptoms were significantly higher among women with perceived economic instability 4.3 (95% CI 1.5–12.2) and non‑cordial relation with family members (11.5 [95% CI 2.4–55.5] with in‑laws and 20.2 [95% CI 4.3–94.2] with husband) Health of the children was also seen to be major reason of anxiety (31.1 [95% CI 3.8–256.6]). Conclusion: Anxiety disorder is a significant mental health problem affecting over 13% homemaker women in the Kumaon region of Uttarakhand, India.


Keywords


Determinants; ever‑married; female; prevalence; primary health care; risk factors

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References


Torpy JM, Burke AE, Golub RM. Generalized anxiety disorder.

JAMA 2011;305:522.

Depression and Other Common Mental Disorders: Global Health

Estimates. Geneva: World Health Organization; 2017. Licence:

CC BY‑NC‑SA 3.0 IGO. Available from: http://apps.who.int/

iris/bitstream/10665/254610/1/WHO‑MSD‑MER‑2017.2‑eng.

pdf?ua=1. [Last accessed on 2017 Jul 24].

Shear MK, Cloitre M, Pine D, Ross J. Anxiety Disorders in

Women: Setting a research agenda. Maryland: Anxiety Disorders

Association of America; 2005. Available from: https://www.adaa.

org/sites/default/files/ADAA_Womens_R1.pdf. [Last accessed on

Jul 24].

Gururaj G, Varghese M, Benegal V, Rao GN, Pathak K,

Singh LK, et al. National Mental Health Survey of India,

‑16: Prevalence, patterns and outcomes. Bengaluru, National

Institute of Mental Health and Neuro Sciences, NIMHANS

Publication No. 129, 2016. Available from: http://www.

nimhans.ac.in/sites/default/files/u197/NMHS%20Report%20

%28Prevalence%20patterns%20and%20outcomes%29%201.pdf.

[Last accessed on 2017 Jul 24].

Das M, Kaur A, Solanki HK, Rawat CS, Awasthi S, Mittal S.

Depression, its correlates and effects in ever married urban

women residing in Kumaon region of Uttarakhand. J Clin Diagn

Res 2018;12:VC08‑13.

Lijin A. Prevalence and correlates of depression among

ever‑married women in a coastal panchayat of rural

Thiruvananthapuram. Thesis. [Internet]. 2012. Available from:

http://dspace.sctimst.ac.in/jspui/bitstream/123456789/2127/3/

MPH_6156.pdf. [Last accessed on 2016 Jul 04].

Spitzer RL, Kroenke K, Williams JBW, Löwe B. A brief measure

for assessing generalized anxiety disorder: The GAD‑7. Arch

Intern Med 2006;166:1092‑7.

Kroenke K, Spitzer RL, Williams JBW, Monahan PO,

Löwe B. Anxiety disorders in primary care: Prevalence,

impairment, comorbidity, and detection. Ann Intern Med

;146:317.

Patient Health Questionnaire (PHQ) Screeners. Select a Screener

[Internet]. Available from: http://www.phqscreeners.com/

select‑screener/41. [Last accessed on 2018 Jan 09].

Patel PA, Patel PP, Khadilkar AV, Chiplonkar SA, Patel AD.

Impact of occupation on stress and anxiety among Indian

women. Women Health 2017;57:392‑401.

Johansson R, Carlbring P, Heedman Å, Paxling B, Andersson G.

Depression, anxiety and their comorbidity in the Swedish general

population: Point prevalence and the effect on health‑related

quality of life. Peer J 2013;1:e98

Noorbala AA, Faghihzadeh S, Kamali K, Bagheri Yazdi SA,

Hajebi A, Mousavi MT, et al. Mental Health Survey of the

Iranian Adult Population in 2015. Arch Iran Med 2017;20:128‑34.

Kader Maideen SF, Mohd Sidik S, Rampal L, Mukhtar F.

Prevalence, associated factors and predictors of anxiety:

A community survey in Selangor, Malaysia. BMC Psychiatry

;15:262.

Ganguli HC. Epidemiological findings on prevalence of mental

disorders in India. Indian J Psychiatry 2000;42:14‑20.

Reddy VM, Chandrashekar CR. Prevalence of mental and

behavioural disorders in India: A meta‑analysis. Indian J

Psychiatry 1998;40:149‑57.

Indian Council of Medical Research, Public Health Foundation

of India, and Institute for Health Metrics and Evaluation. India:

Health of the Nation’s States—The India State‑Level Disease

Burden Initiative. New Delhi, India: ICMR, PHFI, and IHME;

Available from: http://www.healthdata.org/sites/default/

files/files/2017_India_State‑Level_Disease_Burden_Initiative_‑_

Full_Report%5B1%5D.pdf. [Last accessed on 2018 Jan 09].

Remes O, Brayne C, van der Linde R, Lafortune L. A systematic

review of reviews on the prevalence of anxiety disorders in adult

populations. Brain Behav 2016;6:e00497.

Brenes GA, Knudson M, McCall WV, Williamson JD,

Miller ME, Stanley MA. Age and racial differences in the

presentation and treatment of Generalized Anxiety Disorder in

primary care. J Anxiety Disord 2008;22:1128‑36.

Lim S, Han CE, Uhlhaas PJ, Kaiser M. Preferential detachment

during human brain development: Age‑ and sex‑specific

structural connectivity in diffusion tensor imaging (DTI) data.

Cereb Cortex 2015;25:1477‑89.

Fahey N, Soni A, Allison J, Vankar J, Prabhakaran A, Moore

Simas TA, et al. Education mitigates the relationship of stress

and mental disorders among rural Indian women. Ann Glob

Health 2016;82:779‑87.

Bansal P, Chaudhary A, Soni RK, Sharma S, Gupta VK,

Kaushal P. Depression and anxiety among middle‑aged

women: A community‑based study. J Fam Med Prim Care

;4:576‑81.

Mirza I, Jenkins R. Risk factors, prevalence, and treatment of

anxiety and depressive disorders in Pakistan: Systematic review.

BMJ 2004;328:794.

Karmaliani R, Asad N, Bann CM, Moss N, McClure EM,

Pasha O, et al. Prevalence of anxiety, depression and associated

factors among pregnant women of Hyderabad, Pakistan. Int J

Soc Psychiatry 2009;55:414‑24.

Uriyo JG, Abubakar A, Swai M, Msuya SE, Stray‑Pedersen B.

Prevalence and correlates of common mental disorders among

mothers of young children in Kilimanjaro region of Tanzania.

PLoS One 2013;8:e69088.

Shabbir S, Nisar SR, Fatima S. Depression, anxiety, stress and

life satisfaction among early and late married females. Eur J Bus

Soc Sci 2015;4:128‑31.

Solati K, Hasanpour‑Dehkordi A. Study of association of

substance use disorders with family members’ psychological

disorders. J Clin Diagn Res 2017;11:VC12‑5.

Duran B, Sanders M, Skipper B, Waitzkin H, Malcoe LH,

Paine S, et al. Prevalence and correlates of mental disorders

among native American women in primary care. Am J Public

Health 2004;94:71‑7.

de Jong PJ. Implicit self‑esteem and social anxiety: Differential

self‑favouring effects in high and low anxious individuals. Behav

Res Ther 2002;40:501‑8.