Education Mitigates the Relationship of Stress and Mental Disorders Among Rural Indian Women

<p>Background</p><p>Common mental disorders (CMD) are a constellation of mental health conditions that include depression, anxiety, and other related nonpsychotic affective disorders. Qualitative explanatory models of mental health among reproductive-aged women in India reveal that...

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Autores principales:	Nisha Fahey, Apurv Soni, Jeroan Allison, Jagdish Vankar, Anusha Prabhakaran, Tiffany A. Moore Simas, Nancy Byatt, Ajay Phatak, Eileen O'Keefe, Somashekhar Nimbalkar
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2017
Materias:	common mental disorders epidemiology perceived stress rural India SRQ-20 women's health Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/53dc02621aec4bb085c5fc7ec84cc629
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spelling	oai:doaj.org-article:53dc02621aec4bb085c5fc7ec84cc6292021-12-02T04:01:29ZEducation Mitigates the Relationship of Stress and Mental Disorders Among Rural Indian Women2214-999610.1016/j.aogh.2016.04.001https://doaj.org/article/53dc02621aec4bb085c5fc7ec84cc6292017-03-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/703https://doaj.org/toc/2214-9996<p>Background</p><p>Common mental disorders (CMD) are a constellation of mental health conditions that include depression, anxiety, and other related nonpsychotic affective disorders. Qualitative explanatory models of mental health among reproductive-aged women in India reveal that distress is strongly associated with CMD. The relationship of perceived stress and CMD might be attenuated or exacerbated based on an individual's sociodemographic characteristics.</p><p>Objectives</p><p>To screen for Common Mental Disorders (CMD) among reproductive-aged women from rural western India and explore how the relationship between perceived stress and CMD screening status varies by sociodemographic characteristics.</p><p>Methods</p><p>Cross-sectional survey of 700 women from rural Gujarat, India. CMD screening status was assessed using Self-Reported Questionnaire 20 (SRQ-20). Factors associated with CMD screening status were evaluated using multivariable logistic regression. Effect modification for the relationship of perceived stress and CMD screening status was assessed using interaction terms and interpreted in terms of predicted probabilities.</p><p>Findings</p><p>The analytic cohort included 663 women, with roughly 1 in 4 screening positive for CMD (157, 23.7%). Poor income, low education, food insecurity, and recurrent thoughts after traumatic events were associated with increased risk of positive CMD screen. Perceived stress was closely associated with CMD screening status. Higher education attenuated the relationship between high levels of stress and CMD screening status (82.3%, 88.8%, 32.9%; P value for trend: 0.03). Increasing income and age attenuated the link between moderate stress and CMD.</p><p>Conclusions</p><p>Our findings suggest a high burden of possible CMD among reproductive-aged women from rural western India. Higher education might mitigate the association between elevated stress and CMD. Future efforts to improve mental health in rural India should focus on preventing CMD by enhancing rural women's self-efficacy and problem-solving capabilities to overcome challenging life events and stressors, thereby reducing the risk of CMD.Nisha FaheyApurv SoniJeroan AllisonJagdish VankarAnusha PrabhakaranTiffany A. Moore SimasNancy ByattAjay PhatakEileen O'KeefeSomashekhar NimbalkarUbiquity Pressarticlecommon mental disordersepidemiologyperceived stressrural IndiaSRQ-20women's healthInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 82, Iss 5, Pp 779-787 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	common mental disorders epidemiology perceived stress rural India SRQ-20 women's health Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	common mental disorders epidemiology perceived stress rural India SRQ-20 women's health Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Nisha Fahey Apurv Soni Jeroan Allison Jagdish Vankar Anusha Prabhakaran Tiffany A. Moore Simas Nancy Byatt Ajay Phatak Eileen O'Keefe Somashekhar Nimbalkar Education Mitigates the Relationship of Stress and Mental Disorders Among Rural Indian Women
description	<p>Background</p><p>Common mental disorders (CMD) are a constellation of mental health conditions that include depression, anxiety, and other related nonpsychotic affective disorders. Qualitative explanatory models of mental health among reproductive-aged women in India reveal that distress is strongly associated with CMD. The relationship of perceived stress and CMD might be attenuated or exacerbated based on an individual's sociodemographic characteristics.</p><p>Objectives</p><p>To screen for Common Mental Disorders (CMD) among reproductive-aged women from rural western India and explore how the relationship between perceived stress and CMD screening status varies by sociodemographic characteristics.</p><p>Methods</p><p>Cross-sectional survey of 700 women from rural Gujarat, India. CMD screening status was assessed using Self-Reported Questionnaire 20 (SRQ-20). Factors associated with CMD screening status were evaluated using multivariable logistic regression. Effect modification for the relationship of perceived stress and CMD screening status was assessed using interaction terms and interpreted in terms of predicted probabilities.</p><p>Findings</p><p>The analytic cohort included 663 women, with roughly 1 in 4 screening positive for CMD (157, 23.7%). Poor income, low education, food insecurity, and recurrent thoughts after traumatic events were associated with increased risk of positive CMD screen. Perceived stress was closely associated with CMD screening status. Higher education attenuated the relationship between high levels of stress and CMD screening status (82.3%, 88.8%, 32.9%; P value for trend: 0.03). Increasing income and age attenuated the link between moderate stress and CMD.</p><p>Conclusions</p><p>Our findings suggest a high burden of possible CMD among reproductive-aged women from rural western India. Higher education might mitigate the association between elevated stress and CMD. Future efforts to improve mental health in rural India should focus on preventing CMD by enhancing rural women's self-efficacy and problem-solving capabilities to overcome challenging life events and stressors, thereby reducing the risk of CMD.
format	article
author	Nisha Fahey Apurv Soni Jeroan Allison Jagdish Vankar Anusha Prabhakaran Tiffany A. Moore Simas Nancy Byatt Ajay Phatak Eileen O'Keefe Somashekhar Nimbalkar
author_facet	Nisha Fahey Apurv Soni Jeroan Allison Jagdish Vankar Anusha Prabhakaran Tiffany A. Moore Simas Nancy Byatt Ajay Phatak Eileen O'Keefe Somashekhar Nimbalkar
author_sort	Nisha Fahey
title	Education Mitigates the Relationship of Stress and Mental Disorders Among Rural Indian Women
title_short	Education Mitigates the Relationship of Stress and Mental Disorders Among Rural Indian Women
title_full	Education Mitigates the Relationship of Stress and Mental Disorders Among Rural Indian Women
title_fullStr	Education Mitigates the Relationship of Stress and Mental Disorders Among Rural Indian Women
title_full_unstemmed	Education Mitigates the Relationship of Stress and Mental Disorders Among Rural Indian Women
title_sort	education mitigates the relationship of stress and mental disorders among rural indian women
publisher	Ubiquity Press
publishDate	2017
url	https://doaj.org/article/53dc02621aec4bb085c5fc7ec84cc629
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Education Mitigates the Relationship of Stress and Mental Disorders Among Rural Indian Women

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