title: Prevalence, types and comorbidity of mental disorders in a Kenyan primary health centre.
abstract: OBJECTIVE
  To estimate the prevalence, types and comorbidity of the most common mental disorders and the spread of suicide risk in a primary care practice in Kenya.
  
  
  METHODS
  This was a cross-sectional descriptive study. A total of 300 adult outpatients were randomly selected while they were consulting their general practitioner. The M.I.N.I. Plus interview five was used to diagnose psychiatric disorders and suicide risk.
  
  
  RESULTS
  Thus, 56.3 % of the sample (n = 169) presented one or more psychiatric disorders. The most prevalent disorders were Affective (39.0 %), Anxiety (31.3 %), and Somatoform (13.0 %). Regarding specific disorders, the most common were Major Depressive Disorder (26.3 %), Agoraphobia (16.7 %), Pain Disorder (12.5 %), Generalized Anxiety Disorder (9.3 %) and Bipolar Disorder (9 %). We found three cases of Bulimia Nervosa (1 %); 29.7 % had more than one current mental disorder. Suicide risk was present in 12.7 % of participants. No associations were identified between socio-demographic factors and the presence of mental disorder. Suicide risk was higher in women and in patients who came from slum areas. Gastric pain was positively associated with presence of mental disorder.
  
  
  CONCLUSIONS
  High prevalence of mental disorders and suicide risk calls for integrating mental health services in primary health care; in particular, this study highlights the importance of differentiating between specific types of mental disorders (which require different therapeutic approaches), and of diagnosing comorbidities.
authors: Jean-Louis
authors: JL
authors: Aillon
authors: David M
authors: DM
authors: Ndetei
authors: Lincoln
authors: L
authors: Khasakhala
authors: Washington Njogu
authors: WN
authors: Ngari
authors: Hesbon Otieno
authors: HO
authors: Achola
authors: Selestine
authors: S
authors: Akinyi
authors: Simone
authors: S
authors: Ribero
mesh_terms: D000328:Adult; D001008:Anxiety Disorders / Q000453:epidemiology; D001714:Bipolar Disorder / Q000453:epidemiology; D015897:Comorbidity; D003430:Cross-Sectional Studies; D003865:Major Depressive Disorder / Q000453:epidemiology; D005260:Female; D006801:Humans; D007630:Kenya / Q000453:epidemiology; D008297:Male; D001523:Mental Disorders / Q000145:classification / Q000175:diagnosis / Q000453:epidemiology*; D008875:Middle Aged; D015995:Prevalence; D011320:Primary Health Care / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors; D013001:Somatoform Disorders / Q000453:epidemiology; D011795:Surveys and Questionnaires; D055815:Young Adult
references: J Clin Psychiatry. 1998;59 Suppl 20:22-33;quiz 34-57
references: 9881538
references: BMJ. 2003 Jul 19;327(7407):158-60
references: 12869462
references: Am J Psychiatry. 1994 May;151(5):728-31
references: 8166315
references: Soc Sci Med. 1996 Jan;42(1):21-34
references: 8745105
references: Ann Gen Psychiatry. 2009 Jan 14;8:1
references: 19144164
references: Nord J Psychiatry. 2008;62(3):250-5
references: 18609025
references: Psychol Med. 1995 Nov;25(6):1191-9
references: 8637949
references: Br J Psychiatry. 2006 May;188:465-71
references: 16648534
references: Br J Psychiatry. 2008 Feb;192(2):112-7
references: 18245026
references: Br J Psychiatry. 1979 Sep;135:269-72
references: 486853
references: J Nerv Ment Dis. 2007 Mar;195(3):196-202
references: 17468678
references: Depress Anxiety. 2007;24(3):185-95
references: 16900465
references: Br J Psychiatry. 2004 Oct;185:312-7
references: 15458991
references: Soc Sci Med. 1985;20(7):725-30
references: 4012359
references: East Afr Med J. 2004 Apr;81(4):188-93
references: 15884284
references: JAMA. 1999 Nov 10;282(18):1737-44
references: 10568646
references: Actas Esp Psiquiatr. 1999 Nov-Dec;27(6):375-83
references: 10611561
references: BMC Public Health. 2011 Oct 26;11:828
references: 22029430
references: Trans R Soc Trop Med Hyg. 2007 Oct;101(10):957-8
references: 17540425
references: Int Rev Psychiatry. 2010;22(3):235-44
references: 20528652
references: Psychol Med. 2005 Aug;35(8):1175-84
references: 16116943
references: JAMA. 1994 Dec 14;272(22):1741-8
references: 7966922
references: Br J Psychiatry. 2008 May;192(5):362-7
references: 18450661
references: J Affect Disord. 2004 Jan;78(1):49-55
references: 14672796
references: Compr Psychiatry. 1993 Jan-Feb;34(1):10-3
references: 8425386
references: Arch Intern Med. 2001 Mar 26;161(6):875-9
references: 11268232
references: Br J Psychiatry. 1984 Sep;145:326-30
references: 6478128
references: Acta Psychiatr Scand. 1988 Nov;78(5):550-4
references: 3232532
references: Br J Psychiatry. 2003 Oct;183:349-55
references: 14519614
references: Gen Hosp Psychiatry. 2007 Jul-Aug;29(4):285-93
references: 17591504
references: J Affect Disord. 2008 Jul;109(1-2):21-34
references: 18037498
references: J Neurosci Rural Pract. 2012 Jan;3(1):6-11
references: 22346182
references: Acta Psychiatr Scand. 1992 Sep;86(3):223-7
references: 1414417
references: Br Med Bull. 2007;81-82:81-96
references: 17470476
references: Ann Gen Psychiatry. 2010 Feb 12;9:7
references: 20205916
references: Am J Psychiatry. 1993 May;150(5):734-41
references: 8480818
references: Afr J Psychiatry (Johannesbg). 2012 Jul;15(4):235-43
references: 22829225
references: Transcult Psychiatry. 2006 Dec;43(4):600-14
references: 17166949
references: J Affect Disord. 2009 Dec;119(1-3):52-8
references: 19361865
references: Soc Psychiatry Psychiatr Epidemiol. 2013 Oct;48(10):1539-54
references: 23287822