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Screening of mental health problems with GHQ-28 in a sample of Turkish community dwelling adult people

Year 2013, Volume: 3 Issue: 3, 115 - 120, 30.01.2014

Abstract

Objective: In this study, our objective was to examine the mental health problems and the factors affecting their mental health in a Turkish primary care sample.

Method: This research was a descriptive study. Study population included 972 non psychiatric community-dwelling people in Dudullu-Istanbul of Turkey. Data were collected by interviewing in November of 2007. The 28- item General Health Questionnaire (GHQ-28) was used as a screening tool for the detection of mental disorders. The data were analyzed with descriptive statistics, Mann-Whitney U test and logistic regression. Significance was set at p<0.05 and confidence interval estimated at the 95% level.

Result: The mean age of respondents was 36.84±13.22 with a range from 18 to 65 years. Most participants were female (82.5%), housewife (72.9%) and married (86.1%). Thirty two percent the people in the study (34% of the women and 22% of the men) were detected as likely cases. Prevalence was found statistically higher in females those who have any chronic diseases and no health insurance. Females were 1.64 times more at the risk of mental disorders compared with males. Those who have any chronic diseases were 2 times more at the risk than those who haven’t. 

Conclusion: Female, those who have any chronic disease and no health insurance are at greater risk for mental health problems.


Key words: Mental health, general health questionnaire, GHQ-28

References

  • Hoeymans N, Garssen A, Westert G, Verhaak PFM. Measuring mental health of Dutch Population: a comparison of the GHQ-12 and the MHI- Health Qual life Outcome. 2004; 2(23): 16-21.
  • Ustun EB. Global burden of mental disorders. Am j Public Health.1999; 89: 1315-1318.
  • Schmitz N, Kruse J, Heckrath C, Alberti L, Tress W. Diagnosing mental disorders in primary care: the General Health Questionnaire (GHQ) and the Symptom Check List (SCL-90-R) as screening instruments. Soc Psychiatry Psychiatr Epidemiol. 1999; 34: 360-366.
  • Cano A, Sprafkin RP, Scaturo DJ, Lantinga LJ, Fiese BH, Brand F. Mental health screening in primary care: a comparison of 3 brief measures of psychological distress, primary care companion. J Clin Psychiatry. 2001; 3(5): 206-210.
  • Goldberg DP, Gater R, Sartorius N, Ustun TB, Piccinelli M, Gureje O. Rutter C. The validity of two version of the GHQ in the WHO study of mental illness in general health care. Psychol Med. 1997; 27: 191-197. Kilic C. General Health Questionnaire:validity and reliability. Turkish Journal of Psychiatry. 1996; 7: 3–9.
  • Goldberg DP, Williams P. The User’s Guide to the General Health Questionnaire. 1. edn. Windsor. NFR-NELSON. 1988.
  • Sartorius N, Ustun TB, Costa e Silva JA, Goldberg D, Lecrubier Y, Ormel MVK, Wittchen HU. An international study of psycological problems in primary care. preliminary report from the World Health Organization Collaborative Project on ‘Psychological Problems in General Health Care’. Arch Gen Psychiatry. 1993; 50(10): 1-3.
  • Tiemens BG, Ormel MAJ, Simon GE. Occurance, recognition, and outcome of psychological disorders in primary care. The American Journal of Psychiatry. 1996; 153(5): 636-644.
  • Willmont SA, Boardman JAP, Henshaw CA, Jones PW. Understanding general health questionnaire (GHQ-28) score and its threshold. Soc Psychiatry Psychiatr Epidemiol, 2004; 39: 613-617.
  • Murad SD, Joung MA, Verhulst FC, Mackenbach JP, Crijnen AMD. Determinant of self-reported emotional and behavioral problems in Turkish immigrant adolescent aged 11-18. Soc Psychiatry Psychiatr Epidemiol. 2004; 39: 196-207.
  • Duran BD, Sanders M, Skipper B, Waitzkin H, Malcoe LH, Paine S, Yager J. Prevalence and correlates of mental disorders among Native American women in primary care. Am J Public Health. 2004; 94(1): 71Bhui K, Bhugra D, Goldberg D. Cross-cultural validity of the Amristar Depression Inventory and General Health Questionnaire amongst English and Punjabi primary care attenders. Soc Psychiatry Psychiatr Epidemiol. 2000; 35: 248-254.
  • Bell T, Watson M, Sharp D, Lyons I, Lewis G. Factors associated with being a false positive on the General Health Questionnaire. Soc Psychiatry Psychiatr Epidemiol. 2005; 40: 402-407.
  • WHO. The WHO World Health Survey Concertium, prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. JAMA. 2004; 291(21): 2581-2590.
  • Richard C, Lussier MT, Gagnon R, Lamarche L. GHQ-28 and cGHQ-28: implications of two scoring methods for the GHQ in primary care setting. Soc Psychiatry Psychiatr Epidemiol. 2004; 39: 235-243.
  • Onder E, Tural U, Aker T, Kilic C, Erdogan S. Prevalence of psychiatric disorders three years after the 1999 eartquake in Turkey: Marmara Earthquake Survey (MES). Soc Psychiatry Psychiatr Epidemiol. 2006; 41: 868-874.
  • Hosain GMM, Chatterjee N, Ara N, Islam T. Prevalence, pattern and determinants of mental disorders in rural Bangladesh. Public Health. 2007; 121: 18-24.
  • Crosier T, Butterworth P, Rodgers B. Mental health problems among single and partnered mothers. Soc Psychiatry Psychiatr Epidemiol. 2007; 42: 6-13.
  • Wilmont S, Boardman J, Henshaw C, Jones P. The predictive power and psychometric properties of the General Health Questionnaire (GHQ-28). Journal of Mental Health. 2008; 17(4): 435-442.
  • Uner S, Ozcebe H, Telatar TG, Tezcan S. Assessment of mental health of university student with GHQ-12. Turk J Med Sci. 2008; 38(5): 4374
  • Belek I. Mental disorders measured by General Health Questionnaire and sociodemographic ınequalities. Turk Psikiyatri Derg. 1999; 10(3): 163-1
  • Arslan LB, Verhulst FC, Crijnen A.A.M. Prevalence and determinants of minor psychiatric disorder in Turkish immigrants living in the Netherlands. Soc Psychiatry Psychiatr Epidemiol. 2002; 37: 118-124.
  • Androutsopoulou C, Livaditis M, Xenitidis KI, Trypsiannis G, Samakouri M, Pastelmatzi A, Tzavaras N. Psychological problems in Christian and Moslem Primary care patients in Greece. Int J Psychiatry in Medicine. 2002; 32(3): 285-294.
  • Maginn S, Boardman AP, Craig TKJ, Haddad M, Heath G, Stott J. The detection of psychological problems by general practitioners. Soc Psychiatry Psychiatr Epidemiol. 2004; 39: 464-471.
  • Fryers T, Brugha T, Morgan Z, Smith J, Hill T, Carto M, Lehtinen V, Kovess V. Prevalence of psychiatric disorder in Europe: the potential and reality of meta-analysis. Soc Psychiatry Psychiatr Epidemiol. 2004; 39: 899-905.
  • Verhaak PFM, Hoeymans N, Garssen AA, Westert G. Mental health in Dutch population and in general practice:1987-2001. Br J Gen Pract. 2005; 55: 770-775.
  • Croiser T, Butterworth P, Rodgers B. Mental health problems among single and partnered mothers. Soc Psychiatry Psychiatr Epidemiol. 2007; 42: 6-13.
  • Molarius A, Berglung K, Erikson C, Erikson HG, Boström ML, Nordström E, Persson C, Sahlqvist L, Starrin B, Ydrenborg B. Mental health symptoms in relation to socio-economic conditions and lifestyle factors- a population-based study in Sweden. BMC Public Health. 2009; 9: 302-310.

Türk toplumu içinde bir grup erişkinin GSA-28 ile ruhsal sağlık problemlerinin taranması

Year 2013, Volume: 3 Issue: 3, 115 - 120, 30.01.2014

Abstract

Amaç: Bu çalışmanın amacı İstanbul’da toplum içinde yaşayan bireylerin ruhsal durumlarını ve etkileyen faktörleri incelemektir.

Yöntem: Bu tanımlayıcı çalışma İstanbul-Dudullu’da toplum içinde yaşayan ve psikiyatrik sorunu olmayan 972 birey ile yapıldı. Veriler Kasım 2007’de görüşme yöntemi ile toplandı. Psikolojik bozuklukları tanılamak için tarama aracı olarak 28 sorudan oluşan Genel Sağlık Anketi kullanıldı. Veriler tanımlayıcı istatistikler, Mann-Whitney U testi ve logistik regresyon analizi ile değerlendirildi. Anlamlılık düzeyi p<0.05 ve güven aralığı %95 olarak kabul edildi.

Bulgular: Araştırmaya katılan bireylerin yaşları 18 - 65 arasında değişmekte, yaş ortalaması 36.84±13.22’dir. Çoğunluğu kadın (82.5%), ev hanımı (72.9%) ve evlidir (86.1%). Katılımcıların %32’si (kadın=%34 erkek=%22) ruhsal sağlık sorunu açısından olası vaka olarak tanımlandı. Psikolojik bozukluk prevelansı kadınlarda, kronik hastalığı bulunanlarda istatistiksel olarak anlamlı yüksek bulundu. Kadınlarda ruhsal bozukluk oranı erkekler ile karşılaştırıldığında 1.64 kez daha yüksekti. Herhangi bir kronik hastalığı olanlar olmayanlara göre 2 kez daha riskliydi. 

Sonuç: Kadın olmak, kronik hastalığı olmak ve sigortası olmamak ruhsal sağlık problemleri açısından riskli bulundu.


Anahtar Kelimeler : Ruhsal sağlık, genel sağlık anketi, GSA-28

References

  • Hoeymans N, Garssen A, Westert G, Verhaak PFM. Measuring mental health of Dutch Population: a comparison of the GHQ-12 and the MHI- Health Qual life Outcome. 2004; 2(23): 16-21.
  • Ustun EB. Global burden of mental disorders. Am j Public Health.1999; 89: 1315-1318.
  • Schmitz N, Kruse J, Heckrath C, Alberti L, Tress W. Diagnosing mental disorders in primary care: the General Health Questionnaire (GHQ) and the Symptom Check List (SCL-90-R) as screening instruments. Soc Psychiatry Psychiatr Epidemiol. 1999; 34: 360-366.
  • Cano A, Sprafkin RP, Scaturo DJ, Lantinga LJ, Fiese BH, Brand F. Mental health screening in primary care: a comparison of 3 brief measures of psychological distress, primary care companion. J Clin Psychiatry. 2001; 3(5): 206-210.
  • Goldberg DP, Gater R, Sartorius N, Ustun TB, Piccinelli M, Gureje O. Rutter C. The validity of two version of the GHQ in the WHO study of mental illness in general health care. Psychol Med. 1997; 27: 191-197. Kilic C. General Health Questionnaire:validity and reliability. Turkish Journal of Psychiatry. 1996; 7: 3–9.
  • Goldberg DP, Williams P. The User’s Guide to the General Health Questionnaire. 1. edn. Windsor. NFR-NELSON. 1988.
  • Sartorius N, Ustun TB, Costa e Silva JA, Goldberg D, Lecrubier Y, Ormel MVK, Wittchen HU. An international study of psycological problems in primary care. preliminary report from the World Health Organization Collaborative Project on ‘Psychological Problems in General Health Care’. Arch Gen Psychiatry. 1993; 50(10): 1-3.
  • Tiemens BG, Ormel MAJ, Simon GE. Occurance, recognition, and outcome of psychological disorders in primary care. The American Journal of Psychiatry. 1996; 153(5): 636-644.
  • Willmont SA, Boardman JAP, Henshaw CA, Jones PW. Understanding general health questionnaire (GHQ-28) score and its threshold. Soc Psychiatry Psychiatr Epidemiol, 2004; 39: 613-617.
  • Murad SD, Joung MA, Verhulst FC, Mackenbach JP, Crijnen AMD. Determinant of self-reported emotional and behavioral problems in Turkish immigrant adolescent aged 11-18. Soc Psychiatry Psychiatr Epidemiol. 2004; 39: 196-207.
  • Duran BD, Sanders M, Skipper B, Waitzkin H, Malcoe LH, Paine S, Yager J. Prevalence and correlates of mental disorders among Native American women in primary care. Am J Public Health. 2004; 94(1): 71Bhui K, Bhugra D, Goldberg D. Cross-cultural validity of the Amristar Depression Inventory and General Health Questionnaire amongst English and Punjabi primary care attenders. Soc Psychiatry Psychiatr Epidemiol. 2000; 35: 248-254.
  • Bell T, Watson M, Sharp D, Lyons I, Lewis G. Factors associated with being a false positive on the General Health Questionnaire. Soc Psychiatry Psychiatr Epidemiol. 2005; 40: 402-407.
  • WHO. The WHO World Health Survey Concertium, prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. JAMA. 2004; 291(21): 2581-2590.
  • Richard C, Lussier MT, Gagnon R, Lamarche L. GHQ-28 and cGHQ-28: implications of two scoring methods for the GHQ in primary care setting. Soc Psychiatry Psychiatr Epidemiol. 2004; 39: 235-243.
  • Onder E, Tural U, Aker T, Kilic C, Erdogan S. Prevalence of psychiatric disorders three years after the 1999 eartquake in Turkey: Marmara Earthquake Survey (MES). Soc Psychiatry Psychiatr Epidemiol. 2006; 41: 868-874.
  • Hosain GMM, Chatterjee N, Ara N, Islam T. Prevalence, pattern and determinants of mental disorders in rural Bangladesh. Public Health. 2007; 121: 18-24.
  • Crosier T, Butterworth P, Rodgers B. Mental health problems among single and partnered mothers. Soc Psychiatry Psychiatr Epidemiol. 2007; 42: 6-13.
  • Wilmont S, Boardman J, Henshaw C, Jones P. The predictive power and psychometric properties of the General Health Questionnaire (GHQ-28). Journal of Mental Health. 2008; 17(4): 435-442.
  • Uner S, Ozcebe H, Telatar TG, Tezcan S. Assessment of mental health of university student with GHQ-12. Turk J Med Sci. 2008; 38(5): 4374
  • Belek I. Mental disorders measured by General Health Questionnaire and sociodemographic ınequalities. Turk Psikiyatri Derg. 1999; 10(3): 163-1
  • Arslan LB, Verhulst FC, Crijnen A.A.M. Prevalence and determinants of minor psychiatric disorder in Turkish immigrants living in the Netherlands. Soc Psychiatry Psychiatr Epidemiol. 2002; 37: 118-124.
  • Androutsopoulou C, Livaditis M, Xenitidis KI, Trypsiannis G, Samakouri M, Pastelmatzi A, Tzavaras N. Psychological problems in Christian and Moslem Primary care patients in Greece. Int J Psychiatry in Medicine. 2002; 32(3): 285-294.
  • Maginn S, Boardman AP, Craig TKJ, Haddad M, Heath G, Stott J. The detection of psychological problems by general practitioners. Soc Psychiatry Psychiatr Epidemiol. 2004; 39: 464-471.
  • Fryers T, Brugha T, Morgan Z, Smith J, Hill T, Carto M, Lehtinen V, Kovess V. Prevalence of psychiatric disorder in Europe: the potential and reality of meta-analysis. Soc Psychiatry Psychiatr Epidemiol. 2004; 39: 899-905.
  • Verhaak PFM, Hoeymans N, Garssen AA, Westert G. Mental health in Dutch population and in general practice:1987-2001. Br J Gen Pract. 2005; 55: 770-775.
  • Croiser T, Butterworth P, Rodgers B. Mental health problems among single and partnered mothers. Soc Psychiatry Psychiatr Epidemiol. 2007; 42: 6-13.
  • Molarius A, Berglung K, Erikson C, Erikson HG, Boström ML, Nordström E, Persson C, Sahlqvist L, Starrin B, Ydrenborg B. Mental health symptoms in relation to socio-economic conditions and lifestyle factors- a population-based study in Sweden. BMC Public Health. 2009; 9: 302-310.
There are 27 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Hasibe Kadıoğlu This is me

Ayşe Ergün This is me

Ayşe Yıldız This is me

Publication Date January 30, 2014
Submission Date January 30, 2014
Published in Issue Year 2013 Volume: 3 Issue: 3

Cite

APA Kadıoğlu, H., Ergün, A., & Yıldız, A. (2014). Türk toplumu içinde bir grup erişkinin GSA-28 ile ruhsal sağlık problemlerinin taranması. Clinical and Experimental Health Sciences, 3(3), 115-120. https://doi.org/10.5455/musbed.20130703085152
AMA Kadıoğlu H, Ergün A, Yıldız A. Türk toplumu içinde bir grup erişkinin GSA-28 ile ruhsal sağlık problemlerinin taranması. Clinical and Experimental Health Sciences. February 2014;3(3):115-120. doi:10.5455/musbed.20130703085152
Chicago Kadıoğlu, Hasibe, Ayşe Ergün, and Ayşe Yıldız. “Türk Toplumu içinde Bir Grup erişkinin GSA-28 Ile Ruhsal sağlık Problemlerinin Taranması”. Clinical and Experimental Health Sciences 3, no. 3 (February 2014): 115-20. https://doi.org/10.5455/musbed.20130703085152.
EndNote Kadıoğlu H, Ergün A, Yıldız A (February 1, 2014) Türk toplumu içinde bir grup erişkinin GSA-28 ile ruhsal sağlık problemlerinin taranması. Clinical and Experimental Health Sciences 3 3 115–120.
IEEE H. Kadıoğlu, A. Ergün, and A. Yıldız, “Türk toplumu içinde bir grup erişkinin GSA-28 ile ruhsal sağlık problemlerinin taranması”, Clinical and Experimental Health Sciences, vol. 3, no. 3, pp. 115–120, 2014, doi: 10.5455/musbed.20130703085152.
ISNAD Kadıoğlu, Hasibe et al. “Türk Toplumu içinde Bir Grup erişkinin GSA-28 Ile Ruhsal sağlık Problemlerinin Taranması”. Clinical and Experimental Health Sciences 3/3 (February 2014), 115-120. https://doi.org/10.5455/musbed.20130703085152.
JAMA Kadıoğlu H, Ergün A, Yıldız A. Türk toplumu içinde bir grup erişkinin GSA-28 ile ruhsal sağlık problemlerinin taranması. Clinical and Experimental Health Sciences. 2014;3:115–120.
MLA Kadıoğlu, Hasibe et al. “Türk Toplumu içinde Bir Grup erişkinin GSA-28 Ile Ruhsal sağlık Problemlerinin Taranması”. Clinical and Experimental Health Sciences, vol. 3, no. 3, 2014, pp. 115-20, doi:10.5455/musbed.20130703085152.
Vancouver Kadıoğlu H, Ergün A, Yıldız A. Türk toplumu içinde bir grup erişkinin GSA-28 ile ruhsal sağlık problemlerinin taranması. Clinical and Experimental Health Sciences. 2014;3(3):115-20.

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