Changes of family structure and treatment status of people with severe mental illness in rural China: a comparative study from 1994 to 2015

Little is known about the relationship between changes of family structure for people with severe mental illness (SMI) and treatment status of SMI during a period of sustained rapid socioeconomic development. This study aimed to explore the relationship between changes of family structure and treatm...

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Bibliographic Details
Published in:The Lancet (British edition) 2019-10, Vol.394, p.S40-S40
Main Authors: Ran, Mao-Sheng, Peng, Man-Man, Yu, Yue-Hui, Zhang, Tian-Ming, Luo, Wei, Hu, Shi-Hui, Yang, Xin, Liu, Chang-Cheng, Liu, Bo, Liu, Ke-Zhi, Gong, Ke, Huang, Chao-Hua, Zhang, Tin, Kuang, Wei-Hong, Chan, Cecilia Lai-Wan, Xiang, Meng-Ze
Format: Article
Language:English
Subjects:
BASIC (programming language)
Collaboration
Communities
Comparative studies
Correlation analysis
Data collection
Economic conditions
Economics
Epidemiology
Funding
Health care
Hospitals
Mental depression
Mental disorders
Mental health
Mental health care
Polls & surveys
Poverty
Psychosis
Research ethics
Rural areas
Schizophrenia
Socioeconomics
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Summary:Little is known about the relationship between changes of family structure for people with severe mental illness (SMI) and treatment status of SMI during a period of sustained rapid socioeconomic development. This study aimed to explore the relationship between changes of family structure and treatment status of people with SMI in a 21-year longitudinal study in a rural area of China. Epidemiological surveys of mental disorders were conducted in May, 1994, and October, 2015, in the same six townships (total population 170 174 in 2015) in Xinjin county, Chengdu, which is a representative middle-income rural county in southwest China. The six townships were randomly selected from all 12 townships of Xinjin county in 1994. The surveys consisted of two steps: (1) screening procedures for psychosis (face-to-face interviews with the head of each household together with key informant interviews), household by household; and (2) psychiatric interviews of people aged 15 years and older, to identify those with SMI (including schizophrenia, bipolar disorders, and major depressive disorder) according to the International Classification of Mental and Behavioural Disorders-10 (ICD-10) criteria. The two surveys were approved by the university human research ethics committees. The number of people aged 15 years and older who were identified to have SMI was 711 and 1042 in 1994 and 2015, respectively. The mean number of family members was significantly lower in 2015 (3·0 [SD 1·5]) than in 1994 (3·4 [1·5], p
ISSN:0140-6736
1474-547X
DOI:10.1016/S0140-6736(19)32376-1