Anxiety disorders taking toll on literate, urbanised states
The burden of anxiety disorders is growing across India, especially in the literate and urbanized states, shows the country's first state-level disease charts published in The Lancet last week.
While anxiety disorders were in the 40th place in 1990 as a contributor to disability adjusted life years (DALYS)—the World Health Organization's special scale to measure loss of 'healthy' years—it climbed to the 26th place in 2016. In fact, the study listed it among the top 10 causes for morbidity across India in 2016 (in terms of YLDs or years lived with disability).
Anxiety disorders, which range from generalised fear to panic attacks and obsessive compulsive disorders, are generally not as crippling as depression but can cause disability and hit economic production.
Maharashtra, Delhi, Andhra, Karnataka and Kerala are among 10 states that have more problems due to anxiety disorders, said the study. These states also made the transition from communicable to non-communicable diseases, indicating they are more urbanised and literate.
"Urbanisation is a contributor to higher levels of anxiety disorders and depression," said Dr Pallabh Maulik, an AIIMS-trained psychiatrist who is with the Delhi-based George Institute for Global Health. The National Mental Health Survey of India 2015-16 said urban metros were witnessing a growing burden of mental health problems that result in disabilities and affect work, family and social life.
While anxiety disorders were in the 40th place in 1990 as a contributor to disability adjusted life years (DALYS)—the World Health Organization's special scale to measure loss of 'healthy' years—it climbed to the 26th place in 2016. In fact, the study listed it among the top 10 causes for morbidity across India in 2016 (in terms of YLDs or years lived with disability).
Anxiety disorders, which range from generalised fear to panic attacks and obsessive compulsive disorders, are generally not as crippling as depression but can cause disability and hit economic production.
Maharashtra, Delhi, Andhra, Karnataka and Kerala are among 10 states that have more problems due to anxiety disorders, said the study. These states also made the transition from communicable to non-communicable diseases, indicating they are more urbanised and literate.
"Urbanisation is a contributor to higher levels of anxiety disorders and depression," said Dr Pallabh Maulik, an AIIMS-trained psychiatrist who is with the Delhi-based George Institute for Global Health. The National Mental Health Survey of India 2015-16 said urban metros were witnessing a growing burden of mental health problems that result in disabilities and affect work, family and social life.
Many with anxiety disorders could progress to depression, which is the leading cause for self-harm and suicides. "The key message is that anxiety disorders cannot be ignored. Some of these people could be at the start of a depressive disorder and should be helped at the earliest," said Dr Maulik.
21.11.2017
Most people fail in life because they major in minor things
Anthony Robbins
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