This study aimed to assess the rate of common mental disorders in patients consulting monk healers or health centres in Thailand. Patients consecutively consulting monk healers or health centres were assessed with screening measures of three common mental disorders (major depressive, general anxiety and somatization disorder). The prevalence of any common mental disorder was significantly higher in patients attending monk healers (31.1%) than those attending primary care health centres (22.3%) (P < 0.001). Likewise, the prevalence of each common mental disorder was significantly higher in clients attending monk healers (major depressive disorder 21.0%, generalized anxiety disorder 8.1%, and somatization disorder 19.0%) than in patients attending health centres (major depressive disorder 15.8%, generalized anxiety disorder 3.5%, and somatization disorder 12.5%). In adjusted logistic regression analysis among patients of monk healers, female sex, being single, divorced, separated or widowed, and low social support were associated with any common mental disorder. Among patients of a health centre, lower education, not employed, high debt status and low social support were associated with any common mental disorder. The study found a higher prevalence of common mental disorders in patients consulting monk healers than primary care centre attendees, calling for integrated management of common mental disorders.

中文翻译：

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横断面研究：泰国僧侣治疗者和初级卫生保健中心患者的常见精神障碍

这项研究旨在评估咨询僧侣治疗师或泰国医疗中心的患者中常见精神障碍的发生率。通过对三种常见精神障碍（重度抑郁，一般性焦虑和躯体化障碍）进行筛查，对连续咨询僧侣治疗者或健康中心的患者进行了评估。和尚治疗者中的任何常见精神障碍患病率（31.1％）均比基层医疗中心的患病率（22.3％）高（P <0.001）。同样，参加僧侣治疗者的患者的每种常见精神障碍的患病率（重度抑郁症为21.0％，广泛性焦虑症为8.1％，躯体化障碍为19.0％）要比参加健康中心患者（重度抑郁症为15.8％，全身性）高得多。焦虑症3.5％和躯体疾病（12.5％）。在僧侣治疗者患者的经过调整的逻辑回归分析中，女性，单身，离婚，分居或丧偶的女性以及较低的社会支持与任何常见的精神障碍有关。在保健中心的患者中，受教育程度低，未受雇，债务状况高和社会支持率低与任何常见的精神障碍有关。该研究发现，咨询僧侣治疗者的患者中的常见精神障碍患病率高于初级保健中心的参加者，这要求对常见精神障碍进行综合管理。如果没有就业，高负债状况和低社会支持与任何常见的精神障碍有关。该研究发现，咨询僧侣治疗者的患者中的常见精神障碍患病率高于初级保健中心的参加者，要求对常见精神障碍进行综合管理。如果没有就业，高负债状况和低社会支持与任何常见的精神障碍有关。该研究发现，咨询僧侣治疗者的患者中的常见精神障碍患病率高于初级保健中心的参加者，这要求对常见精神障碍进行综合管理。