Presentation Information
[O-4-02]Demographic and sociocultural specificity of populations and mental disorders
*Svetlana V. Vladimirova, Nikolay A. Bokhan, Igor A. Artemyev (Mental Health Research Institute (Russia))
Keywords:
Cultural psychiatry,urban populations,mental disorders
Introduction: In the Russian Federation, urban populations have historically formed that are unique in demographic, socio-cultural and other parameters.Objectives: to determine the nosological profile of mental disorders by major taxa - psychotic disorders and schizophrenia, mental retardation and the entire pool of borderline neuropsychiatric diseases in three cities - in Surgut, an intensively developed region of the Tyumen North, in Petropavlovsk-Kamchatsky (Far East), which we attribute to the formed, traditional urban populations, in Kyzyl as the center of an autochthonous territory with a high level of indigenous population.Methods: statistical information on patients registered in psychiatric institutions.Results: Surgut has the lowest number of patients with psychotic disorders 38.6 ± 1.5%, which is 1.6 times lower than in Petropavlovsk-Kamchatsky 62.4 ± 1.1% (P < 0.05). The proportion of patients with mental retardation in Kyzyl is 34.2 ± 1.2%, which exceeds the figures both in Petropavlovsk-Kamchatsky 12.0 ± 0.8% and in Surgut 18.6 ± 1.2%, i.e. in Kyzyl 80% are people with psychotic disorders and mental retardation, and borderline neuropsychiatric diseases make up 20 ± 1.1%; in Surgut, the opposite picture is observed: the latter - 42.7 ± 1.6%. In Petropavlovsk-Kamchatsky, the proportion of mental retardation is lower than in other populations - 12.0 ± 0.8%.Conclusions: Thus, the structure of registered diseases in the three urban populations is different: in the flowing population, neurotic disorders due to migration pressure prevail; in the traditional population, mental disorders and schizophrenia prevail, which may be associated with the accumulation of patients in long-standing groups; in the autochthonous population - with traditional tolerance to behavioral disorders of endogenous and exogenous origin and family structure - patients with mental retardation.