Acta Scientific Medical Sciences (ISSN: 2582-0931)

Research Article Volume 4 Issue 9

Prevalence of Depression and Anxiety in Rural Health Centre Chitral, Pakistan:: A Cross Sectional Study

Sidra Kanwal1*, Nisar Hussain2 and Waris Qidwai3

1Senior Medical Officer, Aga Khan University Hospital, Karachi, Pakistan
2Consultant Family Physician, Aga Khan Health Centre Booni Chitral, Pakistan
3Professor and Chair of Department of Family Medicine, Aga Khan Univerity Hospital, Karachi, Pakistan

*Corresponding Author: Sidra Kanwal, Senior Medical Officer, Aga Khan University Hospital, Karachi, Pakistan.

Received: July 21, 2020; Published: August 18, 2020



Introduction: Globally depression is a leading cause of disability and contributes to one third of global burden of diseases. More than 150 million adults suffer from depression at any point in time and nearly one million commit suicides every year. Despite immense diversity in the socio-cultural environments in Pakistan, there is an overall very high prevalence of anxiety and depression in rural Pakistan.

Patients and Methodology: All patients from March to August 2015 presented to family medicine clinics in rural health area Booni Centre Chitral for general medical problems fulfilling the inclusion criteria recruited via convenience sampling. Data then entered in SPSS 21. Patient health questionnaire (PHQ 9) and generalized anxiety disorder (GAD) 7 questionnaires were administered for assessment of depression and anxiety respectively. Sociodemographic factors were also assessed.

Results: In a sample size of 230 patients 71% of participants were of range of 18 - 35 years. Mean age was 31.3 years. Male were 118 (51.3%) were found to be in higher proportion as compare to females.

Prevalence of depression of found to be 67%, and GAD was found to be 33.5%, living alone and female gender were found to be associated with Depression and anxiety with p-value = < 0.005 and p-value = 0.025 respectively.

Conclusion: As there is a high rate of depression in Chitral, education and support from family, friends is a strong factor in dealing with depression. Launch of a mental health program in Chitral specifically addressing gender and different age groups will be a big step towards successful rehabilitation of individuals.

Keywords: Depression; Anxiety; Chitral



  1. Gadit AAM and Mugford G. “Prevalence of depression among households in three capital cities of Pakistan: need to revise the mental health policy”. Plos One 2.2 (2007): e209.
  2. Mirza I and Jenkins R. “Risk factors, prevalence, and treatment of anxiety and depressive disorders in Pakistan: systematic review”. BMJ 328.7443 (2004): 794.
  3. Qin X., et al. “The prevalence of depression and depressive symptoms among adults in China: Estimation based on a National Household Survey”. China Economic Review 51 (2016): 271-282.
  4. Jain R and Aras R. “Depression in geriatric population in urban slums of Mumbai”. Indian Journal of Public Health 51.2 (2007).
  5. Poongothai S., et al. “Prevalence of depression in a large urban South Indian population—The Chennai Urban Rural Epidemiology study (CURES–70)”. PLoS One 4.9 (2009): e7185.
  6. Bhamani MA., et al. “Depression in the elderly in Karachi, Pakistan: a cross sectional study”. BMC Psychiatry 13.1 (2013): 181.
  7. Altaf A., et al. “Sociodemographic Pattern of Depression in Urban Settlement of Karachi, Pakistan”. Journal of Clinical and Diagnostic Research: JCDR 9.6 (2015): VC09.
  8. Greenberg PE and Birnbaum HG. “The economic burden of depression in the US: societal and patient perspectives”. Expert Opinion on Pharmacotherapy 6.3 (2005): 369-376.
  9. Dodani S and Zuberi RW. “Center-based prevalence of anxiety and depression in women of the northern areas of Pakistan”. Journal of Pakistan Medical Association 50.5 (2000): 138.
  10. Mumford DB., et al. “Stress and psychiatric disorder in the Hindu Kush: a community survey of mountain villages in Chitral, Pakistan”. The British Journal of Psychiatry 168 (1996): 299-307.
  11. Arrieta J., et al. “Validity and Utility of the Patient Health Questionnaire (PHQ)-2 and PHQ-9 for Screening and Diagnosis of Depression in Rural Chiapas, Mexico: A Cross-Sectional Study”. Journal of Clinical Psychology 73.9 (2017): 1076-1090.
  12. Gholizadeh L., et al. “Sensitivity and specificity of Urdu version of the PHQ-9 to screen depression in patients with coronary artery disease”. Contemporary Nurse 53.1 (2017): 75-81.
  13. Sawaya H., et al. “Adaptation and initial validation of the Patient Health Questionnaire - 9 (PHQ-9) and the Generalized Anxiety Disorder - 7 Questionnaire (GAD-7) in an Arabic speaking Lebanese psychiatric outpatient sample”. Psychiatry Research 239 (2016): 245-252.
  14. Parry-Jones WL., et al. “Mental health and deviance in inner cities” (1991).
  15. Naeem S. “Prevalence of and factors associated with anxiety and depression among women in a lower middle class semi-urban community of Karachi, Pakistan”. Studies 20 (2002): 23.
  16. Husain N., et al. “Life stress and depression in a tribal area of Pakistan”. The British Journal of Psychiatry 190.1 (2007): 36-41.
  17. Barrett AE and Turner RJ. “Family structure and mental health: The mediating effects of socioeconomic status, family process, and social stress”. Journal of Health and Social Behavior 46.2 (2005): 156-169.
  18. Luni FK., et al. “Prevalence of depression and anxiety in a village in Sindh”. Journal of Ayub Medical College, Abbottabad: JAMC 21.2 (2009): 68-72.
  19. Freeman A., et al. “The role of socio-economic status in depression: results from the COURAGE (aging survey in Europe)”. BMC Public Health 16.1 (2016): 1098.


Citation: Sidra Kanwal.,et al. “Prevalence of Depression and Anxiety in Rural Health Centre Chitral: A Cross Sectional Study". Acta Scientific Medical Sciences 4.9 (2020): 12-17.


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