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International Journal of Social Psychiatry
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Psychiatric Disorders among the Mapuche in Chile

Benjamin Vicente

Universidad de Concepcion, Departamento de Psiquiatria y Salud Mental, Concepcion, Chile, bvicent{at}udec.cl

Robert Kohn

Brown University Department of Psychiatry and Human Behavior, Butler Hospital, 345 Blackstone Blvd, Providence, RI, USA

Pedro Rioseco

Universidad de Concepcion, Departamento de Psiquiatria y Salud Mental, Concepcion, Chile

Sandra Saldivia

Universidad de Concepcion, Departamento de Psiquiatria y Salud Mental, Concepcion, Chile

Silverio Torres

Universidad de Concepcion, Departamento de Psiquiatria y Salud Mental, Concepcion, Chile

Background: The Mapuche are the largest indigenous group in Chile; yet almost all data on the mental health of indigenous populations are from North America. Aim: The study examines the differential DSM-III-R prevalence rates of psychiatric disorders and service utilization among indigenous and non-indigenous community residence.

Methods: The Composite International Diagnostic Interview (CIDI) was administered to a stratified random sample of 75 Mapuche and 434 non-Mapuche residents of the province of Cautín. Lifetime prevalence and 12-month prevalence rates were estimated.

Results: Approximately 28.4% of the Mapuche population had a lifetime, and 15.7% a 12-month, prevalent psychiatric disorder compared to 38.0% and 25.7%, respectively, of the non-Mapuche. Few significant differences were noted between the two groups; however, generalized anxiety disorder, simple phobia, and drug dependence were less prevalent among the Mapuche. Service utilization among the Mapuche with mental illness was low.

Conclusions: This is a preliminary study based on a small sample size. Further research on the mental health of indigenous populations of South America is needed.

International Journal of Social Psychiatry, Vol. 51, No. 2, 119-127 (2005)
DOI: 10.1177/0020764005056759
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