Iranian Mental Health Survey: Design and Field Procedures


Iranian Mental Health Survey (IranMHS) was conducted to assess the twelve-month prevalence and severity of psychiatric disorders in the Iranian adult population and to determine the pattern of health care utilization and cost of services. IranMHS is a cross-sectional national household survey with face-to-face interviews as the main data collection method. The study was carried out between January and June 2011. A three-stage probability sampling was applied for the selection of a representative sample from the non-institutionalized population aged 15 to 64. The primary instrument utilized for assessing the prevalence of mental disorders was the Persian version of Composite International Diagnosis Interview, version 2.1. The instruments for assessing the service and cost of mental illness were developed by the research team. The response rate was 86.2%, and a total of 7886 individuals participated in the study. Sampling weights were the joint product of inverse probability of unit selection, non-response weights and post-stratification weights. This paper presents an overview of the study design, fieldwork organization and procedures, weightings and analysis. The strengths and limitations of the study are also discussed.

Statistical Center of Iran. Selected findings of the 2011 national population and housing census. Tehran, Iran2012 [19 Dec 2012]; Availablenfrom:

UNESCO Institute for Statistics. Key statistics and indicators on literacy. The United Nations Educational Scientific and Cultural Organization Institute for Statistics; 2012 [9 Apriln2012];nAvailablenfrom:

The World Bank. Data on Economies by country. 2012; nAvailablenfrom:

The United Nations Development Programme. Country Profiles and International Human Development Indicators. UNDP; 2011; Availablenfrom:

Naghavi M, Abolhassani F, Pourmalek F, Lakeh M, Jafari N, Vaseghi S, et al. The burden of disease and injury in Iran 2003. Popul Health Metr 2009; 7: 9.

Noorbala AA, Yazdi SAB, Yasamy MT, Mohammad K. Mental health survey of the adult population in Iran. British Journal of Psychiatry 2004; 184: 70-73.

Mohammadi MR, Davidian H, Noorbala AA, Malekafzali H, Naghavi HR, Pouretemad HR, et al. An epidemiological survey of psychiatric disorders in Iran. Clin Pract Epidemiol Ment Health 2005; 1: 16.

Farhoudian A, Sharifi V, Amini H, Basirnia A, Mesgarpour B, Mansouri N, et al. Prevalence of psychiatric disorders in Iran: A systematic review. Iran J Psychiatry 2007; 2: 137-150.

Sharifi V, Rahimi-Movaghar A, Mohammadi MR, Goodarzi RR, Izadian ES, Farhoudian A, et al. Analysis of mental health research in the Islamic Republic of Iran over 3 decades: a scientometric study. East Mediterr Health J 2008; 14: 1060-1069.

Kish L. A Procedure for Objective Respondent Selection within the Household. J Am Stat Assoc 1949; 44: 380-387.

Alaghband Rad J. Study of the reliability, validity, and feasibility of Farsi translation of the Composite International Diagnostic Interview (CIDI). In: Ahmadi Abhari SA, Malakooti K, Nasr Esfahani M, Razzaghi EM, Sadeghi M, Yasamy MT, editors. Mental health effects of Iraqi invasion of Kuwait in a war – torn population of Iran: an epidemiological and financial study of the consequences of the Kuwaiti oil well fire disaster in the aftermath of Iraqi invasion of Kuwait in 1991, United Nations Compensation Commission (UNCC) Monitoring and Assessment Project. Tehran - Iran: Islamic Republic of Iran Ministry of Health, Committee for assessment and follow up for damages resulting from the Iraq–Kuwait War; 2003.

Cooper L, Peters L, Andrews G. Validity of the Composite International Diagnostic Interview (CIDI) psychosis module in a psychiatric setting. J Psychiatr Res 1998; 32(6): 361-8.

Wittchen HU. Reliability and validity studies of the WHO--Composite International Diagnostic Interview (CIDI): a critical review. J Psychiatr Res 1994; 28: 57-84.

Sharifi V, Assadi SM, Mohammadi MR, Amini H, Kaviani H, Semnani Y, et al. A Persian translation of the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition: psychometric properties. Compr Psychiatry 2009; 50: 86-91.

Hajebi A, Motevalian A, Amin-Esmaeili M, Hefazi M, Radgoodarzi R, Rahimi-Movaghar A, et al. Telephone versus face-to-face administration of the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, for diagnosis of psychotic disorders. Compr Psychiatry 2012; 53: 579-583.

World Health Organization. WHO international study of somatoform disorders: Study Protocol and instruments. Jeneva: WHO1994.

Shabani A, Koohi-Habibi L, Nojomi M, Chimeh N, Ghaemi SN, Soleimani N. The Persian Bipolar Spectrum Diagnostic Scale and mood disorder questionnaire in screening the patients with bipolar disorder. Arch Iran Med 2009; 12: 41-47.

Raisi F, Asadi M, Nejatisafa AA, Mehdizadeh Z. Arizona Sexual Experience Scale (ASEX): Persian Translation and cultural Adaptation. 20th World Congress for Sexual Health; Glasgow, United Kingdom 2011.

Borges G, Nock MK, Haro Abad JM, Hwang I, Sampson NA, Alonso J, et al. Twelve-month prevalence of and risk factors for suicide attempts in the World Health Organization World Mental Health Surveys. J Clin Psychiatry 2010; 71: 1617-1628.

Mojtabai R. Psychotic-like experiences and interpersonal violence in the general population. Soc Psychiatry Psychiatr Epidemiol 2006; 41: 183-190.

Noorbala AA, Bagher Yazdi SA, Mohammad K. Validation of GHQ28 as a psychiatric screening tool [Abstract in English, Full text in Persian]. Hakiim Research Journal 1999; 11: 47-53.

Amin-Esmaeili M, Motevalian A, Rahimi-Movaghar A, Hajebi A, Hefazi M, Rad Goodarzi R, et al. Sheehan disability scale: translation and psychometric validation of the Persian version. Iran J psych 2014; 9: In print.

Sharif-Alhoseini M, Saadat S, Rahimi-Movaghar A, Motevalian A, Amin-Esmaeili M, Hefazi M, et al. Reliability of a patient survey assessing "Short Form Injury Questionnaire 7" in Iran. Chin J Traumatol 2012; 15: 145-147.

Naghavi M, Jamshidi HR. Utilization of Health Services. Tehran, Iran: Ministry of Health, Applied Researches Secretariat 2005.

Bijl RV, van Zessen G, Ravelli A, de Rijk C, Langendoen Y. The Netherlands Mental Health Survey and Incidence Study (NEMESIS): objectives and design. Soc Psychiatry Psychiatr Epidemiol 1998; 33: 581-586.

Henderson S, Andrews G, Hall W. Australia's mental health: an overview of the general population survey. Aust N Z J Psychiatry 2000; 34: 197-205.

Jacobi F, Wittchen HU, Holting C, Hofler M, Pfister H, Muller N, et al. Prevalence, co-morbidity and correlates of mental disorders in the general population: results from the German Health Interview and Examination Survey (GHS). Psychol Med 2004; 34: 597-611.

Demyttenaere K, Bruffaerts R, Posada-Villa J, Gasquet I, Kovess V, Lepine JP, et al. Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. Jama 2004; 291: 2581-2590.

Alonso J, Angermeyer MC, Bernert S, Bruffaerts R, Brugha TS, Bryson H, et al. Prevalence of mental disorders in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project. Acta Psychiatr Scand Suppl 2004; (420): 21-27.

Kessler RC, McGonagle KA, Zhao S, Nelson CB, Hughes M, Eshleman S, et al. Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey. Arch Gen Psychiatry 1994; 51: 8-19.

Kessler RC, Berglund P, Chiu WT, Demler O, Heeringa S, Hiripi E, et al. The US National Comorbidity Survey Replication (NCS-R): design and field procedures. Int J Methods Psychiatr Res 2004; 13: 69-92.

IssueVol 9 No 2 (2014) QRcode
Epidemiology Iran costs health service utilization mental disorders research design

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How to Cite
Rahimi-Movaghar A, Amin-Esmaeili M, Sharifi V, Hajebi A, Radgoodarzi R, Hefazi M, Motevalian A. Iranian Mental Health Survey: Design and Field Procedures. Iran J Psychiatry. 9(2):96-109.