{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T17:30:58Z","timestamp":1786728658303,"version":"build-2736575974"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"\n Background:<\/jats:title>\n Women in India face substantial mental health challenges, which significantly vary across urban and rural settings. Limited studies directly compare these populations, especially when carefully matching for key demographic factors such as age and socioeconomic status (SES).<\/jats:p>\n <\/jats:sec>\n \n Aim:<\/jats:title>\n To compare the prevalence, specific symptoms, and associated sociodemographic factors of psychological distress between urban and rural women matched by age and SES.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n \n This cross-sectional study included 320 women (160 urban and 160 rural), aged between 18 and 60 years, conducted from September to October 2024 in Khandwa district, Madhya Pradesh. Psychological distress was assessed using the validated Hindi version of the Kessler Psychological Distress Scale (K-10). Sociodemographic data were analyzed using Chi-square tests and independent-sample\n t<\/jats:italic>\n -tests.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Clinically significant psychological distress (K-10 score >20) was significantly higher among urban women (61.3%) compared to rural women (43.1%; \u03c7\n 2<\/jats:sup>\n = 11.1,\n P<\/jats:italic>\n = 0.001). Urban women also had significantly higher mean K-10 scores (24.7 \u00b1 6.4 vs. 20.3 \u00b1 5.9,\n P<\/jats:italic>\n < 0.001). Symptoms such as unexplained tiredness, nervousness, restlessness, and depressed mood were notably more prevalent in urban women. Sociodemographic matching was effective for age and SES (\n P<\/jats:italic>\n > 0.05), but urban women had significantly higher education (\n P<\/jats:italic>\n = 0.028) and employment rates (\n P<\/jats:italic>\n = 0.007).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n After controlling for age and SES, urban residence was independently associated with higher psychological distress among women. These findings emphasize the urgent need for targeted mental health interventions tailored specifically to urban environments.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/ipj.ipj_154_25","type":"journal-article","created":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T08:00:20Z","timestamp":1768896020000},"page":"125-129","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Psychological distress in urban vs. rural women attending a central India district hospital outpatient department: A matched cross-sectional study"],"prefix":"10.4103","volume":"35","author":[{"given":"Maravi","family":"Prashant","sequence":"first","affiliation":[{"name":"Department of Psychiatry, MGM Medical College, Indore, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paliwal","family":"Abhay","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, MGM Medical College, Indore, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gangwal","family":"Riya","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, MGM Medical College, Indore, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Choudhary","family":"Richa","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, MGM Medical College, Indore, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V. S.","family":"Pal","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, MGM Medical College, Indore, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1,19]]},"reference":[{"key":"R3-20260120","first-page":"437","article-title":"Social determinants of mental health of women living in slum settlements: A review","volume":"10","author":"Goyal","year":"2021","journal-title":"J Family Med Prim Care"},{"key":"R4-20260120","first-page":"219","article-title":"Urbanisation and mental health in India: A narrative review","volume":"100","author":"Seema","year":"2023","journal-title":"J Urban Health"},{"key":"R6-20260120","doi-asserted-by":"crossref","first-page":"581","DOI":"10.4103\/ijcm.ijcm_569_23","article-title":"Stress and stressors of women: A cross-sectional study from rural central India","volume":"50","author":"Solanki","year":"2025","journal-title":"Indian J Community Med"},{"key":"R8-20260120","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1001\/archpsyc.60.2.184","article-title":"Screening for serious mental illness in the general population","volume":"60","author":"Kessler","year":"2003","journal-title":"Arch Gen Psychiatry"},{"key":"R9-20260120","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1017\/S0033291707002334","article-title":"Detecting common mental disorders in primary care in India: a comparison of five screening questionnaires","volume":"38","author":"Patel","year":"2008","journal-title":"Psychol Med"},{"key":"R10-20260120","doi-asserted-by":"crossref","first-page":"3801950","DOI":"10.1155\/2024\/3801950","article-title":"Consistency as the currency in psychological measures: A reliability generalization meta-analysis of Kessler psychological distress scale (K-10 and K-6)","volume":"2024","author":"Wojujutari","year":"2024","journal-title":"Depress Anxiety"},{"key":"R11-20260120","doi-asserted-by":"crossref","first-page":"23743735211049880","DOI":"10.1177\/23743735211049880","article-title":"What\u2019s playing in your waiting room? Patient and provider stress and the impact of waiting room media","volume":"8","author":"Fryburg","year":"2021","journal-title":"J Patient Exp"},{"key":"R12-20260120","first-page":"16","article-title":"Noise and mental health: Evidence, mechanisms and consequences","volume":"34","author":"Hahad","year":"2024","journal-title":"J Expo Sci Environ Epidemiol"},{"key":"R14-20260120","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1016\/j.socscimed.2018.09.061","article-title":"Effect of affordable daycare on women\u2019s mental health: Evidence from a cluster-randomised trial in rural India","volume":"217","author":"Richardson","year":"2018","journal-title":"Soc Sci Med"}],"container-title":["Industrial Psychiatry Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ipj.ipj_154_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T16:30:02Z","timestamp":1786725002000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ipj.ipj_154_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/ipj.ipj_154_25","relation":{},"ISSN":["0972-6748","0976-2795"],"issn-type":[{"value":"0972-6748","type":"print"},{"value":"0976-2795","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-05-18","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-06","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}