Psychiatric treatment of erectile dysfunction in urology outpatient clinic

Mental-health service utilization among elderly people has been shown to be low relative to younger age groups. This study was done to determine the current proportion of elderly persons served in a university-affiliated psychiatry outpatient clinic, and to better characterize elderly patients who receive specialized mental-health care in this setting. The proportion of visits from elderly patients (aged 60 and over) was found to be 16%. Demographic and clinical characteristics of a sample of 140 consecutive geriatric patients evaluated at the clinic were obtained. The data revealed that the patients had a mean age of 74.7 ± 7.5 (SD) years, and were mostly female (72.1%) and white (78.6%). Surprisingly, the age distribution was found to be bell shaped, with a small upper tail. The three most prevalent psychiatric diagnoses were depression (56.4%), dementia (35.7%), and substance use disorder (20%). Overall, 59.3% of geriatric patients had a history of prior psychiatric treatment. Females were significantly more likely than males to have a psychiatric history (69.3% vs. 33.3%, P = .0001). Among patients with a psychiatric history, females were more likely to have a current diagnosis of major depression ( P = .0006), while males were more likely to have a current substance use disorder ( P = .03). The prevalence of dementia increased with each successive decade above 60, while the occurrence of bipolar and adjustment disorders was confined to younger geriatric patients. Elderly patients receiving psychiatric treatment in the clinic thus formed a heterogeneous group. Gender, age, and presence of a psychiatric history were all associated with differences in prevalence and distribution of various mental disorders in this geriatric psychiatry outpatient clinic.

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Differences in symptom expression between Vietnamese and German patients utilizing a psychiatric outpatient service using the PHQ

European Psychiatry ◽

10.1016/j.eurpsy.2017.02.287 ◽

2017 ◽

Vol 41 (S1) ◽

pp. S336-S336

Author(s):

A. Dreher ◽

E. Hahn ◽

T.M.T. Ta ◽

M.H. Nguyen ◽

A. Diefenbacher ◽

...

Keyword(s):

Outpatient Clinic ◽

Somatic Symptom ◽

Psychiatric Treatment ◽

Large Body ◽

Outpatient Service ◽

Categorical Variables ◽

Symptom Presentation ◽

Patient Health ◽

Symptom Awareness ◽

Competing Interest

ObjectiveDespite a large body of work on somatic symptom presentation among people of Asian descent, research has shown heterogeneous results. Examining symptom presentation in clinically and ethnically well-characterized populations constitutes a first step towards better understanding differing patterns symptom of presentation. This is the first larger study aiming to compare Vietnamese and German psychiatric outpatients regarding symptom presentation.Methods110 Vietnamese and 109 German patients seeking psychiatric treatment at two outpatient clinic services in Berlin were asked to complete the patient health questionnaire (PHQ). Comparisons of Vietnamese and German patients were conducted using independent t-tests. The somatic symptom module (PHQ-15), the depression module (PHQ-9) and the original PHQ-modules examining anxiety and psychosocial stress levels were compared for both groups using multivariate analysis. Categorical variables were evaluated using Chi2 analysis. Crohnbach's alpha was calculated separately for both groups and all PHQ modules.ResultsVietnamese patients endorsed significantly higher levels of somatic symptoms overall and on individual somatic items, such as pain-related disturbancies. Yet, German and Vietnamese patients did not differ in terms of depression severity. Vietnamese patients with fewer German language skills showed a significantly higher tendency for somatization. While German patients showed higher total scores on the anxiety- and stress-modules of the PHQ, this difference was not statistically significant. Vietnamese and German patients showed comparable Crohnbach's alpha for all subscales.ConclusionAs data was collected from both groups upon the first visit to an outpatient clinic, the symptoms reported could be reflective of culture related symptom awareness when feeling discomfort in the context of mental illness.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Erectile dysfunction iceberg in an urology outpatient clinic: How can we encourage our patients to be more forthcoming?

Andrologia ◽

10.1111/and.14152 ◽

2021 ◽

Author(s):

Murat Akgül ◽

Cenk Yazıcı ◽

Çağri Doğan ◽

Rıdvan Özcan ◽

Mehmet Fatih Şahin

Keyword(s):

Erectile Dysfunction ◽

Outpatient Clinic

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The prevalence and risk factors of late-life erectile dysfunction in a primary care outpatient clinic in Hong Kong

10.5353/th_b4154730 ◽

2008 ◽

Author(s):

Ying-wai, Jackie Cheng

Keyword(s):

Risk Factors ◽

Primary Care ◽

Hong Kong ◽

Erectile Dysfunction ◽

Outpatient Clinic ◽

Late Life

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The school behaviors of children in three psychiatric treatment settings: An outpatient clinic, a day hospital, and an inpatient hospital

Child Psychiatry & Human Development ◽

10.1007/bf02353202 ◽

1994 ◽

Vol 24 (4) ◽

pp. 265-274

Author(s):

Sara Goodman Zimet ◽

Gordon K. Farley ◽

Gregory D. Zimet

Keyword(s):

Outpatient Clinic ◽

Psychiatric Treatment ◽

Day Hospital ◽

Inpatient Hospital ◽

Treatment Settings

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Correlation Between Erectile Dysfunction and Severity Symptoms of Depression Through The Role of Self-Esteem and Psychosocial Stressor

Jurnal Psikiatri Surabaya ◽

10.20473/jps.v8i2.19702 ◽

2020 ◽

Vol 8 (2) ◽

pp. 58

Author(s):

Hendriks S.P Sirait ◽

Sasanti Juniar ◽

Tjahjo Djojo Tanojo

Keyword(s):

Erectile Dysfunction ◽

Depressive Symptoms ◽

Outpatient Clinic ◽

Self Esteem ◽

Psychosocial Stressors ◽

Research Subjects ◽

Psychosocial Stressor ◽

Cross Sectional ◽

Symptoms Of Depression

Background: Twenty two percent of men aged over 40 years suffer from erectile dysfunction moderate to severe degree. Twelve to twenty eight percent of men with erectile dysfunction report an impact on the relationship with the partner, body image, lowered self-esteem that might be a psychosocial stressor that cause symptoms of depression. Treatment of erectile dysfunction holistically is expected to improve a better life.Objective: This study analyzed the correlation between erectile dysfunction and severity of depressive symptoms through the role of self-esteem and psychosocial stressors on patients with erectile dysfunction in Andrology Outpatient Clinic of Dr. Soetomo General Hospital.Methods: This study using correlation analytic with cross sectional design. Research subject were patients who have erectile dysfunction in Andrology Outpatient Clinic of Dr. Soetomo General Hospital, collected using consecutive sampling. The research instruments used were The International Index of Erectile Function-5, Holmes-Rahe, Self-Esteem Rosenberg and Beck Depression InventoryResults: Thirty eight research subjects met the inclusion criteria. Statistical analysis revealed erectile dysfunction correlated with self-esteem (p=0.016 r=0,388), no correlation between self-esteem and the severity of depressive symptoms (p=0.116 r=0,259), psychosocial stressors correlated with the severity of depressive symptoms (p=0.001 r=0,001), erectile dysfunction correlated with the severity of depressive symptoms (p=0,000 r=-0,559)Conclusion: This study found correlation between erectile dysfunction and severity of depressive symptoms both directly, but in this case does not involve the role of self-esteem and psychosocial stressors

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