Psychiatric morbidity managed by liaison psychiatry in a Tunisian population

2017 ◽  
Vol 41 (S1) ◽  
pp. s494-s494
Author(s):  
N. Charfi ◽  
K. Hajbi ◽  
M. Maâlej Bouali ◽  
L. Zouari ◽  
N. Zouari ◽  
...  
Keyword(s):  
Common Factor ◽  
Psychiatric Morbidity ◽  
Psychological Impact ◽  
Adjustment Disorder ◽  
Depressive Mood ◽  
Cross Sectional Study ◽  
Tunisian Population ◽  
Liaison Psychiatry ◽  
Cross Sectional ◽  
Somatic Diseases

IntroductionThe epidemiology of the association between mental disorders and medical illnesses is the subject of many research studies, mainly due to the worse prognosis associated with this comorbidity.ObjectivesTo investigate the psychiatric morbidity associated with somatic diseases in liaison psychiatry outpatients and to identify factors associated with this morbidity.MethodsA descriptive and analytical cross-sectional study was conducted. It took place at the psychiatry outpatient unit at CHU Hedi Chaker of Sfax in Tunisia. We collected 110 files of patients having a medical and/or surgical condition, addressed for the first time in 2014, as part of liaison psychiatry.ResultsMajor depressive disorder (MDD) and adjustment disorder (AD) with anxious and/or depressive mood were the most common diagnoses in liaison psychiatry (respectively 53 cases and 28 cases).MDD has been diagnosed mainly during the course of three somatic illnesses: cancer, sciatica and hypertension, with respective rates of 90%, 85.7% and 60%.The onset of a MDD during the evolution of a somatic disease was significantly more common in female patients (P = 0.04) and those living in couple family (P = 0.005).ConclusionAmong all psychiatric disorders, depression and AD were the most frequently associated disorders with somatic diseases. This comorbidity may be explained by the physiological and psychological impact of certain somatic diseases, the iatrogenic effect of certain treatments, or the involvement of a biological, psychological or environmental common factor for both conditions.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Prevalence and patterns of psychiatric morbidity in people living with HIV

2017 ◽  
Vol 5 (5) ◽  
pp. 2011
Author(s):  
Senthilsayinathan Balasubramaniam ◽  
Kasikrishnaraja Pauldurai ◽  
Madhushanthini Eswaran ◽  
Mohankumar Vethanayagam ◽  
Rajesh Rajagopalan
Keyword(s):  
Suicidal Ideation ◽  
Tamil Nadu ◽  
Rating Scales ◽  
Psychiatric Morbidity ◽  
Adjustment Disorder ◽  
Cross Sectional Study ◽  
Psychiatric Evaluation ◽  
People Living With Hiv ◽  
Cross Sectional ◽  
Living With Hiv

Background: Diagnosis of HIV infection creates an overwhelming stress and leads to symptoms like guilt, fear, anxiety, sad mood, grief and suicidal ideation. Though the rate of suicide has decreased after the introduction of highly active anti-retroviral therapy (HAART), it still remains high. Indian studies assessing suicidal ideation in people living with HIV (PLHIV) are scarce. Psychiatric evaluation and treatment improves the quality of life in PLHIV. Aim of the study was to assess the prevalence and patterns of psychiatric morbidity including suicidal ideation in PLHIV attending Integrated Counselling and Testing Centre (ICTC), prior to initiation of ART.Methods: A cross sectional study design was used. 11476 persons attending ICTC of IRT Perundurai Medical College, Erode, Tamil Nadu, India were tested for their HIV status over a period of two years. 211 persons were found to be positive, 143 persons gave consent and met inclusion criteria. Every patient underwent a semi-structured clinical interview and their psychiatric morbidity was assessed based on ICD 10. Current suicidal behavior, hopelessness and depression were measured by appropriate rating scales. Data was analyzed by using the SPSS 16.Results: Psychiatric diagnosis was present in 36.4% of the sample. Depression was the commonest diagnosis followed by adjustment disorder, alcohol related problems and anxiety disorder. 26 persons (18.2%) had current suicidal ideation. 3 out of 143 persons had attempted suicide within 6 months following notification of their HIV status.Conclusions: Nearly 1/3rd of PLHIV require psychiatric referral and 1/5th of PLHIV have suicidal ideation. It will be highly beneficial to integrate psychiatric services into daily care of PLHIV.

scholarly journals Psychiatric Morbidity among Caregivers of Schizophrenia Patients – A Study in Tertiary Care Psychiatric Hospital in Dhaka

2015 ◽  
Vol 2 (1) ◽  
pp. 12-17
Author(s):  
MM Jalal Uddin ◽  
Md. Tariqul Alam ◽  
Helal Uddin Ahmed ◽  
Niaz Mohammad Khan ◽  
MA Hamid ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychiatric Disorders ◽  
General Health Questionnaire ◽  
Tertiary Care ◽  
Psychiatric Morbidity ◽  
Adjustment Disorder ◽  
Cross Sectional Study ◽  
Somatoform Disorder ◽  
Cross Sectional ◽  
Axis I

Background: Severe mental illness like schizophrenia has far-reaching consequence for both patients and caregivers and their relatives and they also experience feeling of loss and grief. They are confronted with uncertainty and emotion of shame, guilt and anger like the patients they feel stigmatized and socially isolated. Caring for a family member with schizophrenia is an enduring stressor and causes considerable amount of burden. Objective: To assess mental health status of the caregivers of schizophrenia patients. Methodology: This descriptive cross sectional study was done among the caregivers of schizophrenia patients in outpatient and inpatient department of National Institute of Mental Health (NIMH), Dhaka, Bangladesh from September 2010 to February 2011. A semi-structured Questionnaire and General Health Questionnaire-28 (GHQ-28) were applied to the caregivers of schizophrenia patients who fulfilled the inclusion criteria. Among the respondents whose GHO-28 score were 4 or above Structured Clinical Interview for DSM-IV Axis I Non Patient (SCID-I/NP) version was applied to identify psychiatric disorders among the caregivers of schizophrenia.Results: Out of 272 respondents most of them were female (88.97%), housewife (72.42%) of 21 to 50 yrs age (80.51%). In this study 22.43% of respondents were suffering from different types of mental disorders. Among them major depressive disorder were most prevalent (11.8%). Other psychiatric disorders were found generalized anxiety disorder (4.8%), pain disorder (2.9%). Less common were panic disorder, social phobia, adjustment disorder and undifferentiated somatoform disorder (0.7% in each type).Conclusions: Significant proportions of the caregiver of schizophrenic patients were suffering from psychiatric disorders that did not get any psychiatric treatment.Journal of Current and Advance Medical Research 2015;2(1):12-17DOI:  http://dx.doi.org/10.3329/jcamr.v2i1.22581

Craving and other characteristics of the comorbidity of alcohol and nicotine dependence

2005 ◽  
Vol 20 (5-6) ◽  
pp. 442-450 ◽  
Author(s):  
Ines Hertling ◽  
Katrin Ramskogler ◽  
Alexander Dvorak ◽  
Anton Klingler ◽  
Gerda Saletu-Zyhlarz ◽  
...  
Keyword(s):  
Nicotine Dependence ◽  
Sleep Disturbances ◽  
Weight Control ◽  
Recurrence Risk ◽  
Depressive Mood ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Icd 10 ◽  
Somatic Diseases ◽  
Alcohol Dependent

AbstractPurposeIn this cross-sectional study we compared alcohol-dependent smokers and non-alcohol-dependent smokers with respect to intensity of nicotine dependence, craving conditions, sleep disturbances, comorbidity with major depression, reasons for smoking, accompanying somatic diseases and patients' prolonged abstinence from smoking during the 3 years preceding the study.Subjects and methodsFifty-one alcohol-dependent smokers and 327 non-alcohol-dependent smokers diagnosed as ICD-10 and DSM-IV-nicotine dependent, were investigated by means of the Fagerström Test for Nicotine Dependence, the Lübeck Craving-Recurrence Risk Questionnaire and the Lesch Alcohol Dependence Typology (both adapted to smoking).ResultsThe intensity of nicotine dependence was more enhanced in alcohol-dependent smokers compared to non-alcohol-dependent smokers. Several variables of all factors of craving (“depressive mood”, “stimulation”, “relaxation”, “socially triggered tension”) were significantly increased in alcohol-dependent patients (P < 0.05). Alcohol-dependent smokers showed depressive symptoms and sleep disturbances, whilst non-alcohol-dependent individuals mainly smoked for stress release and weight control.DiscussionOur study demonstrates that the intensity of nicotine dependence, several conditions of craving for nicotine, sleep disturbances and symptoms of depression appear to be enhanced in alcohol-dependent smokers compared with non-alcohol-dependent smokers.ConclusionsIt is hoped that the factors of craving and reasons for smoking identified in this study will contribute to a better understanding of smoking temptation in alcohol-dependent smokers and non-alcohol-dependent smokers in future.

scholarly journals A Root Cause Analysis of Various Causes of Self Poisoning

2016 ◽  
Vol 3 (2) ◽  
Author(s):  
Dr Vishal Damani ◽  
Dr Alpesh Gediya ◽  
Dr Hitendra Gandhi
Keyword(s):  
Psychiatric Diagnosis ◽  
Tertiary Care ◽  
Psychiatric Morbidity ◽  
Adjustment Disorder ◽  
Cross Sectional Study ◽  
Suicidal Attempt ◽  
Cross Sectional ◽  
Root Cause ◽  
Common Diagnosis ◽  
Unskilled Workers

Self poisoning refers to the intentional taking of too much of a poisonous substance believing that it will be noxious. Study aims is to study the socio-demographic variables in self-poisoning patients and to study various types of method of self-poisoning and to assess the Psychiatric morbidity in these patients according to DSM-IV TR.A cross sectional study conducted on 70 patients of self poisoning at one of the tertiary care teaching hospital of Ahmadabad, Gujarat from April 2009 to September 2009 .Patients were assessed after emergency medical care & resuscitation, between 2nd to 7th days of suicidal attempt. OP Poisoning (42.86%) was the most common method used for self-poisoning.82.86% patients were diagnosed to have psychiatric diagnosis on SCID-I, most common diagnosis was depressive disorder (38.57%) followed by adjustment disorder (28.57%). 17.14% patients had no psychiatric diagnosis. From my study conclusion is that Suicidal attempt was found more in married male. Housewives & unskilled workers formed majority in the study.

scholarly journals A cross sectional study of psychiatric morbidity in juvenile boys admitted in an observation home

2017 ◽  
Vol 4 (1) ◽  
pp. 192
Author(s):  
Bhoge N. D. ◽  
Panse S. N. ◽  
Pawar A. V. ◽  
Raparti G. T. ◽  
Ramanand J. B. ◽  
...  
Keyword(s):  
Health Care Professionals ◽  
Psychiatric Morbidity ◽  
Adjustment Disorder ◽  
Cross Sectional Study ◽  
Psychiatric Evaluation ◽  
Juvenile Delinquent ◽  
Sectional Study ◽  
Cross Sectional ◽  
Institutional Ethics ◽  
Oppositional Defiance Disorder

Background: It is estimated that 10-20% of children and adolescents are affected annually by psychiatric problems. Studies in several countries across three continents have repeatedly shown that young offenders have higher rates of psychiatric morbidity than youths in the community. Given the growth of juvenile delinquent population, epidemiologic data on their psychiatric evaluation is becoming increasingly important. Thus, to study the psychiatric morbidity in juvenile delinquent boys in an observation home was undertaken.Methods: This cross sectional study was conducted in an observation home for boys. Study was approved by the institutional ethics committee. Prior to conducting the study, informed written consent was sought from the superintendent of observation home for boys. The study sample consists of 50 boys from the observation home aged between 6-16 years. Boys from observation home for whom responsible legal authority gave permission were included in the study.Results: Prevalence of individual psychiatric disorders was as follows: conduct disorder 23 (46%), anxiety disorder 05(10%), oppositional defiance disorder 04 (08%), mild mental retardation 03 (06%), depression 02 (04%), psychosis 01(02%), adjustment disorder 01(02%), disorders of emotions and conduct 01 (02%). In our study prevalence of psychiatric disorder was more common in juveniles under conflict of law (19 out of 20) than juveniles under care and protection (25 out of 30).Conclusions: Initial screening of juveniles in observation home by expert mental health care professionals is needed for the rational management of psychiatric morbidity and enhancement of their development towards productive adulthood and productive integration into the general society.

scholarly journals How do delirium motor subtypes differ in phenomenology and contributory aetiology? a cross-sectional, multisite study of liaison psychiatry and palliative care patients

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e041214
Author(s):  
Kevin Glynn ◽  
Frank McKenna ◽  
Kevin Lally ◽  
Muireann O’Donnell ◽  
Sandeep Grover ◽  
...  
Keyword(s):  
Palliative Care ◽  
Rating Scale ◽  
Symptom Burden ◽  
Systemic Infection ◽  
International Study ◽  
Cross Sectional Study ◽  
Secondary Outcome ◽  
Liaison Psychiatry ◽  
Cross Sectional ◽  
Hypoactive Delirium

ObjectivesTo investigate whether delirium motor subtypes differ in terms of phenomenology and contributory aetiology.DesignCross-sectional study.SettingInternational study incorporating data from Ireland and India across palliative care, old age liaison psychiatry and general adult liaison psychiatry settings.Participants1757 patients diagnosed with delirium using criteria from the Diagnostic and Statistical Manual of Mental Disorders, Fourth edition (DSM IV).Primary and secondary outcome measuresHyperactive, mixed and hypoactive delirium subtypes were identified using the abbreviated version of the Delirium Motor Subtype Scale. Phenomenology was assessed using the Delirium Rating Scale Revised. Contributory aetiologies were assessed using the Delirium Aetiology Checklist (DEC), with a score >2 indicating that the aetiology was likely or definitely contributory.ResultsHypoactive delirium was associated with dementia, cerebrovascular and systemic infection aetiologies (p<0.001) and had a lower overall burden of delirium symptoms than the other motor subtypes. Hyperactive delirium was associated with younger age, drug withdrawal and the DEC category other systemic aetiologies (p<0.001). Mixed delirium showed the greatest symptom burden and was more often associated with drug intoxication and metabolic disturbance (p<0.001). All three delirium motor subtypes had similar levels of impairment in attention and visuospatial functioning but differed significantly when compared with no subtype (p<0.001).ConclusionsThis study indicates a pattern of aetiology and symptomatology of delirium motor subtypes across a large international sample that had previously been lacking. It serves to improve our understanding of this complex condition and has implications in terms of early detection and management of delirium.

scholarly journals AB0898-HPR WICH FACTORS ARE RELATED TO PAINFUL EXPERIENCE IN PATIENTS AFFECTED BY CHRONIC INFLAMMATORY RHEUMATIC DISEASE DURING THE COVID-19 PANDEMIC?

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1472.2-1472
Author(s):  
T. El Joumani ◽  
H. Rkain ◽  
T. Fatima Zahrae ◽  
H. Kenza ◽  
R. Abouqal ◽  
...  
Keyword(s):  
Psychological Impact ◽  
Multivariable Analysis ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Quality Of Sleep ◽  
Cross Sectional ◽  
Therapeutic Adherence ◽  
Factors Associated ◽  
Painful Experience

Objectives:To evaluate the effect of containment, during the Covid-19 pandemic, on the pain of patients with CIRD, and to analyze the factors associated with the experience of pain.Methods:A cross-sectional study was conducted among patients with rheumatic diseases using a questionnaire providing information on patients and disease characteristics. Impact of COVID-19 on This is a cross-sectional study that consecutively includedPatients were asked to assess the global pain which they had experienced before and during the containment period, using a single Visual Analogue Scale (VAS) ranging from 0 (no pain) to 10 (greatest pain).Statistical Analysis System IBM SPSS Statistics V20.0.0 was used to analyze the study data.We performed univariate then multivariate analysis to search any related factors to pain perception during to quarantines. Qualitative values were analyzed by the chi2 test. Quantitative values were analyzed by the Student test when the measures were normally distributed or by nonparametric test (Mann–Whitney U) when the measures were not normally distributed (Kolmogorov–Smirnov test was used to test normality).Results:Among the 350 patients who answered to the questionnaire online, rheumatoid arthritis represented 62.3%, spondyloarthropathy 34.3% and undifferentiated CIRD 3.4%.Pain experience caused by the CIRD during the containment was reported by 79.1% of patients.The level of pain, using the VAS of Pain increased significantly during the COVID-19 pandemic (4,6 ± 2,8 and 5,4 ± 3 before and during the containment; p<0.001).In multivariate analysis, the factors implicated in pain were the negative impact of Coronavirus on access to rheumatologic care, discontinuation of therapeutic adherence, the disturbed quality of sleep and the negative psychological impact (table 1).Table 1: Summarize multivariable analysis of factors associated with painful experience related to CIRD during containement.Table 1.Multivariable analysis of factors associated with painful experience related to CIRD during containementPImpact on monitoring0.05Impact on therapeutic adherence<0.001Quality of sleep disturbed0.001Negative psychological impact0.02Conclusion:This survey showed the that the COVID-19 pandemic have incresed painful experience in CIRD patients. Factors influencing painful experience should be taken into account to help patients to cope with their chronic rheumatism and this global health crisis.Disclosure of Interests:None declared

Predictors of Psychiatric Morbidity in Cancer Patients

1994 ◽  
Vol 165 (5) ◽  
pp. 593-598 ◽  
Author(s):  
Judy Harrison ◽  
Peter Maguire
Keyword(s):  
Risk Factors ◽  
Cancer Patients ◽  
Psychiatric Morbidity ◽  
Significant Proportion ◽  
Cross Sectional Study ◽  
Future Research ◽  
Cross Sectional ◽  
Appropriate Treatment ◽  
Study Designs ◽  
Patients Experience

BackgroundA significant proportion of cancer patients experience psychiatric morbidity in association with diagnosis and treatment. If this morbidity is to be reduced, a better understanding is needed of the factors which influence adjustment to cancer.MethodA review of the literature was carried out to explore those factors associated with poor psychological adjustment to cancer. These are described under four headings: characteristics of the patient; disease and treatment variables; the interaction between patient and illness; and environmental factors.ResultsA number of risk factors for psychiatric morbidity can be identified from each of the four areas. Methodological limitations are highlighted, in particular the preponderance of cross-sectional study designs.ConclusionsIncreased awareness of the risk factors for psychiatric morbidity should lead to earlier detection and more appropriate treatment. Future research should focus on those risk factors which are potentially modifiable.

Frequency of factors leading to acute renal failure in obstetric patients.

2021 ◽  
Vol 28 (05) ◽  
pp. 640-646
Author(s):  
Shaheena Zafar ◽  
Riffat Jaleeel ◽  
Kouser Karim Lodhani
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Serum Creatinine ◽  
Placental Abruption ◽  
Post Partum ◽  
Common Factor ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional

Objective: To determine the frequency of factors leading to acute renal failure in obstetric patients. Study Design: Cross Sectional study. Setting: Department of Obstetrics and Gynecology, Civil Hospital Karachi, Tertiary Care Hospital. Period: July 2015- Jan 2016. Material & Methods: Total 250 women during pregnancy and within 42 days after delivery who were diagnosed as ARF were included. Serum creatinine was done on admission and then after 24 hours of delievery. Those with urine output < 30ml / hour and serum creatinine > 1.5 mg / dl were recruited. All data was recorded on proforma. Results: The average age of the women was 29.36±5.87 years. Post-partum hemorrhage was the important and common factor i.e. 40.4%, followed by placental abruption 25.6%, Severe pre-eclampsia 18.4%, puerperal sepsis 8.4% and eclampsia 7.2%. Conclusion: Ante partum hemorrhage like placental abruption, eclampsia and preeclampsia, and postpartum hemorrhages’ are the major causes of obstetrical ARF. Good antenatal care and provision of universal health facility can prevent this dangerous condition. Though it is a treatable and curable complication, but if not diagnosed and treated timely, it can lead to significant maternal morbidity and mortality.

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