scholarly journals Socio-demographic Characteristics and Diagnostic Profile of Patients Attending Psychiatric OPD of a Private Hospital in Western Region of Nepal

1970 ◽  
Vol 1 (1) ◽  
pp. 15-18
Author(s):  
JB Khattri ◽  
ST Godar ◽  
P Thapa ◽  
K Ramesh ◽  
PK Chakrabortty ◽  
...  

Background: Mental health services in Nepal are limited and there is a scarcity of epidemiological studies in our country. The present study is done with the aim to study the socio-demographic characteristic and diagnostic profile of patients attending the psychiatric OPD. Methods: This is a retrospective study where case records of all new patients, diagnosed to be suffering from Mental and Behavioral disorders according to Chapter V (F) of ICD-10, who attended the OPD from July 2011 to December 2011, were included in the study. Results: Maximum patients fall in the younger age group and are females. The patients were found to be suffering from neurotic, stress-related and somatoform disorders (35.4%) followed by mood disorder (18.3%), schizophrenia, schizotypal and delusional disorders (17.4%) and mental and behavioral disorders due to psychoactive substance use (9.7%). Conclusion: Mental disorders comprise a wide variety of disorders and affect the most productive age group suggesting the need for early identification and prompt management. Keywords: ICD-10 DCR; psychiatric OPD; psychiatric morbidity; neurotic disorders DOI: http://dx.doi.org/10.3126/njms.v1i1.5790 Nepal Journal of Medical Sciences. 2012; 1(1): 15-18

2022 ◽  
Vol 13 (2) ◽  
pp. 12-18
Author(s):  
Giovanna Scudeler Lima Ramos ◽  
Giovana Mota Marques da Silva

Mental and behavioral disorders are influenced by a combination of factors that affect an individual's emotional balance and affect people of all ages, sex and social classes, although each group has its specificities. The present study aims to determine the prevalence of hospitalizations caused by Mental and Behavioral Disorders (CMD), considering an age group, gender and an ICD-10 morbidity list in the State of São Paulo between the years 2017 to 2020. This research was an ecological study on the prevalence of cases of mental and commercial disorders in the State of São Paulo. Data were collected on the DATASUS platform, where the number of admissions according to gender, age and ICD-10 morbidity list in the 2017-2020 period were surveyed. The results obtained revealed a growing increase in CMD cases in the state, especially from 2018 to 2019 with a subsequent fall in 2020, with, from 2017 to 2020, approximately 58.81% prevalence of CMD in sex and approximately 41.19% prevalence in sex female, mainly affecting people aged 30 to 39 years, higher prevalence of mood in females (67.18%) and CMD due to alcohol use in females (87.89%). It is concluded that amidst the pandemic against COVID-19, several patients considered without a diagnosis of Mental and Behavioral Disorders, because of this, it is possible that after the pandemic there are a greater number than expected of patients with more advanced conditions due to the absence of an early diagnosis.


2021 ◽  
Vol 17 (5) ◽  
pp. 383-388
Author(s):  
Daniela Yucumá, MD ◽  
Ana Beatriz Pizarro, RN ◽  
Diego Alberto Moreno, MD ◽  
Juan David Mosos, MD ◽  
Marian Rincón-Montaña, MD ◽  
...  

Objectives: (1) To estimate the prevalence, geographic distribution, and demographic characteristics of patients diagnosed with mental and behavioral disorders due to the use of opioids in Colombia, between 2009 and 2018. (2) To describe the opioid sales trends in Colombia over the last few years.Methods: We conducted an observational study analyzing information from Individual National Registry of Health Services and the Colombian official database for pharmaceuticals prices and quantities sold. The included ICD-10 codes were mental and behavioral disorders due to the use of opioids (F11) codes subdivisions.Results: 12,557 cases of mental and behavioral disorders due to opioid use were reported, with a rate of 3.0 per 100,000 inhabitants for the studied period. Men represented 74.2 percent, with a male:female ratio of 2.9:1. The highest prevalence was found between 20 and 24 years, in the northwest Colombian area. A progressive increase in the total number of opioid units sold during the study period was found, and the most frequently sold opioids were tramadol (55 percent) and codeine (20 percent).Conclusions: Recognition of opioid use disorders has increased in the last 10 years; it affects more males than females, mostly young adults, and is higher in certain affluent regions of Colombia. We found a progressive annual increase in the sales of opioids in the country, which could be related to the increase in the rate of registries. Studies that have analyzed opioid abuse in Latin America are limited, and further studies are needed to evaluate this situation in middle-income countries from the region.


Author(s):  
D. A. Chernov ◽  
V. I. Evdokimov ◽  
I. A. Cheshyk

Relevance. One of the most reliable and robust indicators of the health of military personnel is dismissal due to health reasons, it is practically not affected by external distortions, and dismissal-related nosologies are determined in hospital and subsequently approved by military medical experts.Intention. Analysis of the dismissal rate due to health reasons among conscripts in the Republic of Belarus for 16 years (2003-2018).Methodology. We conducted a statistical analysis of annual medical reports about the state of health and morbidity of conscripts (form N 3/MED) and annual reports about medical examination (form N 5/CVVK). Dismissal rates for the entire service time and for the periods I (0–6 months), II (7–12 months) and III (13–18 months) were identified and analyzed. Dismissal-related nosologies were correlated with the codes of the International Statistical Classification of Diseases, Behavioral Disorders and Injuries, 10th revision (ICD-10).Results and Discussion. The average annual dismissal rate for conscripts from the Armed Forces of the Republic of Belarus for 16 years from 2003 to 2018 amounted to (15.62 ± 0.58) ‰, including (8.11 ± 0.36) ‰ in the first period of service, (5.24 ± 0.28) ‰ in the II period and (2.27 ± 0.09) ‰ in the III period, i.e. 51.9, 33.5 and 14.6 %, respectively in the structure of dismissal for the entire period of service. The main reasons for the dismissal of conscripts from the Armed Forces of the Republic of Belarus were mental and behavioral disorders (ICD-10 chapter V), digestive diseases (chapter XI), diseases of the musculoskeletal system and connective tissue (chapter XIII), cardiovascular system diseases (chapter IX) and skin and subcutaneous tissue diseases (chapter XII) with levels of (4.74 ± 0.35), (2.74 ± 0.31), (2.13 ± 0.18), (1.80 ± 0.30) and (0.73 ± 0.09) ‰, respectively. In the structure of dismissal, the rates of these diseases amounted to 77.7 %. When analyzing the leading classes, during the periods of service the military-epidemiological significance of dismissals due to mental disorders and behavioral disorders (chapter V), cardiovascular system diseases (chapter IX), skin and subcutaneous tissue diseases (chapter XII) turned out to decrease, and military-epidemiological significance of dismissals due to diseases of the digestive system (chapter XI) increased. In addition, during periods of service the number of dismissals of conscripts with certain infectious and parasitic diseases (chapter I), with injuries, poisoning and some other consequences of external causes (chapter XIX) increased. Most commonly, conscripts were dismissed from the Armed Forces of the Republic of Belarus due to diseases of the esophagus, stomach and duodenum (K20–K31 according to ICD-10), personality and behavioral disorders in adulthood (F60– F69), neurotic, associated with stress, and somatoform disorders (F40–F48), other heart diseases (pericarditis, endocarditis, etc., I30–I52) and mood disorders (affective disorders, F30–F39). In the structure of dismissal, percentages amounted to 13.7, 9.1, 6.3, 4.1 and 4.1 %, respectively; in total – 37.3 %.Conclusion. The medical and statistical indicators of dismissal can help calculate the likelihood of health disorders associated with daily life and military service, and determine the strategy of the medical service in taking measures for recreation and rehabilitation of potential and actual conscripts.


2012 ◽  
Vol 61 (3) ◽  
pp. 139-147 ◽  
Author(s):  
Maria de Lourdes Pereira Costa ◽  
Luiz Carlos Marques de Oliveira

OBJECTIVE: To assess the frequency of comorbidities of mental and behavioral disorders (CMBD) in psychoactive substance (PAS)-dependent patients with different periods of abstinence cared for at Alcohol and Other Drug Psychosocial Care Centers (CAPS-ad). METHOD: All patients under treatment in the two CAPS-ad of the city of Uberlândia-MG, between April and September 2010, were consecutively assessed. The ICD-10 symptom checklist was used to diagnose CMBD; additional information was obtained from interviews and medical records. The patients were divided according to duration of abstinence: < 1 week (Group 1); 1-4 weeks (Group 2); and > 4 weeks (Group 3). RESULTS: Of all patients assessed, 62.8% were diagnosed with CMBD, which were more frequent (p < 0.05) in Group 1 (72%) than Group 3 (54.2%), and both groups were similar to Group 2 (61%). Depressive and anxiety disorders were more frequent among patients of Group 1. Mood disorders were more frequent (p < 0.05) in women [22/34 (65%) vs. 54/154 (35.1%)], whereas psychotic disorders were more frequent (p = 0.05) in men [16/154 (10.4%) vs. 0]. The presence of CMBD was associated with more severe clinical conditions. CONCLUSIONS: The higher frequency of diagnosis of CMBD in patients of Group 1 may have resulted from the difficulties in distinguishing mental disorders that are due to PAS intoxication or withdrawal from those that are not. However, to make the diagnosis of CMBD, even during detoxification, can increase the likelihood of better response to treatment.


2014 ◽  
Vol 2 (2) ◽  
pp. 35-38
Author(s):  
TA Khan ◽  
M Belbase

Background: Mental health is an ignored area of general health care system despite the magnitude of problem and financial burden on families and whole country. In our country, psychiatric services are out of reach to majority of population because of inadequate mental health professionals, lack of awareness and lack of proper mental health policy. This study is conducted with the objective to know socio-demographic and diagnostic profile of patients from a mental health check up camp conducted at Belauri, Kanchanpur district from far western region of Nepal. Material and Methods: This is a descriptive study, comprised of all consecutive participants i.e. 128 patients attending Maryknoll mental health check up camp at Belauri town of Kanchanpur district, Nepal. The Study was performed in March 2013. Socio-demographic data and clinical diagnosis based on International Classification of Disease- 10 diagnostic research criteria were collected and analyzed.   Results: Out of 128 subjects studied, highest number of participants (35.94%) belonged to age group 21- 30 yrs followed by age group 11-20 yrs (18.75%) and age group 31-40 yrs (16.40%). The most common psychiatric morbidity was found to be Neurotic, stress related & somatoform disorders (23.45%) followed by mood disorder in 24 (18.75%) patients and Headache (Migraine & Tension type) in 18 (14.07%) patients.   Conclusion: The commonest age group affected with mental illness is younger age groups and Neurotic, stress related & somatoform disorders are the most common psychiatric morbidity followed by mood disorders. DOI: http://dx.doi.org/10.3126/jpan.v2i2.9724   J Psychiatrists’ Association of Nepal Vol.2, No.2, 2013 35-38 


2005 ◽  
Vol 35 (8) ◽  
pp. 1175-1184 ◽  
Author(s):  
TOMAS TOFT ◽  
PER FINK ◽  
EVA OERNBOEL ◽  
KAJ CHRISTENSEN ◽  
LISBETH FROSTHOLM ◽  
...  

Background. Prevalence and co-occurrence of mental disorders is high among patients consulting their family general practitioner (GP) for a new health problem, but data on diagnostics and sociodemographics are sketchy.Method. A cross-sectional two-phase epidemiological study. A total of 1785 consecutive patients with new complaints, aged 18–65 years, consulting 28 family practices during March–April 2000 in Aarhus County, Denmark were screened, in the waiting room, for mental and somatic symptoms with SCL-8 and SCL-Somatization questionnaires, for illness worry with Whitely-7 and for alcohol dependency with CAGE. In a stratified random sample of 701 patients, physician interviewers established ICD-10 diagnoses using the SCAN interview. Prevalence was calculated using weighted logistic regression, thus correcting for sample skewness.Results. Half of the patients fulfilled criteria for an ICD-10 mental disorders and a third of these for more than one group of disorders. Women had higher prevalence of somatization disorder and overall mental disorders than men. Men had higher prevalence of alcohol abuse and hypochondriasis than women. Psychiatric morbidity tended to increase with age. Prevalence of somatoform disorders was 35·9% (95% CI 30·4–41·9), anxiety disorders 16·4% (95% CI 12·7–20·9), mood disorders 13·5% (95% CI 11·1–16·3), organic mental disorders 3·1% (95% CI 1·6–5·7) and alcohol abuse 2·2% (95% CI 1·5–3·1). Co-morbidities between these groups were highest for anxiety disorders, where 89% also had another mental diagnosis, and lowest for somatoform disorders with 39%.Conclusions. ICD-10 mental disorders are very prevalent in primary care and there is a high co-occurrence between most disorders. Somatoform disorders, however, more often than not exist without other mental disorders.


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