scholarly journals Pattern of psychiatric morbidity among the patients admitted in a private psychiatric clinic

1970 ◽  
pp. 23-28 ◽  
Author(s):  
A Fahmida ◽  
MA Wahab ◽  
MM Rahman
Keyword(s):  
Developing Countries ◽  
Psychiatric Disorders ◽  
Rural Areas ◽  
Psychotic Disorders ◽  
Psychiatric Morbidity ◽  
Medical Science ◽  
Adjustment Disorder ◽  
Somatoform Disorder ◽  
Public Health Issue ◽  
Psychiatric Clinic

Background: Mental health problem is a major public health issue in the world across the developed and developing countries. However, data in most of the developing countries including Bangladesh are scarce. In Bangladesh, socio-political situation is insecure and unstable with poverty and vulnerable to natural disaster which causes psychiatric morbidity. The pattern of psychiatric morbidity in private clinic is quite different from that in government hospital. Objective: This study was aimed to assess the diagnostic pattern of psychiatric morbidity among the admitted patients in a private psychiatric clinic. Methodology: The study was carried out in a 20 bedded private psychiatric clinic in the heart of Dhaka city. All the information including longitudinal histories of patients was recorded in files and the diagnosis was confirmed by psychiatrist. Admission and discharge notes were recorded in register. Socio-demographic parameters and family history of mental illness were collected from the record file of individual patient. Results: Among 304 patients 184 (60.53%) were males and 120 (36.47%) were females. More than 50% of patients were in the age group of 18 to 37 years. Most common psychiatric disorders were schizophrenia and other psychotic disorders (39.4%), mood disorder (18.75%), borderline personality disorder (3.6%), conduct disorder (2.3), somatoform disorder (1.6%), anxiety disorder (0.7%), organic psychiatric disorder (2%), impulse control disorder (1.3%) and adjustment disorder (0.7%). Conclusion: Major forms of psychiatric disorders are common both in urban and rural areas of Bangladesh. Keywords: Psychiatric morbidity doi: 10.3329/bjms.v8i1.3186 Bangladesh Journal of Medical Science Vol.8 No. 1-2; 2009 23-28

scholarly journals Psychiatric Morbidity among the Patients Attended in a Psychiatric OPD in North East Part of Tertiary Level Hospital of Bangladesh

2020 ◽  
Vol 32 (1) ◽  
pp. 52-54
Author(s):  
Md Shafiul Islam ◽  
Aminur Rahman ◽  
Siddhartha Paul
Keyword(s):  
Developing Countries ◽  
Psychiatric Disorders ◽  
Rural Areas ◽  
Psychotic Disorders ◽  
Psychiatric Morbidity ◽  
Adjustment Disorder ◽  
Somatoform Disorder ◽  
Public Health Issue ◽  
Medical College ◽  
North East

Introduction: Mental health problem is a major public health issue in the world across the developed and developing countries. However, data in most of the developing countries including Bangladesh are scarce. In Bangladesh, socio-political situation is insecure and unstable with poverty and vulnerable to natural disaster which causes psychiatric morbidity. The pattern of psychiatric morbidity attended in OPD is quite different from that in government hospital. This study was aimed to assess the diagnostic pattern of psychiatric morbidity among the attended patients in a out patient department in a medical college. Materials and Methods: The study was carried out in a OPD which is situated in 500 bedded private medical college in the sylhet city. All the information including longitudinal histories of patients was recorded in files and the diagnosis was confirmed by psychiatrist. All information notes were recorded in register. Socio -demographic parameters and family history of mental illness were collected from the record file of individual patient. Results: Among 304 patients 184 (60.53%) were males and 120 (36.47%) were females. More than 50% of patients were in the age group of 18 to 37 years. Most common psychiatric disorders were schizophrenia and other psychotic disorders (39.4%), mood disorder (18.75%), borderline personality disorder (3.6%), conduct disorder (2.3), somatoform disorder (1.6%), anxiety disorder (0.7%), organic psychiatric disorder (2%), impulse control disorder (1.3%) and adjustment disorder (0.7%). Conclusion: Major forms of psychiatric disorders are common both in urban and rural areas of Bangladesh. Medicine Today 2020 Vol.32(1): 52-54

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

scholarly journals Rural and urban prevalence of sexual assault against women in an African population

2019 ◽  
Vol 18 (3) ◽  
pp. 628-635
Author(s):  
Adeleke NA ◽  
Adebimpe WO ◽  
Farinloye EO ◽  
Olowookere AS
Keyword(s):  
Sexual Assault ◽  
Urban Area ◽  
Rural Area ◽  
Rural Women ◽  
Rural Areas ◽  
Urban Areas ◽  
Medical Science ◽  
Public Health Issue ◽  
Rural And Urban ◽  
Urban And Rural Areas

Background: Sexual assault is about the most dehumanizing form of gender based violence against women worldwide. Nigeria and many other countries in Africa do not have National data on women sexual assault. This survey is aimed at generating data on sexual assault against women in Osun state, Nigeria. Objective: To determine the patterns of sexual assault against women in Urban and Rural areas of Osun State in South western Nigeria. Methodology: A cross section survey using interviewer administered questionnaire was carried out among selected 1,200 women aged 15 years and above in urban and rural areas, between August and December 2014. The questionnaire was patterned after WHO Multi-country study on women’s health and domestic violence data instrument. The data were analyzed using SPSS version 17.0. Results: Mean age of the respondents was 23.75 ±(13.22) years in rural area, in the urban area it was 27.69 ±(10.23) years. 46 % and 54 % were married in urban and rural areas respectively. The prevalence of completed rape was 10.0 % in urban and 9.2 % in rural, while that of attempted rape was 31.4 % and 20.0 % in the urban and rural area respectively. Women in the rural areas experienced repeat sexual assault and suffered non-genital injuries more the in urban area. Having partner and living in urban area were associated with female sexual assault. Conclusions: Sexual assault against women constitutes public health issue in Osun state with rural women incurring greater negative health consequences. Primary prevention strategies should focus at young men and women in both rural and urban areas of the state. Bangladesh Journal of Medical Science Vol.18(3) 2019 p.628-635

scholarly journals Evaluation of Psychiatric Disorders in Spouse of Patients with Alcohol Dependence Syndrome

2021 ◽  
pp. 1-5
Author(s):  
Mahesh Tilwani
Keyword(s):  
Alcohol Dependence ◽  
Psychiatric Disorders ◽  
Affective Disorder ◽  
Depressive Episode ◽  
Bipolar Affective Disorder ◽  
Psychiatric Morbidity ◽  
Adjustment Disorder ◽  
International Classification Of Diseases ◽  
Psychiatric Research ◽  
Alcohol Dependence Syndrome

Background and Aim: Alcohol Dependence Syndrome has deleterious consequences not only on the patient with Alcohol Dependence Syndrome but also on the members of his family. The psychopathology in wives of patients with Alcohol Dependence Syndrome is a largely neglected area in psychiatric research. Aim of the present study was to evaluate the frequency and nature of psychiatric disorders in wives of patients with Alcohol Dependence Syndrome. Materials and Methods: A total of 177 wives, 100 wives of patients with Alcohol Dependence Syndrome and 77 wives of patients with Bipolar Affective Disorder- current episode mania were evaluated. Tools used were ICD-10 AM symptom checklist and modules for assessment of psychiatric morbidity and diagnosis was made based on The International Classification of Diseases – (Diagnostic Research Criteria DCR-10). Results: Psychiatric disorders are diagnosed in 75% of the wives of patients with alcohol dependence syndrome out of which 45% have dysthymia, 12% have mild depressive episode, 8% have adjustment disorder- prolonged depressive reaction, 5% have moderate depressive episode and 5% have anxiety disorder unspecified. Conclusion: The present study concludes that the wives of patients with Alcohol Dependence Syndrome have significant psychiatric morbidity when compared to wives of patients with Bipolar Affective Disorder-current episode mania. The most common psychiatric disorder is dysthymia.

Psychiatric Morbidity and Impact on Hospital Length of Stay Among Hematologic Cancer Patients Receiving Stem-Cell Transplantation

2002 ◽  
Vol 20 (7) ◽  
pp. 1907-1917 ◽  
Author(s):  
Jesús M. Prieto ◽  
Jordi Blanch ◽  
Jorge Atala ◽  
Enric Carreras ◽  
Montserrat Rovira ◽  
...  
Keyword(s):  
Stem Cell ◽  
Length Of Stay ◽  
Stem Cell Transplantation ◽  
Hospital Admission ◽  
Psychiatric Disorders ◽  
Psychiatric Morbidity ◽  
Adjustment Disorder ◽  
Hospital Length ◽  
Hospital Length Of Stay ◽  
Hematologic Cancer

PURPOSE: To determine the prevalence of psychiatric disorders during hospitalization for hematopoietic stem-cell transplantation (SCT) and to estimate their impact on hospital length of stay (LOS). PATIENTS AND METHODS: In a prospective inpatient study conducted from July 1994 to August 1997, 220 patients aged 16 to 65 years received SCT for hematologic cancer at a single institution. Patients received a psychiatric assessment at hospital admission and weekly during hospitalization until discharge or death, yielding a total of 1,062 psychiatric interviews performed. Psychiatric disorders were determined on the basis of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Univariate and multivariate linear regression analyses were used to identify variables associated with LOS. RESULTS: Overall psychiatric disorder prevalence was 44.1%; an adjustment disorder was diagnosed in 22.7% of patients, a mood disorder in 14.1%, an anxiety disorder in 8.2%, and delirium in 7.3%. After adjusting for admission and in-hospital risk factors, diagnosis of any mood, anxiety, or adjustment disorder (P = .022), chronic myelogenous leukemia (P = .003), Karnofsky performance score less than 90 at hospital admission (P = .025), and higher regimen-related toxicity (P < .001) were associated with a longer LOS. Acute lymphoblastic leukemia (P = .009), non-Hodgkin’s lymphoma (P = .04), use of peripheral-blood stem cells (P < .001), second year of study (P < .001), and third year of study (P < .001) were associated with a shorter LOS. CONCLUSION: Our data indicate high psychiatric morbidity and an association with longer LOS, underscoring the need for early recognition and effective treatment.

Stress and psychiatric disorder in rural Punjab

1997 ◽  
Vol 170 (5) ◽  
pp. 473-478 ◽  
Author(s):  
David B. Mumford ◽  
Khalid Saeed ◽  
Imtiaz Ahmad ◽  
Shazia Latif ◽  
Malik H. Mubbashar
Keyword(s):  
Psychiatric Disorders ◽  
Emotional Distress ◽  
Rural Areas ◽  
Depressive Disorders ◽  
Indian Subcontinent ◽  
Psychiatric Morbidity ◽  
Northern Pakistan ◽  
Younger Men ◽  
Icd 10 ◽  
Self Reporting Questionnaire

BackgroundThe prevalence of psychiatric disorders in rural Punjab is unknown. Previous studies in rural areas elsewhere in the Indian subcontinent have yielded widely differing estimates.MethodFirst-stage screening of a village near Gujar Khan used the Bradford Somatic Inventory and Self Reporting Questionnaire. Psychiatric interviews were conducted with stratified samples using the ICD-10 Diagnostic Criteria for Research.ResultsIt is estimated that 66% of women and 25% of men suffered from anxiety and depressive disorders. Levels of emotional distress increased with age in both genders. Women living in unitary households reported more distress than those living in extended or joint families. With younger men and women, lower levels of education were associated with greater risk of psychiatric disorders. Social disadvantage was associated with more emotional distress.ConclusionsThis study in rural Punjab confirms the findings of a previous study in Chitral, northern Pakistan, of high levels of emotional distress and psychiatric morbidity among women in rural areas of Pakistan.

scholarly journals Psychiatric disorders risk in patients with iron deficiency anemia and association with iron supplementation medications: a nationwide database analysis

2020 ◽  
Author(s):  
Herng-Sheng Lee ◽  
Hsin-Hao Chao ◽  
Wan-Ting Huang ◽  
Solomon Chih-Cheng Chen ◽  
Hsin-Yi Yang
Keyword(s):  
Iron Deficiency ◽  
Sleep Disorders ◽  
Psychiatric Disorders ◽  
Iron Deficiency Anemia ◽  
Lower Risk ◽  
Iron Supplementation ◽  
Psychotic Disorders ◽  
Psychiatric Morbidity ◽  
Deficiency Anemia ◽  
Increased Risk

Abstract Background: It has been shown that iron deficiency anemia (IDA) is associated with psychosocial consequences and psychiatric morbidity. However, the association between adults with IDA and psychiatric disorders has not been clarified. The purpose of this study was to investigate the psychiatric disorder morbidity of an IDA group in comparison with a non-IDA group and to examine the risk of psychiatric disorders in IDA patients treated with iron supplementation. Methods: All study subjects were 20 years of age or over with newly diagnosed IDA enrolled in the Taiwan National Health Insurance Database from 2000 to 2012. We matched IDA and non-IDA subjects according to age and gender in a 1:2 ratio. Our primary outcome was diagnosis of psychiatric disorders and the patients were monitored until the end of 2013. A multivariate Cox proportional hazards regression model was used to explore the risk of psychiatric disorders in patients with IDA after adjustment for confounders, including demographic characteristics and comorbidities. Results: The adjusted hazard ratios (aHRs) of psychiatric disorders was 1.49 (95% CI = 1.43–1.56) in the IDA group compared with the non-IDA group. Among the different types of psychiatric disorders, the IDA group was associated with significantly higher incidence and risks of dementia, anxiety disorders, depression, sleep disorders, and psychotic disorders ( p < 0.05). Furthermore, iron supplementation in IDA subjects was associated with a significantly lower risk of psychiatric disorders compared to non-iron supplementation in IDA patients. Conclusions: Our study indicates that IDA subjects had an increased risk of psychiatric disorders, regardless of other confounders. In IDA patients, iron supplementation was associated with a decreased risk of psychiatric disorders. Moreover, IDA patients receiving iron supplementation also had a lower risk of sleep disorders.

scholarly journals Psychiatric disorders risk in patients with iron deficiency anemia and association with iron supplementation medications: a nationwide database analysis

2019 ◽  
Author(s):  
Herng-Sheng Lee ◽  
Hsin-Hao Chao ◽  
Wan-Ting Huang ◽  
Solomon Chih-Cheng Chen ◽  
Hsin-Yi Yang
Keyword(s):  
Iron Deficiency ◽  
Sleep Disorders ◽  
Psychiatric Disorders ◽  
Iron Deficiency Anemia ◽  
Iron Supplementation ◽  
Psychotic Disorders ◽  
Psychiatric Morbidity ◽  
Cox Proportional Hazards ◽  
Deficiency Anemia ◽  
Increased Risk

Abstract Background It has been shown that iron deficiency anemia (IDA) is associated with psychosocial consequences and psychiatric morbidity. However, the association between adults with IDA and psychiatric disorders has not been clarified. The purpose of this study is to investigate the psychiatric disorders morbidity of IDA in comparison with non-IDA group and to examine the risk of psychiatric disorders in IDA patients treated with iron supplementary.Methods All study subjects aged ≥ 20 years with newly diagnosed IDA in the Taiwan National Health Insurance Database during 2000-2012 were enrolled. We matched IDA and non-IDA subjects according to age and gender in a 1:2 ratio. Our primary outcome was diagnosis of psychiatric disorders and the patients were monitored until the end of 2013. The Cox proportional hazards regression model was used to evaluate the risk of psychiatric disorders events to occur in IDA.Results The adjusted hazard ratios (aHR) of psychiatric disorders was 1.49 (95% CI = 1.43 – 1.56) in the IDA group compared with the non-IDA group. Among the different type of psychiatric disorders occurrence, the IDA group was associated with significantly higher incidence and risks of dementia, anxiety disorders, depression, sleep disorders and psychotic disorders (p < 0.05). Furthermore, iron supplementation use to IDA subjects was associated with significantly lower risk of psychiatric disorders compared with IDA patients without iron supplementation.Conclusions Our study indicates that IDA had an increased risk of psychiatric disorders, regardless of other confounders. Moreover, in IDA patients, iron supplementation use could reduce the risk of psychiatric disorders, especially sleep disorders.

scholarly journals Prevalence of psychiatric morbidity among prisoners attending OPD of Central Jail Hospital, Kathmandu

2018 ◽  
Vol 7 (1) ◽  
pp. 24-31
Author(s):  
P. Bhattarai ◽  
V.D. Sharma ◽  
M. Chapagai ◽  
P. Tulachan
Keyword(s):  
Mental Illness ◽  
Low Socioeconomic Status ◽  
Rural Areas ◽  
Functional Disability ◽  
Prison Population ◽  
Psychiatric Morbidity ◽  
Somatoform Disorder ◽  
Vulnerable Groups ◽  
Cross Sectional ◽  
Self Reporting Questionnaire

Introduction: Prisoners are one of the most vulnerable groups for having high prevalence of mental illness. There is a dearth of major studies conducted amongst prisoners in Nepal. The basic objective of this study is to study prevalence and nature of psychiatric morbidity in prisoners attending general OPD of Central jail Hospital, Kathmandu. Material and Method: This was a descriptive, cross-sectional study carried out in prisoners attending OPD of central jail for a period of six months. Initial screening was done with self- reporting questionnaire (SRQ) and those having distress on SRQ were interviewed and diagnosis was made based on ICD-10 DCR and data analysis was done using SPSS version 16. Results: A total of 121 prisoners out of 300 prisoners attending OPD of central jail hospital during a period of six months had been diagnosed to suffer from psychiatric morbidity. Majority of cases were within age group 26-30 years (20.7%) with male preponderance (76.9%), married (69.4%), educated up to higher secondary level (38%), doing occupation as labor work (24%), Hindus (62.8%) with janajatis (32.2%), having low socioeconomic status (51.2%), belonging to joint family (50.4%) and were from rural areas (45.4%). Murder was the most common offence committed (33.9%) followed by drug trafficking (28.1%). Most common primary diagnosis belong to Neurotic, stress related and somatoform disorder (57%) followed by mood disorder (32.2%). Most common psychiatric morbidity among prisoners was generalized anxiety disorder (36.4%) followed by Moderate depressive episode (23.1%) and somatoform disorder (9.1%). The overall prevalence of psychiatric morbidity in prisoners attending OPD of central jail hospital was found to be 40.33%. Conclusion: A substantial burden of psychiatric morbidity exists in prison population of Nepal. Prompt recognition and treatment of mental illness in prison lead to decrease in functional disability and better quality of life.

scholarly journals Clinico-demographic profile of patients with acute and transient psychotic disorders

2012 ◽  
Vol 10 (3) ◽  
pp. 215-219
Author(s):  
S Ranjan ◽  
R Shakya ◽  
PM Shyangwa
Keyword(s):  
Socioeconomic Status ◽  
Developing Countries ◽  
Rural Areas ◽  
Psychotic Disorders ◽  
Clinical Presentation ◽  
Nuclear Family ◽  
Abrupt Onset ◽  
Nuclear Families ◽  
Demographic Profile ◽  
Middle Socioeconomic Status

Background: There are only few studies on the clinico-demographic profile of acute and transient disorders, which is a common disorder in developing countries. Objective: To study the clinical presentation and socio-demographic profile of patients with Acute and transient psychotic disorders. Methods: Thirty patients diagnosed as Acute and transient psychotic disorders were assessed to record their socio-demographic profile, presence of stress, onset, presenting complains and the phenomenology using standard questionnaire. Results: ATPDs was more common in persons below thirty years of age (63.3%), residing in rural areas (90%), unemployed (76.7%), low middle socioeconomic status (53.3%), married (63.3%), and member of nuclear family (63.3%). Abrupt onset was seen in 73% of cases. Delusion of persecution was the most common psychopathology (86.7%). All patients had impaired biorhythm and poor insight. Conclusions: Married unemployed persons below the age of thirty of low middle socioeconomic status residing in nuclear families in rural areas suffer from ATPDs more than others. DOI: http://dx.doi.org/10.3126/hren.v10i3.7138 Health Renaissance; September-December 2012; Vol 10 (No.3);215-219

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