scholarly journals Pattern of psychiatric morbidity in pediatric outpatient department

2020 ◽  
Vol 31 (1) ◽  
pp. 1-6
Author(s):  
Jesmin Akhter ◽  
Md Azizul Islam ◽  
Mohammad Muntasir Maruf ◽  
Tania Binte Gofur

Mental health in child and adolescents is an essential component of overall health. Disturbed children are more likely to be disturbed adults. Therefore, early detection and treatment is important to decrease the long term disability. The objective of the study was to determine the morbidity pattern of psychiatric disorders among patients of pediatric outpatient department of tertiary level hospitals. This cross-sectional study was conducted from July 2012 to February 2013 in pediatric outpatient department of three prime tertiary level hospitals of Dhaka, Bangladesh. Purposive sampling technique was used and sample size was 240. A Semi- structured questionnaire containing socio-demographic and other relevant clinical information and the parent version of Development and Well Being Assessment (DAWBA) were applied. The results showed that most (70.8%) of the respondents were of 5 to 10 years’ age group with a male preponderance (54.2%). Out of 240 respondents, 44 (18.3%) were found with psychiatric morbidity. Categorically emotional disorder was 14.6%, behavioral disorder was 9.2% and developmental disorder was 0.4%. Hyperkinetic disorder (5.4%) and Oppositional defiant disorder (2.9%) were the most frequent diagnoses, followed by Obsessive compulsive disorder (2.5%). 29.5% of psychiatric cases were associated with other comorbid psychiatric diagnoses. Respondents with minor physical illness were mostly found with psychiatric morbidity (43.2%). Multiple patterns of psychiatric disorders were identified among the respondents. Therefore, the need to step up to the clinical and referral approaches is imperative to this special segment of children of our society. Bang J Psychiatry June 2017; 31(1): 1-6

2019 ◽  
Vol 3 (1) ◽  

Objective: Mental disorders and substance abuse are one of the most frequent disorders in the world. Mental health of prisoner’s is a major issue of public health. Methods: This is a cross-sectional study carried at 3 prisons in Baghdad. All prisoners, both awaiting trial and sentenced prisoners, both gender were included, using stratified random sampling technique. Basic sociodemographic variables were collected using aninformation list filled during interview. Prisoners’ mental state was checked by self-reporting questionnaires scale (SRQ-20). Positive SRQ-20 test prisoners were selected for administration of the DSM-IV Structured Interview (SCID) by consultant psychiatrist. Results: A total of 1447 prisoners were approached; 70% responded; Mean age 33.9±7.17 years. About 50% of prisoners stay in prison between 5-10 years. The prevalence of psychiatric morbidity (positive SRQ-20 responses) was 749 (73.9%). Generalized anxiety disorder was 7.2% of psychiatric morbidity, obsessive compulsive disorder 1.5%, panic disorder 4.8%, substance abuse 50.1%, depression 11.9%, psychosis 9.2%, schizophrenia 3.2%, posttraumatic stress disorder 1.6%, and personality disorder 10.5%. Conclusion: this study shows high psychiatric morbidity and substance abuse among Iraqi prisoners that require furtherattention to enhance mental health and concentrated on the role of mental health workers for early detection and proper treatment of psychiatric disorders in prison.


2017 ◽  
Vol 29 (1) ◽  
pp. 1-4 ◽  
Author(s):  
Bushra Sultana ◽  
Muhammad Zillur Rahman Khan ◽  
Sadya Tarannum ◽  
Nasim Jahan ◽  
Ahsan Uddin Ahmed ◽  
...  

Psychiatric morbidity among patients attending cardiac outpatient department has been revealed as a significant problem in many studies. The objective of this study was to determine the proportion of psychiatric morbidity among cardiac outdoor patients in National Institute of Cardio-Vascular Diseases (NICVD), Dhaka. It was a cross-sectional study conducted from September 2015 to February 2016 among the purposively selected patients of NICVD outdoor. Convenient sampling technique was used to select 151 patients aged 18 to 65 years who were attending the cardiac outpatient department in NICVD, Dhaka. A semi-structured questionnaire including Self-Reporting Questionnaire (SRQ) was used to screen psychiatric symptoms. Results showed that the mean (+SD) age of the patients was 46.09 (+11.17) years and majority of the respondents (60.9%) were male. The most common cardiac morbidity was ischemic heart disease (29.8%). Among all the respondents, 21.9% were suffering from psychiatric disorders. Maximum of the cases were diagnosed with major depressive disorder (11.3%). Thus, it was apparent that psychiatric morbidity was commonly present in patients who attended cardiac outpatient departments.Bang J Psychiatry June 2015; 29(1): 1-4


2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Mohamed A. EL Koumi ◽  
Yasser F. Ali ◽  
Ehab A. El Banna ◽  
Usama M. Youssef ◽  
M. Yasser Raya ◽  
...  

Objective. This study identifies the prevalence of emotional and behavioral problems and the associated factors in orphanage children.Methods. This cross-sectional study was conducted in three private orphanages in Cairo. Two hundred sixty-five children of ages ranging from 6 to 12 years living in three different orphanages care systems were included in the study. A sociodemographic information form and the Child Behavior Checklist (CBCL) were used. Children were clinically interviewed and psychiatric disorders were identified. Diagnoses were done according to the manual for diagnosis and statistics of mental disorder fourth version (DSMIV). A written formal consent from the director of social solidarity was obtained before inclusion in the study.Results. The prevalence of behavioral disturbances was 64.53% among those in institutional care and the most prominent psychiatric disorders were nocturnal enuresis (23.3%), attention deficit hyperkinetic disorder (ADHD) (19.62%), oppositional defiant disorder (17.36%). Age at first admission, causes of receiving institutional care, and moves 2 or more times between institutions were significantly associated with an increased risk of behavioral and emotional problems.Conclusion. Our study showed that children living in institutions are prone to suffer from psychiatric disorders. Stability of the caregiver acts as a protective variable.


2018 ◽  
Vol 30 (1) ◽  
pp. 10-13
Author(s):  
Md Sultan E Monzur ◽  
Mohammad Muntasir Maruf ◽  
Susmita Roy ◽  
Ramendra Kumar Singha Royle ◽  
Md Shafiqur Rahman

Mental health problems are often unrecognized and neglected by patients, their relatives and by the society. The objective of the study was to find out the pattern of psychiatric morbidity of the patients attending at the psychiatry outpatient department. This was a cross sectional study carried out in the department of Psychiatry at North Bengal Medical College Hospital (NBMCH), Sirajganj from August, 2015 to July, 2017. For this purpose, 918 respondents attending in psychiatry outpatient department of NBMCH were enrolled in the study by using convenient sampling technique. The results showed that majority (26.3%) were from the age group of 31-40 years with female preponderance (58.7%). Among them 71.8% were married and 71.1% came from rural background. Maximum respondent’s (56.3%) monthly family income was in between 15,000-30,000 BDT. The most common psychiatric morbidity among the respondents was major depressive disorder (38.6%) followed by anxiety disorsers (25.8%). Most (85.1%) of the respondents were referred either by themselves or by their family members, friends or by relatives. The rest (14.9%) were referred by general physicians and specialists of different disciplines. The result of this study may help in the planning for better mental health service in private medical college hospitals.Bang J Psychiatry June 2016; 30(1): 10-13


2018 ◽  
Vol 8 (1) ◽  
pp. 01-07
Author(s):  
Alfred Eboh

Background: The hawking of wares by children has been a serious issue confronting the Nigerian society. Children hawk in some of the most horrible conditions conceivable, where they face a serious risk of injury, chronic illness, kidnapping, rape or death. Objective: The focus of this study was to assess the perceived effects of street hawking on the well-being of children in Anyigba, Dekina Local Government Area of Kogi State. Methods: The population of this study consists of parents of the street hawkers in Anyigba while cross-sectional survey design was used through the purposive sampling technique to choose the sample size of one hundred and sixty-two (162) respondents. The validated structured questionnaire and In-Depth Interviews (IDIs) served as the instruments for the data collection respectively. The hypotheses were tested using Chi-Square at a predetermined 0.05 level of significance. The quantitative data were analysed with the aid of the SPSS (version 20). Results: The results indicated among others that street hawking had significant social implications and physical consequences on children's moral behaviour as well as health status in the study area. Conclusion: The study, therefore, concluded that the government of Kogi State should carry out an enlightenment campaign through the media and religious institutions on the negative consequences of street hawking are recommended as panacea. Also, the child right act instrument and its implementation should be strengthened in order to curb street hawking in the study area.


2016 ◽  
Vol 6 (2) ◽  
pp. 146 ◽  
Author(s):  
Jhunu Shamsun Nahar ◽  
Monami Haque ◽  
Nafia Farzana Chowdhury ◽  
M. M. A. Shalauddin Qusar ◽  
Wasima Rahman ◽  
...  

<p><strong>Background:</strong> Psychiatric disorders are more prevalent among women than men worldwide. The lifetime risk of depres­sion and dysthymia are twice as common in women as men. Rural women usually undergoes more stressful situations and also scores more on stress scale than that of urban and slum population. <strong></strong></p><p><strong>Objectives:</strong> The research objectives of this study are: 1) To find out the prevalence of psychiatric disorders among the study population. 2) To compare the disorders among the rural and slum female population. 3) To find out the influence of existing socio-demographic factors on psychiatric disorders. <strong></strong></p><p><strong>Method:</strong> This is a community-based study, which is also cross sectional and descriptive in nature. The sample for the main study constituted 366 randomly selected respondents. A two-staged screening procedure was carried in the study. First, the total population was studied by screening test-Self Reporting Questionnaire (SRQ) to divide the sample into 'screen positive' and 'screen negative' subjects. In the second stage, full assessment of a mixture of all 'screen positive' and 25% 'screen negative' was carried out by structured clinical interview for diagnosis (SCID-NP). Later SCID filled by the respondents was assessed by consultant psychiatrists by using DSMIV in order to put exact clinical diagnosis. Stress was scored according to Presumptive Stressful Life Events Scale (PSLE). The total duration of the study was from July 2010 to June 2011. <strong></strong></p><p><strong>Results:</strong> Higher prevalence of psychiatric morbidity was found among rural sample (22.8%) than slum (10.90%) population. Regarding pattern of psychiatric disorders among rural sample (22.8%) than slum (10.9%) population.</p><p>See the PDF for the rest of the abstract.</p>


Author(s):  
Suresh C. Gupta ◽  
Karan J. Jain ◽  
Anjana Tiwari ◽  
Indu Padmey ◽  
Nandkishor J. Bankar ◽  
...  

Background: Acquired immunodeficiency syndrome (AIDS) is one of the deadliest diseases that modern medicine has ever had to tackle. Understanding the knowledge about HIV/AIDS in general populations will help in formulating strategy for prevention and treatment. With this background, this study was conducted to assess the knowledge and awareness about HIV/AIDS among general population.Methods: A cross sectional study was conducted at C.C.M. Medical College and Hospital, Durg during December 2018 to January 2019. The data was collected from 450 patients attending the medicine outpatient department. Study subjects were selected using convenient sampling technique. Patients giving consent and willing to participate were included in the study. The data was collected in predesigned and pretested questionnaire.Results: 77.11% study participants were aware that unprotected sex can lead to transmission of HIV, 73.78% knew that shaking hands will not transmit the disease. 79.8% knew that use of condom can prevent transmission of HIV/AIDS. Overall males had better knowledge than females. 76.85% said they would behave friendly with people having HIV/AIDS and 69.78% were willing to take care of relatives with HIV.Conclusions: This study indicates that majority participants have good knowledge about difference between HIV and AIDS, modes of transmission and prevention though they were not completely aware of it. The proportion of those with lack of correct knowledge though comparatively less, needs to be taken as a challenge and addressed through well planned health educational activities at various platforms including teaching hospital premises.


CNS Spectrums ◽  
2015 ◽  
Vol 20 (5) ◽  
pp. 469-473 ◽  
Author(s):  
Bernardo Dell’Osso ◽  
Humberto Nicolini ◽  
Nuria Lanzagorta ◽  
Beatrice Benatti ◽  
Gregorio Spagnolin ◽  
...  

Obsessive compulsive disorder (OCD) showed a lower prevalence of cigarette smoking compared to other psychiatric disorders in previous and recent reports. We assessed the prevalence and clinical correlates of the phenomenon in an international sample of 504 OCD patients recruited through the International College of Obsessive Compulsive Spectrum Disorders (ICOCS) network.Cigarette smoking showed a cross-sectional prevalence of 24.4% in the sample, with significant differences across countries. Females were more represented among smoking patients (16% vs 7%; p<.001). Patients with comorbid Tourette’s syndrome (p<.05) and tic disorder (p<.05) were also more represented among smoking subjects. Former smokers reported a higher number of suicide attempts (p<.05).We found a lower cross-sectional prevalence of smoking among OCD patients compared to findings from previous studies in patients with other psychiatric disorders but higher compared to previous and more recent OCD studies. Geographic differences were found and smoking was more common in females and comorbid Tourette’s syndrome/tic disorder.


2021 ◽  
Vol 8 (28) ◽  
pp. 2472-2477
Author(s):  
Swapnil Agrawal ◽  
Aftab Ahmed Khan

BACKGROUND With recent advancement in health facility, both in urban and rural population, ratio of elderly people has increased and due to this apart from physical illness, mental health is also emerged as an important public health challenge. Psychiatric disorders such as depression, anxiety, cognitive disorders and substance use disorders were commonly found in elderly specially living alone and in care homes. The primary purpose of this study was to compare mental health of elderly people living in care homes with those living with family in Kota (Hadoti region, Rajasthan). METHODS This is a cross-sectional comparative study that was carried out in 50 elderly people living in care homes and 50 elderly people living with family. Both groups were screened for psychiatric disorders using general health questionnaire (GHQ – 12). Comparison was made under various headings between these groups including severity. Obtained data were analysed by using proportion, mean, standard deviation, chi-square, and Pearson correlation. RESULTS No statistically significant difference was found in having psychiatric disorders on screening with GHQ - 12. Difference in these groups for prevalence and severity was not statistically significant for depression and anxiety although significant higher mean of total geriatric depression score (GDS) score in control (10.74 ± 2.56) than in cases (9.38 ± 2.36) and total Hamilton’s anxiety rating scale (HAM – A) score was seen in case group (24.53 ± 3.50) than in controls (23.15 ± 2.34). CONCLUSIONS In this study, it was found out that psychiatry morbidity was higher among elderly population living in old age home when compared to elders living with family in community. Possible reason for higher psychiatric morbidity in old age home group in our study appears to be because of lack of family support, pain of being separated from their children whom they cared and nurtured for their whole life. In psychiatric morbidity we found that depression was the most common disorder in elderly population in both groups. KEYWORDS Old Age Home, Mental Disorders, Depression, Anxiety


Author(s):  
Ojima Zechariah Wada ◽  
Aminat Opeyemi Amusa ◽  
Fiyinfoluwa Taiwo Asaolu ◽  
David Olatunde Akinyemi ◽  
Elizabeth Omoladun Oloruntoba

Psychosocial stressors are indicative of challenges associated with the social and environmental conditions an individual is subjected to. In a bid to clearly understand the present gaps in school sanitation, this cross-sectional study aimed to identify the sanitation-related psychosocial stressors experienced by students in a Nigerian peri-urban community and their associated impacts. A three-stage sampling technique was used to select 400 students from 10 schools. The students to toilet ratio were 1,521:0 and 1,510:0 for the public-school boys and girls, respectively, and 74:1 and 70:1 for the private-school boys and girls, respectively. Furthermore, public-school students had a significantly higher average stress level (P < 0.001, η2p = 0.071) and a significantly higher proportion of students experiencing school absenteeism (P < 0.001; odds ratio [OR] = 4.8; 95% confidence interval [C.I] = 2.7–8.2), missed classes (P < 0.001; OR = 5.8; CI = 2.8–12.0), long urine/fecal retention time (P < 0.001; OR = 2.9; CI = 1.8–4.7), open defecation practice (P < 0.001; OR = 4.2; CI = 2.5–7.1), and open defecation-related anxiety (P < 0.001; OR = 3.6; CI = 2.0–6.5). Moreover, the inability to practice menstrual hygiene management was significantly associated with student-reported monthly school absence among girls (P < 0.001; OR = 4.5; CI = 2.2–9.4). Overall, over 50% of the respondents had reportedly been subjected to at least 14 of the 17 stressors outlined. The most prevalent stressors identified were concerns about disease contraction, toilet cleanliness, toilet phobia, privacy, and assault/injury during open defecation/urination. In conclusion, results show that the absence of functional sanitation facilities purportedly has a grievous effect on the mental, physical, social, and academic well-being of the students. This was clearly seen among public-school students. Subsequent sanitation interventions need to be targeted at ameliorating identified stressors.


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