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 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 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 Factors Associated with Knowledge, Attitudes, and Prevention towards HIV/AIDS among Adults 15–49 Years in Mizoram, North East India: A Cross-Sectional Study

2021 ◽  
Vol 19 (1) ◽  
pp. 440
Author(s):  
Lucy Ngaihbanglovi Pachuau ◽  
Caterina Tannous ◽  
Kingsley Emwinyore Agho
Keyword(s):  
Rural Areas ◽  
Immune Deficiency Syndrome ◽  
Educational Interventions ◽  
Deficiency Syndrome ◽  
Public Health Issue ◽  
Cross Sectional ◽  
Factors Associated ◽  
North East India ◽  
North East ◽  
Hiv Aids

Despite a campaign of effective educational interventions targeting knowledge, attitudes, and prevention, Human Immunodeficiency-Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS) continues to be a significant public health issue in India, with Mizoram reporting the highest HIV/AIDS cases in 2018–2019. In this study, we extracted Mizoram state from the National Family Health Survey Fourth Series (NFHS-4) 2015–2016 datasets and investigated factors associated with respondents’ knowledge, attitudes, and prevention towards HIV/AIDS. The sample included 3555 adults aged 15–49 years residing in Mizoram, North-east India. Respondents who reported having ever heard of HIV/AIDS was 98%. Multivariate analysis indicated that the probability of having inadequate knowledge of HIV/AIDS was higher among those with no schooling, who were illiterate, of non-Christian faiths, belonging to backward tribes or caste, from poor households, and those who lived in rural areas, not exposed to media. The odds of mother-to-child transmission (PMTCT) of HIV/AIDS transmission was high among females (AOR = 3.12, 95% CI 2.34–4.16), respondents aged 35–39 years (AOR = 1.74, 95% CI 1.05–2.87) and those belonging to other backward class. The HIV/AIDS knowledge of respondents was found to be encouraging as the majority (98%) were considered to have a good level of understanding of the condition. An educational intervention to reduce the number of adults 15–49 years infected with HIV/AIDS in Mizoram should target those from low socioeconomic groups, those from non-Christian religions, and those from other backward classes.

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.

scholarly journals Psychiatric Morbidity in Elderly Patients attending OPD of Lumbini Medical College and Teaching Hospital

2021 ◽  
Vol 9 (02) ◽  
pp. 36-40
Author(s):  
Bhaskkar Sharma ◽  
Rajesh Shrestha
Keyword(s):  
Depressive Disorder ◽  
Elderly Patients ◽  
Psychiatric Patients ◽  
Psychiatric Morbidity ◽  
The Elderly ◽  
Somatoform Disorder ◽  
Medical College ◽  
Common Diagnosis ◽  
Gender Specific Differences ◽  
And Gender

INTRODUCTION: Geriatric psychiatry patients are increasing but enough work has not been done in this area of Nepal. We conducted this study to find out the prevalence of different psychiatric morbidities in elderly population and to find out if there are any age and gender specific differences. MATERIAL AND METHODS: Medical records of psychiatric patients above 65 years of age visiting outpatient department of Lumbini Medical College and Teaching Hospitalfrom April 1, 2018 to March 31, 2019 were reviewed. Risks of having different psychiatric disorders was estimated using odds ratio. RESULTS: A total of 300 cases were enrolled in the study. Mean age of the study group was 71.49(SD=6.99). There were more females. Depressive disorderwas the most common diagnosis followed by somatoform disorder, anxiety disorder, dementia and others. Depressive disorder was higher in females and in younger subgroup of the elderly patient.The risk of having dementia was higher in older group. CONCLUSION: Depressive disorder was the most common psychiatric disorderfollowed by somatoform disorder in elderly patients above 65 years of age. Male patients were more likely to suffer psychiatric disorder as compared to females in this age.

scholarly journals A study on serum cholinesterase level in organophosphorus poisoning and its correlation with severity of organophosphorus poisoning

2018 ◽  
Vol 5 (4) ◽  
pp. 1021
Author(s):  
Vilas Honnakatti ◽  
Naren Nimbal ◽  
Prakash Doddapattar
Keyword(s):  
Developing Countries ◽  
Rural Areas ◽  
Initial Presentation ◽  
Serum Cholinesterase ◽  
Steady Increase ◽  
Age Group ◽  
Low Socioeconomic ◽  
Medical College ◽  
Organophosphorus Poisoning ◽  
Major Route

Background: There has been a steady increase in the use of organophosphates (OPs) as pesticides in most of the developing countries including India for more than 50 years. OPs tend to be the commonest cause of poisoning worldwide and are persistently and deliberately used in suicides in Agrarian areas. As stated by WHO, 3 million cases of pesticide poisoning occur every year, of these about 1 million are accidental and 2 million are suicidal poisonings, resulting in more than 0.25 million deaths per year. As there is limited availability of facilities and resources in developing countries, all OP poisoning patients are not managed in intensive care units. Hence it is important to understand the clinical features and other factors that indicate severity of poisoning which should be identified in the initial examination.Methods: It was a hospital based prospective study of 100 OP poisoning patients that were attending to casualty of BIMS Hospital and Medical College Belagavi, India. Over a period, patients fulfilling inclusion criteria were included and patients were categorized according to Peradeniya Organophosphorus Poisoning (POP) scale. Serum cholinesterase level measured at the time of admission.Results: The patients were in the age group of 18 to 70 years. Majority of the patients were in the age group of 21-30 years (51%). Sixty nine percent of the patients were from rural areas and 38% of them were farmers. Sixty nine percent of patients were from low socioeconomic stratum. Major route of intake of poison was ingestion. Eighty four percent of patients consumed poison with a suicidal intent. In this study, authors observed that there is a significant correlation between the severity of poisoning categorized by the POP scale and the serum cholinesterase at the time of initial presentation of the patients (P<0.001).Conclusions: Present study concluded that significant correlation between the degree of derangement in serum cholinesterase level and severity of poisoning at the initial presentation. Higher the score on the POP scale, the greater was the degree of derangement in the serum cholinesterase level.

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 THE MANAGEMENT OF SNAKE BITE AND THEIR OUTCOME WITH DIFFERENT VARIABLES

2021 ◽  
Vol 5 (9) ◽  
Author(s):  
Ramesh Kumar Jakhar ◽  
Arvind Jain
Keyword(s):  
Public Health ◽  
Rural Areas ◽  
Health Workers ◽  
Public Health Problem ◽  
First Aid ◽  
Snake Bite ◽  
Medical Emergency ◽  
Public Health Issue ◽  
Common Component ◽  
Medical College

Background: Snake Bite is a life-threatening medical emergency & major public health issue throughout the world and especially in tropical countries like India. Snake bite which is a substantial cause of death in rural areas of developing countries, is a neglected public health problem. Methods: The study include the patient of snake bite who is admitted in department of medicine of M.D.M. Hospital attached to Dr S. N. Medical College Jodhpur during the period of one year January 01 2018 to December 31, 2018. Patients were enrolled after obtaining an informed consent and meeting inclusion criteria. Results: Maximum number of the cases did not receive any first aid and ASV& Pain killer was the most common component of the first aid. Two third of the cases were bitten by Viper snakes while one third by Cobra and Krait collectively. ASV dose was given as per the case response and in ASV dose of 30-50 VIAL was injected in majority of the victims (38.56). 30-50 VIAL was injected in majority of the victims. At time of hospital admission WBCT is normal in 52 patients (33.09%) while 101 patients had WBCT more than 20 min. Conclusion: Snakebite, an important occupational hazard, though preventable in principle remains to be one of the common medical emergencies. Primary prevention by imparting information regarding quick transport, correct first aid measures and training of primary level health workers can drastically bring down the mortality of this neglected tropical disease. Keywords: Snake bite, ASV, Viper.

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.

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