Pattern of psychiatric morbidity among the patients admitted in a private psychiatric clinic
Pattern of psychiatric morbidity among the patients admitted in a private psychiatric clinic
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DOI：
10.3329/bjms.v8i1.3186
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发表时间：
2009-01-01
影响因子：
0.9
通讯作者：
Rahman, M. M.
中科院分区：
文献类型：
--
作者：
Fahmida, A.;Wahab, M. A.;Rahman, M. M.
研究背景：精神卫生问题是世界范围内的一个重大公共卫生问题，无论是发达国家还是发展中国家。然而，包括孟加拉国在内的大多数发展中国家的数据很少。在孟加拉国，社会政治局势不安全和不稳定，贫穷和易受自然灾害的影响，造成精神病发病率。私家诊所的精神病发病率模式与政府医院的精神病发病率模式大不相同。目的：本研究旨在评估一家私立精神科诊所住院患者的精神疾病诊断模式。方法：研究在达卡市中心的一家有20张床位的私人精神病诊所进行。所有信息包括患者的纵向病史均记录在文件中，并由精神科医生确认诊断。在登记簿中记录入院和出院记录。社会人口学参数和精神疾病的家族史收集自个体患者的记录文件。结果：304例患者中，男性184例（60.53%），女性120例（36.47%）。超过50%的患者年龄在18至37岁之间。常见的精神障碍为精神分裂症及其他精神病性障碍（39.4%）、心境障碍（18.75%）、边缘型人格障碍（3.6%）、品行障碍（2.3%）、躯体形式障碍（1.6%）、焦虑障碍（0.7%）、器质性精神障碍（2%）、冲动控制障碍（1.3%）和适应障碍（0.7%）。结论：主要形式的精神疾病是常见的，在城市和农村地区的孟加拉国。
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.