DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20160652

Assessment of socio-demographic determinants of psychiatric patients attending psychiatry outpatient department of a tertiary care hospital of Central India

Paharam Adhikari, Anjana Niranjan, Sunil Kumar Ahuja, Neeraj Gour, Sanjeev Kumar, Manish Kumar

Abstract


Background: Mental disorders are among the most burdensome in the world, and their burden will increase over the next decades. The mental and behavioral disorders account for about 12% of the global burden of disease. By 2020, it is likely to increase to 15%. Depression, OCD, schizophrenia, anxiety, phobia and bipolar disorders constitute the top 10 conditions contributing to the global burden of disease among mainly the age group of 15-44 years. In India, little is known about the extent, severity and unmet need of treatment of mental disorders. The objective of the study was to assess the socio-demographic determinants of psychiatric patients.

Methods:This was an observational cross sectional study which was undertaken in a psychiatric outpatient department (OPD) of a tertiary care hospital (S.G.M.H) affiliated to S. S. Medical College Rewa, MP, India. The total sample size was 108; it was collected randomly by face to face interviews with the help of pre-designed questionnaire based proforma. All new cases were selected in the study. Duration of study was three months i.e. from 1st November 2014 to 30 January 2015. Data were analysed by using EPI info 2000.

Results: Out of total 108 interviewed patients, 59.25% were males 40.74% were female; most of them (45.37%) were belong to age group of 21-40 years. Mental disorders (78.70%) were more common in un-married or separated patients. In case of educational status most of them (87.96%), belong to low education status. Depression was most common mental illness 43 (39.81%) among of all types of disorders.

Conclusions:As per the findings of the present study it can be concluded that there must be a kin observation for prevention and control of mental disorders over particularly low educational status group and unmarried/separated group of people hence mental disorders are more common among of those group. Infact we need more studies for validate our findings.


Keywords


Psychiatric illness, OPD, Patients

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References


WHO. Mental health: New understanding, New hope: World Health Report 2001. Geneva: World Health Organization. 2001:09-24.

Murray CJL, Lopez AD. Mortality by cause for eight regions of the world: Global Burden of Disease Study. Lancet. 1997;349:1269-76.

National Institute of Health and Family Welfare. National Mental Health Program. New Delhi: NIHFW; 2005. Accessible from: http://www.nihfw.orgndcnihfw/html/ Programmes/ NationalMentalHealth.htm. Last accessed on 2007 Jul 12.

Reddy MV, Chandrasekar CR. Prevalence of mental and behavioral disorders in India: A meta-analysis. Indian J Psychiatry. 1998;40:149-57.

Ganguli HC. Epidemiological findings on prevalence of mental disorders in India. Indian J Psychiatry. 2000;42:14-20.

Government of India. Mental Health: An Indian Perspective, 1946-2003. New Delhi: Directorate General of Health Services. 2004:4-17.

Rogler LH, Cortes DE. Help-seeking pathways: A unifying concept in mental health care Am J Psychiatr. 1993;150:554-61.

Royal College of Psychiatrists, Royal College of Physicians, British Medical Association. Stigmatization within the medical profession. Council Report CR91. Royal College of Psychiatrists: London; 2001.

Demyttenaere K, Bruffaerts R, Posada-Villa J, Gasquet I, Kovess V, Lepine JP, et al. Prevalence, severity and unmet need for treatment of mental disorders in the World Health Organisation World Mental HealthSurveys. JAMA. 2004;291:2581-90.

Carpenter WT, Buchana RW. Schizophrenia Introduction and Overview. In: Kaplan Hl, Sadock BJ (editors).Comprehensive Text Book of Psychiatry. Philadelphia: Williams & Wilkins. 1995;889-90.

Africa B, Schwartz RS. Schizophrenic Disorders. In: Howard H Goldman (editor). Review of General Psychiatry. New York Appleton & Lange; 1995.

Kasyc M, Norquist GS. Schizophrenia-Epidemiology, In: Kaplan Hl,Sadock BJ, editors. Comprehensive Text Book of Psychiatry. Philadelphia: Williams & Wilkins. 1995:908.

Statistical Package for Social Sciences. SPSS version 10.0. USA: SPSS incorporate; 2007.

Barua A, Jacob GP, Mahmood SS, Udupa S, Naidu M, Roopa PS, et al. A study Onscreening for psychiatric disorders in adult population. Indian J Community Med. 2007;32:65-6.

Pradhan SC, Singh MM, Singh RA, Das J, Ram D, Patil B, et al. Firs caregives of mentally ill patients: A multicenter study. Indian J Med Sc 2001;55:203-8.

Chadda RK, Agarwal V, Singh MC, Raheja D. Help seeking behaviour of Psychiatric patients before seeking care at a mental hospital. Int J Soc. Psychiatry 2001;47:71-8.

Barua A, Shankar H, Jain A, Bhat VK, Kiran NU, Jayarama S. Hospital Based Study on Psychoses in Mangalore. 2006;31(1):30-1.

Worster A, Haines T. Advanced statistics: Understanding Medical Record review (MRR) studies. Acad Emerg Med. 2004;11:187-92.

Malla AK, Norman RM. Mental hospital and general hospital psychiatric units: A comparison of services within the same geographic area. Psyche and Med. 1983;13:431-9.

Khanna RK. Sex difference in mental health service utilization. Soveneire, ANCIPS, NewYork. 1995:9-28.

Lahariya C, Singhal S, Gupta S, Mishra A. Department of Community Medicine, G.R. Medical College, and the associated J. A. Group of Hospitals, Gwalior Mansik Arogyashala, Gwalior, India.

Bhatia MS. Psychiatric morbidity in GHPU adjoining mental hospital. J Mental Health Human behaviour. 2001;6:114-8.

Dasgupta R, Dasgupta C. Catie and Cutlass (UK): Is it time psychiatrists’ start changing their practice? The debate goes on!. Indian J Psychiatry. 2009;51:161-2.

Bagadia VN, Shah LP, Pradhan PV, Gada MT. Treatment of mental disorders in India. Progress in Neuropsychopharmacology. 1979;3:109-18.