Abstract
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
Highlights
Psychiatric morbidity is a major public health problem in the World across developed and the developing countries
Eighteen to twenty eight years of age group had more psychiatric disorder (42%), which was nearer to the finding of other study[9]
Out of three hundred and four patients 39.4% were suffering from schizophrenia and other psychotic disorders, 29.6% substance related disorder, 12.17% from bipolar mood disorder, 6.58% from major depressive disorder, 3.6% from borderline personality disorder, conduct disorder 2.3%, organic psychiatric disorder 2%, somatoform disorder 1.6%, impulse control disorder 1.3% and others 1.4%
Summary
Psychiatric morbidity is a major public health problem in the World across developed and the developing countries. According to World Health Organization at least 40 million people in the world suffer from mental disorders such as schizophrenia and dementia[1,2,3,4]. The same study demonstrated that 47% patients were suffering from neurotic disorder, 37% from psychosomatic disorder, 10% from affective disorder, 1.44% from schizophrenia, 2.88% from substance use disorder and 2% organic psychiatric syndrome[5]. Mental health problem is a major public health issue in the world across the developed and developing countries. Objective: This study was aimed to assess the diagnostic pattern of psychiatric morbidity among the admitted patients in a private psychiatric clinic. Socio-demographic parameters and family history of mental illness were collected from the record file of individual patient. Conclusion: Major forms of psychiatric disorders are common both in urban and rural areas of Bangladesh
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