A study on mental disorders: 5-year retrospective study

Celine, TM; Antony, Jimmy

doi:10.4103/2249-4863.130260

Cited by 12 publications

(12 citation statements)

References 17 publications

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“…Data on the prevalence of PD among clinical populations in India are scarce with estimates ranging from 0.14 to 62.1% . The existing data are largely derived from highly specialized clinical populations (e.g.…”

Section: Introductionmentioning

confidence: 99%

Using the SAPAS to identify risk for personality disorders among psychiatric outpatients in India: A feasibility study

Innocent

Podder

Ram

et al. 2017

Personality & Mental Health

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Personality disorders (PDs) are common among psychiatric outpatients and are associated with increased morbidity and worse treatment outcomes. Epidemiological research conducted among this population in Asian countries is limited, reflecting a significant gap in the current literature. One barrier to this research is the lack of appropriate screening tools. The current research assessed the feasibility of using the SAPAS (Standardized Assessment of Personality-Abbreviated Scale) screening tool to identify individuals at high risk of PD in an Indian psychiatric outpatient population and provides an initial estimate of PD prevalence by using a validated diagnostic interview, the ICD-10 International Personality Disorder Examination. The findings suggest that whilst use of the SAPAS was feasible, acceptable to patients and led to clinically useful findings, when using the recommended cut-off score of 4, the SAPAS largely overdiagnoses the risk for PD in psychiatric outpatients in India (positive predictive value = 26.3%). The estimated prevalence of personality disorder in the sample was 11.1%, based on administering the International Personality Disorder Examination diagnostic interview to high-risk patients scoring 4 and above on the SAPAS, which is higher than previous estimates for this population and still likely to be an underestimation. Future studies should translate the measure into Bengali and evaluate its sensitivity and specificity at different cut-off points in order to optimize its use in Indian populations. Copyright © 2017 John Wiley & Sons, Ltd.

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Section: Introductionmentioning

confidence: 99%

Using the SAPAS to identify risk for personality disorders among psychiatric outpatients in India: A feasibility study

Innocent

Podder

Ram

et al. 2017

Personality & Mental Health

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“…This finding is consistent with study conducted in India which revealed that most of the mental illness occurred in the age group of young age. 14 The fact that the majority of the respondents in this study are young may be due to the fact that this is the most economically productive age group; as a result, these patients have been brought for proper care. However, experts have previously found that psychotic illnesses manifest themselves more frequently in the relatively younger age group (<40 years).…”

Section: Discussionmentioning

confidence: 96%

Pathway to Care Among Clients Attending at Psychiatric Out Patient Department of a Teaching Hospital, Bharatpur

Pokharel

Subba

Subba³

2022

JCMC

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Background: Mental illnesses cause significant suffering around the world. A limited number of people with psychiatric problems seek treatment in healthcare facilities when their condition is severe only. Treatment by faith healers and unqualified medical practitioners is frequent which lead to the delay in proper treatment. The objective of the study was to identify the pathway to care among clients attending at Psychiatric Outpatient Department of Chitwan Medical College, Teaching Hospital, Bharatpur. Methods: Descriptive cross-sectional design was used and 166 clients attending at psychiatric OPD of Chitwan Medical College, Teaching Hospital were selected by using non-probability, consecutive sampling technique. Data were collected from 11th August 2019 to 6th September 2019 through face to face interview method using structured interview schedule. Collected data were further analyzed in SPSS version 23 using descriptive and inferential statistics Results: The finding of the study revealed that 54.2% of clients first visited faith healer for initial treatment and only 16.9% visited psychiatrist directly for the treatment. Similarly, 53.6% of clients visited other personnel than psychiatrist due to their cultural belief and 59.6% of the clients had adequate level of awareness towards mental illness. Significant association was found between status of pathway to care and client’s sex, ethnic group and occupation. Conclusions: It is concluded that mental illness clients first approached faith healer for their initial treatment due to their cultural belief. It is important that traditional healers and other treatment providers must be aware of and recognize the mental illnesses in order to treat mental patients early and refer to psychiatrist.

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“…There were contrary observations in other studies. 14,15 There were reports that delusional disorder patients were married, self-supporting and working. 5 Our observation was also the same.…”

Section: Discussionmentioning

confidence: 99%

Clinical profile, treatment received, follow up and current status of individuals treated for delusional disorder at a tertiary care centre

Megha

Antony

Mathai

et al. 2019

KJP

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Background: Delusional disorder presents with a stable and well-defined delusional system. Many are unwilling to accept that they have a mental disorder or that they require psychiatric treatment. The condition responds to treatment in most cases. This study aims to assess the clinical profile, treatment pattern and response to it, frequency of follow-up and current status of patients previously diagnosed as delusional disorder. Method: The case records of all patients who had come to Psychiatry OPD for 3 years with a diagnosis of delusional disorder according to ICD-10 criteria were taken and data collected. 48 patients were enrolled in the study. The current status was assessed from relatives through telephone calls. Results: The sample consisted more of males; the majority were married. The most common delusion was infidelity (72.9%) followed by persecution (22.9%). Co-morbidity was present in 43.8% of subjects. The best response was with risperidone. At follow up, all were reported to be doing a job or engaging in household work and the majority maintaining improvement. Eight had delusions and six were troublesome. Less than half of the responders were continuing their treatment. Conclusion: Male preponderance and married status were noticeable. The delusion of infidelity was the most common. The delusional disorder has much co-morbidity. Non-compliance with treatment is common. But the level of functioning is found to be reasonably fair irrespective of the treatment status.

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A study on mental disorders: 5-year retrospective study

Cited by 12 publications

References 17 publications

Using the SAPAS to identify risk for personality disorders among psychiatric outpatients in India: A feasibility study

Using the SAPAS to identify risk for personality disorders among psychiatric outpatients in India: A feasibility study

Pathway to Care Among Clients Attending at Psychiatric Out Patient Department of a Teaching Hospital, Bharatpur

Clinical profile, treatment received, follow up and current status of individuals treated for delusional disorder at a tertiary care centre

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