Prevalence of psychiatric morbidity in the primary health clinic attendees in Kuwait

AlKhadhari, Sulaiman; Alsabbrri, Aseel Omran; Mohammad, Ibrahim; Atwan, Amina Abdullah; Alqudaihi, Fatma; Zahid, Muhammad Ajmal

doi:10.1016/j.jad.2016.01.037

Cited by 32 publications

(48 citation statements)

References 19 publications

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“…Psychiatry nurses may be exposed more frequently to exaggerated facial emotions than non-psychiatry nurses in their clinical practice but nurses from other departments may also be exposed to exaggerated emotions as 74.4% of them have reported to have experienced some form of violence [5]. Furthermore, psychiatric disorders, including affective, somatic and anxiety disorders, are found at a rate between 42-66% in the general medical settings [17,18].…”

Section: Discussionmentioning

confidence: 99%

Facial emotion recognition ability: psychiatry nurses versus nurses from other departments

Gültekin¹,

Kincir²,

Kurt³

et al. 2016

CIM

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Facial emotion recognition ability: psychiatry nurses versus nurses from other departments Abstract Purpose: Facial emotion recognition is a basic element in non-verbal communication.Although some researchers have shown that recognizing facial expressions may be important in the interaction between doctors and patients, there are no studies concerning facial emotion recognition in nurses. Here, we aimed to investigate facial emotion recognition ability in nurses and compare the abilities between nurses from psychiatry and other departments. Methods:In this cross-sectional study, sixty seven nurses were divided into two groups according to their departments: psychiatry (n=31); and, other departments (n=36). A Facial Emotion Recognition Test, constructed from a set of photographs from Ekman and Friesen's book "Pictures of Facial Affect", was administered to all participants.Results: In whole group, the highest mean accuracy rate of recognizing facial emotion was the happy (99.14%) while the lowest accurately recognized facial expression was fear (47.71%). There were no significant differences between two groups among mean accuracy rates in recognizing happy, sad, fear, angry, surprised facial emotion expressions (for all, p>0.05). The ability of recognizing disgusted and neutral facial emotions tended to be better in other nurses than psychiatry nurses (p=0.052 and p=0.053, respectively) Conclusion: This study was the first that revealed indifference in the ability of FER between psychiatry nurses and non-psychiatry nurses. In medical education curricula throughout the world, no specific training program is scheduled for recognizing emotional cues of patients. We considered that improving the ability of recognizing facial emotion expression in medical stuff might be beneficial in reducing inappropriate patient-medical stuff interaction.SUPPLEMENT

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Section: Discussionmentioning

confidence: 99%

Facial emotion recognition ability: psychiatry nurses versus nurses from other departments

Gültekin¹,

Kincir²,

Kurt³

et al. 2016

CIM

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“…The methods for sampling and assessing participants have been described in detail elsewhere [ 6 ] and are briefly summarized below.…”

Section: Methodsmentioning

confidence: 99%

“…Regardless of the chronological order in which they occur, or the causal pathways linking them, the comorbidity of a mental and physical condition may impact the mode of presentation, clinical severity, response to treatment, and burden of illness of both conditions [ 1 – 4 ]. Despite the robustness of these findings and the availability of effective interventions that integrate the care of common mental and physical conditions [ 5 ], many physicians in the Arab world pay scant attention to comorbidity issues [ 6 – 8 ], where the high prevalence and co-occurrence of anxiety and depression has been reported in both general population samples [ 9 , 10 ] and primary care settings [ 7 , 8 ]. However, to our knowledge, there are no published studies of the comorbidity of these common mental conditions and physical illnesses in the Arab world.…”

Section: Introductionmentioning

confidence: 99%

Mental and physical comorbidity in an Arab primary health care setting

AlKhadhari

Alsabrrie²,

Ohaeri

et al. 2018

BMC Psychiatry

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BackgroundThere are no published studies on the comorbidity of common mental conditions (anxiety, depression, and somatization) and physical illnesses in the Arab world. Our aim was to estimate the prevalence of common mental conditions comorbid with physical illnesses among primary care attenders in Kuwait, and the sociodemographic characteristics associated with this comorbidity.MethodsThe Patient Health Questionnaires for somatization, anxiety and depression (PHQ-SAD) were administered to a representative sample of 1046 attenders (M: F = 429: 617; mean age 37.6, SD 12.7) seen in primary care clinics in Kuwait. Based on well-established cut-off scores, the presence and severity of three mental conditions –depression, anxiety, and somatization—was ascertained; physical diagnoses were ascertained by the attending physicians.ResultsOf 1046 respondents, 442 (42.3%) had at least one mental condition and 670 (64.1%) had a physical illness diagnosis, viz.: diabetes mellitus (248/670 = 37.0%), hypertension (229/670 = 34.2%), asthma (82/670 = 12.2%), non-chronic physical illnesses (63/670 = 9.4%), or heart disease (48/670 = 7.2%), with 34.4% (360/1046) having mental-physical comorbidity. Male: female ratio for the 670 subjects was 287: 383. The unadjusted odds ratio (OR) for having a mental condition in those with a physical illness vs. those without a physical illness was 4.16 (95% C.I. = 3.12, 5.55). Comorbidity was associated with older age, being divorced or widowed, a lower level of education, and poorer living conditions. Regardless of the physical illness, the most frequent comorbid mental disorder was somatization. The prevalence and severity of mental conditions were associated with the number of physical illnesses.ConclusionAs has been reported in other parts of the world, somatization, anxiety, and depression are highly prevalent among primary care attenders in Kuwait and they are typically comorbid with physical illness. Strategies for their prevention and treatment need to take into consideration their association with physical illness and social disadvantage.

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“…Mental health disorders, including common mental disorders (CMD), ie depression, anxiety and substance use disorders represent the second leading cause of workrelated diseases and the rst cause of work-related sickness absence (1)(2)(3). Work-related common mental disorders have been described in occupational medicine literature (2)(3)(4)(5)(6) and primary care (7)(8)(9)(10), but patterns of health-care access for patients with work-related mental health disorders use in primary care is not well-known. In many cases the GP is not only the rst but also the only health professional contacted (7,(11)(12)(13)(14)(15).…”

Section: Introductionmentioning

confidence: 99%

Management of work-related common mental disorders in general practice: a cross-sectional study

Rivière

Toullic

Lerouge

et al. 2020

Preprint

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Abstract Background: General practitioners (GPs) often manage individuals with work-related common mental disorders (CMD: depressive disorders, anxiety and alcohol abuse). However, little is known about the ways in which they proceed. The aim of this study is to analyze GPs’ management and patterns of referral to other health professionals of patients with work-related CMD and associated factors. Method: We used data from a cross-sectional study of 2 027 working patients of 121 GPs in the Nord – Pas-de-Calais region in France (April – August 2014). Statistical analyses focused on patients with work-related CMD detected by the GP and examined the ways in which GPs managed these patients’ symptoms. Associations between patient, work, GP and contextual characteristics and GPs’ management were explored using modified Poisson regression models with robust variance.Results: Among the 533 patients with work-related CMD in the study, GPs provided psychosocial support to 88.0%, prescribed psychotropic treatment to 82.4% and put 50.7% on sick leave. Referral rates to mental health specialists and occupational physicians were respectively 39.8% and 26.1%. Several factors including patients’ characteristics (occupational and sociodemographic), GPs’ characteristics and environmental data were associated with the type of management used by the GP.Conclusion: Our study emphasizes the major and often lonesome role of the GP in the management of patients with work-related CMDs. Better knowledge of the way GPs manage those patients could help GPs in their practice, improve patients care and be a starting point to implement a more collaborative care approach.

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Prevalence of psychiatric morbidity in the primary health clinic attendees in Kuwait

Cited by 32 publications

References 19 publications

Facial emotion recognition ability: psychiatry nurses versus nurses from other departments

Facial emotion recognition ability: psychiatry nurses versus nurses from other departments

Mental and physical comorbidity in an Arab primary health care setting

Management of work-related common mental disorders in general practice: a cross-sectional study

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