Psychiatric diagnosis and sociodemographic characteristics of patients admitted to psychiatry clinic in a rural area

Abstract

Psychiatric diagnosis and sociodemographic characteristics of patients admitted to psychiatry clinic in a rural areaObjective: There is little published literature about the characteristics of patients with mental disorders in rural hospitals. The aim of this study is to determine the mental illness and the demographics of the patients who admit to the outpatient policlinic that offers psychiatric health service for the first time in a rural state hospital. Method:The semi-structured interview consisting DSM-IV diagnostic criterias were used for the patients who admitted to the psychiatry policlinic of Kutahya Gediz State Hospital in a 6-month-period.Sociodemographic data were collected from 555 people aged over 18.Results: Mean age of the patients was 44.7. The rate of women was 67.2% (n=373) and male was 32.8% (n=182). The most frequent DSM-IV diagnoses were mood disorders (n=249, 44%), anxiety disorders (n=179, 32.5%), psychotic disorders (n=52, 9.4%), adjustment disorders (n=26, 4.7%) and somatoform disorders (n=21, 3.8%). Twenty of people had subthreshold symptoms and could not be diagnosed.Comorbidities including diabetes mellitus, hypertension and hypothyroid were frequently observed in psychiatric patients (n=163, 29.4%). Adjustment disorders were mostly seen at younger ages. Psychiatric disorders were most common in married people. Conclusion:The mean age of the patients were found older than previous studies. Women were more commonly admitting to the outpatient psychiatric policlinic. It's remarkable that marriage and psychiatric disorders have a strong association in the rural setting. Clinicians also should consider about comorbid somatic diseases.Key words: Psychiatric disorders, rural area, sociodemographic features, somatic comorbidity ÖZET Kırsal bir bölgede psikiyatri polikliniğine başvuran olguların psikiyatrik tanı dağılımı ve sosyo-demografik özellikleri Amaç: Ülkemizde kırsal bölgelerde bulunan hastanelere başvuran psikiyatri hastalarının özellikleri hakkında yapılmış araştırma sayısı çok azdır. Çalışmamızda, ilk kez psikiyatri polikliniği hizmeti alan kırsal bir bölgede psikiyatrik bozuklukların tanı dağılımları ve tanıların sosyo-demografik özelliklerle ilişkisini saptamak amaçlanmıştır.Yöntem: 6 aylık bir süreçte Kütahya Gediz İlçe Devlet Hastanesi psikiyatri polikliniğine ilk başvurusu olan hastaların DSM-IV tanı ölçütlerini kapsayan yarı-yapılandırılmış görüşme ile muayeneleri yapılmış, hastaların sosyo-demografik verileri toplanmıştır. 18 yaş üstü 555 kişi değerlendirilmeye alınmıştır.Bulgular: Polikliniğe başvuranların yaş ortalaması 44.7 olarak bulunmuştur. Başvuranların %67.2'si (n=373) kadın, %32.8'i erkektir (n=182). Başvuran hastaların 20'sine ilk başvuruda tanı konulamamış olup belirtiler eşik altı olarak değerlendirilmiştir. Kalan 535 kişide ise en sık konulan tanı duygudurum bozukluklarıdır (n=249, %44).Bundan sonra en sık görülen psikiyatrik rahatsızlıklar sırasıyla anksiyete bozuklukları (n=179, %32.5), psikotik bozukluklar (n=52, %9.4), uyum bozuklukları (n=26, %4.7...

Identification of the sociodemographic and clinical characteristics of the patients who have undergone transcranial magnetic stimulation in a psychiatry clinic: A retrospective descriptive design

“…In a study investigating the distribution of diagnosis of psychiatric disorders in a rural region having a psychiatric service for the first time and the relationship between these diagnoses and sociodemographic characteristics, it was reported that there was no relationship between psychiatric diagnoses of the individuals and their places of residency. 21,29 Our results support the relevant data in the literature. This situation shows that diagnostic groups can be observed in every society and region as a result of differentiation in nutrition styles, and living and environmental conditions with the rapid spread of globalization and technological developments, also in Turkey.…”

Başkentte bir psikiyatri polikliniğine bakış: Başvuranların tanı ve sosyodemografik özelliklerinin değerlendirilmesi

“…This finding is consistent with previously published reports (6,8-10). For example, Eda Aslan Uckardes demonstrated that 67.2% of patients who applied to psychiatry outpatient clinic in a rural area were women (8). We found a similar rate of woman admission despite diverse living areas of populations.…”

“…Uckardes detected comorbid medical conditions with a rate of 29.4% in patients with psychiatric disorders and stated that the most common comorbid disease was HT and the second most common DM (8). In our study, almost one to five patients had any comorbid disease.…”

“…Domestic violence, trauma history, anemia and cutaneous infectious disease were significant predictors of mental illness in women according to a previous study performed in Southeastern region of Turkey (11). Gender difference in psychiatry outpatient clinic applications might also be related with that men attribute psychiatric symptoms to failure, daily stress and financial situations (6,8). Female dominance in psychiatric disorders is also relevant for other countries such as Iran (12).…”

“…Depression is known to be the most common psychiatric disorder in general population (17,18). In a study conducted in Turkey, the most common diagnosis was mood disorders (44%) followed by anxiety disorders (32.5%) and psychotic disorders (9.4%) (8). According to 2015 data of the WHO, the most common psychiatric illness in the world was depressive disorder (17).…”