Psychiatric disorders and psychiatric consultation in a general hospital: a case- control study

Smaira, Sumaia Inaty; Kerr-Corrêa, Florence; Contel, José

doi:10.1590/s1516-44462003000100005

Cited by 19 publications

(45 citation statements)

References 12 publications

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“…Some studies have estimated that 30-40% of general hospital inpatients may have a psychiatric disorder [3]. Other studies involving elderly patients have again identified that nearly 40% of hospitalized medically ill older adults experience some form of depression [4].…”

Section: Introductionmentioning

confidence: 99%

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The increased need for liaison psychiatry in surgical patients due to the high prevalence of undiagnosed anxiety and depression

et al. 2008

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Section: Introductionmentioning

confidence: 99%

“…Referrals to liaison psychiatry are often related to organic mental disorders or alcohol dependant syndrome rather than symptoms of anxiety or depression [3,7].…”

Section: Introductionmentioning

confidence: 99%

The increased need for liaison psychiatry in surgical patients due to the high prevalence of undiagnosed anxiety and depression

et al. 2008

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“…17 Otherwise, patients presenting delirium [18][19] are misdiagnosed with depressive disorder, which results in a worsening of their condition due to the damage caused by the prescription of medications (benzodiazepines and tricyclic inhibitors).…”

mentioning

confidence: 99%

Diagnosis and pharmacological treatment of depressive disorders in a general hospital

Cigognini

Furlanetto

2006

Rev. Bras. Psiquiatr.

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A b s t r a c t Objective: To determine the point prevalence of depressive disorders in medical inpatients, to identify related sociodemographic and medical factors and to evaluate the psychotropic treatment given. Method: A cross-sectional study identifying the prevalence of depressive disorders and related factors combined with a prospective longitudinal study evaluating the psychopharmacological treatment were conducted. Medical inpatients, aged 18 years or older, presenting suitability to be interviewed and giving written informed consent were selected. The sample was composed of 125 subjects. The following instruments were used: a sociodemographic questionnaire; the Mini International Neuropsychiatric Interview; and the Beck Depression Inventory. Data related to medical, personal and family histories of psychiatric disorders and psychotropic use were collected by interview and from patient charts. The study took place at the Hospital Santa Isabel, in Blumenau, located in the state of Santa Catarina, Brazil, from January to July of 2002. Results: The prevalence of depressive disorders was 26%. The factors that correlated with depressive disorders were being female, having an income lower than 3 times the minimum wage, having a personal history of depressive disorders, using psychotropic drugs, scoring higher than 13 on the Beck Depression Inventory and having been referred for a psychiatric consultation (p < 0.05). Only 43.8% of the individuals with depressive disorders received antidepressants. Most of the depressed patients were being treated with benzodiazepines (62.5%). The most frequently prescribed drugs were diazepam and fluoxetine. Conclusions: Approximately one-quarter of the medical inpatients had depressive disorders. However, antidepressants were prescribed for less than half of them. Women with a history of depression, using benzodiazepines and having a low income presented significantly higher rates of depressive disorders. Physicians should suspect depression in patients presenting such characteristics.Keywords: Depressive disorder; Hospitals, general; Length of stay; Prevalence; Psychotropic drugs Resumo Objetivo: Identificar a prevalência de transtornos depressivos em pacientes internados em enfermarias clínicas de um hospital geral, avaliar o tratamento psicofarmacológico recebido e detectar fatores sociodemográficos e clínicos associados. Método: Realizou-se um estudo observacional transversal identificando a prevalência de transtornos depressivos e fatores associados juntamente com estudo longitudinal prospectivo avaliando o tratamento psicofarmacológico recebido durante a internação. Foram selecionados pacientes com mais de 18 anos, que apresentavam condições para a entrevista e que consentiram. A amostra foi composta por 125 pessoas. Aplicaram-se os seguintes instrumentos: questionário com variáveis sociodemográficas; coleta de informações sobre história médica, psiquiátrica e familiar; questionário sobre uso de psicofármacos; Mini International Neuropsychiatric Interview; e Inventário ...

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“…According to scientific literature, alcohol dependence, along with depression and organic mental disorders, is the most frequent comorbid psychiatric disorder in therapeutic and surgical units [1][2][3][4]. Researchers emphasize that the prevalence of alcohol dependence in hospitals is higher than in general population [4].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Alcohol Dependence in Therapeutic In-Patients

Pakriev¹

2017

J Alcohol Drug Depend

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The paper's objective was to study the prevalence and risk factors of alcohol dependence in somatic patients in one of the municipal hospitals of Izhevsk. The subjects (323 patients aged from 18 to 59 yrs) were selected using the method of continuous sampling. It has been established that the prevalence of hazardous alcohol drinking, such as frequent heavy drinking (FHD) and frequent drinking (FD), among men and women is high and accounts for 83% and 16% respectively. The prevalence of alcohol addiction was 42.9% in men and 9.7% in women. Sociodemographic correlates of alcohol addiction were the male gender, low level of education and unemployment. The rate of remission during the past year in patients with alcohol addiction was 13.8%. The comorbidity of alcohol addiction was statistically significant for digestive system diseases and tobacco addiction. Knowledge of risk factors can contribute to early detection and adequate treatment of alcohol dependence in patients of somatic hospitals.

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Psychiatric disorders and psychiatric consultation in a general hospital: a case- control study

Cited by 19 publications

References 12 publications

The increased need for liaison psychiatry in surgical patients due to the high prevalence of undiagnosed anxiety and depression

The increased need for liaison psychiatry in surgical patients due to the high prevalence of undiagnosed anxiety and depression

Diagnosis and pharmacological treatment of depressive disorders in a general hospital

Prevalence of Alcohol Dependence in Therapeutic In-Patients

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