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1.
BMJ Open ; 11(9): e045512, 2021 09 03.
Artículo en Inglés | MEDLINE | ID: mdl-34479929

RESUMEN

OBJECTIVES: The association between community cultural engagement and mental health and well-being is well established. However, little is known about whether such associations are influenced by area characteristics. This study therefore examined whether the association between engagement in community cultural assets (attendance at cultural events, visiting museums and heritage sites) and subsequent well-being (life satisfaction, mental distress and mental health functioning) is moderated by neighbourhood deprivation. DESIGN: Data were drawn from Understanding Society: The UK Household Longitudinal Study waves 2 and 5. Participating households' addresses were geocoded into statistical neighbourhood zones categorised according to their level of area deprivation. SETTING: General population. PARTICIPANTS: UK general adult population, with a total sample of 14 783. MAIN OUTCOME MEASURES: Life satisfaction was measured with a seven-point scale (1: completely unsatisfied to 7: completely satisfied). Mental distress was measured using the General Health Questionnaire 12. Mental health functioning was measured using 12-item Short Form Health Survey (SF-12). RESULTS: Using Ordinary Least Squares (OLS) regression, we found that engagement in cultural assets was consistently and positively associated with subsequent life satisfaction and mental health functioning and negatively associated with mental distress. Importantly, such associations were independent of individuals' demographic background, socioeconomic characteristics and regional location. The results also show that relationships between engagement in community cultural assets and well-being were stronger in more deprived areas. CONCLUSIONS: This study shows that engagement in community cultural assets is associated with better well-being, with some evidence that individuals in areas of high deprivation potentially may benefit more from these engagements. Given that causal mechanisms were not tested, causal claims cannot be generated from the results. However, the results suggest that place-based funding schemes that involve investment in areas of higher deprivation to improve engagement rates should be explored further to see if they can help promote better well-being among residents.


Asunto(s)
Trastornos Mentales , Salud Mental , Adulto , Humanos , Estudios Longitudinales , Satisfacción Personal , Reino Unido
2.
Lancet ; 398(10303): 920-930, 2021 09 04.
Artículo en Inglés | MEDLINE | ID: mdl-34481571

RESUMEN

The COVID-19 pandemic has heightened interest in how physician mental health can be protected and optimised, but uncertainty and misinformation remain about some key issues. In this Review, we discuss the current literature, which shows that despite what might be inferred during training, physicians are not immune to mental illness, with between a quarter and a third reporting increased symptoms of mental ill health. Physicians, particularly female physicians, are at an increased risk of suicide. An emerging consensus exists that some aspects of physician training, working conditions, and organisational support are unacceptable. Changes in medical training and health systems, and the additional strain of working through a pandemic, might have amplified these problems. A new evidence-informed framework for how individual and organisational interventions can be used in an integrated manner in medical schools, in health-care settings, and by professional colleagues is proposed. New initiatives are required at each of these levels, with an urgent need for organisational-level interventions, to better protect the mental health and wellbeing of physicians.


Asunto(s)
Trastornos Mentales/epidemiología , Médicos/psicología , Suicidio/estadística & datos numéricos , Agotamiento Profesional , COVID-19/epidemiología , Femenino , Humanos , Masculino , Trastornos Mentales/prevención & control , Pandemias , Médicos Mujeres/psicología , Factores de Riesgo , SARS-CoV-2 , Trastornos Relacionados con Sustancias/epidemiología , Suicidio/prevención & control , Tolerancia al Trabajo Programado
4.
Rev Med Chil ; 149(2): 274-280, 2021 Feb.
Artículo en Español | MEDLINE | ID: mdl-34479274

RESUMEN

Defining what is meant by "mental illness" has three dimensions: (i) the ontological dimension, which attempts to answer the question of what is a mental illness in itself, (ii) the scientific dimension, which attempts to identify its causes, and (iii) the practical dimension, which will seek a treatment. This article uses depression to examine how various conceptual alternatives in contemporary literature attempted to tackle the problem of what is a mental illness. After evaluating the scope of their proposals in the three dimensions mentioned above, it is concluded that the biomedical model could become a good candidate for developing a useful framework for understanding, having a scientific explanation and treating depression.


Asunto(s)
Trastornos Mentales , Psiquiatría , Depresión , Humanos
5.
Artículo en Ruso | MEDLINE | ID: mdl-34481431

RESUMEN

OBJECTIVE: To identify the influence of premorbid personality traits on the borderline mental (BMD) and psychosomatic disorders formation in combatant pensioners of the Ministry of Internal Affairs (MIA) of Russia. MATERIAL AND METHODS: The study included 186 male MIA pensioners in the Kirov region aged 34-64 years (mean 46.5±5.8 years). The participants were divided into two groups depending on their participation in combat operations: 106 retired combatants of the main group (MG) and 80 people who were not participants in combat operations during their service (the comparison group (CG)). We used a clinical/psychological method with the study of medical documentation, including acts of the military medical commission, protocols of the Center for psychophysiological diagnostics and outpatient patient records, experimental psychological method with the use of a standardized multi-factor method of personality research in L.Sobchik's adaptation. RESULTS: The stressful conditions of official activity associated with participation in local armed conflicts combined with premorbid neurotic overcontrol of behavior, rigid attitudes, pessimism and social introversion contribute to BMD and psychosomatic disorders formation in retired MIA combatants. MG combatants had a 5.2 - fold higher chance of developing a mental disorder according to the Cochran Q-test (95% CI: 2.7-10) than retired CG who did not participate in combat operations. There was an average correlation between the compared features (V=0.377). CONCLUSION: The results indicate the need to improve the approach to the professional psychological selection of candidates for service, taking into account the initial personality characteristics and functional characteristics of the proposed position. It is required to develop personality-oriented programs and psychocorrectional measures when sending employees of the Russian Interior Ministry units on business trips to emergency zones with subsequent targeted rehabilitation of all combatants.


Asunto(s)
Trastornos Mentales , Personal Militar , Humanos , Masculino , Personalidad , Trastornos Psicofisiológicos/epidemiología , Jubilación
6.
Artículo en Ruso | MEDLINE | ID: mdl-34486860

RESUMEN

Currently, the characteristic of dynamics of morbidity of mental disorders of population of the Russian Federation is its increasing simultaneously with changing in structure of contingents in the direction of decreasing number of patients subjected to dispensary monitoring. The study of influence of medical organizational factors on morbidity of mental disorders demonstrated the role of provision with psychiatrists in dynamics of prevalence of mental disorders. The improvement of management of patients with mental disorders should be supported by appropriate resources and adaptation of mental service to actual conditions, in particular, solving the problem of manpower deficiency of psychiatrists.


Asunto(s)
Trastornos Mentales , Psiquiatría , Humanos , Trastornos Mentales/epidemiología , Trastornos Mentales/terapia , Morbilidad , Prevalencia , Recursos Humanos
7.
Rev Bras Enferm ; 75(1): e20201011, 2021.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-34495129

RESUMEN

OBJECTIVE: to understand how religiosity can influence the health of individuals diagnosed with mental disorders, based on comprehensive care. METHODS: this is an integrative literature review, with the inclusion of articles in Portuguese, English and Spanish, between 2010 and 2018. RESULTS: the critical analysis and qualitative synthesis of the 24 selected studies were categorized into two subtopics: The influence of religiosity in promoting comprehensive mental health care; Mental health versus religiosity: influencing conditions for effective access to comprehensive care. FINAL CONSIDERATIONS: a positive influence of religiosity was identified in the lives of individuals diagnosed with mental disorders; however, evidence shows that health teams do not feel comfortable and prepared to work with religiosity as an expression of spirituality. This being one of the dimensional aspects of health, it can be inferred, on the results, the existence of this gap in the comprehensive care approach.


Asunto(s)
Trastornos Mentales , Terapias Espirituales , Humanos , Trastornos Mentales/terapia , Salud Mental , Religión , Espiritualidad
8.
Rev Med Suisse ; 17(749): 1534-1536, 2021 Sep 08.
Artículo en Francés | MEDLINE | ID: mdl-34495591

RESUMEN

The social and professional measures suggested to beneficiaries of the Insertion Income have demonstrated their effectiveness. However, presence of mental disorders complicates their implementation, causing difficulties for both beneficiaries and social services. The integration of psychiatrist as medical advisors, as for the canton of Vaud, helps to support the role of medical advisors. Psychiatric intervention aims to strengthen the detection of mental conditions and to improve the relationship between the social worker and his·her beneficiary. The integration of a consultation-liaison psychiatry model in the role of medical consultant seems to bring undeniable advantages and avoidance of stigmatization and chronicization of mental disorders.


Asunto(s)
Trastornos Mentales , Psiquiatría , Femenino , Humanos , Trastornos Mentales/terapia , Derivación y Consulta , Integración Social
9.
Cell Adh Migr ; 15(1): 261-271, 2021 12.
Artículo en Inglés | MEDLINE | ID: mdl-34494935

RESUMEN

Serotonin is well known as a neurotransmitter. Its roles in neuronal processes such as learning, memory or cognition are well established, and also in disorders such as depression, schizophrenia, bipolar disorder, and dementia. However, its effects on adhesion and cytoskeletal remodelling which are strongly affected by 5-HT receptors, are not as well studied with some exceptions for e.g. platelet aggregation. Neuronal function is strongly dependent on cell-cell contacts and adhesion-related processes. Therefore the role played by serotonin in psychiatric illness, as well as in the positive and negative effects of neuropsychiatric drugs through cell-related adhesion can be of great significance. In this review, we explore the role of serotonin in some of these aspects based on recent findings.


Asunto(s)
Adhesión Celular/fisiología , Movimiento Celular/fisiología , Citoesqueleto/fisiología , Neurotransmisores/fisiología , Serotonina/fisiología , Animales , Humanos , Trastornos Mentales/metabolismo
10.
PLoS One ; 16(9): e0256406, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34496006

RESUMEN

BACKGROUND: The COVID-19 pandemic brought about large increases in mental distress. The uptake of COVID-19 vaccines is expected to significantly reduce health risks, improve economic and social outcomes, with potential benefits to mental health. PURPOSE: To examine short-term changes in mental distress following the receipt of the first dose of the COVID-19 vaccine. METHODS: Participants included 8,003 adults from the address-based sampled, nationally representative Understanding America Study (UAS), surveyed at regular intervals between March 10, 2020, and March 31, 2021 who completed at least two waves of the survey. Respondents answered questions about COVID-19 vaccine status and self-reported mental distress as measured with the four-item Patient Health Questionnaire (PHQ-4). Fixed-effects regression models were used to identify the change in PHQ-4 scores and categorical indicators of mental distress resulting from the application of the first dose of the COVID-19 vaccine. RESULTS: People who were vaccinated between December 2020 and March 2021 reported decreased mental distress levels in the surveys conducted after receiving the first dose. The fixed-effects estimates show an average effect of receiving the vaccine equivalent to 4% of the standard deviation of PHQ-4 scores (p-value<0.01), a reduction in 1 percentage point (4% reduction from the baseline level) in the probability of being at least mildly depressed, and of 0.7 percentage points (15% reduction from the baseline level) in the probability of being severely depressed (p-value = 0.06). CONCLUSIONS: Getting the first dose of COVID-19 resulted in significant improvements in mental health, beyond improvements already achieved since mental distress peaked in the spring of 2020.


Asunto(s)
Vacunas contra la COVID-19/inmunología , COVID-19/inmunología , COVID-19/psicología , Trastornos Mentales/psicología , SARS-CoV-2/inmunología , Femenino , Humanos , Masculino , Salud Mental/estadística & datos numéricos , Persona de Mediana Edad , Pandemias/prevención & control , Cuestionario de Salud del Paciente/estadística & datos numéricos , Distrés Psicológico , Autoinforme/estadística & datos numéricos , Encuestas y Cuestionarios/estadística & datos numéricos
11.
Proc Natl Acad Sci U S A ; 118(37)2021 09 14.
Artículo en Inglés | MEDLINE | ID: mdl-34508007

RESUMEN

Several studies have been devoted to establishing the effects of the COVID-19 pandemic on mental health across gender, age, and ethnicity. However, much less attention has been paid to the differential effect of COVID-19 according to different personalities. We do this using the UK Household Longitudinal Study (UKHLS), a large-scale panel survey representative of the UK population. The UKHLS allows us to assess the mental health of the same respondent before and during the COVID-19 period based on their "Big Five" personality traits and cognitive skills. We find that during the COVID-19 period, individuals who have more extravert and open personality traits report a higher mental health deterioration, while those scoring higher in agreeableness are less affected. The effect of openness is particularly strong: One more SD predicts up to 0.23 more symptoms of mental health deterioration in the 12-item General Health Questionnaire (GHQ-12) test during the COVID-19 period. In particular, for females, cognitive skills and openness are strong predictors of mental health deterioration, while for non-British White respondents, these predictors are extraversion and openness. Neuroticism strongly predicts worse mental health cross-sectionally, but it does not lead to significantly stronger deterioration during the pandemic. The study's results are robust to the inclusion of potential confounding variables such as changes in physical health, household income, and job status (like unemployed or furloughed).


Asunto(s)
COVID-19 , Trastornos Mentales , Salud Mental , Pandemias , Personalidad , COVID-19/epidemiología , COVID-19/psicología , Femenino , Humanos , Estudios Longitudinales , Masculino , Trastornos Mentales/epidemiología , Trastornos Mentales/psicología , Persona de Mediana Edad , Reino Unido/epidemiología
12.
Glob Health Action ; 14(1): 1972561, 2021 01 01.
Artículo en Inglés | MEDLINE | ID: mdl-34514969

RESUMEN

BACKGROUND: Common mental disorders (CMDs) are highly prevalent conditions that constitute a major public health and economic burden on society in low- and middle-income countries (LMICs). Despite the increased demand for economic evidence to support resource allocation for scaled-up implementation of mental health services in these contexts, economic evaluations of psychological treatments for CMDs remain scarce. OBJECTIVE: The proposed systematic review aims to synthesize findings on methods and outcomes of economic evaluations of psychological treatments for CMDs in LMICs and appraise quality. METHODS: We will identify, select, and extract data from published economic evaluations of psychological interventions for CMDs conducted in LMICs. We will search bibliographic databases (PubMed, EMBASE, CINAHL, Web of Science, EconLit, PsycINFO, Africa-Wide Information, Cochrane library, Centre for Reviews and Dissemination (CRD), Cost Effectiveness Analysis (CEA) Registry), and the African Journals Online (AJOL) and Google Scholar platforms. Only full economic evaluations (Cost-Effectiveness Analysis (CEA), Cost-Utility Analysis (CUA), Cost-Consequence Analysis (CCA), or Cost-Benefit Analysis (CBA)) of psychological treatments for CMDs (defined as depressive, anxiety, and substance use disorders) conducted in LMICs will be included. There will be no restrictions based on date of publication, perspective, follow-up duration or sample size. Data extraction will be guided by the Consolidated Health Economic Evaluation Reporting Standards (CHEERS) checklist. RESULTS: The results presented will be examined using a narrative synthesis approach. The quality of included studies will be assessed using the Drummond & Jefferson checklist. CONCLUSION: The fledgling evidence base in this area provides an opportunity to promote improved economic evaluation methods in line with repeated calls for economic evidence alongside effectiveness evidence in these settings. A rigorously developed economic evaluation evidence base will support resource allocation decisions for scaled up implementation of psychological interventions in LMIC settings. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42020185277.


Asunto(s)
Países en Desarrollo , Trastornos Mentales , África , Análisis Costo-Beneficio , Humanos , Trastornos Mentales/terapia , Pobreza
14.
Rev Med Liege ; 76(9): 701-708, 2021 Sep.
Artículo en Francés | MEDLINE | ID: mdl-34477343

RESUMEN

The current health care crisis, induced by the coronavirus pandemic, is at the origin of significant global changes within our societies and profoundly modifies the health care sector as well, especially in the field of mental health. Nowadays, this latter is particularly poorly equipped in financial and human resources. Without major and immediate changes, the mental health sector will not be able to cope with the expected exponential rise of care needs, exacerbated by the rapid deterioration of mental health in the general population and among health care providers. We intend to illustrate the potential role and benefit of new technologies, able to solve the imbalance. Without any possible doubt, the health care crisis has provided a formidable momentum for their arousal, but we still have to determine their accessibility, feasibility, efficacy and efficiency by running controlled clinical trials.


Asunto(s)
COVID-19 , Trastornos Mentales , Humanos , Trastornos Mentales/epidemiología , Trastornos Mentales/terapia , Salud Mental , Pandemias , SARS-CoV-2
15.
Rev Bras Enferm ; 74(5): e20201061, 2021.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-34468548

RESUMEN

OBJECTIVE: to verify the difference of mean or median in the scores of family functionality and burden of family caregivers of people with mental disorders. METHODS: cross-sectional study carried out in a Psychosocial Care Center with 61 family caregivers. Instruments were used for sociodemographic characterization, care process, Family Apgar Index and Family Burden Interview Schedule. Mean/median difference tests were adopted. RESULTS: women with mental disorders and the presence of children in the home decreased the median of the family Apgar score. Difficulty in the relationship between caregiver/user, nervousness/tension, physical aggression and agitation of patients increased the global average of subjective burden. CONCLUSIONS: nursing interventions to reduce burden and promote family functionality should prioritize caregivers of women with mental disorders, assist them in managing troublesome behaviors and raising awareness of family nucleus to co-responsibility for caring for sick people, especially in families with children who demand daily care.


Asunto(s)
Cuidadores , Trastornos Mentales , Ansiedad , Niño , Costo de Enfermedad , Estudios Transversales , Familia , Femenino , Humanos
16.
Rev Assoc Med Bras (1992) ; 67(3): 462-467, 2021 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-34468615

RESUMEN

Dry eye disease (DED) is a multifactorial disease affecting tear quality and/or production and eye surface and is one of the most common eye disorders found in clinical practice. The association between psychiatric disorders and dry eye has been the subject of several studies since patients with this syndrome present a tendency toward a depressive mood. This narrative review aims to demonstrate the relationship between depression and DED, which is due to the side effects of psychotropic drugs or the tendency of the low pain threshold of the depressive patient. The work was produced from the analysis of 13 articles published during the last decade on this subject and demonstrated that the depressive state is linked to the appearance or worsening of DED resulting from chronic eye pain. Also, the treatment of depression with selective inhibitors of serotonin receptors causes inflammatory cytokine secretion with subsequent inflammation and apoptosis of cells on the ocular surface. The need for new studies on optimization of psychiatric treatment in patients with ophthalmic diseases, such as DED, was verified, aiming at the relief of symptoms and the reduction of psychological and eye damage caused by them.


Asunto(s)
Dolor Crónico , Síndromes de Ojo Seco , Trastornos Mentales , Depresión/tratamiento farmacológico , Síndromes de Ojo Seco/tratamiento farmacológico , Humanos , Lágrimas
17.
Bull World Health Organ ; 99(9): 674-679, 2021 Sep 01.
Artículo en Inglés | MEDLINE | ID: mdl-34475604

RESUMEN

Problem: Mental ill health in the United Kingdom of Great Britain and Northern Ireland has been a major driver of labour market exclusion through sickness absence, reduced productivity and job loss. Approach: A government-supported programme for improving access to psychological therapies was launched in 2008 and expanded across England in 2010. The aim was to provide evidence-based treatments for people with common mental disorders through three principal strategies: (i) routine session-by-session outcome monitoring; (ii) integration with the wider care system; and (iii) delivery of psychological therapies as part of a stepped-care approach. Local setting: Access to effective psychological therapies was previously low in the United Kingdom. In 2010, only about 35% of people with moderately severe mental disorders were in specialist or non-specialist treatment. Relevant changes: The accessibility of quality mental health services has increased, as has the efficiency of the country's mental health system. The numbers of people entering treatment have increased steadily from 0.43 million in 2012-2013 to 1.09 million in 2018-2019. The recovery rate of patients in treatment increased from 42.8% to 52.1% during 2012-2018. The number of people moved off sick pay and benefits rose from 3683 to 18 039 over the same period. Lessons learnt: A clinical guideline on psychological therapies is a prerequisite for increasing the accessibility and efficiency of mental health services. An integrated approach allows mental health services to have better reach. Routine collection of patient-level outcome data plays an important role in the value and function of the mental health care system.


Asunto(s)
Accesibilidad a los Servicios de Salud , Trastornos Mentales/terapia , Servicios de Salud Mental/organización & administración , Calidad de la Atención de Salud , Eficiencia Organizacional , Humanos , Trastornos Mentales/epidemiología , Salud Mental , Irlanda del Norte , Evaluación de Procesos y Resultados en Atención de Salud , Reino Unido
18.
JNMA J Nepal Med Assoc ; 59(234): 184-187, 2021 Feb 28.
Artículo en Inglés | MEDLINE | ID: mdl-34506452

RESUMEN

INTRODUCTION: Personality disorders is comprised of deeply ingrained and enduring behavioral patterns, manifesting themselves as inflexible responses to a broad range of personal and social situations." Personality Disorders are frequently occurring among patients with substance use disorders. Co-occurrence of substance use disorders and personality disorder is associated with a greater functional impairment affecting treatment adherence. This study's objective was to find out the prevalence of personality disorders among substance use disorders from the Department of Psychiatry and Mental Health, of a tertiary care center of Nepal. METHODS: A descriptive cross-sectional study was done at the Department of Psychiatry and Mental Health of Shree Birendra Hospital, Chhauni, Kathmandu, Nepal. The ethical approval was approved by the Institutional Review Committee prior to the study. The International Personality Disorder Examination ICD-10 module interview schedule was used to determine personality disorders. There were 100 patients, 86 males and 14 females of age ranging between 18-59 years, from different education levels, socioeconomic statuses, and ethnicities. RESULTS: Of the total 100 patients, 63% of the patients with substance use disorders were found to have either single 24 (24%) or multiple 39 (39%) personality disorders. The most frequently identified disorders were Emotionally Unstable Borderline Type 34 (34%), Anxious Personality Disorder 27 (27%), Emotionally Unstable Impulsive Type 27 (27%). CONCLUSIONS: Present study indicates that personality disorders were highly comorbid with patients of substance use disorders with either single or multiple personality disorders. Personality disorders mostly found in substance use disorders are Emotional Unstable Borderline Type, Anxious Personality Disorder, and Emotional Unstable impulsive Type.


Asunto(s)
Trastornos Mentales , Trastornos Relacionados con Sustancias , Adolescente , Adulto , Comorbilidad , Estudios Transversales , Femenino , Humanos , Masculino , Trastornos Mentales/epidemiología , Persona de Mediana Edad , Nepal/epidemiología , Trastornos de la Personalidad/epidemiología , Trastornos Relacionados con Sustancias/epidemiología , Centros de Atención Terciaria , Adulto Joven
19.
BMC Health Serv Res ; 21(1): 951, 2021 Sep 11.
Artículo en Inglés | MEDLINE | ID: mdl-34507575

RESUMEN

BACKGROUND: There is evidence of geographical variation in the use of mental health services in the UK and in international settings. It is important to understand whether this variation reflects differences in the prevalence of mental disorders, or if there is evidence of variation related to other factors, such as population socioeconomic status and access to primary care services. METHODS: This is a cross-sectional ecological study using Public Health England data. The unit of analysis was the population served by clinical commissioning groups (CCGs), National Health Service (NHS) catchment areas. The analysis explored associations between area characteristics and the number of people in contact with mental health services using regression modelling. Explanatory variables included age, gender, prevalence of severe mental illness (SMI), prevalence of common mental disorder (CMD), index of multiple deprivation (IMD), unemployment, proportion of the population who are Black and Minority Ethnic (BAME), population density, access to and recovery in primary care psychological therapies. Unadjusted results are reported, as well as estimates adjusted for age, prevalence of CMD and prevalence of SMI. RESULTS: The populations of 194 CCGs were included, clustered within 62 trusts (NHS providers of mental health services). The number of people in contact with mental health services showed wide variation by area (range from 1131 to 5205 per 100,000 population). Unemployment (adjusted IRR 1.11; 95% CI 1.05 to 1.17; p < 0.001) and deprivation (adjusted IRR 1.02 95% CI 1.01 to 1.04; p < 0.001) were associated with more people being in contact with mental health services. Areas with a higher proportion of the population who are BAME (IRR 0.95 95% CI 0.92 to 0.99 p = 0.007) had lower service use per 100,000 population. There was no evidence for association with access to primary care psychological therapies. CONCLUSIONS: There is substantial variation in the use of mental health services by area of England. Social factors including deprivation, unemployment and population ethnicity continued to be associated with the outcome after controlling for the prevalence of mental illness. This suggests that there are factors that influence the local population use of mental health services in addition to the prevalence of mental disorder.


Asunto(s)
Trastornos Mentales , Servicios de Salud Mental , Estudios Transversales , Inglaterra/epidemiología , Humanos , Trastornos Mentales/epidemiología , Trastornos Mentales/terapia , Medicina Estatal
20.
JNMA J Nepal Med Assoc ; 59(238): 564-570, 2021 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-34508405

RESUMEN

INTRODUCTION: Adolescence is the time when most mental illness begins most of the time these problems are overlooked leading to increased morbidity and mortality. The study is undertaken to find out the prevalence of psychiatric disorders in adolescents attending psychiatry outpatient department in a tertiary hospital. METHODS: A descriptive cross-sectional study was done from 1st December 2019 to 29th November 2020 at a tertiary care centre of Kathmandu. Ethical approval (Ref No.: 012-076/077) was taken from the Institution Review Committee. A semi-structured proforma was used for the socio-demographic profile of patients and International Classification of Diseases-10 was used to make the diagnosis. Data were analyzed using Statistical Package for the Social Sciences version 16. RESULTS: A total of 174 adolescents were included in the study. Out of the total cases 141 (81.03%) (75.1-86.8 at 95% Confidence Interval) were diagnosed with psychiatric disorders, among them 73 (51.77%) were males and 68 (48.23%) were females. The common diagnoses were anxiety disorders 63 (36.20%), mood disorders 34 (19.54%), psychotic disorders 26 (14.94%), substance use disorders 8 (4.59%), non-organic sleep disorders 5 (2.87%), behavioral and emotional disorders 3 (1.72%) and mental retardation 2 (1.149%). CONCLUSIONS: Prevalence of psychiatric illnesses is high in the adolescent population compared to the similar studies.


Asunto(s)
Trastornos Mentales , Psiquiatría , Adolescente , Estudios Transversales , Femenino , Humanos , Masculino , Trastornos Mentales/epidemiología , Pacientes Ambulatorios , Centros de Atención Terciaria
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