Unrecognized psychiatric disorders among adult patients admitted into a general hospital in Maiduguri, Northeastern Nigeria.

Journal: The Pan African medical journal

Volume: 19

Issue: 

Year of Publication: 2015

Affiliated Institutions:  Department of Clinical Services, Federal Neuro-Psychiatric Hospital Kaduna, Kaduna state, Nigeria. Department of Mental health, University of Maiduguri Teaching hospital, Maiduguri, Nigeria. Department of clinical services, Federal Neuro-psychiatric Hospital Maiduguri, Borno state.

Abstract summary 

Patients with unrecognized psychiatric disorders in general hospitals, suffer economic and psycho-social difficulties. This study aimed to determine (i) prevalence and pattern of psychiatric disorders, and (ii) prevalence of unrecognized psychiatric disorders among adult in-patients of a general hospital.In this two-stage, cross-sectional study, we used (i) General Health Questionnaire (GHQ) and Composite International Diagnostic Interview (CIDI) to assess the prevalence of psychiatric disorders, and (ii) Patient Encounter Form to determine unrecognized psychiatric disorders, among patients admitted into a general hospital.Of the 283 respondents, 174 (61.5%) had GHQ scores of ≤ 4. Eighty seven respondents (31%) had psychiatric disorders of which 85 (98%) were not recognized. The frequency of Depression and Anxiety disorders were 61.5% and 26.2% respectively. Unmarried (2.3, 1.2-4.3; p < 0.00), females (2.1, 1.1-4.05; p = 0.01) and patients with "unexplained symptoms" (≤ = 8.4, p< 0.00, df = 1) were more likely to have diagnosis of depression and anxiety disorder.We conclude that one-third of the patients in the general hospital, had co-morbid psychiatric diagnoses, mostly unrecognized by their physicians. Unmarried, females and respondents with unexplained symptoms were associated with depression and anxiety disorders. We recommend the posting of psychiatric trainees to general hospitals, and training of general practitioners on the use of simple depression and anxiety screening instruments.

Authors & Co-authors:  Mohammed Abdulaziz A Said Jidda Mohammed JM Wakil Musa Abba MA Rabbebe Isa Bukar IB Sheikh Taiwo T Agunbiade Samuel S

Study Outcome 

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Citations :  Sim K, Rajasoorya C, Lam KN, et al. High prevalence of psychiatric morbidity in a medical intensive care unit. Singapore Med J. 2001;42(11):522–5.
Authors :  6
Identifiers
Doi : 197
SSN : 1937-8688
Study Population
Females
Mesh Terms
Adolescent
Other Terms
General hospital;anxiety disorders;epression;general practitioners;non-recognition;prevalence
Study Design
Cross Sectional Study
Study Approach
Country of Study
Nigeria
Publication Country
Uganda