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Psychiatric Disorders Among Medical In-patients in an Indian Hospital

Published online by Cambridge University Press:  02 January 2018

S. N. Deshpande ,
K. R. Sundaram  and
N. N. Wig
S. N. Deshpande*
Affiliation:
Department of Psychiatry, Safdarjang Hospital, New Dehli 110029
K. R. Sundaram
Affiliation:
Department of Biostatistics, AIIMS, New Delhi 110029, India
N. N. Wig
Affiliation:
Mental Health, WHO, Alexandria, Egypt 21511
*
∗Correspondence
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Abstract

Psychiatric symptoms among medical inpatients in an Indian hospital were assessed: the SRQ was used as a screening instrument, and those with probable psychiatric disorders were given the PSE and MSE, for further, detailed assessment. The prevalence of psychiatric disorders was 34%, with a further 15% reporting distressing psychiatric symptoms only. The most frequent complaints were delirium and adjustment disorders. They were largely associated with connective tissue, as well as cardiovascular and endocrine, disorders, and were characterised by depression, worrying and irritability. The reliability of the SRQ varied with the cut-off score, which gave optimal specificity and sensitivity when set at 9.

Type
Papers
Information
The British Journal of Psychiatry , Volume 154 , Issue 4 , April 1989 , pp. 504 - 509
Copyright
Copyright © Royal College of Psychiatrists, 1989 

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References

Duncan-Jones, P. & Henderson, S. (1978) The use of a two phase design in prevalence surveys. Social Psychiatry, 13, 231–237.Google Scholar
Goldberg, D. P. (1978) Manual of the General Health Questionnaire – NFER. Windsor: Nelson Publishing Co.Google Scholar
Goldberg, D. P. & Black well, B. (1970) Psychiatric illness in general practice – a detailed study using a new method of case identification. British Medical Journal, i 439–443.Google Scholar
Goldberg, D. P., Kay, C. & Thompson, L. (1976) Psychiatric morbidity in general practice and the community. Psychological Medicine, 6, 565–569.CrossRefGoogle ScholarPubMed
Harding, T. W., DeArango, H. V., Baltazar, J., et al (1980) Mental disorders in primary health care – a study of their frequency and diagnosis in four developing countries. Psychological Medicine, 10, 231–242.Google Scholar
Harding, T. W., Climent, C. E., Giel, R., et al (1983) The WHO collaborative study on strategies for extending mental health care. II. The development of new research methods. American Journal of Psychiatry, 140, 1470–1473.Google Scholar
Henderson, S., Duncan-Jones, P., Byrne, D. G., et al (1979) Psychiatric disorder in Canberra – a standardised study of prevalence. Acta Psychiatrica Scandinavica, 60, 355–379.Google Scholar
Ingham, J. (1982) Defining the problem. In Psychiatry and General Practice (eds Clare, A. W. & Lader, M.) pp. 5–15. London: Academic Press.Google Scholar
Jindal, R. C. & Hemrajani, D. K. (1980) A study of psychiatric referrals in a general hospital. Indian Journal of Psychiatry, 22, 108–110.Google Scholar
Lloyd, G. G. (1985) Emotional aspects of physical illness. In Recent Advances in Clinical Psychiatry, Vol. 5 (ed. Granville-Grossman, K.) pp. 63–86. London: Churchill Livingstone.Google Scholar
Maguire, G. P., Julier, D. L., Hawton, K. E., et al (1974) Psychiatric morbidity and referral on two medical wards. British Medical Journal, i 268–270.Google Scholar
Mayou, R. & Hawton, K. (1986) Psychiatric disorders in the general hospital. British Journal of Psychiatry, 149, 172–190.Google Scholar
Nandi, D. N., Banerjee, G., Boral, G. C., et al (1979) Socioeconomic status and prevalence of mental disorders in certain rural communities in India. Acta Psychiatrica Scandinavica, 59, 276–293.Google Scholar
Verma, S. K. & Wig, N. N. (1977) Standardisation of a neuroticism questionnaire in Hindi. Indian Journal of Psychiatry, 19, 67–79.Google Scholar
Wells, C. E. (1985) Organic syndromes: delirium. In Comprehensive Textbook of Psychiatry (4th edn) (eds Kaplan, H. I. & Sadock, B. J.) pp. 838–851. Baltimore: Williams and Wilkins.Google Scholar
Wig, N. N. & Shah, D. K. (1973) Psychiatric patients in a general hospital in India – patterns of inpatient referrals. Journal of the Indian Medical Association, 60, 83–86.Google Scholar
Wig, N. N., Mennon, D. K. & Srinivasa-Murthy, R. (1982) Hindi version of PSE – problems of translation and application in the Indian setting. Indian Journal of Psychiatry, 29, 309–317.Google Scholar
Wing, J. K. (1976) A technique for studying psychiatric morbidity in inpatient and outpatient series and in general population samples. Psychological Medicine, 6, 665–672.Google Scholar
Wing, J. K. (1980) Methodological issues in psychiatric case identification. Psychological Medicine, 10, 5–10.CrossRefGoogle ScholarPubMed
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) The Measurement and Classification of Psychiatric Symptoms. London: Cambridge University Press.Google Scholar
World Health Organization (1960) Epidemiology of Mental Disorders, Technical Report Series No. 180. Geneva: WHO.Google Scholar
World Health Organization (1978) Mental Disorders: Glossary and Guide to their Classification in Accordance with the Ninth Revision of the International Classification of Diseases (ICD–9). Geneva: WHO.Google Scholar
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