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ssnimcj2024v9i2a4

Original Contribution

Prevalence of Psychiatric Disorders – An Evaluation from a Psychiatric Outdoor Department with ICD-10 Diagnostic Criteria for Research (DCR)

 

*Bashar MK,1 Kulsum U,2 Talukder MM,3 Mitu MR4 Naser MJ,5 Sultana N6

 

  1. *Dr. Md. Khairul Bashar, Associate Professor, Psychiatry, Shaheed Syed Nazrul Islam Medical College, Kishoreganj. kabashar47@gmail.com
  2. Umme Kulsum, Assistant Professor, Psychiatry. Shaheed Syed Nazrul Islam Medical College, Kishoreganj.
  3. Muhammad Moinul Alam Talukder, Assistant Professor, Pharmacology. Shaheed Syed Nazrul Islam medical College, Kishoregonj.
  4. Marshia Rahman Mitu, FCPS (Medicine), OSD, DGHS, Mohakhali, Dhaka.
  5. Mohammad Jamal Abdel Naser, Associate Professor (C.C), Department of Microbiology, Shaheed Syed Nazrul Islam Medical College, Kishoreganj.
  6. Nadia Sultana, MPH, National Institute of Preventive and Social Medicine (NIPSOM), Mohakhali, Dhaka

 

*For correspondence

Abstract

Objective: This retrospective cross-sectional study explored the mental health prevalence among individuals seeking psychiatric evaluation and treatment at the outpatient department (OPD) of Shaheed Syed  Nazrul Islam Medical College in Kishoregonj, Bangladesh.

Methods: Medical records of patients visiting the OPD from February 2023 to November 2023 were accessed and reviewed for relevant demographic information and psychiatric diagnoses. Patients with complete and accessible information were included, while those with incomplete records or non-psychiatric primary diagnoses were excluded. The International Classification of Diseases, 10th Revision (ICD-10), was utilized for diagnostic categorization, with diagnoses made according to established guidelines. Neurological disorders falling outside the F00-F99 category of the ICD-10 classification were also excluded to ensure sample homogeneity.

Results: In this study, anxiety disorders represented a significant portion, with generalized anxiety disorder being the most commonly observed subtype. Obsessive-compulsive disorder, dissociative disorders, and somatoform disorders also featured prominently within this category. Additionally, mood disorders were identified as a substantial portion of cases, with depressive disorder of recurrent type, and bipolar condition being the predominant subtypes. Furthermore, schizophrenia, borderline personality disorder, conduct disorders, and acute and transient psychotic disorders were notable in their prevalence. Conversely, certain disorders such as dementia, cognitive disorder, substance abuse, and delusional disorder were observed in a minority of cases.

Conclusion: A high burden of anxiety and depression disorders had been observed in this study. Additionally, the presence of schizophrenia, borderline personality disorder, and other severe mental illnesses underscores the diverse spectrum of conditions encountered. Notably, low incidence of dementia, cognitive disorders, substance abuse, and delusional disorders could be attributed to distinct characteristics of the OPD population or variations in patterns of seeking help for mental health concerns.

 

 

[Shaheed Syed Nazrul Islam Med Col J 2024, Jul; 9 (2):62-72]

DOI: https://doi.org/10.69699/ssnimcj2024v9i2a4

 

Keywords: Mental illness, ICD-10, Depression, Anxiety, OPD presentation

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