Tag: OPD presentation

Posted on

ssnimcj2025v10i1s3

Original Article
Psychiatric Morbidities and Socioeconomic Background – An Evaluation from a District Level Government Hospital

*Bashar MK,1 Kulsum U,2 Talukder MM,3 Mitu MR,4 Naser MJ,5 Sultana N,6 Hasan MK7

 

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

 *For correspondence

Abstract

Background: Sociodemographic variations exert a profound influence on treatment-seeking behavior among mental health patients, shaping patterns of access, utilization, and engagement with mental health services. This study aimed to observe the socioeconomic presentation of patients attending district level government hospital for psychiatric treatment.

Methods: The medical records of patients attending the outpatient department (OPD) at Shaheed Syed Nazrul Islam Medical College in Kishoreganj, Bangladesh, between February 2023 and November 2023, were reviewed. Data on demographic details and psychiatric diagnoses were extracted from records that were complete and accessible. Patients with incomplete records were excluded. Diagnostic categorization followed the guidelines of the International Classification of Diseases, 10th Revision (ICD-10).

Result: This study observed cases of 521 patients, the majority of whom were aged between 20 and 40 years (60.50%). Females constitute 67.20% of the sample. Educational attainment of the sample showed that, 16.70% had no literacy, 24.80% had completed primary education, 29.94% had studied up to secondary or higher secondary level, and 28.60% hold a graduate degree or studied higher. 64.10% of the sample resided in urban areas and 53.20% were married. About half of the sample (52.40%) had a monthly income between BDT 16,000 to 30,000. “Anxiety, Stress-Related, Somatoform, and Other Nonpsychotic Mental Disorders (F40-F48)” and “Mood [Affective] Disorders (F30-F39)” accounted for majority of the cases (40.31% and 22.26% respectively. Females were more affected than males in almost all categories, however, phobic anxiety disorders (55.56%), obsessive-compulsive disorder (OCD) (52.94%), and substance abuse disorders (62.50%) were more common in men.

Conclusion: This study demonstrated district level presentation of patients with psychiatric morbidity and their socioeconomic diversities where anxiety, stress, and mood-related disorders were common with a female predominance. It is essential to achieve a more comprehensive representation of socioeconomic backgrounds by including participants from diverse settings beyond government district hospitals, such as private healthcare facilities, community health centers, and house-to-house visits to understand the general situation of mental health disorders in Bangladesh.

[Shaheed Syed Nazrul Islam Med Col J 2025, Jan; 10 (1):11-22]

DOI: https://www.doi.org/10.69699/ssnimcj2025v10i1s3

 Keywords: Psychiatric morbidity, OPD presentation, Socioeconomic background, ICD-10 category

Posted on

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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