Department of Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), Hosur Road, Bangalore 560029, India.
Asian J Psychiatr. 2010 Dec;3(4):222-6. doi: 10.1016/j.ajp.2010.08.001.
To carry out an audit reviewing the utilization of psychiatric services and types of disorders presenting to a tertiary care psychiatry hospital in a developing Asian country.
Consecutive adult patients who came for detailed consultation in 1 year were included in this study. A senior consultant psychiatrist reconfirmed the diagnosis in each patient who underwent detailed psychiatric evaluation. Psychiatric evaluation consists of clinical history from the patients and the relatives and a mental state examination. Data was obtained from the detailed work up evaluation psychiatry records of these patients.
Mood disorder was the most common diagnosis followed by substance use disorders and psychotic disorders (ICD 10). There is a substantial delay of more than 2-5 years for seeking treatment in most disorders including schizophrenia. More than 80% of the population directly seeks treatment at this tertiary hospital. Sixty-four percent of the patients came for at least one follow up.
The result suggests the urgent need for strengthening community care in India and similar low and middle-income countries for early and optimal treatment.
对一家位于亚洲发展中国家的三级精神病医院的精神科服务利用情况和就诊障碍类型进行审核。
本研究纳入了在一年内前来详细咨询的连续成年患者。每位接受详细精神评估的患者都由一位高级顾问精神科医生重新确认诊断。精神科评估包括来自患者和亲属的临床病史以及精神状态检查。这些患者的详细工作评估精神科记录中获取了数据。
心境障碍是最常见的诊断，其次是物质使用障碍和精神病性障碍（ICD 10）。在大多数障碍中，包括精神分裂症，寻求治疗的时间都有超过 2-5 年的显著延迟。超过 80%的人直接在这家三级医院就诊。64%的患者至少进行了一次随访。
结果表明，印度和类似的中低收入国家急需加强社区护理，以实现早期和最佳治疗。
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