Abdulrahman Hassan, Bousleiman Stephanie, Mumin Mustafe, Caqli Ibrahim, Hijaz Baraa A, Gelaye Bizu, Fricchione Gregory, Chemali Zeina
College of Medicine and Health Science, University of Hargeisa, Hargeisa, Somaliland.
Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States.
S Afr J Psychiatr. 2023 Feb 27;29:1946. doi: 10.4102/sajpsychiatry.v29i0.1946. eCollection 2023.
In Somaliland, an estimated one person in every two households suffers from psychiatric disorders. Despite this, access to mental health care is limited because of shortages in facilities, human resources, funding and stigma.
To present the proportion of psychiatric disorders encountered in outpatient psychiatry clinics.
The University if Hargeisa (UoH), Hargesisa, Somaliland.
De-identified data on patients accessing psychiatric care from doctor trainees in the dual psychiatry-neurology residency program at UoH from January 2019 to June 2020 were included in the analysis. The Institutional Review Board from UoH approved data collection and analysis. The most common psychiatric diagnoses were summarised overall and by sex and age.
A total of 752 patients were included in the analysis. Most were male (54.7%), with an average age of 34.9 years. The most common psychiatric diagnoses were schizophrenia (28.0%), major depressive disorder (MDD) (14.3%) and bipolar disorder type 1 (BD1) (10.5%). When stratified by sex, patients with schizophrenia and BD1 were more likely to be male (73.5% and 53.3%, respectively), and those with MDD were more likely to be female (58.8%). Trauma- and stressor-related disorders accounted for 0.4% of cases, while 0.8% of patients presented with substance use disorders (alcohol and khat), which is an underestimate of the widespread use in Somaliland.
Additional research using structured clinical interviews is needed to determine the epidemiology of psychiatric disorders and promote policies aiming to decrease neuropsychiatric mortality and morbidity.
This work presents the first data collection related to neuropsychiatric disorders in Somaliland.
在索马里兰，估计每两户家庭中就有一人患有精神疾病。尽管如此，由于设施、人力资源、资金短缺以及污名化等问题，获得精神卫生保健的机会有限。
呈现门诊精神科诊所中遇到的精神疾病比例。
索马里兰哈尔格萨的哈尔格萨大学（UoH）。
纳入了2019年1月至2020年6月在UoH精神科 - 神经科联合住院医师培训项目中接受精神科护理的患者的去识别化数据。UoH的机构审查委员会批准了数据收集和分析。对最常见的精神科诊断进行了总体以及按性别和年龄的总结。
共有752名患者纳入分析。大多数为男性（54.7%），平均年龄34.9岁。最常见的精神科诊断为精神分裂症（28.0%）、重度抑郁症（MDD）（14.3%）和双相I型障碍（BD1）（10.5%）。按性别分层时，精神分裂症和BD1患者更可能为男性（分别为73.5%和53.3%），而MDD患者更可能为女性（58.8%）。创伤和应激源相关障碍占病例的0.4%，而0.8%的患者存在物质使用障碍（酒精和巧茶），这低估了索马里兰的广泛使用情况。
需要使用结构化临床访谈进行更多研究，以确定精神疾病的流行病学情况，并推动旨在降低神经精神疾病死亡率和发病率的政策。
这项工作呈现了索马里兰与神经精神疾病相关的首次数据收集。
