Ansari Sahar, Parsaei Mohammadamin, Noorbala Ahmad Ali, Nejatisafa Ali-Akbar, Arbabi Mohammad, Hedayati Arvin, Elyasi Forouzan, Banihashem Seyedshahab, Salehian Razieh, Shokrani Marjan, Faridhosseini Farhad, Abedini Ehsan, Rezapour Maryam, Sharafi Sayedeh Elham, Etesam Farnaz, Esfahani Mehdi Nasr, Parsaei Ali, Moghaddam Hossein Sanjari, Hosseini Seyed Hamzeh
Psychosomatic Medicine Research Center, Imam-Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
Breastfeeding Research Center, Family Health Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Discov Ment Health. 2024 Dec 19;4(1):66. doi: 10.1007/s44192-024-00119-9.
Understanding the prevalence of mental distress in hospitalized patients and identifying associated factors can help reduce the burden of mental disorders on their medical management and improve their quality of life. This study aimed to examine the prevalence of mental distress among hospitalized patients in general hospitals and assess its associated factors.
In this cross-sectional study, we evaluated the mental health status of inpatients in seven cities in Iran, using the General Health Questionnaire-12 (GHQ-12), with a total GHQ-12 score ≥ 4 or higher categorized as "mentally distressed." Statistical analyses were conducted using independent t-tests, one-way analysis of variance, and cross-tabulations.
A total of 524 patients (347 females) were assessed, with 208 (38.7%) being classified as mentally distressed. The prevalence of mental distress was significantly higher among males (52.0%) compared to females (34.0%) (p = 0.002). There were no significant differences in GHQ-12 scores among different age groups (p > 0.05). Significant differences were observed in mental health status based on job status, with retired (64.7%) and laborer (22.8%) patients showing the highest and lowest rates of mental distress, respectively (p < 0.001). Additionally, mental distress prevalence varied significantly across hospital wards, with internal medicine (47.6%) and obstetrics and gynecology (28.3%) having the highest and lowest prevalence, respectively (p = 0.004).
A considerable proportion of patients hospitalized for medical reasons also experience mental distress. Various demographic factors are associated with their mental health status. This highlights the need for integrated mental health assessments alongside medical treatment to alleviate the burden of mental disorders.
了解住院患者精神痛苦的患病率并确定相关因素，有助于减轻精神障碍对其医疗管理的负担，并提高其生活质量。本研究旨在调查综合医院住院患者精神痛苦的患病率，并评估其相关因素。
在这项横断面研究中，我们使用一般健康问卷-12（GHQ-12）评估了伊朗七个城市住院患者的心理健康状况，GHQ-12总分≥4或更高被归类为“精神痛苦”。使用独立t检验、单因素方差分析和交叉表进行统计分析。
共评估了524例患者（347例女性），其中208例（38.7%）被归类为精神痛苦。男性精神痛苦的患病率（52.0%）显著高于女性（34.0%）（p = 0.002）。不同年龄组之间的GHQ-12得分无显著差异（p > 0.05）。根据工作状态观察到心理健康状况存在显著差异，退休患者（64.7%）和劳动者患者（22.8%）的精神痛苦发生率分别最高和最低（p < 0.001）。此外，精神痛苦患病率在不同医院病房之间差异显著，内科（47.6%）和妇产科（28.3%）的患病率分别最高和最低（p = 0.004）。
相当一部分因医疗原因住院的患者也存在精神痛苦。各种人口统计学因素与他们的心理健康状况相关。这突出了在医疗治疗的同时进行综合心理健康评估以减轻精神障碍负担的必要性。
