Psychological Dimensions in Patients Admitted in Imam Khomeini General Hospital in Tehran

Article excerpt

Objectives: The aim of this study was to assess the mental health of patients admitted in Internal medicine, Surgery and Gynecology wards of Imam Khomeini Hospital of Tehran in 2009.

Method: The symptom checklist-90-R (SCL-90-R) questionnaire was administered for 93 patients in internal, surgical and gynecological wards of Imam Khomeini hospital in 2009.

Result: In this study, the mean age was (32.89 ± 12.69) with a range of 14 to 70 years old. 42 patients (44.7%) were male and 52 (59.6%) were female ; 56 patients (59.6%) were married and 37 (40.4%) were single.

There is a significant relationship between gender& marital status (P<0.04). According to cut of point of Global Severity Index (GSI) which was reported in a study (0.7), 58.1 percent of the patients have different levels of psychiatric problems (GSI>0.7). In psychiatric symptoms, somatization has the highest prevalence (90.5%) ,and depression (77.9%) and anxiety (71.6%) have a higher prevalence than other symptoms among patients who suffer from psychiatric problems.

Conclusion: According to the result of the current study, there is a high prevalence of psychiatric problems among the admitted patients in Internal medicine, Surgery and Gynecology wards of a general hospital according to SCL-90-R questionnaire. This study advises that more attention be given to mental health in general hospitals.

Keywords: General hospital, Mental health, Psychiatry,

Iran J Psychiatry 2010; 5:2:51-54

There are concurrence and interaction between psychiatric problems and medical diseases. In some cases, psychiatric disorders can elicit somatic symptoms ; likewise, the medical diseases can have psychiatric consequences and result in psychological complications (1 ).

Different studies indicate that there are significant numbers of patients with psychiatric disorders who are hospitalized in general hospitals due to non psychological complaints (2).

Significant numbers of studies show that in contrast to physicians' beliefs, most of the patients who are assumed to just be worried at the arrival, commonly suffer from anxiety and depression (3). According to different studies, the most common psychiatric disorder in patients who are hospitalized in emergency wards is anxiety ,while patients admitted in wards mostly suffer

from depression (2). In addition, several disorders especially the chronic ones, will result in psychiatric problems due to their distressing experience and side effects (4).

According to studies in general hospitals, there is a 30% to 60% prevalence of psychiatric disorders in

hospitalized patients (2) ,while some other studies indicate that one quarter (25%) of patients in medical wards have a kind of psychiatric disorders. Studies

indicate that most women suffer from behavioral problems. Further, they claim that there is a high prevalence of psychosomatic disorders in elderly patients while most of the young men experience problems due to alcoholism.

In outpatients services ,there is a prevalence of about 15% of psychiatric problems in cases who have at least a kind of specific psychiatric disorder (5). In cases without any specific psychiatric diagnosis, the prevalence of different kind of psychological complications has been estimated to be 40 % (1-8) .

According to some studies, the prevalence of

psychiatric disorders in general Iranian population is 21 % (9). Besides the interactions between somatic and psychiatric disorders , there are some documented relationship between special disorders that cause staffs in medical wards to struggle with psychological problems of their patients, and this has mainly been observed in major wards of general hospitals (7).

Material and Methods

After explaining the research objectives and obtaining informed consent, the participants completed the anonymous demographic and SCL-90-R Those patients during 48 hours before and after surgery or those who underwent cesarean section were excluded from the study. …