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Introduction
- Scientific & systematic data: available
worldwide
- WHO Statistics & Year of mental health-2001:
highlight’s significance
- 1 % of all deaths & 11 % of Global disease
burden-mental illnesses (World Health Report-2001)
- Demographic profile & morbidity pattern:
well established worldwide
Introduction: (World Statistics) Salient features:
- Depression-340 million
- Schizophrenia-45 million
- Epilepsy-45 million
- Females > Males
- 15-44 year group > Other
- Single, widowed, divorced > Married (Ref:
World Health Report-2001)
Methodology
- Retrospective case file / record analysis
- Place-Karachi Psychiatric Hospital
- Duration-From year 1981-2000
- Total-case files / records-40,000
- Selection-Random, every third file / record
- Sample-13, 333
- Data collection sheet-used to sort the data
Aims & Objectives
- To identify the demographic characteristics
of mentally ill in the local context
- To compare the local pattern with elsewhere
- To raise the need of having a better understanding
of mental illnesses in local context for effective mental health care
planning
Data analysis:
Morbidity pattern
|
| SNo. |
Major diagnosis |
Frequency
% |
| 1. |
Depression |
26.2 |
| |
• Episode |
14.5 |
| |
• Recurrent |
11.7 |
| 2. |
Schizophrenia |
15 |
| |
• Paranoid |
8.9 |
| |
• Others |
1.1 |
| |
• Chronic |
5 |
| 3. |
Bipolar affective disorders |
13 |
| |
• Hypomania |
4.5 |
| |
• Mania |
8.5 |
| 4. |
Acute psychotic disorders |
4.3 |
| 5. |
Anxiety disorders |
5 |
| 6. |
OCD |
4.3 |
| 7. |
Conversion disorders |
1.6 |
| 8. |
Organic disorders |
2.9 |
| 9. |
Seizure disorder |
5.9 |
| 10. |
Substance dependence |
1.3 |
| 11. |
Sexual dysfunction’s |
13.1 |
| 12. |
M.R. with beha. Dis. |
4.5 |
| 13. |
Others |
4 |
Discussion
Regarding morbidity pattern
- Depression is the most prevalent disorder
- Followed by Schizophrenia, Bipolar affective
disorder (Mania & Hypomania)
A great proportion in this study is
of psychosexual dysfunctions
PSYCHOSEXUAL
PROBLEMS
MENTALLY ILL PATIENTS
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