Epidemiological study of the assited population at the Psychiatric Department of the Hospital de Clínicas: 1999-2000
Keywords:
UNIVERSITY HOSPITALS, MENTAL DISORDERS, EPIDEMIOLOGICAL METHODS, URUGUAY
Abstract
The Psychiatric Unit of the Faculty of Medicine attends emergency, in-patients and out-patients at the Hospital de Clínicas. Considering the record system slowdown and the lack of processed and standarized data on characteristics and pathologies affecting that population, epidemiological research could not have been done yet. As a first step to modify that trend a research able to characterized this population has been conducted, whose aimes were to standarize an open up database and complete its further statistical analysis. Data were collected according to international criteria. The population was 864. Primary psychiatric pathologies were severe depressive disorders in 26,3% of the patients, anxiety and adjustment disorders in approximately 15% of the patients for each illness. Methodology was found to be adequate for this research whose results were proved invaluable to assistance and prevention planning, as well as setting teaching and training strategies.
References
1) Regiere DA, Burke JD. Quantitative and experimental methods in psychiatry. In: Kaplan H, Sadock B. Comprehensive Textbook of Psychiatry. 6a ed. Baltimore: Williams and Wilkins, 1995: 377-429.
2) Beaglehole R, Bonita R, Kjellstromm T. Epidemiología básica. Washington: OPS/OMS, 1994. (Publicación científica, N°551).
3) Beaudoin V, Glouzmann P. Psychiatric emergency department of the Pinel hospital center. Encephale 1998; 24(1): 18-25.
4) Smith GC, Clarke DM, Herrman HE. Establishing a consultation-liaison psychiatry clinical database in an Australian general hospital. Gen Hosp Psychiatry 1993; 15(4): 243-53.
5) Michalon M. Consultation-liaison psychiatry: a prospective study in a general hospital milieu. Can J Psychiatry 1993; 38(3): 168-74.
6) Roaldset JO, Martinsen EW. Psychiatric consultations at a somatic central hospital. Review of 383 referrals over 3 years. Tidsskr Nor Laegeforen 1992; 112(19): 2517-9.
7) Bijl RV, Ravelli A. Psychiatric morbidity, service use, and need for care in the general population: results of The Netherlands Mental Health Survey and Incidence Study. Am J Public Health 2000; 90(4): 602-7.
8) Bijl RV, Ravelli A, van Zessen G. Prevalence of psychiatric disorder in the general population: results of The Netherlands Mental Health Survey and Incidence Study (NEMESIS). Soc Psychiatry Psychiatr Epidemiol 1998; 33(12): 587-95.
9) Sorgaard KW, Sandanger I, Sorensen T, Ingebrigtsen G, Dalgard OS. Mental disorders and referrals to mental health specialists by general practitioners. Soc Psychiatry Psychiatr Epidemiol 1999; 34(3): 128-35.
10) Bebbington P, Hurry J, Tennant C, Sturt E, Wing JK. Epidemiology of mental disorders in Camberwell. Psychol Med 1981; 11(3): 561-79.
11) Regier DA, Boyd JH, Burke JD Jr, Rae DS, Myers JK, Kramer M, et al. One-month prevalence of mental disorders in the United States. Based on five epidemiologic catchment area sites. Arch Gen Psychiatry 1988; 45(11): 977-86.
12) Henderson S, Duncan-Jones P, Byrne DG, Scott R, Adcock S. Psychiatric disorder in Canberra. A standardised study of prevalence. Acta Psychiatr Scand 1979; 60(4):335-74.
13) De Almeida JM, Xavier M, Nabais F, Santos F, Morais J. Psychiatric morbidity in general hospital inpatients. Acta Med Port 1992; 5(11): 575-9.
14) Seguel M, Muñoz P, Nalegach E, Santander J. Prevalence of mental disorders at emergency service. Rev Med Chil 1993; 121(6): 705-10.
15) Turner T, de Sorkin A. Sharing psychiatric care with primary care physicians: the Toronto Doctors Hospital experience (1991-1995). Can J Psychiatry 1997; 42(9): 950-4.
16) Martucci M, Balestrieri M, Bisoffi G, Bonizzato P, Covre MG, Cunico L, et al. Evaluating psychiatric morbidity in a general hospital: a two-phase epidemiological survey. Psychol Med 1999; 29(4): 823-32.
17) Shevitz SA, Silberfarb PM, Lipowski ZJ. Psychiatric consultations in a general hospital. A report on 1.000 referrals. Dis Ner Syst 1976; 37(5): 295-300.
18) Huyse FJ, Lyons JS, Strain JJ. Evaluating psychiatric consultations in the general hospital. Multivariate prediction of concordance. Gen Hosp Psychiatry 1992; 14(6): 363-9.
19) Gous P, Gagiano CA, Wich DJ. Psychiatric disorders in internal medicine. S Afr Med J 1992; 82(6): 441-2.
20) Alaja R, Seppa K, Sillanaukee P, Tienari P, Huyse FJ, Herzog T, et al. Psychiatric referrals associated with substance use disorders: prevalence and gender differences. European Consultation-Liaison Work-group. Alcohol Clin Exp Res 1997; 21(4): 620-6.
21) Dean C, Surtees PG, Sashidharan SP. Comparison of research diagnostic systems in an Edinburgh community sample. Br J Psychiatry 1983; 142 :247-56.
22) Leon AC, Olfson M, Wissman MM, Portera L, Sheehan DV. Evaluation of screens for mental disorders in primary care: methodological issues. Psychopharmacol Bull 1996; 32(3): 353-61.
23) Amaddeo F, Beecham J, Bonizzato P, Fenyo A, Knapp M, Tansella M. The use of a case register to evaluate de costs of psychiatric care. Acta Psychiatr Scand 1997; 95(3): 189-98.
24) Fava GA, Pilowsky I, Pierfederici A, Bernardi M, Pathak D. Depression and illnes behavior in a general hospital: a prevalence study. Psychother Psychosom 1982; 38(1):141-53.
25) Lucero RK. Suicidios en Uruguay: su relación con la economía nacional (1972-1992). Rev Med Uruguay 1998; 14: 236-47.
26) Dajas F. Alta tasa de suicidio en Uruguay. Consideraciones a partir de un estudio epidemiológico. Rev Med Uruguay 1990; 6: 203-15.
27) González Rea J. Estudio epidemiológico de las muertes violentas en el Uruguay. Monografía de Posgrado de Psiquiatría, 1991: 27-50. Inédito.
28) Ginés A. Desarrollo y ocaso del asilo mental en el Uruguay. Rev Psiq Urug 1998; 62(2): 37-40.
29) Arduino M, Cáceres D, Grasés E. Aspectos histórico-estadísticos acerca de los pacientes esquizofrénicos internados en las Colonias Dres. Bernardo Etchepare y Santín Carlos Rossi en un período de 80 años. Rev Psiq Urug 1995; 59: 19-34.
30) Arduino M, Cáceres D, Grasés E. Colonias Dres. Bernardo Etchepare y Santín Carlos Rossi: su evolución entre los años 1912 y 1992. Rev Psiq Urug 1994; 58: 10-22.
31) Curbelo G, Esmoris MV, Micheff M, Montalbán A. Policlínico de Farmacodependencia. Cuatro años de funcionamiento. Rev Psiq Urug 1993; 57: 35-40.
32) Cau M, Irigoyen L, Larrosa D, Rilo I, Sazbón C. Morbilidad psíquica preoperatoria. Rev Psiq Urug 1987; 52: 89-103.
33) Ramírez F. Sobre organización de la asistencia psiquiátrica. Rev Psiq Urug 1964; 29: 3-18.
34) Uruguay. Ministerio de Salud Pública. Hospital Vilardebó. Aporte metodológico para el conocimiento de un hospital psiquiátrico: diagnóstico de situación funcional. Rev Psiq Urug 1975; 40: 14-35.
35) Arduino M, De los Santos O. La emergencia psiquiátrica en el Hospital General. Aspectos estadísticos. Rev Psiq Urug 1987; 52: 67-77.
36) Ramírez F. Pasado, presente y esperanza de futuro de la psiquiatría nacional. Rev Psiq Urug 1980; 45: 154-68.
37) Belegotti R, Wolcan G, Lista A, Balparda S. Hacia un servicio de Psiquiatría más eficiente. Rev Psiq Urug 1996; 60: 5-20.
38) American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders: DSM IV. 4ª ed. Barcelona: Masson, 1995.
39) World Health Organization. CIE-10. Revisión de la Clasificación Internacional de las Enfermedades. Trastornos mentales y del comportamiento. Descripciones clínicas y pautas para el diagnóstico. 10ª ed. Madrid: Meditor, 1992.
40) Esteve J, Benhamou E, Raymond L. Méthodes statistiques en épidemiologie descriptive. Paris: INSERM, 1993.
41) Armitage P, Berry G. Estadística para la investigación biomédica. Barcelona: Doyma, 1992.
42) Silverstone PH. Prevalence of psychiatric disorders in medical inpatients. J Nerv Ment Dis 1996; 184(1): 43-51.
43) Deshpande SN, Sundaram KR, Wig NN. Psychiatric disorders among medical in-patients in an Indian Hospital. Br J Psychiatry 1989; 154: 504-9.
44) Strain JJ, Simth GC, Hammer JS, Makenzie DP, Blumenfield M, Muskin P, et al. Adjustment disorder: a multisite study of its utilization and interventions in the consultation-liaison psychiatry setting. Gen Hosp Psychiatry 1998; 20(3): 139-49.
45) Newcorn J, Strain J. Adjustment disorders. In: Kaplan HI, Sadock B. Comprehensive textbook of psychiatry/VI. 6ª ed. Baltimore: Williams and Wilkins, 1996: 1418-24 (Vol 2).
46) Andreasen NC, Hoenk PR. The predictive value of adjustment disorders: a follow-up study. Am J Psychiatry 1982; 139(5): 584-90.
2) Beaglehole R, Bonita R, Kjellstromm T. Epidemiología básica. Washington: OPS/OMS, 1994. (Publicación científica, N°551).
3) Beaudoin V, Glouzmann P. Psychiatric emergency department of the Pinel hospital center. Encephale 1998; 24(1): 18-25.
4) Smith GC, Clarke DM, Herrman HE. Establishing a consultation-liaison psychiatry clinical database in an Australian general hospital. Gen Hosp Psychiatry 1993; 15(4): 243-53.
5) Michalon M. Consultation-liaison psychiatry: a prospective study in a general hospital milieu. Can J Psychiatry 1993; 38(3): 168-74.
6) Roaldset JO, Martinsen EW. Psychiatric consultations at a somatic central hospital. Review of 383 referrals over 3 years. Tidsskr Nor Laegeforen 1992; 112(19): 2517-9.
7) Bijl RV, Ravelli A. Psychiatric morbidity, service use, and need for care in the general population: results of The Netherlands Mental Health Survey and Incidence Study. Am J Public Health 2000; 90(4): 602-7.
8) Bijl RV, Ravelli A, van Zessen G. Prevalence of psychiatric disorder in the general population: results of The Netherlands Mental Health Survey and Incidence Study (NEMESIS). Soc Psychiatry Psychiatr Epidemiol 1998; 33(12): 587-95.
9) Sorgaard KW, Sandanger I, Sorensen T, Ingebrigtsen G, Dalgard OS. Mental disorders and referrals to mental health specialists by general practitioners. Soc Psychiatry Psychiatr Epidemiol 1999; 34(3): 128-35.
10) Bebbington P, Hurry J, Tennant C, Sturt E, Wing JK. Epidemiology of mental disorders in Camberwell. Psychol Med 1981; 11(3): 561-79.
11) Regier DA, Boyd JH, Burke JD Jr, Rae DS, Myers JK, Kramer M, et al. One-month prevalence of mental disorders in the United States. Based on five epidemiologic catchment area sites. Arch Gen Psychiatry 1988; 45(11): 977-86.
12) Henderson S, Duncan-Jones P, Byrne DG, Scott R, Adcock S. Psychiatric disorder in Canberra. A standardised study of prevalence. Acta Psychiatr Scand 1979; 60(4):335-74.
13) De Almeida JM, Xavier M, Nabais F, Santos F, Morais J. Psychiatric morbidity in general hospital inpatients. Acta Med Port 1992; 5(11): 575-9.
14) Seguel M, Muñoz P, Nalegach E, Santander J. Prevalence of mental disorders at emergency service. Rev Med Chil 1993; 121(6): 705-10.
15) Turner T, de Sorkin A. Sharing psychiatric care with primary care physicians: the Toronto Doctors Hospital experience (1991-1995). Can J Psychiatry 1997; 42(9): 950-4.
16) Martucci M, Balestrieri M, Bisoffi G, Bonizzato P, Covre MG, Cunico L, et al. Evaluating psychiatric morbidity in a general hospital: a two-phase epidemiological survey. Psychol Med 1999; 29(4): 823-32.
17) Shevitz SA, Silberfarb PM, Lipowski ZJ. Psychiatric consultations in a general hospital. A report on 1.000 referrals. Dis Ner Syst 1976; 37(5): 295-300.
18) Huyse FJ, Lyons JS, Strain JJ. Evaluating psychiatric consultations in the general hospital. Multivariate prediction of concordance. Gen Hosp Psychiatry 1992; 14(6): 363-9.
19) Gous P, Gagiano CA, Wich DJ. Psychiatric disorders in internal medicine. S Afr Med J 1992; 82(6): 441-2.
20) Alaja R, Seppa K, Sillanaukee P, Tienari P, Huyse FJ, Herzog T, et al. Psychiatric referrals associated with substance use disorders: prevalence and gender differences. European Consultation-Liaison Work-group. Alcohol Clin Exp Res 1997; 21(4): 620-6.
21) Dean C, Surtees PG, Sashidharan SP. Comparison of research diagnostic systems in an Edinburgh community sample. Br J Psychiatry 1983; 142 :247-56.
22) Leon AC, Olfson M, Wissman MM, Portera L, Sheehan DV. Evaluation of screens for mental disorders in primary care: methodological issues. Psychopharmacol Bull 1996; 32(3): 353-61.
23) Amaddeo F, Beecham J, Bonizzato P, Fenyo A, Knapp M, Tansella M. The use of a case register to evaluate de costs of psychiatric care. Acta Psychiatr Scand 1997; 95(3): 189-98.
24) Fava GA, Pilowsky I, Pierfederici A, Bernardi M, Pathak D. Depression and illnes behavior in a general hospital: a prevalence study. Psychother Psychosom 1982; 38(1):141-53.
25) Lucero RK. Suicidios en Uruguay: su relación con la economía nacional (1972-1992). Rev Med Uruguay 1998; 14: 236-47.
26) Dajas F. Alta tasa de suicidio en Uruguay. Consideraciones a partir de un estudio epidemiológico. Rev Med Uruguay 1990; 6: 203-15.
27) González Rea J. Estudio epidemiológico de las muertes violentas en el Uruguay. Monografía de Posgrado de Psiquiatría, 1991: 27-50. Inédito.
28) Ginés A. Desarrollo y ocaso del asilo mental en el Uruguay. Rev Psiq Urug 1998; 62(2): 37-40.
29) Arduino M, Cáceres D, Grasés E. Aspectos histórico-estadísticos acerca de los pacientes esquizofrénicos internados en las Colonias Dres. Bernardo Etchepare y Santín Carlos Rossi en un período de 80 años. Rev Psiq Urug 1995; 59: 19-34.
30) Arduino M, Cáceres D, Grasés E. Colonias Dres. Bernardo Etchepare y Santín Carlos Rossi: su evolución entre los años 1912 y 1992. Rev Psiq Urug 1994; 58: 10-22.
31) Curbelo G, Esmoris MV, Micheff M, Montalbán A. Policlínico de Farmacodependencia. Cuatro años de funcionamiento. Rev Psiq Urug 1993; 57: 35-40.
32) Cau M, Irigoyen L, Larrosa D, Rilo I, Sazbón C. Morbilidad psíquica preoperatoria. Rev Psiq Urug 1987; 52: 89-103.
33) Ramírez F. Sobre organización de la asistencia psiquiátrica. Rev Psiq Urug 1964; 29: 3-18.
34) Uruguay. Ministerio de Salud Pública. Hospital Vilardebó. Aporte metodológico para el conocimiento de un hospital psiquiátrico: diagnóstico de situación funcional. Rev Psiq Urug 1975; 40: 14-35.
35) Arduino M, De los Santos O. La emergencia psiquiátrica en el Hospital General. Aspectos estadísticos. Rev Psiq Urug 1987; 52: 67-77.
36) Ramírez F. Pasado, presente y esperanza de futuro de la psiquiatría nacional. Rev Psiq Urug 1980; 45: 154-68.
37) Belegotti R, Wolcan G, Lista A, Balparda S. Hacia un servicio de Psiquiatría más eficiente. Rev Psiq Urug 1996; 60: 5-20.
38) American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders: DSM IV. 4ª ed. Barcelona: Masson, 1995.
39) World Health Organization. CIE-10. Revisión de la Clasificación Internacional de las Enfermedades. Trastornos mentales y del comportamiento. Descripciones clínicas y pautas para el diagnóstico. 10ª ed. Madrid: Meditor, 1992.
40) Esteve J, Benhamou E, Raymond L. Méthodes statistiques en épidemiologie descriptive. Paris: INSERM, 1993.
41) Armitage P, Berry G. Estadística para la investigación biomédica. Barcelona: Doyma, 1992.
42) Silverstone PH. Prevalence of psychiatric disorders in medical inpatients. J Nerv Ment Dis 1996; 184(1): 43-51.
43) Deshpande SN, Sundaram KR, Wig NN. Psychiatric disorders among medical in-patients in an Indian Hospital. Br J Psychiatry 1989; 154: 504-9.
44) Strain JJ, Simth GC, Hammer JS, Makenzie DP, Blumenfield M, Muskin P, et al. Adjustment disorder: a multisite study of its utilization and interventions in the consultation-liaison psychiatry setting. Gen Hosp Psychiatry 1998; 20(3): 139-49.
45) Newcorn J, Strain J. Adjustment disorders. In: Kaplan HI, Sadock B. Comprehensive textbook of psychiatry/VI. 6ª ed. Baltimore: Williams and Wilkins, 1996: 1418-24 (Vol 2).
46) Andreasen NC, Hoenk PR. The predictive value of adjustment disorders: a follow-up study. Am J Psychiatry 1982; 139(5): 584-90.
Published
2002-05-31
How to Cite
1.
Díaz N, Ruiz AI. Epidemiological study of the assited population at the Psychiatric Department of the Hospital de Clínicas: 1999-2000. Rev. Méd. Urug. [Internet]. 2002May31 [cited 2024Nov.17];18(1):48-. Available from: http://www2.rmu.org.uy/ojsrmu311/index.php/rmu/article/view/1001
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