Presentation Information
[O-4-03]Patterns of Psychiatric disorders, self-reported psychological well-being and distress and their social and clinical correlates, in individuals attending an urban mental health clinic, in Bangalore, a metro city of India- A retrospective chart review
*NIRMALYA MUKHERJEE1, Sundarnag Ganjekar2, Senthil Kumar Reddy2, Gargi Mondal1, Harish T2 (1.East West Institute of Medical Sciences and Research(India), 2.NIMHANS, Bangalore(India))
Keywords:
community psychiatry,urban mental health clinic,psychiatric morbidity,distress,wellbeing
Background: Rapid urbanisation and migration from rural to urban areas widen the treatment gap in the urban population with mental health care needs. People generally prefer psychiatric clinics over hospitals, because of accessibility and less stigma. Community-based centres facilitate easier access and comprehensive care. Clinic-based data aid in service planning and resource allocation. In this area, data from the Indian context is limited. Therefore, we planned this study.
Objectives: To examine the pattern of psychiatric morbidity and its correlates in persons attending an urban mental health clinic. Method: Following approval from the institutional ethics committee, the case-record files of individuals attending an urban mental health clinic in Bangalore, India, from April 2018 to March 2019, were reviewed retrospectively. We collected sociodemographic and clinical information, including the WHO-5 well-being index and K10 assessment scores, which were recorded routinely at baseline. Descriptive, correlational, and multinomial regression analyses were performed using SPSS version 21.
Results: Out of 195 case-records, the majority had depression (n=70, 35.9%), followed by anxiety disorders, including OCD (n=36, 18.5%), and trauma-related disorders (n=35, 17.9%). Most patients reported significant distress (82%) and lower well-being (70.3%). Distress was higher among females, depressed individuals, those not currently married, and those with a family history of psychiatric illness. Additionally, well-being was poorer in individuals with recurrent psychiatric illness.
Discussion: Urban mental health wellbeing clinics probably serve people with common mental illnesses. Besides psychiatric morbidity, gender, marital status, and family history of psychiatric illness also contribute to distress and poor well-being. These highlight the need to build more such clinics for the general population, as individuals with common mental illnesses find it difficult to access psychiatric hospitals. Future prospective studies should explore how gender, marital relationships, familial tendencies, and recurrent psychiatric illnesses influence well-being and perceived distress in people with common mental illnesses.
Objectives: To examine the pattern of psychiatric morbidity and its correlates in persons attending an urban mental health clinic. Method: Following approval from the institutional ethics committee, the case-record files of individuals attending an urban mental health clinic in Bangalore, India, from April 2018 to March 2019, were reviewed retrospectively. We collected sociodemographic and clinical information, including the WHO-5 well-being index and K10 assessment scores, which were recorded routinely at baseline. Descriptive, correlational, and multinomial regression analyses were performed using SPSS version 21.
Results: Out of 195 case-records, the majority had depression (n=70, 35.9%), followed by anxiety disorders, including OCD (n=36, 18.5%), and trauma-related disorders (n=35, 17.9%). Most patients reported significant distress (82%) and lower well-being (70.3%). Distress was higher among females, depressed individuals, those not currently married, and those with a family history of psychiatric illness. Additionally, well-being was poorer in individuals with recurrent psychiatric illness.
Discussion: Urban mental health wellbeing clinics probably serve people with common mental illnesses. Besides psychiatric morbidity, gender, marital status, and family history of psychiatric illness also contribute to distress and poor well-being. These highlight the need to build more such clinics for the general population, as individuals with common mental illnesses find it difficult to access psychiatric hospitals. Future prospective studies should explore how gender, marital relationships, familial tendencies, and recurrent psychiatric illnesses influence well-being and perceived distress in people with common mental illnesses.