Psychiatric Morbidity in Elderly Patients Attending OPD of Lumbini Medical College and Teaching Hospital

Bhaskkar Sharma, R. Shrestha
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Abstract

INTRODUCTION: Geriatric psychiatry patients are increasing but enough work has not been done in this area of Nepal. We conducted this study to find out the prevalence of different psychiatric morbidities in elderly population and to find out if there are any age and gender specific differences. MATERIAL AND METHODS: Medical records of psychiatric patients above 65 years of age visiting outpatient department of Lumbini Medical College and Teaching Hospitalfrom April 1, 2018 to March 31, 2019 were reviewed. Risks of having different psychiatric disorders was estimated using odds ratio. RESULTS: A total of 300 cases were enrolled in the study. Mean age of the study group was 71.49(SD=6.99). There were more females. Depressive disorderwas the most common diagnosis followed by somatoform disorder, anxiety disorder, dementia and others. Depressive disorder was higher in females and in younger subgroup of the elderly patient.The risk of having dementia was higher in older group. CONCLUSION: Depressive disorder was the most common psychiatric disorderfollowed by somatoform disorder in elderly patients above 65 years of age. Male patients were more likely to suffer psychiatric disorder as compared to females in this age.
蓝毗尼医学院及教学医院门诊老年患者精神疾病发病率分析
导言:老年精神病患者正在增加,但在尼泊尔这一地区还没有做足够的工作。我们进行这项研究是为了了解老年人群中不同精神疾病的患病率,以及是否存在年龄和性别特异性差异。材料与方法:回顾2018年4月1日至2019年3月31日在蓝毗尼医学院和教学医院门诊就诊的65岁以上精神科患者病历。使用优势比估计患不同精神疾病的风险。结果:共纳入300例患者。研究组平均年龄为71.49岁(SD=6.99)。有更多的女性。抑郁症是最常见的诊断,其次是躯体形式障碍、焦虑症、痴呆等。抑郁症在女性和老年患者的年轻亚组中较高。老年人群患痴呆的风险更高。结论:65岁以上老年患者以抑郁症为最常见的精神障碍,其次为躯体形式障碍。在这个年龄段,男性患者比女性患者更容易患精神疾病。
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