SOCIODEMOGRAPHIC CORRELATES AND PATTERN OF PSYCHIATRIC DISORDERS IN THE HOSPITALIZED PATIENTS OF THE ARMED FORCES INSTITUTE OF MENTAL HEA

Abstract

Objective: To determine the sociodemographic correlates and pattern of psychiatric disorders in patients admitted at Armed Forces Institute of Mental Health (AFIMH).

Study Design: Hospital based cross sectional study.

Place and Duration of Study: This study was conducted at the Armed Forces Institute of Mental Health (AFIMH) Rawalpindi, from Apr 2015 to Jul 2015.

Methodology: All patients meeting the inclusion criteria admitted during the study period were enrolled after their informed consent. Psychiatric interview was carried out using the Present State Examination (PSE) and diagnosis was made according to the ICD 10 criteria.

Results: Out of 190 enrolled subjects, 148 (77.9%) were male with mean age ± SD of 32.96 ± 10.87 years while 42 (22.1%) were females with mean age ± SD of 31.19 ± 12.13 years. Post stratification chi square test revealed that age was an effect modifier for bipolar affective disorder (p-value 0.004) and substance use disorder (p-value 0.04). Gender was an effect modifier for depression (p-value 0.001), dissociative disorder (p-value 0.005) and substance use disorder (p-value 0.0001). Marital status was an effect modifier for depression only. The most common psychiatric diagnosis was bipolar affective disorder (38.9%) followed by depression (23.2%) and substance use disorder (20%). Other diagnosis included schizophrenia (7.4%), adjustment disorder (5.8%), dissociative disorders (4.2%) and PTSD (0.5%).

Conclusion: Younger age was positively associated with bipolar affective disorder and substance use disorder. Depression and dissociative disorders were positively associated with female gender where as substance use disorder was associated with the male gender.