Psychiatric disorders; pattern and trends of patients attending out patient department at govt. Sarhad Hospital for Psychiatric Illnesses, Peshawar

ABSTRACT

The study was conducted to examine the pattern/trend of psychiatric disorders in a hospital based setting. Conducted at Govt. Sarhad Hospital for Psychiatric Diseases, Peshawar in March-April, 2010. Simple Observational. A Retrospective record review was done to determine the disease pattern for patients examined in the OPD [out patient deptt.]. All the patients who attended OPD in year 2010 and 2004 were included.The diseases were coded and classified according to ICD- 9 and 10. Comparison and Statistical analysis of both years was done. The findings of the study suggested that disease pattern seen at hospital, represents mental diseases prevalent in Distt. Peshawar. It showed the predominance of schizophrenic group and neurotic [31 -35%], stress related disorders [30-31%] group over other diseases. Next were the mode effective disorders [12- 16%] and episodal and paroxysmal disorders group [16-17%]. Drug dependence and mental retardation showed low percentage of 2%. Rest of diseases also showed low percentage. Although similar patterns were observed for both years but there were statistically significant difference between the two years. Hospital utilization pattern is a useful guide to the prevalence of mental diseases in general community.The chronic illnesses consisted of major burden of disease. Major groups were Schizophrenic and Neurotic, and Stress related disorders group. Pattern of psychiatric illness have not changed much from 2004 to 2010. Although the hospital is catering a large number of patients, yet there is a dire need of organizing mental health services at community level to reach undiagnosed patients