AI Summary & Key Takeaways
AI InsightDetailed evaluation of disability in psychiatry is important for developing preventive mentalhealth programs
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Abstract
Objective: Disability is a multifaceted phenomenon thatoccurs due to interaction of the health condition and theenvironment, which causes limited participation in dailylife activities. We aimed to evaluate psychiatric diagnosisand relative sociodemographic data of the patients withdisability rate of 40% and over. Method: A total of 3176patients who applied to the health care institution of ourhospital for the assessment of their disability werereviewed for 1-year period. Sociodemographic data anddiagnosis of 318 patients, who got 40% and over disability rate caused by mental disorders in accordancewith the "Regulation on the Reports of the Health Boardon Disability Criteria, Classification and Disability" wereretrospectively assessed. Results: The most frequent disability diagnosis group was mood disorders (n = 73,23%), following mental retardation (n = 81, 47.8%) andschizophrenia and other psychotic disorders (n = 79,24.8%). Major depressive disorder was constituted 23%of patients (n = 73). Mean age of the patients 40% (orover) disabled was 41.9 ± 13.2. Conclusion: Mood disorders, mental retardation, schizophrenia and psychoticdisorders were found to be the most frequent disablingdisorders in psychiatry setting and disability was foundto see mostly in middle age which is also defined as theproductive age. Detailed evaluation of disability in psychiatry is important for developing preventive mentalhealth programs
Özet
Amaç: Engellilik hali ki?inin sa?l?k durumu ve çevreninetkile?imi ile ortaya ç?kan, günlük ya?am aktivitelerines?n?rl? kat?l?ma sebep olan çok yönlü bir fenomendir.Çal??mam?zda psikiyatrik bozukluklardan %40 ve üzeriengellilik oran? alanlar?n tan? da??l?mlar? ve sosyodemografik verilerini de?erlendirmek amaçlanm??t?r.Yöntem: 2016 y?l? içerisinde hastanemiz sa?l?k kurulunaengellilik hali tespiti de?erlendirilmesi amac?yla ba?vuruyapan toplam 3176 hastadan 28603 say?l? "EngellilikÖlçütü, S?n?fland?rmas? ve Engellilere Verilecek Sa?l?kKurulu Raporlar? Hakk?nda Yönetmelik" uyar?nca psikiyatrik bozukluklardan %40 ve üzeri özür oran? alan 318hastan?n tan?lar? ve sosyodemografik verileri retrospektifolarak incelendi. Bulgular: Psikiyatride en s?k engellilikhaline sebep olan tan? grubu duygudurum bozukluklar?(n=99, %57,8) olarak bulundu, daha sonra s?ras?yla zekagerili?i (n=81, %47,8), ?izofreni ve psikozla giden bozukluklar (n=79, %24,8) yer ald?. Duygudurum bozukluklar?ndan major depresif bozukluk hastalar?n %23'ünü(n=73) olu?turmaktayd?. Engellilik oran? %40 ve üzeriolan hastalar?n ya? ortalamas? 41,9 ( SD ± 13,2) olarakbulundu. Sonuç: Çal??mam?zda s?ras?yla duygudurumbozukluklar?, zeka gerili?i, ?izofreni ve psikozla gidenbozukluklar psikiyatride en s?k engellilik haline sebepolan bozukluklar olarak tespit edilmi? olup, engellilikhalinin en s?k üretken ça? olarak da tan?mlanabilecekorta eri?kinlikte ortaya ç?kt??? görülmü?tür. Psikiyatrideengellilik halinin ayr?nt?l? de?erlendirilmesi, koruyucu ruhsa?l??? programlar? geli?tirilmesi aç?s?ndan önem ta??maktad?r