title: Unrecognized psychiatric disorders among adult patients admitted into a general hospital in Maiduguri, Northeastern Nigeria.
abstract: BACKGROUND
  Patients with unrecognized psychiatric disorders in general hospitals, suffer economic and psycho-social difficulties. This study aimed to determine (i) prevalence and pattern of psychiatric disorders, and (ii) prevalence of unrecognized psychiatric disorders among adult in-patients of a general hospital.
  
  
  METHODS
  In this two-stage, cross-sectional study, we used (i) General Health Questionnaire (GHQ) and Composite International Diagnostic Interview (CIDI) to assess the prevalence of psychiatric disorders, and (ii) Patient Encounter Form to determine unrecognized psychiatric disorders, among patients admitted into a general hospital.
  
  
  RESULTS
  Of the 283 respondents, 174 (61.5%) had GHQ scores of ≤ 4. Eighty seven respondents (31%) had psychiatric disorders of which 85 (98%) were not recognized. The frequency of Depression and Anxiety disorders were 61.5% and 26.2% respectively. Unmarried (2.3, 1.2-4.3; p < 0.00), females (2.1, 1.1-4.05; p = 0.01) and patients with "unexplained symptoms" (≤ = 8.4, p< 0.00, df = 1) were more likely to have diagnosis of depression and anxiety disorder.
  
  
  CONCLUSIONS
  We conclude that one-third of the patients in the general hospital, had co-morbid psychiatric diagnoses, mostly unrecognized by their physicians. Unmarried, females and respondents with unexplained symptoms were associated with depression and anxiety disorders. We recommend the posting of psychiatric trainees to general hospitals, and training of general practitioners on the use of simple depression and anxiety screening instruments.
authors.affiliation: Department of Clinical Services, Federal Neuro-Psychiatric Hospital Kaduna, Kaduna state, Nigeria.
authors.forename: Abdulaziz
authors.initials: A
authors.lastname: Mohammed
authors.affiliation: Department of Mental health, University of Maiduguri Teaching hospital, Maiduguri, Nigeria.
authors.forename: Jidda Mohammed
authors.initials: JM
authors.lastname: Said
authors.affiliation: Department of Mental health, University of Maiduguri Teaching hospital, Maiduguri, Nigeria.
authors.forename: Musa Abba
authors.initials: MA
authors.lastname: Wakil
authors.affiliation: Department of clinical services, Federal Neuro-psychiatric Hospital Maiduguri, Borno state.
authors.forename: Isa Bukar
authors.initials: IB
authors.lastname: Rabbebe
authors.affiliation: Department of Clinical Services, Federal Neuro-Psychiatric Hospital Kaduna, Kaduna state, Nigeria.
authors.forename: Taiwo
authors.initials: T
authors.lastname: Sheikh
authors.affiliation: Department of Clinical Services, Federal Neuro-Psychiatric Hospital Kaduna, Kaduna state, Nigeria.
authors.forename: Samuel
authors.initials: S
authors.lastname: Agunbiade
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001008:Anxiety Disorders / Q000175:diagnosis / Q000453:epidemiology*; D003430:Cross-Sectional Studies; D003863:Depression / Q000175:diagnosis / Q000453:epidemiology*; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data; D006769:Hospitals, General; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology*; D008875:Middle Aged; D009549:Nigeria / Q000453:epidemiology; D015995:Prevalence; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: General hospital; anxiety disorders; epression; general practitioners; non-recognition; prevalence
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