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ZamZam R, Thambu M, Midin M, et al. Psychiatric morbidity among adult patients in a semi-urban primary care setting in Malaysia. Int J Ment Health Syst. 2009;3(1):13doi: 10.1186/1752-4458-3-13.
ZamZam, R., Thambu, M., Midin, M., Omar, K., & Kaur, P. (2009). Psychiatric morbidity among adult patients in a semi-urban primary care setting in Malaysia. International journal of mental health systems, 3(1), 13. https://doi.org/10.1186/1752-4458-3-13
ZamZam, Ruzanna, et al. "Psychiatric morbidity among adult patients in a semi-urban primary care setting in Malaysia." International journal of mental health systems vol. 3,1 (2009): 13. doi: https://doi.org/10.1186/1752-4458-3-13
ZamZam R, Thambu M, Midin M, Omar K, Kaur P. Psychiatric morbidity among adult patients in a semi-urban primary care setting in Malaysia. Int J Ment Health Syst. 2009 Jun 18;3(1):13. doi: 10.1186/1752-4458-3-13. PMID: 19538711; PMCID: PMC2709104.
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Int J Ment Health Syst. 2009 Jun 18;3(1):13. doi: 10.1186/1752-4458-3-13.

Psychiatric morbidity among adult patients in a semi-urban primary care setting in Malaysia.

International journal of mental health systems

Ruzanna ZamZam, Maniam Thambu, Marhani Midin, Khairani Omar, Pervesh Kaur

Affiliations

  1. Department of Psychiatry, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur 56000, Malaysia.
  2. Department of Family Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur 56000, Malaysia.

PMID: 19538711 PMCID: PMC2709104 DOI: 10.1186/1752-4458-3-13

Abstract

BACKGROUND: Screening for psychiatric disorders in primary care can improve the detection rate and helps in preventing grave consequences of unrecognised and untreated psychiatric morbidity. This is relevant to the Malaysian setting where mental health care is now also being provided at primary care level. The aim of this paper is to report the prevalence of psychiatric illness in a semi-urban primary care setting in Malaysia using the screening tool Patient Health Questionnaire (PHQ).

METHODS: This is a cross-sectional study carried out in a semi-urban primary healthcare centre located south of Kuala Lumpur. Systematic random sampling was carried out and a total of 267 subjects completed the PHQ during the study period.

RESULTS: The proportion of respondents who had at least one PHQ positive diagnosis was 24.7% and some respondents had more than one diagnosis. Diagnoses included depressive illness (n = 38, 14.4%), somatoform disorder (n = 32, 12.2%), panic and anxiety disorders (n = 17, 6.5%), binge eating disorder (n = 9, 3.4%) and alcohol abuse (n = 6, 2.3%). Younger age (18 to 29 years) and having a history of stressors in the previous four weeks were found to be significantly associated (p = 0.036 and p = 0.044 respectively) with PHQ positive scores.

CONCLUSION: These findings are broadly similar to the findings of studies done in other countries and are a useful guide to the probable prevalence of psychiatric morbidity in primary care in other similar settings in Malaysia.

References

  1. Arch Gen Psychiatry. 1985 Jun;42(6):583-7 - PubMed
  2. Psychol Med. 1987 Feb;17(1):243-7 - PubMed
  3. Aust J Rural Health. 2006 Feb;14(1):2-8 - PubMed
  4. WMJ. 2004;103(6):46-51 - PubMed
  5. Med J Malaysia. 1997 Mar;52(1):99-101; quiz 102 - PubMed
  6. Psychol Med. 1997 Jan;27(1):191-7 - PubMed
  7. JAMA. 1994 Dec 14;272(22):1749-56 - PubMed
  8. N Engl J Med. 1992 Apr 16;326(16):1080-4 - PubMed
  9. Psychol Med. 1977 Aug;7(3):475-89 - PubMed
  10. Psychol Med. 1976 Nov;6(4):565-9 - PubMed
  11. Gen Hosp Psychiatry. 1997 Nov;19(6):411-8 - PubMed
  12. Am J Psychiatry. 2003 Dec;160(12):2080-90 - PubMed
  13. Am Fam Physician. 1998 Nov 1;58(7):1617-24 - PubMed
  14. Psychol Med. 2002 May;32(4):629-37 - PubMed
  15. J Clin Psychiatry. 2001;62 Suppl 26:23-8 - PubMed
  16. Arch Gen Psychiatry. 1988 Dec;45(12):1100-6 - PubMed
  17. Br J Psychiatry. 2004 May;184:386-92 - PubMed
  18. J Psychosom Res. 1996 Sep;41(3):247-54 - PubMed
  19. Br J Psychiatry. 1997 Jun;170:529-35 - PubMed
  20. Gen Hosp Psychiatry. 1991 May;13(3):156-64 - PubMed
  21. Ann Intern Med. 2002 May 21;136(10):765-76 - PubMed
  22. Br Med J (Clin Res Ed). 1985 Jul 20;291(6489):161-2 - PubMed
  23. Singapore Med J. 1990 Oct;31(5):457-62 - PubMed
  24. Singapore Med J. 1987 Dec;28(6):530-3 - PubMed
  25. Br J Psychiatry. 2004 May;184:393-403 - PubMed
  26. BMJ. 1998 Jul 11;317(7151):115-9 - PubMed
  27. Med J Malaysia. 1994 Sep;49(3):242-6 - PubMed
  28. Med J Malaysia. 1989 Dec;44(4):275-82 - PubMed
  29. Med J Malaysia. 1995 Mar;50(1):11-6 - PubMed

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