A Tertiary Care Health Institution's Psychiatric Outpatients With Physical Illnesses

Main Article Content

Dr. R Karthikeyan

Abstract

It is important to identify the physical illnesses in psychiatric patients as part of effective clinical management. The purpose of this research was to explore the type and commonness of physical diseases among psychiatric outpatients. One hundred and twenty five consecutive psychiatric outpatients meeting the inclusion criteria were fully examined with regard to accompanying physical disorders. Clinical history, physical examination, and the results of the investigations permitted a decisive diagnosis. Two related physical illnesses were also considered: the study revealed that a quarter of the patients had related physical illnesses with approximately one-fifth of the diagnoses being new. Among the common physical illnesses were hypertension, respiratory diseases, anaemia, diabetes mellitus and liver diseases. History-taking and physical examination may frequently reveal these conditions. Psychiatrists need to embrace the habit of subjecting their psychiatric patients to regular general physical examination.

Article Details

How to Cite
Dr. R Karthikeyan. (2022). A Tertiary Care Health Institution’s Psychiatric Outpatients With Physical Illnesses. Journal for ReAttach Therapy and Developmental Diversities, 5(2), 670–674. https://doi.org/10.53555/jrtdd.v5i2.3658
Section
Articles
Author Biography

Dr. R Karthikeyan

Assistant Professor, Department of Psychiatry, Sri Venkateshwaraa Medical College Hospital and Research Center, Ariyur, Puducherry-605 102.

 

References

De Hert M, Correll CU, Bobes J, et al. Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care. World Psychiatry. 2011;10(1):52–77.

Walker ER, McGee RE, Druss BG. Mortality in mental disorders and global disease burden implications: a systematic review and meta-analysis. JAMA Psychiatry. 2015;72(4):334–341.

Firth J, Siddiqi N, Koyanagi A, et al. The Lancet Psychiatry Commission: a blueprint for protecting physical health in people with mental illness. Lancet Psychiatry. 2019;6(8):675–712.

Osborn DPJ, Levy G, Nazareth I, Petersen I, Islam A, King MB. Relative risk of cardiovascular and cancer mortality in people with severe mental illness from the United Kingdom's General Practice Research Database. Arch Gen Psychiatry. 2007;64(2):242–249.

Scott D, Happell B. The high prevalence of poor physical health and unhealthy lifestyle behaviours in individuals with severe mental illness. Issues Ment Health Nurs. 2011;32(9):589–597.

Mitchell AJ, Lord O. Do deficits in cardiac care influence high mortality rates in schizophrenia? A systematic review and pooled analysis. J Psychopharmacol. 2010;24(4 Suppl):69–80.

Kisely S, Smith M, Lawrence D, Maaten S. Inequitable access for mentally ill patients to some medically necessary procedures. CMAJ. 2007;176(6):779–784.

Muench J, Hamer AM. Adverse effects of antipsychotic medications. Am Fam Physician. 2010;81(5):617–622.

Strassnig M, Brar JS, Ganguli R. Health-related quality of life and obesity in schizophrenia. Schizophr Res. 2003;62(1–2):73–78.

Vancampfort D, Firth J, Schuch FB, et al. Physical activity and sedentary behavior in people with major depressive disorder: a systematic review and meta-analysis. J Affect Disord. 2017;210:264–274.

Thornicroft G. Physical health disparities and mental illness: the scandal of premature mortality. Br J Psychiatry. 2011;199(6):441–442.

Glover G, Williams R, Heslop P, Oyinlola J. Mortality in people with intellectual disabilities in England. J Intellect Disabil Res. 2017;61(1):62–74.

Meng L, Chen D, Yang Y, Zheng Y, Hui R. Depression increases the risk of hypertension incidence: a meta-analysis of prospective cohort studies. J Hypertens. 2012;30(5):842–851.

Haggerty JJ, Stern RA, Mason GA, Beckwith J, Morey CE, Prange AJ. Subclinical hypothyroidism: a modifiable risk factor for depression? Am J Psychiatry. 1993;150(3):508–510.