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Hidden and conspicuous psychiatric morbidity in Saudi primary health care : a pilot study
العناوين الأخرى
الاعتلالات النفسية الخفية و الظاهرة في الرعاية الصحية الأولية في المملكة العربية السعودية
المؤلفون المشاركون
al-Hamad, Abd al-Razzaq M. Y.
al-Faris, Iyad Abd al-Muhsin
al-Shammari, Sulayman A.
المصدر
The Arab Journal of Psychiatry
العدد
المجلد 7، العدد 2 (30 نوفمبر/تشرين الثاني 1996)، ص ص. 162-175، 14ص.
الناشر
تاريخ النشر
1996-11-30
دولة النشر
الأردن
عدد الصفحات
14
التخصصات الرئيسية
الملخص EN
Ob jective: To estimate the rate of hidden psychiatric morbidity (HPM) among the study population and to compare the assessment of the primary health care (PHC) physician with that of the psychiatrist.
Design; All patients seen on two weekly sessions were rated by a PHC physician according to a pre-designed 5-point severity rating scale and diagnostic classification.
One third of them, selected on the basis of systematic random sampling, were interviewed by a psychiatrist using the clinical interview schedule (CIS).
The same diagnostic and severity rating scales were filled by the psychiatrist.
Setting; A primary care centre in Riyadh, the capital of Saudi Arabia.
Participants-114 patients seen by the PHC physician and 38 of them interviewed by the psychiatrist.
Results: The hidden psychiatric morbidity (HPM) is high (31%), representing 67% of the total psychiatric morbidity (46%).
This is due to the low identification index of the physician (33%).
The higher the severity of the illness as rated by the PHC physician, the more likely to be a clinically significant psychiatric case.
On the other hand, the specificity (95%) and predictive value (86%) are high, i.e.
he is likely to be correct when he makes a positive diagnosis.
There is a significant difference in the ratings of the psychiatrist and the physician , ( McNamar's test, P < 0.01 ) and the agreement is low, (Cohen's Kappa = 0.26).
Psychiatric illness with somatic symptoms constituted the largest proportion of diagnostic categories as judged by the psychiatrist (31%.6%).
Patients labeled by the PC physician to have physical illness in a neurotic personality were usually missed psychiatric cases.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
al-Faris, Iyad Abd al-Muhsin& al-Hamad, Abd al-Razzaq M. Y.& al-Shammari, Sulayman A.. 1996. Hidden and conspicuous psychiatric morbidity in Saudi primary health care : a pilot study. The Arab Journal of Psychiatry،Vol. 7, no. 2, pp.162-175.
https://search.emarefa.net/detail/BIM-208035
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
al-Faris, Iyad Abd al-Muhsin…[et al.]. Hidden and conspicuous psychiatric morbidity in Saudi primary health care : a pilot study. The Arab Journal of Psychiatry Vol. 7, no. 2 (November 1996), pp.162-175.
https://search.emarefa.net/detail/BIM-208035
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
al-Faris, Iyad Abd al-Muhsin& al-Hamad, Abd al-Razzaq M. Y.& al-Shammari, Sulayman A.. Hidden and conspicuous psychiatric morbidity in Saudi primary health care : a pilot study. The Arab Journal of Psychiatry. 1996. Vol. 7, no. 2, pp.162-175.
https://search.emarefa.net/detail/BIM-208035
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references: p. 172-175
رقم السجل
BIM-208035
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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