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

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

Research output: Chapter in Book/Report/Conference proceedingChapter

10 Citations (Scopus)

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.

Original languageEnglish
Title of host publicationInternational Journal of Mental Health Systems
Volume3
DOIs
Publication statusPublished - 18 Jun 2009

Fingerprint

Malaysia
Psychiatry
Primary Health Care
Morbidity
Health
Binge-Eating Disorder
Somatoform Disorders
Panic Disorder
Anxiety Disorders
Alcoholism
Surveys and Questionnaires
Mental Health
Cross-Sectional Studies
Delivery of Health Care

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health
  • Phychiatric Mental Health

Cite this

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. In International Journal of Mental Health Systems (Vol. 3). [13] https://doi.org/10.1186/1752-4458-3-13

Psychiatric morbidity among adult patients in a semi-urban primary care setting in Malaysia. / ZamZam, Ruzanna; Thambu, Maniam; Midin, Marhani; Omar, Khairani; Kaur, Pervesh.

International Journal of Mental Health Systems. Vol. 3 2009. 13.

Research output: Chapter in Book/Report/Conference proceedingChapter

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. in International Journal of Mental Health Systems. vol. 3, 13. 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. In International Journal of Mental Health Systems. Vol. 3. 2009. 13 https://doi.org/10.1186/1752-4458-3-13
ZamZam, Ruzanna ; Thambu, Maniam ; Midin, Marhani ; Omar, Khairani ; Kaur, Pervesh. / Psychiatric morbidity among adult patients in a semi-urban primary care setting in Malaysia. International Journal of Mental Health Systems. Vol. 3 2009.
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