Bücher von Shalan Al-Abbudi

It is gradually becoming recognized that mental disorders are a public health problem throughout the world. Psychiatric epidemiological studies are therefore crucial for the planning and development of psychiatric services. Objectives: To determine the prevalence and determinants of mental illness morbidity among adult attending PHCCs in Baghdad. Methods: A cross sectional survey was conducted in two primary health care centers in Baghdad governorate. Participants were interviewed and data filled using a questionnaire for sociodemographic variables. Self-Reporting Questionnaire, and WHO guide to mental health in primary care. Results: A total of 527 were approached. The prevalence of mental illnesses was 36.8%. Depression (49.48%) and anxiety (20.62%) were the major categories of mental illness. The highest proportion of mental illnesses was among the older age groups (80%), female (37.9%), widows (84.6%), higher education level (96.7%) and retired (77.8%). Conclusion: In accordance with other studies, about one third of adult attending PHCCs had mental disorders. The study emphasized strengthening mental health services in PHCCs through establishing metal health care units.

Background: Depression and ischemic heart disease present a major comorbidity. Objective: To determine the prevalence and to estimate the severity of depression, and some of sociodemographic variables among patients with ischemic heart disease. Methods: A cross-sectional study conducted in Baghdad Teaching Hospital, Baghdad, Iraq. Study included all patients with ischemic heart disease excluding those with unstable medical illness. Socio-demographic variables, history of comorbid illnesses and complications were compiled. Self-Reporting Questionnaire (SRQ-20) to identify mental illnesses; DSM-IV criteria for depression and Hamilton-17 Scale for severity of depression, were used. Results: A total of 271 patients were approached; 94.1% responded. About a half was having myocardial infarction (50.6%), stable angina (31.4%), and (18%) unstable angina. 45.1% had depression; 14.9% mild, 20% moderate, 7.06% sever, and 3.14% very severe depression. Conclusion: Depression is high among ischemic heart disease patients, significantly associated with demographic variables. Treating physicians and cardiologists need to be aware of this co-morbidity.