MENTAL HEALTH IN PRIMARY HEALTH CARE; A NEED ASSESSMENT STUD

Objectives: To identify various somatic symptoms among the selected patients and their families for underlying psychological problems and to identify the barriers faced by them in health seeking regarding such problems. Study Design: Cross-sectional study. Place and Duration of Study: This stu...

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Autores principales: Naila Azam, Sumaira Masood, Saira Maroof, Humaira Mahmood
Formato: article
Lenguaje:EN
Publicado: Army Medical College Rawalpindi 2019
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Acceso en línea:https://doaj.org/article/00ce0eaa3c9e41f696a8219e808d6446
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spelling oai:doaj.org-article:00ce0eaa3c9e41f696a8219e808d64462021-11-05T04:18:44ZMENTAL HEALTH IN PRIMARY HEALTH CARE; A NEED ASSESSMENT STUD0030-96482411-8842https://doaj.org/article/00ce0eaa3c9e41f696a8219e808d64462019-12-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/3631/2454https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objectives: To identify various somatic symptoms among the selected patients and their families for underlying psychological problems and to identify the barriers faced by them in health seeking regarding such problems. Study Design: Cross-sectional study. Place and Duration of Study: This study was conducted in residential areas of Rawalpindi, over a period of six months, from Nov 2016 to Apr 2017. Methodology: Three hundred and ten adult males along with the adult females of their families were selected using non-probability consecutive sampling The adults (above 18 years) were interviewed by trained nurses and public health assistants using structured validated questionnaire, Lahore Somatic inventory Scale after verbal informed consent The adults who were unwilling or already diagnosed with any psychiatric disorder were exclu-ded. Data was entered and analyzed using SPSS 21. Results: Among 310, 129 (41.9%) were males and 181 (58.4%) were females. The symptoms reported were recorded on three point Likert scale, 1 to 3. Top ten symptoms reported in descending order were lack of energy/ weakness 49 (15.8%), pain or tension in neck and shoulder 42 (13.5%), aches & pains 41 (13.2%), feeling tired 39 (12.6%), mostly aware of palpitations 29 (9.4%), head bursting 28 (9%), feeling wind or belching 18 (5.8%), pain in chest or heart 22 (7.1%), constipation 21 (6.8%), constriction around head 21 (6.8%). On exploring reasons for not contacting a psychologist or health facility, 110 (35.48%) said that they didn’t know exactly whom to consult while 82 (26.45%) said that mental disorder is a stigma in our society and 74 (23.87%) were of the opinion that they were fearful of prolonged medication. Conclusion: The most common psychosomatic symptoms identified were lack of energy or generalized weakness followed by aches and pains and feeling tired. Most of the participants didn’t take help from a health specialist due to lack of awareness and stigmatized nature of illness.Naila AzamSumaira MasoodSaira MaroofHumaira MahmoodArmy Medical College Rawalpindiarticlehealth seeking behaviormental healthMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 69, Iss 6, Pp 1189-1193 (2019)
institution DOAJ
collection DOAJ
language EN
topic health seeking behavior
mental health
Medicine
R
Medicine (General)
R5-920
spellingShingle health seeking behavior
mental health
Medicine
R
Medicine (General)
R5-920
Naila Azam
Sumaira Masood
Saira Maroof
Humaira Mahmood
MENTAL HEALTH IN PRIMARY HEALTH CARE; A NEED ASSESSMENT STUD
description Objectives: To identify various somatic symptoms among the selected patients and their families for underlying psychological problems and to identify the barriers faced by them in health seeking regarding such problems. Study Design: Cross-sectional study. Place and Duration of Study: This study was conducted in residential areas of Rawalpindi, over a period of six months, from Nov 2016 to Apr 2017. Methodology: Three hundred and ten adult males along with the adult females of their families were selected using non-probability consecutive sampling The adults (above 18 years) were interviewed by trained nurses and public health assistants using structured validated questionnaire, Lahore Somatic inventory Scale after verbal informed consent The adults who were unwilling or already diagnosed with any psychiatric disorder were exclu-ded. Data was entered and analyzed using SPSS 21. Results: Among 310, 129 (41.9%) were males and 181 (58.4%) were females. The symptoms reported were recorded on three point Likert scale, 1 to 3. Top ten symptoms reported in descending order were lack of energy/ weakness 49 (15.8%), pain or tension in neck and shoulder 42 (13.5%), aches & pains 41 (13.2%), feeling tired 39 (12.6%), mostly aware of palpitations 29 (9.4%), head bursting 28 (9%), feeling wind or belching 18 (5.8%), pain in chest or heart 22 (7.1%), constipation 21 (6.8%), constriction around head 21 (6.8%). On exploring reasons for not contacting a psychologist or health facility, 110 (35.48%) said that they didn’t know exactly whom to consult while 82 (26.45%) said that mental disorder is a stigma in our society and 74 (23.87%) were of the opinion that they were fearful of prolonged medication. Conclusion: The most common psychosomatic symptoms identified were lack of energy or generalized weakness followed by aches and pains and feeling tired. Most of the participants didn’t take help from a health specialist due to lack of awareness and stigmatized nature of illness.
format article
author Naila Azam
Sumaira Masood
Saira Maroof
Humaira Mahmood
author_facet Naila Azam
Sumaira Masood
Saira Maroof
Humaira Mahmood
author_sort Naila Azam
title MENTAL HEALTH IN PRIMARY HEALTH CARE; A NEED ASSESSMENT STUD
title_short MENTAL HEALTH IN PRIMARY HEALTH CARE; A NEED ASSESSMENT STUD
title_full MENTAL HEALTH IN PRIMARY HEALTH CARE; A NEED ASSESSMENT STUD
title_fullStr MENTAL HEALTH IN PRIMARY HEALTH CARE; A NEED ASSESSMENT STUD
title_full_unstemmed MENTAL HEALTH IN PRIMARY HEALTH CARE; A NEED ASSESSMENT STUD
title_sort mental health in primary health care; a need assessment stud
publisher Army Medical College Rawalpindi
publishDate 2019
url https://doaj.org/article/00ce0eaa3c9e41f696a8219e808d6446
work_keys_str_mv AT nailaazam mentalhealthinprimaryhealthcareaneedassessmentstud
AT sumairamasood mentalhealthinprimaryhealthcareaneedassessmentstud
AT sairamaroof mentalhealthinprimaryhealthcareaneedassessmentstud
AT humairamahmood mentalhealthinprimaryhealthcareaneedassessmentstud
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