dc.contributor.author | Ndetei David M. | |
dc.contributor.author | Khasakhala, LI | |
dc.contributor.author | Ongecha, FA | |
dc.contributor.author | Mutiso, V | |
dc.contributor.author | Kokonya, DA | |
dc.date.accessioned | 2013-04-29T08:33:04Z | |
dc.date.available | 2013-04-29T08:33:04Z | |
dc.date.issued | 2007 | |
dc.identifier.citation | Afr Health Sci. 2007 Dec;7(4):197-201 | en |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3074374/ | |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/17501 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/pubmed/21499484 | |
dc.description.abstract | Background:When a patient presents with mental illness and displays psychotic symptoms which are not clearly delineated, a clinical diagnosis of psychosis is usually entertained.
Aim: To determine the underlying Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition (DSM-IV) disorders in clinical entities admitted with a working diagnosis of "psychosis" at Mathari Psychiatric Hospital, Nairobi, Kenya.
Study design: Descriptive cross-sectional quantitative study
Methods: A total of 138 patients with a working diagnosis of "psychosis" on admission at Mathari Hospital during the period of this study were recruited over a one-month period. Their DSM-IV diagnoses were made using the Structured Clinical Interview for DSM-IV (SCID). Analysis of the results was done using SPSS version 11.5. Results:Nearly three quarters (72.5%) of the patients were male, 68.5% were aged between 20 and 34 years and 63.7% reported that they were single. Nearly half (49.2%) had attained up to 12 years of formal education and 90% were dependants of a member of the family. The most common DSM-IV diagnoses were schizophrenia, bipolar disorder, substance abuse, depression and anxiety disorders. Co-morbidity was recorded with an average of three DSM-IV disorders.
Conclusion: "Psychosis" as a working diagnosis was reported in relatively young adults. The patients whose working clinical diagnosis was "psychosis" met the criteria for an average of three DSM-IV diagnoses. There is need for a proactive policy in clinical practice so that definitive diagnoses rather than just "psychosis" are made and appropriate management initiated as early as possible | en |
dc.language.iso | en | en |
dc.title | Outcome of a working diagnosis of "psychosis" in relation to DSM-IV diagnostic criteria in a Kenyan in-patient cohort at Mathari hospital, Nairobi | en |
dc.type | Article | en |
local.publisher | Africa Mental Health Foundation, Nairobi, Kenya | en |
local.publisher | Department of Psychiatry, University of Nairobi, Nairobi, Kenya; | en |