Prevalence of psychological distress and associated factors in urban hospital outpatients in South Africa

South African Journal of Psychiatry

 
 
Field Value
 
Title Prevalence of psychological distress and associated factors in urban hospital outpatients in South Africa
 
Creator Peltzer, Karl Pengpid, Supa Skaal, Linda
 
Subject Psychiatry; Public health Psychological distress; Common mental disorders,; Prevalence; Associated factors; Hospital outpatients; South Africa —
Description Objective. The aim of this study was to assess the prevalence of psychological distress and associated factors among outpatients in an urban hospital in South Africa.Method. A sample of 1 532 consecutively selected patients (56.4% men and 43.6% women) from various hospital outpatient departments were interviewed with a structured questionnaire. Results. Based on assessment with the Kessler Psychological Distress Scale, a measure of psychological distress, 17.1% of the patients (15.5% of men and 19.4% of women) had severe psychological distress. Logistic multiple regression identified no income, poor health status, migraine headache and tuberculosis as significant factors associated with severe psychological stress for men. For women the factors identified were lower education, no income, having been diagnosed with a sexually transmitted disease, stomach ulcer and migraine headache.Conclusion. The study found a high prevalence of psychological distress among hospital outpatients in South Africa. Brief psychological therapies for adult patients with anxiety, depression or mixed common mental health problems treated in hospital outpatient departments are indicated. Accurate diagnosis of co-morbid depressive and anxiety disorders in patients with chronic medical illness is essential in understanding the cause and optimising the management of somatic symptom burden.
 
Publisher AOSIS
 
Contributor We thank FLIR-UOS programme collaboration with the University of Limpopo (Project 7) for funding the study.
Date 2012-02-01
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — corss-section
Format application/pdf text/html
Identifier 10.4102/sajpsychiatry.v18i1.304
 
Source South African Journal of Psychiatry; Vol 18, No 1 (2012); 6 2078-6786 1608-9685
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://sajp.org.za/index.php/sajp/article/view/304/284 https://sajp.org.za/index.php/sajp/article/view/304/289
 
Coverage Specific hospital; South Africa 2011 survey hospital outpatients
Rights Copyright (c) 2012 Karl Peltzer, Supa Pengpid, Linda Skaal https://creativecommons.org/licenses/by/4.0
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