Recognition of Mental Health Problems by Primary Care Physicians in a Tertiary Care Hospital in Nigeria

Aims and Objectives: This study sought to determine the difference in detection of attendees with mental health problems visiting the General Out-patient clinic of a tertiary institution; the General Health Questionnaires (GHQ-12) were compared with those identified by the physicians. Patients and...

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Main Authors: U E Asibong, N E Udonwa, A N Gyuse, I B Okokon, T Aluka, E E Ekpe
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2011-01-01
Series:Nigerian Postgraduate Medical Journal
Subjects:
Online Access:http://www.npmj.org/article.asp?issn=1117-1936;year=2011;volume=18;issue=4;spage=266;epage=271;aulast=Asibong;type=0
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author U E Asibong
N E Udonwa
A N Gyuse
I B Okokon
T Aluka
E E Ekpe
author_facet U E Asibong
N E Udonwa
A N Gyuse
I B Okokon
T Aluka
E E Ekpe
author_sort U E Asibong
collection DOAJ
description Aims and Objectives: This study sought to determine the difference in detection of attendees with mental health problems visiting the General Out-patient clinic of a tertiary institution; the General Health Questionnaires (GHQ-12) were compared with those identified by the physicians. Patients and Methods: Three hundred and twenty two (322) subjects aged 18 years and above, attending the clinic for the first time, were recruited for the study by a systematic random sampling method. Using a cut off score of ′3′ on the 12-item General Health Questionnaire (GHQ-12), ′Cases′ and ′Non-cases′ generated were compared with those identified by the doctors. Identification rates for both groups were calculated and the coefficients determined using a two-by-two contingency table. Results: The GHQ-12 identified 46.6% ′cases′ while the General Out-patient Clinic (GOPC) doctors identified 6.8% with a diagnostic sensitivity of 8% and a specificity of 94% Conclusion: Despite the high proportion of mental health problems in the GOPC of the hospital, the detection rate by the clinic doctors was low. There is a need for the use of an easy tool like the GHQ-12 for screening and identification of attendees with mental health problems especially in a busy clinic setting .
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spelling doaj.art-01789257b48246a483338d7bdc9ee85c2022-12-21T17:23:08ZengWolters Kluwer Medknow PublicationsNigerian Postgraduate Medical Journal1117-19362468-68752011-01-01184266271Recognition of Mental Health Problems by Primary Care Physicians in a Tertiary Care Hospital in NigeriaU E AsibongN E UdonwaA N GyuseI B OkokonT AlukaE E EkpeAims and Objectives: This study sought to determine the difference in detection of attendees with mental health problems visiting the General Out-patient clinic of a tertiary institution; the General Health Questionnaires (GHQ-12) were compared with those identified by the physicians. Patients and Methods: Three hundred and twenty two (322) subjects aged 18 years and above, attending the clinic for the first time, were recruited for the study by a systematic random sampling method. Using a cut off score of ′3′ on the 12-item General Health Questionnaire (GHQ-12), ′Cases′ and ′Non-cases′ generated were compared with those identified by the doctors. Identification rates for both groups were calculated and the coefficients determined using a two-by-two contingency table. Results: The GHQ-12 identified 46.6% ′cases′ while the General Out-patient Clinic (GOPC) doctors identified 6.8% with a diagnostic sensitivity of 8% and a specificity of 94% Conclusion: Despite the high proportion of mental health problems in the GOPC of the hospital, the detection rate by the clinic doctors was low. There is a need for the use of an easy tool like the GHQ-12 for screening and identification of attendees with mental health problems especially in a busy clinic setting .http://www.npmj.org/article.asp?issn=1117-1936;year=2011;volume=18;issue=4;spage=266;epage=271;aulast=Asibong;type=0recognitionmental healthprimary care physicians
spellingShingle U E Asibong
N E Udonwa
A N Gyuse
I B Okokon
T Aluka
E E Ekpe
Recognition of Mental Health Problems by Primary Care Physicians in a Tertiary Care Hospital in Nigeria
Nigerian Postgraduate Medical Journal
recognition
mental health
primary care physicians
title Recognition of Mental Health Problems by Primary Care Physicians in a Tertiary Care Hospital in Nigeria
title_full Recognition of Mental Health Problems by Primary Care Physicians in a Tertiary Care Hospital in Nigeria
title_fullStr Recognition of Mental Health Problems by Primary Care Physicians in a Tertiary Care Hospital in Nigeria
title_full_unstemmed Recognition of Mental Health Problems by Primary Care Physicians in a Tertiary Care Hospital in Nigeria
title_short Recognition of Mental Health Problems by Primary Care Physicians in a Tertiary Care Hospital in Nigeria
title_sort recognition of mental health problems by primary care physicians in a tertiary care hospital in nigeria
topic recognition
mental health
primary care physicians
url http://www.npmj.org/article.asp?issn=1117-1936;year=2011;volume=18;issue=4;spage=266;epage=271;aulast=Asibong;type=0
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