Muhammad Ajmal Zahid, Sulaiman Alkhadhari, Aseel Omran Alsabbrri, Ibrahim H A Mohammad, Amina Abdullah Atwan and Fatma Alqudaihi
Abdullah & Shereefa Almehry Health Center, Kuwait
Kuwait University, Kuwait
Scientific Tracks Abstracts: Primary Health Care
Background: A substantial proportion of primary clinic attendees suffer from psychiatric disorders and many of them are neither recognized nor adequately treated by primary clinic physicians. Objectives: To determine the point prevalence of, and identify risk factors for, depression, anxiety and somatisation disorder in the primary health clinics in the country. Method: The Physical Health Questionnaires (PHQ-SADs) were administered to a randomized sample of 1046 primary clinic attendees in all the five governorates of the country over a 5-month period. The descriptive data were computed with chisquare tests while the association of demographic characteristics with psychiatric disorders was determined with the logistic regression test. Results: 42.7% of our patients suffered from psychiatric disorders including depressive (22.9%), anxiety (17.7%), and somatisation (33.4%) disorder. Comorbidity between the three disorders was found in 20.4% of the sample; 11% had two and 10.4% had all three disorders. The Kuwaiti nationals, female gender, older age group subjects and those with lower level of education were more likely to suffer from psychiatric disorder. Limitations: The inter-rater reliability may have affected the results as a large number of physicians were responsible for administering the questionnaires. Moreover, the study did not include eating and substance-abuse disorders and the findings were limited to detection of somatisation, depression and anxiety disorders. Conclusions: In order to ensure timely provision of appropriate treatment, the primary care physicians need adequate information on different forms of presentation, and basic front line treatment, of the common mental disorders at the primary care level.
Muhammad Ajmal Zahid has done his MBBS from King Edward Medical College, Lahore. He is working as a Professor; Faculty of Medicine in Kuwait University, Kuwait. He has attended many international conferences and organized many workshops. He has published nearly 30 abstracts in many reputed journals. He is an invited speaker to many conferences.