Psychopathology of hospital endocrinological patients - Two -year retrospective study

Abstract

Comorbidity of endocrinological illness and psychiatric disorder is assctiated with a higher rate of functional disability and worsening of quality of life in comparison with each of conditions.

The objective of the study was: to identify the most frequent psychiatric disorders of hospital endocrinological patients in consultative psychiatric practice.

Material and method

Two-year retrospective study included a total of 112 hospital endocrinological patients of both sexes, F-68(60%), M-44(40%), who were referred to psychiatric consultation.

Results:

1. The most frequent causes for psychiatric consultation in hospital endocrinological patients were as follows: in diabetic patients (62/112-55%)-depression (34/62-54%), psychoorganic syndrome (24/62-38%), other diagnoses (4/62-16%); in patients with arterial hypertension (26/112-23%)-depression (18/26-69%), psychoorganic syndrome (6/26-31%); in patients with other diagnoses (obesitas, menopause, Cushing disease) (16/112-14%)-depression(12/16-75%), psychoorganic syndrome (3/16-18%), schizophrenia (1/16-6%); in patients with thyroid gland diseases (8/112-7%)- depression (6/8-75%), psychoorganic syndrome (2/8-25%).

Conclusion:

Depression and psychoorganic syndrome were the most frequent psychiatric disorders in hospital endocrinological patients with various endocrinological diagnoses, referred to psychiatric consultation.

It is necessary for consultative-liaison (CL) psychiatry to include long-term follow up of somatic patients with psychiatric disorders because of define of course and outcome of psychiatric symptoms and disorders in this patient's population, the interactive relation of somatic and psychiatric disorders as well as the evaluation of the effects of psychopharmacological therapy.