Zulfiqarur Rehman, Shahzad Rauf.
Psychiatric morbidity in patients undergoing rehabilitation at Armed Forces Institute of Rehabilitation Medicine.
Pak Armed Forces Med J Jan ;56(1):32-7.

Objective: Psychiatric morbidity is common among patients with physical disorders. This study aims to find out the frequency of psychiatric disorders in patients attending rehabilitation program at Armed Forces Institute of Rehabilitation Medicine. Impact of physical disability and personality on psychiatric morbidity was also studied. Design: One hundred patients who were attending rehabilitation program were selected at random. All were administered Present State Examination, Functional Independence Measure. Psychiatric diagnosis was based on ICD-10 diagnostic criteria. Place and duration: The study was conducted at Department of Psychiatry Military Hospital Rawalpindi in collaboration with Armed Forces Institute Of Rehabilitation Medicine, from March 99 to July 99. Results: An overall frequency of 43% of psychiatric morbidity was found by the PSE-10 and ICD-10. Adjustment disorders (32.5%) were the largest group among the cases followed by mood disorders (27.8%). Psychiatric morbidity was comparatively higher among patients with spinal cord injury, stroke, burn injuries and amputations as compared to other categories. Mean FIM Scores were lower in cases (97.8) as compared to non- cases (108.8), this difference were statistically significant. Patients were also divided into those very severe disability and those with lesser functional impairment based on FIM scores. Calculation of the odds ratio revealed that people with severe disability were twice as likely to be suffering from psychiatric disorders as compared to those with lesser degree of disability. Conclusion: This study indicates that a considerable proportion of patients (>40%) undergoing rehabilitation program were suffering from psychiatric disorders. Detection and treatment of psychiatric morbidity can improve the rehabilitation outcome as well as the quality of life.

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