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Prevalence and Associated Factors of Mental Health Distress Among Hospitalized Patients in General Hospitals: A Multi-Center Cross-Sectional Study in Iran Publisher



Ansari S1 ; Parsaei M2 ; Noorbala AA1 ; Nejatisafa AA1 ; Arbabi M1 ; Hedayati A3 ; Elyasi F4 ; Banihashem S5 ; Salehian R6 ; Shokrani M7 ; Faridhosseini F8 ; Abedini E9 ; Rezapour M9 ; Sharafi SE1 Show All Authors
Authors
  1. Ansari S1
  2. Parsaei M2
  3. Noorbala AA1
  4. Nejatisafa AA1
  5. Arbabi M1
  6. Hedayati A3
  7. Elyasi F4
  8. Banihashem S5
  9. Salehian R6
  10. Shokrani M7
  11. Faridhosseini F8
  12. Abedini E9
  13. Rezapour M9
  14. Sharafi SE1
  15. Etesam F1
  16. Esfahani MN7
  17. Parsaei A10
  18. Moghaddam HS11
  19. Hosseini SH12
Show Affiliations
Authors Affiliations
  1. 1. Psychosomatic Medicine Research Center, Imam-Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Breastfeeding Research Center, Family Health Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Psychiatry, Shiraz University of Medical Sciences, Shiraz, Iran
  4. 4. School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
  5. 5. Department of Psychosomatic Medicine, Taleghani Hospital Research Development Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  6. 6. Department of Psychiatry, Health Research Institute, Rasoul-E-Akram Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
  7. 7. Mental Health Research Center, School of Behavioral Sciences and Mental Health, Tehran Psychiatry Institution, Iran University of Medical Sciences, Tehran, Iran
  8. 8. Psychiatry and Behavioral Sciences Research Center and Department of Psychiatry, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
  9. 9. Health Sciences Research Center, Mazandaran University of Medical Sciences, Sari, Iran
  10. 10. Department of Psychology, Islamic Azad University of Medical Sciences, Tehran, Iran
  11. 11. Psychiatry and Psychology Research Center, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran, Iran
  12. 12. Psychiatry and Behavioral Sciences Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran

Source: Discover Mental Health Published:2024


Abstract

Background: Understanding the prevalence of mental distress in hospitalized patients and identifying associated factors can help reduce the burden of mental disorders on their medical management and improve their quality of life. This study aimed to examine the prevalence of mental distress among hospitalized patients in general hospitals and assess its associated factors. Methods: In this cross-sectional study, we evaluated the mental health status of inpatients in seven cities in Iran, using the General Health Questionnaire-12 (GHQ-12), with a total GHQ-12 score ≥ 4 or higher categorized as “mentally distressed.” Statistical analyses were conducted using independent t-tests, one-way analysis of variance, and cross-tabulations. Results: A total of 524 patients (347 females) were assessed, with 208 (38.7%) being classified as mentally distressed. The prevalence of mental distress was significantly higher among males (52.0%) compared to females (34.0%) (p = 0.002). There were no significant differences in GHQ-12 scores among different age groups (p > 0.05). Significant differences were observed in mental health status based on job status, with retired (64.7%) and laborer (22.8%) patients showing the highest and lowest rates of mental distress, respectively (p < 0.001). Additionally, mental distress prevalence varied significantly across hospital wards, with internal medicine (47.6%) and obstetrics and gynecology (28.3%) having the highest and lowest prevalence, respectively (p = 0.004). Conclusions: A considerable proportion of patients hospitalized for medical reasons also experience mental distress. Various demographic factors are associated with their mental health status. This highlights the need for integrated mental health assessments alongside medical treatment to alleviate the burden of mental disorders. © The Author(s) 2024.
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