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A Journal on Psychiatry, Psychology and Psychopharmacology

Official Journal of the Italian Society of Social Psychiatry
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Minerva Psichiatrica 1999 September;40(3):163-70


language: Italian

Epidemiological analysis of two Milan out patients mental health centres. A descriptive study

Arduini A., Laini V., Zanelli Quarantini F., Invernizzi G.


Background. A two year epidemiologic study concerning two mental health centres in Milan is reported. The research deals with approx one thousand patients per year. The aim is to study a specific psychiatric population, presenting characteristic urban and social composition, and also to know the type of response, type of first contact with the centres.
Methods. The study examines the statistical correlation (number, percentage, chi square) between diagnosis and the following factors: sociodemographic profile, customer, therapy and relational style. DSM IV is used in diagnostic criteria.
Results. Schizophrenia is common in the thirties, mood disorders in retirement age, anxiety in the younger. Other sociodemographic factors are significant. Serious pathologies are directly correlated with serious relational and therapeutical dependence. Absence of job is also involved in these conditions. Mild pathologies require a more specific kind of therapy. Elderly mainly present depressive disorders.
Conclusions. Results lead to define patients like heterogeneus, but homogeneus by subgroups: in some of these, economic, social and psychic disability is great. These facts determine hard work and high costs in treatment. In other subgroups, various and slighter pathologies prevail: among them, direct or inverse correlation between type of disorder, age and job can be found. The psychiatric centres examined are characterized not only for psychosis therapy but also by a large wide of response in other pathologies. Specific therapeutic and relational indications follow.

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