Zekiye ÇATAK, Emel ÜZMEZ, Nefise ÖZTÜRK, KADER UĞUR, Süleyman AYDIN

Rates of distribution of psychiatric disorders, hepatitis seroprevalence and illicit substance usage among adults aged 50 years and over in Turkey: a regional representative study

Objective: This study examined the major admission etiologies (according to ICD-10 codes), illicit drug use rates and hepatitis seroprevalence of patients 50 age and over admitted to a mental hospital in Elazig, Turkey. Methods: The medical records of 2608 outpatients/inpatient aged ≥50 years admitted to a mental hospital in Elazığ between January 01 st 2016 and September 30 th 2018 were retrospectively examined. Results: Rates of admission etiologies were as follows; for the patient group without any psychiatric diagnosis, followed by recommendation without any medical treatment because of non-specific psychiatric complaints (general examinations, 22.7%), alcohol/sub- stance analyzes (17.6%), bipolar disorders (14.3%), schizophrenia (13.7%) and depression (13.2%).In the 50-59 years age group, the most common reason for admission was alcohol/drug screening for probation and forensic evaluation (20.4%). In the 60−69 and >70 years age groups, depression was the most common admission reason (16.7% and 22%, respectively). Cannabinoids were the most frequently detected substance (11.4% of patients), followed by opiates (3.8%), benzodiazepines (3.5%), amphetamines (2.2%) and cocaine (1.8%). Anti-HBs, HBsAg and anti-HCV were detected as positive by 51.2%, 5.4% and 1.3%, respectively. Anti-HCV rate of substance- depended patients was significantly higher than in the entire study population. Discussion: This study showed that alcohol/substance analysis was more common among people aged 50 years and older than bipolar disorder, schizo- phrenia and depression. It was found that cannabinoids were detected in 11.4% of the drug analyzes in individuals aged 50 years or older and the anti-HCV ratios of patients receiving treatment at the substance addiction center were higher than the other patients. (Anatolian Journal of Psychiatry 2019; 20(6):635-641)

Türkiye’de 50 yaş ve üstü yetişkinler arasında psikiyatrik bozuklukların, hepatit seroprevalansının ve yasa dışı madde kullanım oranlarının dağılımı: Bölgesel temsili bir çalışma

Amaç: Bu çalışma, Türkiye’nin Elazığ ilinde bulunan bir akıl sağlığı hastanesine kabul edilen 50 yaş ve üzeri hasta- ların ana kabul etiyolojileri (ICD-10 kodlarına göre), yasa dışı uyuşturucu kullanım oranları ve hepatit seroprevalans- ları incelemeyi amaçlamıştır. Yöntem: 01.01.2016-30.09.2018 tarihleri arasında Elazığ’daki ruh hastalıkları hasta- nesinde ayaktan başvurarak/yatarak tedavi edilen 50 yaş ve üstündeki 2608 hastanın kayıtları geriye dönük olarak incelendi. Bulgular: Hasta kabul oranları bu şekildeydi; psikiyatrik tanısı olmadan, özgül olmayan psikiyatrik yakın maları nedeniyle tıbbi tedavi planlanmadan öneri ile izlenen hasta grubu (%22.79), alkol/madde analizleri (%17.6), bipolar bozukluk (%14.3), şizofreni (%13.7) ve depresyon (%13.2). 50-59 yaş grubunda, başvuru için en yaygın neden, denetim ve adli değerlendirme amaçlı alkol/madde taramasıydı (%20.4). 60-69 ve ≥70 yaş gruplarında en sık başvuru nedeni depresyondu (sırasıyla %16.7 ve %22). En sık saptanan uyuşturucu kannabinoidler (hastaların %11.4’ü), ardından sırasıyla afyonlar (%3.8), benzodiyazepinler (%3.5), amfetaminler (%2.2) ve kokain (%1.8) idi. Anti-HBs %51.2, HBsAg %5.4 ve anti-HCV %1.3 oranında pozitif tespit edildi. Madde bağımlılığı merkezinde tedavi alan hastaların anti-HCV oranları diğer hastalardan anlamlı olarak daha yüksekti. Tartışma: Bu çalışma 50 yaş ve üstü insanlar arasında alkol/madde analizleri nedeniyle başvurunun bipolar bozukluk, şizofreni ve depresyondan daha fazla olduğunu, 50 yaş ve üstü bireylerde madde analizi yapılanların %11.4’ünde kannabinoid tespit edildiğini ve madde bağımlılığı merkezinde tedavi alan hastaların anti-HCV oranlarının diğer hastalardan yüksek olduğunu göstermiştir. (Anadolu Psikiyatri Derg 2019; 20(6):635-641)

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