NGHIÊN CỨU CƠ CẤU VÀ ĐẶC ĐIỂM LÂM SÀNG BỆNH NHÂN ĐƯỢC GIÁM ĐỊNH TẠI HỘI ĐỒNG GIÁM ĐỊNH Y KHOA BỆNH TÂM THẦN BỘ QUỐC PHÒNG

Abstract

Objectives: To research the features of patients examined at the Medical Board of the Mental Diseases, Vietnam Ministry of Defense. Subjects and methods: A retrospective study on 154 examined patients during 2022-2023. Results: The examined subjects were mainly males (94.8%), non-commissioned officers (55.2%), and aged 20-30 (50.6%). Nearly half of patients experienced a disease duration of less than one year (44.2%), hospital length of stay of less than two months (42.9%), and unstable treatment outcome (44.2%). Treatments mainly included antipsychotics (98.7%) and antidepressants (88.3%). Electric convulsive therapy was used for 44.2% of patients. In the structure of mental disorders, schizophrenia accounts for the highest rate (52.6%), followed by depression (35.7%). Common clinical symptoms in schizophrenia consisted of commentary auditory hallucination (41.98%), persecutory delusion (49.38%), and delusion of being followed (24.68%). In depressed patients, all experienced symptoms of depressed mood and insomnia, followed by loss of appetite (98.18%) and loss of interest or pleasure (90.9%); suicidal ideas or attempts occurred in 16.36%. Conclusions: The examined subjects were mainly males and young non-commissioned officers. Schizophrenia and depression were remarkable. Common symptoms of schizophrenia were hallucinations and delusions of being persecuted and followed. In depression, all patients experienced depressed mood and insomnia. Although suicide accounted for a low rate, it played an essential role in the timely detection and treatment of patients with depression.