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Primary Mental Health Care in Rural Greece: A Single Center Experience

Received: 1 July 2017     Accepted: 4 July 2017     Published: 2 August 2017
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Abstract

Economic Indicators of the Situation of Rural Areas (as compared to city residents) such as average income, education, poverty, unemployment rates and employers who do not provide health insurance are some facts that making this population vulnerable. Factors that affect the "Health Condition" of "Rural Populations" are: disproportionately large numbers of young and elderly people, health risks, abuse, family violence and neglect, climatic (weather) Geographical isolation, lack of access to healthcare and lack of resources for mental health services The purpose of this retrospective study is to present dada from a Mental Health center of the Psychiatric Sector of a regional General Hospital in the 3-year period 2013-2015. Material and Methods: This is an epidemiological study. The collection of data was performed with a specially designed for the purpose of the study form that included the recording of data. In particular, race, age, gender, marital status were recorded. In addition, level of education, diagnosis according to ICD 10 and other clinical data. Results: Common mental disorders experienced by patients visiting the Mental Health Center were recurrent depressive episodes, schizophrenia, depressive disorder, obsessive compulsive disorder and bipolar disorder. Conclusions: This Mental Health Center, have treated both Greeks and foreigners, as well as patients residing outside of his sector. The main diagnoses for patients were recurrent depressive episodes, schizophrenia, depressive episodes, obsessive compulsive disorder and bipolar affective disorder. Most patients were instructed and suggested a follow up examination. About half of the patients were stable, one third had an improvement, and only 15% had deteriorated their condition. Patients who were aggravated were significantly younger and had a follow up examination.

Published in American Journal of Nursing Science (Volume 7, Issue 3-1)

This article belongs to the Special Issue Nursing Education and Research

DOI 10.11648/j.ajns.s.2018070301.11
Page(s) 1-6
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Mental Health, Primary Mental Health Care, Rural Areas

References
[1] Mental Health: New Understanding, New Hope. 2002. 1st ed. Geneva: World Health Organization.
[2] Lahana E. Cultural and social differences on health and health services in residents of urban-rural areas and immigrants in the region of Thessaly. PhD dissertation. Hellenic Open University. 2011.
[3] Breslau J, Marshall GN, Pincus HA, Brown RA. Are mental disorders more common in urban than rural areas of the United States. J Psychiatr Res. 2014 Sep; 56: 50-5. doi: 10.1016/j.jpsychires.2014.05.004. Epub 2014 May 14.
[4] Kumar, Anant. 2011. "Mental Health Services In Rural India: Challenges and Prospects". Health 03 (12): 757-761. doi: 10.4236/health.2011.312126.
[5] Kalokerinou-Anagnostopoulou A, Lagiou A, Vivilakis V. Areas of Action for Primary Health Care. In (Ed. Kalokerinou A) Applications Best Practices Primary Health Care Team. Roles, Activities, Skills of Primary Health Care Team Members. HEALINK, 2015.
[6] Peritogiannis V, Mavreas V. Community mental health teams in Greece: The paradigm of Mobile Mental Health Units. Archives of Hellenic Medicine 2014, 31 (1): 71–76.
[7] Dimopoulou M., Fanti R., Kiourktsi B., Louvros K., Zennetou I., Kavvadia A., AlamanosY. Implementation of the Mobile Mental Health Unit of Corfu-Lefcada. Medical chronicles of northern Greece, 2011; 8 (1): 44-48.
[8] Peritogiannis V, Lixouriotis C, Mavreas V. The integration of mental health services into primary health care in Greece. Archives of Hellenic Medicine 2014, 31(6): 669–677.
[9] Stylianidis S, Skapinakis S, Pantelidou S, Chondros P, Avgoustaki A, Ziakoulis M. Prevalence of common psychiatric disorders in an island region. Archives of Hellenic Medicine 2010, 27(4): 675–683.
[10] Peritogiannis V, Tatsioni A, Manthopoulou T, Mavreas V. Mental healthcare for older adults in rural Greece. International Psychogeriatrics. 2015; 28 (04): 698-700.
[11] Peritogiannis V, Tatsioni A, Menti N, Grammeniati A, Fotopoulou V, Mavreas V. Treatment Engagement of Psychotic Patients with a Mobile Mental Health Unit in Rural Areas in Greece: A Five-Year Study. Schizophrenia Research and Treatment. 2013; 2013: 1-6.
[12] World Health Organization. Organization of services for Mental Health. Geneva 2003.
[13] Madianos M. Psychiatric care in 21st century Greece. Psychiatriki. 2002; 13: 297-300.
[14] Stephanes K, Soldatos K, MavreasV. ICD 10 Classification of Mental Diseases and relative disorders. Beta Medical Publishing, Athens 1993.
[15] Kyloudis P, Tananaki M, RekleitiM. The management of the mentally ill patients in Primary Care. Interscientific Health Care. 2012; 4 (1): 1-8.
[16] Sathyanarayana Rao TS, Darshan MS, Tandon A, et al. Suttur study: An epidemiological study of psychiatric disorders in south Indian rural population. Indian Journal of Psychiatry. 2014; 56 (3): 238-245. doi: 10.4103/0019-5545.140618.
[17] Kumari S, Mishra SN, Chaudhury S, Singh AR, Verma AN, Kumari S. An experience of community mental health program in rural areas of Jharkhand. Industrial Psychiatry Journal. 2009; 18 (1): 47-50. doi: 10.4103/0972-6748.57860.
[18] Mirowsky J, Ross CE. (2003). Social Causes of Psychological Distress, 2nd Edition. New Brunswick, NJ: Aldine Transaction.
[19] Ross CE, Mirowsky J. Sex differences in the effect of education on depression: Resource multiplication or resource substitution? Social science & medicine 2006; 63 (11): 1400-13.
[20] Möller H-J, Laux G, Deister A. (1995). Psychiatrie. Stuttgart: HippokratesVerlag.
[21] Ploubidis GB, Grundy E. Later-Life Mental Health in Europe: A Country-Level Comparison. Journals of Gerontology Series B-Psychological Sciences and Social Sciences 2009; 64 (7): 666-76.
[22] Aneshensel, C. S. (2005). Research in mental health: Social etiology versus social consequences. Journal of Health and Social Behavior, 46, 221-228.
[23] Booth A, Amato P. Divorce and Psychological Stress. Journal of Health and Social Behavior 1991; 32: 396-407.
[24] Probst JC, Laditka SB, Moore CG, Harun N, Powell MP, Baxley EG. Rural-urban differences in depression prevalence: implications for family medicine. Fam Med. 2006 Oct; 38 (9): 653-60.
[25] Aleman A, Kahn RS, Selten JP. Sex differences in the risk of schizophrenia: evidence from meta-analysis. Arch Gen Psychiatry 2003; 60(6): 565-71.
[26] Mueser KT, Mc Gurk SR. Schizophrenia. Lancet 2004; 363(9426): 2063-72.
[27] Tandon R, Keshavan MS, Nasrallah HA. Schizophrenia, "just the facts" what we know in 2008. Epidemiology and etiology. Schizophr Res 2008; 102(1-3): 1-18.
[28] DeLisi LE. Reviewing the "facts about schizophrenia": a possible or impossible task? Schizophr Res 2008a; 102(1-3): 19-20.
[29] Kirmayer LJ, Narasiah L, Munoz M, et al. Common mental health problems in immigrants and refugees: general approach in primary care. CMAJ : Canadian Medical Association Journal. 2011; 183 (12): E959-E967. doi: 10.1503/cmaj.090292.
[30] Faedda GL, Baldessarini RJ, Suppes T, Tondo L, Becker I, Lipschitz DS. Pediatric-Onset Bipolar Disorder: A Neglected Clinical and Public Health Problem. Harvard Review of Psychiatry 1995; 3 (4): 171-95.
[31] Merikangas KR, Akiskal HS, Angst J, Greenberg PE, HirschfeldRM, Petukhova M et al. Lifetime and 12-Month Prevalence of Bipolar Spectrum Disorder in the National Comorbidity Survey Replication. Arch Gener Psych 2007; 64 (5): 543-52.
[32] World Health Organization. Depression. WHO; 2009. Available at: http://www.who.int/mental_health/management/depression/definition/en/index1.html. [Accessed May 4, 2017].
[33] Argyropoulos K, Bartsokas C, Argyropoulou A, Gourzis P, Jelastopulu E. Depressive symptoms in late life in urban and semi-urban areas of South-West Greece: An undetected disorder? Indian J Psychiatry. 2015 Jul-Sep; 57 (3): 295-300. doi: 10.4103/0019-5545.166617.
[34] National Institute of Mental Health (NIMH). Depression. NIH publication. 2009; No. 08 3561. Available at: http://www.nimh.nih.gov/health/pub lications/depression/nimhdepression.pdf [Accessed May 4, 2017].
[35] Luppa M, Konig HH, Heider D, Leicht H, Motzek T, Schomerus G, et al. Direct costs associated with depressive symptoms in late life: a 4.5-year prospective study. International Psychogeriatrics 2013; 25: 292-302.
[36] Mulder RT, Joyce PR, Frampton CMA, Luty SE, Sullivan PF. Six Months of Treatment for Depression: Outcome and Predictors of the Course of Illness. Am J Psychiatry 2006; 163 (1): 95-100.
[37] Posternak MA, Solomon DA, Leon AC, Mueller TI, Shea MT, Endicott J et al. The naturalistic course of unipolar major depression in the absence of somatic therapy. Journal of Nervous & Mental Disease 2006; 194 (5): 324-329.
Cite This Article
  • APA Style

    Sofia Zyga, Eleni Mitropoulou, Victoria Alikari, Panagiotis Prezerakos, Maria Tsironi, et al. (2017). Primary Mental Health Care in Rural Greece: A Single Center Experience. American Journal of Nursing Science, 7(3-1), 1-6. https://doi.org/10.11648/j.ajns.s.2018070301.11

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    ACS Style

    Sofia Zyga; Eleni Mitropoulou; Victoria Alikari; Panagiotis Prezerakos; Maria Tsironi, et al. Primary Mental Health Care in Rural Greece: A Single Center Experience. Am. J. Nurs. Sci. 2017, 7(3-1), 1-6. doi: 10.11648/j.ajns.s.2018070301.11

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    AMA Style

    Sofia Zyga, Eleni Mitropoulou, Victoria Alikari, Panagiotis Prezerakos, Maria Tsironi, et al. Primary Mental Health Care in Rural Greece: A Single Center Experience. Am J Nurs Sci. 2017;7(3-1):1-6. doi: 10.11648/j.ajns.s.2018070301.11

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  • @article{10.11648/j.ajns.s.2018070301.11,
      author = {Sofia Zyga and Eleni Mitropoulou and Victoria Alikari and Panagiotis Prezerakos and Maria Tsironi and Panagiotis Andriopoulos and John Stathoulis and Foteini Tzavella and Evangelos C. Fradelos},
      title = {Primary Mental Health Care in Rural Greece: A Single Center Experience},
      journal = {American Journal of Nursing Science},
      volume = {7},
      number = {3-1},
      pages = {1-6},
      doi = {10.11648/j.ajns.s.2018070301.11},
      url = {https://doi.org/10.11648/j.ajns.s.2018070301.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.s.2018070301.11},
      abstract = {Economic Indicators of the Situation of Rural Areas (as compared to city residents) such as average income, education, poverty, unemployment rates and employers who do not provide health insurance are some facts that making this population vulnerable. Factors that affect the "Health Condition" of "Rural Populations" are: disproportionately large numbers of young and elderly people, health risks, abuse, family violence and neglect, climatic (weather) Geographical isolation, lack of access to healthcare and lack of resources for mental health services The purpose of this retrospective study is to present dada from a Mental Health center of the Psychiatric Sector of a regional General Hospital in the 3-year period 2013-2015. Material and Methods: This is an epidemiological study. The collection of data was performed with a specially designed for the purpose of the study form that included the recording of data. In particular, race, age, gender, marital status were recorded. In addition, level of education, diagnosis according to ICD 10 and other clinical data. Results: Common mental disorders experienced by patients visiting the Mental Health Center were recurrent depressive episodes, schizophrenia, depressive disorder, obsessive compulsive disorder and bipolar disorder. Conclusions: This Mental Health Center, have treated both Greeks and foreigners, as well as patients residing outside of his sector. The main diagnoses for patients were recurrent depressive episodes, schizophrenia, depressive episodes, obsessive compulsive disorder and bipolar affective disorder. Most patients were instructed and suggested a follow up examination. About half of the patients were stable, one third had an improvement, and only 15% had deteriorated their condition. Patients who were aggravated were significantly younger and had a follow up examination.},
     year = {2017}
    }
    

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  • TY  - JOUR
    T1  - Primary Mental Health Care in Rural Greece: A Single Center Experience
    AU  - Sofia Zyga
    AU  - Eleni Mitropoulou
    AU  - Victoria Alikari
    AU  - Panagiotis Prezerakos
    AU  - Maria Tsironi
    AU  - Panagiotis Andriopoulos
    AU  - John Stathoulis
    AU  - Foteini Tzavella
    AU  - Evangelos C. Fradelos
    Y1  - 2017/08/02
    PY  - 2017
    N1  - https://doi.org/10.11648/j.ajns.s.2018070301.11
    DO  - 10.11648/j.ajns.s.2018070301.11
    T2  - American Journal of Nursing Science
    JF  - American Journal of Nursing Science
    JO  - American Journal of Nursing Science
    SP  - 1
    EP  - 6
    PB  - Science Publishing Group
    SN  - 2328-5753
    UR  - https://doi.org/10.11648/j.ajns.s.2018070301.11
    AB  - Economic Indicators of the Situation of Rural Areas (as compared to city residents) such as average income, education, poverty, unemployment rates and employers who do not provide health insurance are some facts that making this population vulnerable. Factors that affect the "Health Condition" of "Rural Populations" are: disproportionately large numbers of young and elderly people, health risks, abuse, family violence and neglect, climatic (weather) Geographical isolation, lack of access to healthcare and lack of resources for mental health services The purpose of this retrospective study is to present dada from a Mental Health center of the Psychiatric Sector of a regional General Hospital in the 3-year period 2013-2015. Material and Methods: This is an epidemiological study. The collection of data was performed with a specially designed for the purpose of the study form that included the recording of data. In particular, race, age, gender, marital status were recorded. In addition, level of education, diagnosis according to ICD 10 and other clinical data. Results: Common mental disorders experienced by patients visiting the Mental Health Center were recurrent depressive episodes, schizophrenia, depressive disorder, obsessive compulsive disorder and bipolar disorder. Conclusions: This Mental Health Center, have treated both Greeks and foreigners, as well as patients residing outside of his sector. The main diagnoses for patients were recurrent depressive episodes, schizophrenia, depressive episodes, obsessive compulsive disorder and bipolar affective disorder. Most patients were instructed and suggested a follow up examination. About half of the patients were stable, one third had an improvement, and only 15% had deteriorated their condition. Patients who were aggravated were significantly younger and had a follow up examination.
    VL  - 7
    IS  - 3-1
    ER  - 

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Author Information
  • Nursing Research and Practice Laboratory, Department of Nursing, University of Peloponnese, Sparta, Greece

  • Post Graduate Program, "Health Services Administration and Crisis Management", Department of Nursing, University of Peloponnese, Sparta, Greece

  • Nursing Research and Practice Laboratory, Department of Nursing, University of Peloponnese, Sparta, Greece

  • Department of Nursing, Faculty of Human Movement and Quality of Life Sciences, University of Peloponnese, Sparta, Greece

  • Department of Nursing, Faculty of Human Movement and Quality of Life Sciences, University of Peloponnese, Sparta, Greece

  • Department of Nursing, Faculty of Human Movement and Quality of Life Sciences, University of Peloponnese, Sparta, Greece

  • Department of Nursing, Faculty of Human Movement and Quality of Life Sciences, University of Peloponnese, Sparta, Greece

  • Department of Nursing, Faculty of Human Movement and Quality of Life Sciences, University of Peloponnese, Sparta, Greece

  • Nursing Research and Practice Laboratory, Department of Nursing, University of Peloponnese, Sparta, Greece

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