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Tunisian revolution and the demand of healthcare in psychiatry outward department

Published online by Cambridge University Press:  13 August 2021

M. Regaya ,
B. Ben Mohamed ,
F. Zaafrane ,
B. Amamou  and
L. Gaha
M. Regaya*
Affiliation:
Department Of Psychiatry, University of Monastir, Faculty of Medicine of Monastir, LR05ES10, Fattouma Bourguiba Hospital, Monastir, Tunisia
B. Ben Mohamed
Affiliation:
Department Of Psychiatry, University of Monastir, Faculty of Medicine of Monastir, LR05ES10, Fattouma Bourguiba Hospital, Monastir, Tunisia
F. Zaafrane
Affiliation:
Department Of Psychiatry, University of Monastir, Faculty of Medicine of Monastir, LR05ES10, Fattouma Bourguiba Hospital, Monastir, Tunisia
B. Amamou
Affiliation:
Department Of Psychiatry, University of Monastir, Faculty of Medicine of Monastir, LR05ES10, Fattouma Bourguiba Hospital, Monastir, Tunisia
L. Gaha
Affiliation:
Department Of Psychiatry, University of Monastir, Faculty of Medicine of Monastir, LR05ES10, Fattouma Bourguiba Hospital, Monastir, Tunisia
*
*Corresponding author.

Abstract

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Introduction

Tunisian revolution has been a major upheavel in the tunisian history and has brought many political, social and economic changes. Little were found about the revolution’s potential impact on the psychiatric demand.

Objectives

Compare the clinical profile of all the new consultants in the out ward psychiatry department before and after the revolution.

Methods

The study had a retrospective descriptive design including all the new consultants in the outpatient psychiatry department in the general hospital Fattouma Bourguiba in Monastir, Tunisia before (during 2007) and after (during 2016) the revolution. We used a pre-established questionnaire including sociodemographic and clinical data.

Results

After the revolution, an increase in the number of new patients (p<10-3) 438 to 451 were found. In 2016, there were more unemployed consultants(p=0.004), having criminal record (p=0.01) and having a problematic substance use (p<10-3). An increase also concerned patients consulting for anxiety(p=0.002) and suicidal ideation (p=0.022). Considering the clinical diagnosis, there were also a significant increase regarding anxiety disorders (p=0.001) and mood disorders (p=0.011) essentially major depressive disorder (p=0.002). Although a significant decrease concerned somatoform disorder (p<10-3).

Conclusions

Our study showed a change in the profile of consultants after the Tunisian revolution. A study in the general population could find specific etiological factors. Thus highlight the importance of implementing preventive measures in general population in crisis’ times.

Disclosure

No significant relationships.

Keywords

mental healthenvironmentrevolution
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S709 - S710
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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