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[Analytical thyroid disturbances in psychiatric inpatients]
Arce Cordón R1, E Baca-García, C Díaz-Sastre
1Servicio de Psiquiatría,Hospital Ramón y Cajal, Madrid,Madrid, 28034,España.
Actas Espanolas De Psiquiatria
|June 24, 1999
Summary
Screening for thyroid disorder in psychiatric inpatients is recommended. This is particularly important for female patients, those with schizophrenia, and individuals undergoing lithium treatment, as they show higher risks.
Area of Science:
- Endocrinology
- Psychiatry
Context:
- Thyroid disease screening in psychiatric inpatients lacks consensus.
- Assessing thyroid status is crucial for effective mental health treatment.
Purpose:
- To determine the prevalence of thyroid abnormalities in psychiatric inpatients.
- To identify factors associated with abnormal thyroid hormone levels in this population.
Summary:
- 30.8% of 172 psychiatric inpatients had abnormal thyroid hormone levels, with 5.2% having diagnosed thyroid disease.
- Logistic regression identified sex, schizophrenia, prior mental disorder, lithium treatment, and current infection as significant factors.
- The predictive model demonstrated high accuracy (chi2=20.89, p<0.0001, specificity=0.83).
Impact:
- Recommends routine thyroid disorder screening for female psychiatric inpatients, those with schizophrenia, and those on lithium.
- Highlights the importance of early thyroid assessment in psychiatric care to improve patient outcomes.
- Provides evidence-based criteria for targeted thyroid screening in mental health settings.