Comparative depression

analysis in North East Romania

Tiberiu Rotaru Anghelescu, Psychologist, Psychiotherapist

Manager Siret Psychiatric Hospital

About the site

The larger chronic

psychiatric hospital

in Suceava district

(very North East of

Romania) – 210

beds. The majority of

the patients have

intellectual and

connex disabilities.

The research was conducted in one of the wards (50 beds) that has both

acute and chronic patients, coming from the whole Suceava and Botosani

region.

Services offered:

Besides traditional psychiatric inpatients hospital service, we also offer:

Individual and group psychotherapy

Ergo-therapy

Occupational therapy

Light therapy

Community activities

Psychological education

Community activities

Mobile team – in progress

Methods used for the reaserch

2 main methods were used:

Qualitative one: Focus Group with the doctors from the ward were the research was conducted.

There is necessary to mention that the doctors have both institutional and private practice.

Quantitative one: Analysis of statistical data for 3 consecutive years: 2016, 2017, 2018

Themes discussed during focus groups

1. Main reasons that patients are approaching the medical services

2. In – hospitalization period medication and medication compliancy

3. Comorbidities

4. Support systems – preparing for out hospitalization

5. Things that can be improved

1. Main reasons that patients are approaching the

medical services,

2. In – hospitalization period medication and medication

compliancy

Sleep disorder

Bad Mood - feeling of doing nothing

Suicidal thoughts, tendencies

17 days – average period, not for the first timers and not for psychotic elements

Medication available regarding the type of the depression and commorbidities

Good compliancy

Poor psychoeducation and continued psychotherapy

3. Comorbidities

4. Support systems – preparing for out hospitalization

Very often, and because of the age of the patients there are somatic commorbities that

affect the existing medication (cardio, diabetes, etc.)

A chronic disease can be one of the causes for depression

Persons that are working abroad, separated from their families, find that there is a hard

time to settle back

Alcohol consumption, tends to become chronic, very often with depression

Lack of family support, not always, but quite often because of the lack of

psychoeducation

Lack of community support services (group support, psychotherapy, etc)

5. Things that can be improved

Better community support – from psychotherapy, to day care and self help

Better managing the return to work of the person that suffered from depression (U.E,

Canadian and US experiences)

The length of the medical leave

Multidisciplinary care in somatic wards

Mobile team

Statistical analysis

302

275

248

0 50 100 150 200 250 300 350

Anul 2018

Anul 2017

Anul 2016

Depression cases in the last 3 years

Statistical analysis

17,47

17,59

16,86

16,4

16,6

16,8

17

17,2

17,4

17,6

17,8

2018 2017 2016

Evolution of the medium hospitalization period

Statistical analysis

Environment patients are coming from

urban

45%

rural

55%

2018

urban

45%

rural

55%

2017

urban

45%

rural

55%

2016

Statistical analysis

Gender of the patients

Female

56%

Male

44%

2018

Female Male

Female; 71%

Male ; 29%

2017

Female

70%

Male

30%

2016

Statistical analysis

Age range of the patients

18 - 24

3%25 - 34

3%35 - 44

12%

45-54

32%55 - 64

27%

65 - 74

14%

75 - 84

8%

85

1%

Age 2018

18 - 24

1%25 - 34

5%

35 - 44

14%

45-54

24%

55 - 64

33%

65 - 74

15%

75 - 84

7%

85

1%

Age 2016

18 - 24

2%25 - 34

8%

35 - 44

12%

45-54

21%

55 - 64

28%

65 - 74

23%

75 - 84

6%

Age 2017

Statistical analysis

Depression and other diagnostics

Other

diagnostics

65%

Depression

35%

2018

Other

diagnostics

69%

Depression

31%

2017

Other

diagnostics

71%

Depression

29%

2016

Questions, comments.

Thank you!!

Thank you to my collegues – Magda, Ofelia, Ionut, Cezar, Raluca

THANK YOU for your time !!!