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Original article
DOI: 10.1016/j.rcpeng.2017.06.001
Prevalence of hypothyroidism in major psychiatric disorders in hospitalised patients in Montserrat Hospital during the period March to October 2010
Prevalencia de hipotiroidismo en trastorno psiquiátrico mayor de pacientes hospitalizados en la Clínica Montserrat en el periodo de marzo a octubre de 2010
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Pedro Vargas Navarroa,
Corresponding author
vargaspedro@unbosque.edu.co

Corresponding author.
, Edgar Antonio Ibañez Pinillab, Alejandra Galeano Españab, Ana María Noguera Bravob, Sandra Milena Pantojab, Ana María Suárez Acostab
a Grupo Salud Mental, Adolescencia, Familia y Comunidad, Área Psicosocial, Facultad de Medicina, Universidad El Bosque, Bogotá, Colombia
b Universidad El Bosque, Bogotá, Colombia
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Figures (1)
Tables (5)
Table 1. Distribution of socio-demographic characteristics.
Table 2. Hypothyroidism signs and symptoms form (only for cases).
Table 3. Distribution of signs and symptoms.
Table 4. TSH Values.
Table 5. Distribution of hypothyroidism prevalence by diagnosis.
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Abstract
Introduction

Hypothyroidism results from inadequate production of thyroid hormone. It is known that there is a relationship between the major psychiatric disorders and hypothyroidism.

Objective

To determine the prevalence of hypothyroidism in patients admitted due to major psychiatric disorders in Montserrat Hospital during the period from March to October 2010.

Material and methods

A descriptive cross-sectional study was conducted on 105 patients admitted to Montserrat Hospital with a primary diagnosis of major psychiatric disorder (major depression, bipolar affective disorder, generalised panic disorder, panic disorder, mixed anxiety-depressive disorder, and schizophrenia) in the aforementioned period. Thyroid stimulating hormone (TSH) was performed to assess the evidence of hypothyroidism.

Results

The overall prevalence of hypothyroidism was found to be 10.5% (95%CI, 5–16%). It was 12.5% in anxiety disorder, 11.1% in depressive disorder, with a lower prevalence of 10.3% for bipolar disorder, and 9.9% for schizophrenia.

Conclusions

The overall prevalence of hypothyroidism was found to be less than in the general population, which is between 4.64% and 18.5%, and hypothyroidism was found in disorders other than depression.

Keywords:
Hypothyroidism
Mental disorder
Depression
Anxiety
Bipolar disorder
Schizophrenia
Resumen
Introducción

El hipotiroidismo resulta de una inadecuada producción de hormonas tiroideas. Es conocido que existe una relación entre los trastornos psiquiátricos mayores y el hipotiroidismo.

Objetivo

Determinar la prevalencia de hipotiroidismo en los pacientes hospitalizados por trastorno psiquiátrico mayor en la Clínica Montserrat en el periodo de marzo a octubre de 2010.

Material y métodos

Se realizó un estudio descriptivo transversal, para el que se seleccionó una muestra de 105 pacientes que ingresaron a la Clínica Montserrat con diagnóstico de trastorno psiquiátrico mayor (depresión mayor, trastorno afectivo bipolar, trastorno de ansiedad generalizada, trastornos de ansiedad, trastorno mixto ansioso-depresivo y esquizofrenia) en el periodo mencionado. Para evaluar el hipotiroidismo se realizó una prueba de Hormona Estimulante del Tiroides (TSH).

Resultados

La prevalencia general del hipotiroidismo fue del 10,5% (intervalo de confianza del 95%, 5%-16%). Al determinar el hipotiroidismo por diagnóstico, se encontró que había mayor prevalencia en los trastorno de pánico (12,5%) y depresivo (11,1%) y menor en el trastorno bipolar (10,3%) y la esquizofrenia (9,9%).

Conclusiones

La prevalencia general del hipotiroidismo fue menor que en la población general (18,5–4,6%) y se encontró hipotiroidismo en otros trastornos diferentes de la depresión.

Palabras clave:
Hipotiroidismo
Trastornos mentales
Depresión
Ansiedad
Trastorno bipolar
Esquizofrenia

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