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Abstract：
UNASSIGNED: Mental disability is a common condition but is considered as an invisible disability. The disability certificate in psychiatry remains underexplored. Some reasons are issues of confidentiality, stigma, lack of awareness in the public, and the hesitancy in the mental health professionals. We aim to provide a brief profile of patients with mental illness issued disability certificates from a psychiatric unit over a five-year period (2013-2017).
UNASSIGNED: Our retrospective study is based on the data available from the copies of the issued disability certificates from a psychiatric unit that functions in a multispecialty tertiary care teaching government hospital in Southern India. Patients undergoing treatment in psychiatry apply for a disability certificate to the medical superintendent of the hospital. Each applicant undergoes a detailed workup to ascertain the diagnosis, and the mental disability is assessed using Indian Disability Evaluation and Assessment Scale (IDEAS). Those with intellectual developmental disorder (IDD) are assessed by a clinical psychologist for quantifying intelligence quotient, based on which the disability certificate is issued. Data were extracted and analyzed using SPSS. Descriptive statistics were used.
UNASSIGNED: Over five years, 258 disability certificates were issued. A total of 218 were for mental illness and 40 were for IDD. Schizophrenia was the commonest primary diagnosis. There was no gender predominance, nor the influence of gender on different domains of IDEAS except on work domain dysfunction due to mental illness. The validity period was not mentioned in 81% of the issued certificates for mental illness.
UNASSIGNED: This descriptive study found a lower number of certificates issued from the psychiatric unit. Schizophrenia remains the main psychiatric diagnosis for which a disability certificate was issued. We did not assess the utilization pattern of the issued certificates.
UNASSIGNED: Our retrospective study is based on the data available from the copies of the issued disability certificates from a psychiatric unit that functions in a multispecialty tertiary care teaching government hospital in Southern India. Patients undergoing treatment in psychiatry apply for a disability certificate to the medical superintendent of the hospital. Each applicant undergoes a detailed workup to ascertain the diagnosis, and the mental disability is assessed using Indian Disability Evaluation and Assessment Scale (IDEAS). Those with intellectual developmental disorder (IDD) are assessed by a clinical psychologist for quantifying intelligence quotient, based on which the disability certificate is issued. Data were extracted and analyzed using SPSS. Descriptive statistics were used.
UNASSIGNED: Over five years, 258 disability certificates were issued. A total of 218 were for mental illness and 40 were for IDD. Schizophrenia was the commonest primary diagnosis. There was no gender predominance, nor the influence of gender on different domains of IDEAS except on work domain dysfunction due to mental illness. The validity period was not mentioned in 81% of the issued certificates for mental illness.
UNASSIGNED: This descriptive study found a lower number of certificates issued from the psychiatric unit. Schizophrenia remains the main psychiatric diagnosis for which a disability certificate was issued. We did not assess the utilization pattern of the issued certificates.
摘要：
■精神残疾是一种常见的疾病，但被认为是一种无形的残疾。精神病学的残疾证明仍未被充分研究。一些原因是保密问题，污名,公众缺乏意识，以及心理健康专业人士的犹豫。我们的目标是提供精神病患者在五年期间（2013-2017年）从精神病院签发的残疾证明的简要资料。
■我们的回顾性研究基于从在印度南部的多专业三级护理教学政府医院中运作的精神科颁发的残疾证明的副本中获得的数据。接受精神病学治疗的患者向医院的医监申请残疾证明。每个申请人都经过详细的检查以确定诊断，使用印度残疾评估和评估量表（IDEAS）评估精神残疾。患有智力发育障碍（IDD）的患者由临床心理学家进行评估，以量化智商，颁发残疾证明书的依据。采用SPSS对数据进行提取和分析。使用描述性统计。
■超过五年，共签发了258份残疾证明。共有218人患有精神疾病，40人患有IDD。精神分裂症是最常见的主要诊断。没有性别优势，除精神疾病引起的工作领域功能障碍外，性别对IDEAS不同领域的影响也没有。81％的已签发的精神疾病证书中未提及有效期。
■这项描述性研究发现，精神科颁发的证书数量较少。精神分裂症仍然是颁发残疾证明的主要精神病诊断。我们没有评估已颁发证书的使用模式。
■我们的回顾性研究基于从在印度南部的多专业三级护理教学政府医院中运作的精神科颁发的残疾证明的副本中获得的数据。接受精神病学治疗的患者向医院的医监申请残疾证明。每个申请人都经过详细的检查以确定诊断，使用印度残疾评估和评估量表（IDEAS）评估精神残疾。患有智力发育障碍（IDD）的患者由临床心理学家进行评估，以量化智商，颁发残疾证明书的依据。采用SPSS对数据进行提取和分析。使用描述性统计。
■超过五年，共签发了258份残疾证明。共有218人患有精神疾病，40人患有IDD。精神分裂症是最常见的主要诊断。没有性别优势，除精神疾病引起的工作领域功能障碍外，性别对IDEAS不同领域的影响也没有。81％的已签发的精神疾病证书中未提及有效期。
■这项描述性研究发现，精神科颁发的证书数量较少。精神分裂症仍然是颁发残疾证明的主要精神病诊断。我们没有评估已颁发证书的使用模式。
