• MeSH
• Anti-Anxiety Agents administration & dosage   MeSH
• Diagnosis, Differential MeSH
• Drug Therapy methods   MeSH
• Humans MeSH
• Phobia, Social etiology   pathology   MeSH
• Anxiety Disorders * diagnosis   classification   pathology   therapy   MeSH
• Check Tag
• Humans MeSH
• Publication type
• Review MeSH

• MeSH
• Depression etiology   therapy   MeSH
• Adult MeSH
• Emotions MeSH
• Epilepsy * complications   psychology   therapy   MeSH
• Cognitive Behavioral Therapy * methods   MeSH
• Humans MeSH
• Panic Disorder etiology   therapy   MeSH
• Statistics as Topic MeSH
• Topiramate therapeutic use   MeSH
• Anxiety Disorders etiology   classification   therapy   MeSH
• Check Tag
• Adult MeSH
• Humans MeSH
• Male MeSH
• Female MeSH
• Publication type
• Clinical Study MeSH
• Research Support, Non-U.S. Gov't MeSH
• Review MeSH

V Európskej únii zažije nejakú formu psychickej poruchy aspoň raz za život približne jeden zo siedmich ľudí. Napriek tomu, že prevalencia psychických porúch je vysoká a narastá aj počet liečených, stále zostáva veľký počet tých, ktorí nevyhľadajú odbornú pomoc. Existujú reálne obavy, že duševné poruchy, ktoré sú aj veľmi ekonomicky nákladné, budú do roku 2030 hlavnou príčinou zdravotného postihnutia vo vyspelých krajinách. Pritom priame náklady na zdravotnú starostlivosť sú obvykle oveľa nižšie ako náklady na nepriamu, sociálnu starostlivosť. Správne nastavenie systému starostlivosti o duševné zdravie a alokáciu zodpovedajúcich finančných zdrojov limituje nedostatok epidemiologických údajov. Na Slovensku sú k dispozícii len epidemiologické údaje o prevalencii depresie, úzkostných porúch, alkoholizmu a fajčenia z výskumov ešte zo začiatku 21. storočia, ale chýbajú novšie údaje, resp. dáta o prevalencii iných duševných porúch. Na celkový manažment psychických porúch a ich sociálny dopad má významný vplyv ich včasná diagnostika a na dôkazoch založená liečba. V tejto oblasti nás čakajú zmeny v podobe 11. revízie Medzinárodnej klasifikácie chorôb (MKCH-11) a dôslednej implementácie schválených Štandardných diagnostických a terapeutických postupov. Podľa údajov Národného centra zdravotníckych informácií boli v roku 2018 najčastejšími diagnostickými kategóriami v starostlivosti psychiatrických ambulancií na Slovensku afektívne poruchy, neurotické, stresom podmienené a somatoformné poruchy a organické duševné choroby vrátane symptomatických, z ktorých najväčší podiel tvorili demencie. V práci analyzujeme tieto tri diagnostické okruhy z hľadiska ich postavenia v klasifikácii MKCH-11, podľa ich výskytu a ich dopadu na celkové duševné a telesné zdravie a funkčnosť pacientov a tiež ich ekonomickej náročnosti pre spoločnosť. Tieto poznatky sú podkladom pre správne nastavenie jednotlivých krokov reformy psychiatrickej starostlivosti, ktorá na Slovensku prebieha.

In the European Union every seventh person experiences any form of mental disorder at least one time during the life. Despite the fact, that the prevalence of mental disorders is high, and the number of treated patients is rising, still remains a large number of those, who never find out any professional help. Actual concern exists, that mental disorders associated with high economic burden, will be the main reason ofdisability in developed countries by the year 2030. And besides, direct costs of the health care are usually much lower than indirect costs for the social care. Accurate adjustment of the mental health care system and allocation of the appropriate financial sources is limited by missing epidemiological data. In Slovakia are available only data about the prevalence of depression, anxiety disorders, alcoholism and smoking from the research at the beginning of 21st century, but the newer data or the data about other mental disorders are missing. Global management of mental disorders and their social impact is very much influenced by early diagnostics and evidence-based treatment. In this field we are expecting some changes in 11th revision of International Classification of the Diseases (ICD-11) and rigorous implementation of approved Standard Diagnostic and Therapeutic Procedures. According to the data of National Health Information Center the most frequent diagnostic categories at the psychiatric outpatient care in Slovakia in 2018 were affective disorders, neurotic, stress and somatoform disorders and organic mental disorders including symptomatic disorders, with the greatest contribution of dementias. In this paper we analyse these three diagnostic categories in terms of their position in the ICD-11, their prevalence in the different population groups, their impact on overall mental and physical health and the functioning of the patient and also their economical burden for the society. This information represents the base for accurate setting-up of individual steps of the reform of psychiatric care, which takes place in Slovakia.

• MeSH
• Ambulatory Care MeSH
• Dementia diagnosis   epidemiology   classification   MeSH
• Depressive Disorder diagnosis   epidemiology   classification   MeSH
• Persons with Psychiatric Disorders MeSH
• Humans MeSH
• International Classification of Diseases * trends   MeSH
• Prevalence MeSH
• Mental Health Services MeSH
• Anxiety Disorders diagnosis   epidemiology   classification   MeSH
• Check Tag
• Humans MeSH
• Geographicals
• Slovakia MeSH

• MeSH
• Alzheimer Disease pathology   MeSH
• Antidepressive Agents adverse effects   therapeutic use   MeSH
• Dementia pathology   MeSH
• Depressive Disorder etiology   drug therapy   pathology   MeSH
• Mental Disorders * etiology   drug therapy   physiopathology   pathology   MeSH
• Central Nervous System Agents classification   adverse effects   therapeutic use   MeSH
• Humans MeSH
• Polysomnography drug effects   MeSH
• Sleep Disorders, Circadian Rhythm complications   physiopathology   MeSH
• Sleep Wake Disorders * etiology   classification   complications   therapy   MeSH
• Anxiety Disorders classification   pathology   MeSH
• Check Tag
• Humans MeSH
• Publication type
• Research Support, Non-U.S. Gov't MeSH
• Review MeSH

• MeSH
• Biomarkers MeSH
• Diagnosis, Differential MeSH
• Child MeSH
• Phobic Disorders * classification   pathology   therapy   MeSH
• Humans MeSH
• Anxiety Disorders * classification   pathology   therapy   MeSH
• Check Tag
• Child MeSH
• Humans MeSH

• MeSH
• Agoraphobia diagnosis   etiology   complications   MeSH
• Anti-Anxiety Agents administration & dosage   classification   adverse effects   MeSH
• Diagnosis, Differential MeSH
• Phobic Disorders diagnosis   MeSH
• Humans MeSH
• Obsessive-Compulsive Disorder diagnosis   etiology   complications   MeSH
• Panic Disorder diagnosis   etiology   MeSH
• Phobia, Social diagnosis   etiology   MeSH
• Anxiety Disorders * diagnosis   etiology   drug therapy   classification   complications   therapy   MeSH
• Check Tag
• Humans MeSH
• Publication type
• Review MeSH

• MeSH
• Medical History Taking MeSH
• Humans MeSH
• Anxiety Disorders classification   complications   MeSH
• Vertigo diagnosis   etiology   classification   complications   psychology   MeSH
• Vestibular Diseases * diagnosis   etiology   classification   complications   psychology   MeSH
• Vestibular System anatomy & histology   physiology   MeSH
• Ear, Inner anatomy & histology   MeSH
• Dizziness diagnosis   etiology   classification   complications   psychology   MeSH
• Check Tag
• Humans MeSH
• Publication type
• Review MeSH

• MeSH
• Diagnosis, Differential MeSH
• Phobic Disorders classification   MeSH
• Humans MeSH
• Psychotherapy classification   MeSH
• Psychotropic Drugs administration & dosage   classification   adverse effects   MeSH
• Anxiety Disorders * diagnosis   drug therapy   classification   therapy   MeSH
• Check Tag
• Humans MeSH
• Publication type
• Review MeSH

• MeSH
• General Practice * MeSH
• Anxiety Disorders diagnosis   classification   therapy   MeSH
• Publication type
• Practice Guideline MeSH

• Conspectus
• Psychiatrie
• NML Fields
• psychiatrie
• všeobecné lékařství
• NML Publication type
• brožury

• MeSH
• Depression etiology   therapy   MeSH
• Diagnostic Techniques, Neurological classification   MeSH
• Cognition Disorders diagnostic imaging   therapy   MeSH
• Humans MeSH
• Neuropsychological Tests MeSH
• Multiple Sclerosis * diagnosis   MeSH
• Anxiety Disorders epidemiology   classification   MeSH
• Check Tag
• Humans MeSH