Najat M. Al-Saffar, Dara A. Saeed Dept. of Medicine- Psychiatry unit, College of Medicine, Mosul University
|
|
- Luke Glenn
- 5 years ago
- Views:
Transcription
1 Generalized anxiety disorder in type 2 diabetes mellitus In Suleimaniya city Najat M. Al-Saffar, Dara A. Saeed Dept. of Medicine- Psychiatry unit, College of Medicine, Mosul University Abstract To determine the frequency of generalized anxiety disorder (GAD) among type 2 diabetes mellitus (Types 2 DM); to study the possible relationship of these symptoms and sociodemographic characteristic. Also to compare the results of the studied group patients with other studies in different cultures. Two hundred patients with type 2 DM (which are diagnosed by senior physician) were selected from attendants of out-patient clinic of Sulaymania General Teaching Hospital during the period from 1st March 2007 to 1st September The presence of GAD was diagnosed by using a semi-structural interview based on (ICD-10) criteria and GHQ-30. The studied group was matched for age, sex, occupation and marital state with (200) healthy control for comparison. Showed that the rate of GAD in patients with type 2 DM was (40%) which highly significant compared (18%) control (i.e P-value< 0.001). (38.3%) of our cases of type 2 DM with GAD were in the age group (50-59) years. The rate of GAD is higher among female (42.8%) than male (36.3%) P-value< The rate of GAD is higher among housewives (50%) versus (17%) control P-value< 0.05 and higher GAD among divorces (63.5%) widows (61.1%) compare to the control. The study revealed that high rate of GAD in type 2 diabetes mellitus, the result of the study are similar to some western study. Key Word: GAD, type 2 DM, healthy control group. Introduction Diabetes mellitus is a clinical syndrome characterized by hyperglycemia due to absolute or relative deficiency of insulin. This can arise in many different ways. Lack of insulin affects the metabolism of carbohydrate, protein, and fat, and causes a significant disturbance of water and, electrolyte homeostasis. Death may result from acute metabolic decompensation, while long standing metabolic derangement is frequently associated with permanent and irreversible functional and structural changes in the cells of the body, with those of the vascular system being particularly susceptible. These changes lead to the development of well- defined clinical entities, the so called complications of diabetes.( 1 ) An etiological classification of Diabetes mellitus Type 1 diabetes *Immune mediated *Idiopathic Type 2 diabetes Other specific type Genetic defect of B cell function. Symptoms of Generalized Anxiety Disorder: Worry and apprehension, Psychological arousal, Autonomic over-activity, Muscle tension, Hyperventilation, Sleep disturbances, Other feature: Include tiredness, depressive symptoms, obsessional symptoms, and depersonalization. Patients and Methods A case control study include 88 male patients (44%) and 112 female patients (%56) diagnosed as NIDDM attending the outpatient clinic of Suleimaniyah General-Teaching Hospital during the period between 1stMarch 2007 to 1st sep Tikrit Medical Journal 2009; 15(1):78-85
2 These patients were located and studied according to the method and technique described in the following: 1- Diagnosis of Diabetes Mellitus by Senior Physician. 2-The patient were interviewed by the use of semi structured psychiatric interview based on ICD -10 (WHO 1993). A period of at least 6months with prominent tension, worry, and feeling of apprehension, about every day events and problems, and determine which symptoms are usually present in that period, from the symptom list on this checklist, at least four symptoms from (1) to (22) must be present, at least one symptom must be from (1) to ( 4). 3- Sufficient detail about symptoms was obtained by use of CHQ Age between Years. 5- The period of the disease not less than six month. 6- Cluster of symptoms was used to arrange the symptoms in checklist. 7- Socio demographic information was obtained from the patients. : Include 200 normal subjects their ages range (25-79) years of different occupations, level of education and marital states.they are either patient s family member, relatives and other people who worked in the outpatient s clinic of General Medical Teaching Hospital. They were interviewed by the use of semi structured psychiatric interview based on ICD- 10 check list (WHO 1993). A period of at least 6 months with prominent tension, worry, and feeling of apprehension about everyday events and problems, and from the symptom list on the front page of the checklist, at least four symptoms from (1) to (22) must be present, at least one symptom must be from (1) to (4). The socio demographic characteristic: (Table 1) Age: The age distribution of type 2 DM group, their age range (25-79 year). Sex: The sex distribution of patients with type 2 DM, the sample Consist of 110 Male (36.37%) and 90 Female (40.1%) control group with the same distribution. Marital status: The majority of diabetic sample are married (148), 74%. Small number are single (52), 26% other widow and divorce, and control group has similar distribution. Occupation: The majority of female in both diabetic and control group are housewives: while the male of both groups are distributed as government employer, retired, unemployed, and private sector worker. Education: The females in the diabetic group most of them of low education (primary school 57.1%,illiterate 33.3 %) while the male of the same group show no such variation, control group also show this variation between female and male but to lesser extent. Statistical Analysis: The statistical analysis involves the application of simple descriptive and t- test significant at the p- value level of: p<0.05 is significant. Also Chi- square test was performed for other tables. Ages of patients were expressed as mean ±SD. Results On the basis of GHQ-30, the results reveal that (40%) of type 2 DM had generalized anxiety disorder, while the control group (18%) had generalized anxiety disorder. On the basis of the semi- structured interview based on ICD- 10 check list (2). The same results were obtained (40%) of type 2DM had generalized anxiety disorder and the control group had (18%). GAD in type 2 diabetes mellitus and the control group reveal that 40%of the patients were cases of anxiety while in the control groups (18%) were cases of anxiety in both questioners'. Age: Anxiety state according to the age show in (Table 4), there is slightly higher among age group years (48.3%) in Tikrit Medical Journal 2009; 15(1):
3 type 2 DM while (27.4%) in control group so P-value<o.o5 so this is significant Statistically. Sex: Anxiety state was higher among female patients group (42.8%) versus (36.3%) in the male groups. While female of control groups was (23.2%) and male of control groups was (11.3%), P-value was this difference is statistically significant Table 5 show sex distribution between male and female, there is increase the rate of anxiety in female than male for cases of anxiety state in type 2 Diabetes mellitus and also control groups, this is statistically Significant so P- value < o.o5. Marital status: Anxiety state was higher among single patients followed by divorce, widow and married patients, there is significant higher rate of anxiety for married patients when compared with married control (Table 7). Occupation: There is significant difference among different occupation in the Patients group and when compared between the two groups, there is Significant increase in the rate of anxiety of the of housewife, retired and unemployed (Table 6). Educational level: There is no significant difference among different grade of educational Level in the patients and control groups, the postgraduate field has Small number and it is not representative (Table8). Duration of illness: The rate of the Anxiety in type 2 Diabetes Mellitus increase with increase of duration of the disease and the increase is not significant (Table9). Discussion The present study revealed that the rate of Generalized anxiety disorder in patients with type 2DM was (40%) compared with, (18%) among their matched control (i.e. p< 0.001), this mean that Diabetes patients were highly significantly more prone to Generalized anxiety disorder than their matched control. This result is concomitant with many other studies throughout the world, in spite of different methodology and different diagnostic tools, as shown in table (10). In this study the mean age of GAD with type 2 DM was which is inconsistent with the study of Skinner TC, Davies MJ who report higher mean age ( ) years in their retrospective study (11). This discrepancy may be due to the small sample size which may result in the reduction of our patients mean age in addition to difficulties faced by the family to bring an elderly patient to the out- patient clinic which may result in this restriction in the mean age. Our study revealed that younger age group ( years) were of small percentage 33.3% compared with other age groups and this study may be attributed to following reasons ; first : most of these patient are not diagnosed because type 2 DM less frequent below 25 years and because of small sample size in the study. Many of our patients with generalized anxiety disorder in type 2 Diabetes Mellitus were in the age group ( ) years than other age groups this finding is consistent with the study of Fellaton BJ. (7) Who reported a similar age group in their study. These age group (50-59) years more prone to get type 2 DM, because type 2 DM mostly occur in middle ages due to insufficient amount of insulin or resistance which occur in the cells receptor to insulin action. The finding of a higher rate of Generalized anxiety disorder in female s type 2 Diabetes Mellitus % 40.1 versus % 36.3 of male with type 2 DM, which is consistent to the study of Lloyd CE, (6 ). Dyer PH This increase could be due to in part to a greater readiness in woman to admit Generalized anxiety disorder symptoms, it is possible that some men 80 Tikrit Medical Journal 2009; 15(1):78-85
4 with generalized anxiety disorder misuse alcohol and, diagnosed as a suffering from alcohol related disorder rather than anxiety disorder, also in many societies women are subject to various kind of social disadvantage this may predispose to get many psychiatric condition like generalized anxiety disorder. (12) The majority of patients with Generalized anxiety disorder were married which may be due to the difficult life circumstances faced by married patients, this is consistent with studies of Cafvelc, Lithner E, Borjeson (10) Although the rate of Generalized anxiety disorder was high rate in divorced, separated and widows, this is consistent with a number of studies like Cafvelc, LithnerE, Borjeson. This may be due to the difficulty which faced these peoples due to lack of support and low self esteem which faced them and trouble about their future, and their children s life. (10) Regarding to the occupation (table 6): In this study, there was a strong association between occupation and Generalized anxiety disorder in type 2 Diabetes Mellitus specially housewife female to become more anxious in compare with other occupations this may be due to the difficulties that she faced in home and caring her children, heavy work. This is consistent with the study of Peyrot M, Rubbin RR. (5) Regarding the educational level in this study, there is no significant relation between the rate of Generalized anxiety disorder and educational level, this is consistent with the study of Jalenques I,.( 9) Longaret D, Thieblot p Although the higher rate of generalized anxiety disorder noticed in unemployed and retired patient with type 2 diabetes mellitus, this may be as a result of difficulty which faced unemployed patient in their daily lives towards themselves and their families, and coasty lives and thinking about themselves and their children's future and can not care themselves and neglect their state. (10) Regarding the relation between generalized anxiety disorder and duration of type 2 DM (table 9): There was no significant relation in our study between the duration of type 2 Diabetes Mellitus and Generalized anxiety disorder. This may be due to coping with the state when the condition prolonged and patient may adjust with the disease. The present study concludes that generalized Anxiety disorder was more present among type 2 DM (40%) than (18%). And this significant difference reflects a strong association, this mean, that type 2 diabetes mellitus may be a precipitating factor for the many psychiatric illness. Also, the finding of the study has provided the knowledge that although the basic symptom of anxiety in Diabetic is similar to some Western studies, while, the frequency and manifestation of symptom are different. As a recommendation; 1. Psychiatric assessment should form a principle aspect of the management of each patient with type2 DM. 2. Awareness should increase for detection of psychiatric disorders by the general and family physicians, to avoid delay management of such disorders. 3. Adequate psychiatric consultation and management is necessary. References 1. Haslett, C., Edwin R., Nicholas A. Boon, Nicki R. Colledge, John A. A. Hunter, B.M FRIER, B.M 2. World Health Organization ( 1993 ), International classification of disease ( diagnostic criteria for research ), 10 th,ed. Geneva. 3.Schweiger E, Rickles K, Stratigies of treatment of Generalized Anxiety disorder in primary care setting J clin Psychiatry 1997 ;58( suppl3) ; Tikrit Medical Journal 2009; 15(1):
5 4. Robin LN, Regier DA, Psychiatric disorder in America, The epidemiological catchment area: New York free press, 1998; 10: Peyrot M, Rubin RR: Level and risks of Anxiety & depression Symptomatology among diabetic adult; Diabetes care 2000 Sep, ; 23 (9) Lioyd CE,Dyer PH, Barnrt AH. Prevalence of symptom of depression and anxiety in diabetes clinic population Mar ; 2000 Mar 17(3) : Felton BJ,Revenson TA: Age difference in coping with chronic diseases ; 1997Jun ;2 ( 2) : Skinner TC, Davies MJ,Khundik ;Diabetes screening anxiety and belief ;2005 Nov. ;22( 11), Jalenques I,Langaret D, Thieblot P Prevalance of Generalized anxiety disorder in Diabetes Mellitus 1993Aug ;113(8):: Skinner TC, Davies MJ, Khundik ; Diabetes screening and belief anxiety ;2005Nov. ;22( 11) ; Gelder M, Gath D, Mayou R, Cowen P( eds). Generalized anxiety disorder PP" Oxford Textbook of Psychiatry" 5 th edition, Oxford university press 2005; Table (1) Socio demographic - Characteristic of the study samples Patients group Character Male Female Total Male Female Total Sex Age Marital status Married Unmarried Occupation Housewife Government employer Retired Unemployed Private secretor work Education Graduate Secondary school Primary school Illiterate Tikrit Medical Journal 2009; 15(1):78-85
6 Table (2) Generalized anxiety disorder in type 2DM and control group according to GHQ-30 Case % Non case % Total Type 2DM group 80 40% % % % 200 Table (3) Generalized Anxiety disorder among Patients With type 2 DM & Control Group according to semi structured interview (ICD- 10) Type 2DM group Case % Non case % Total P- value 80 40% % % % significant Table (4) The relation between Generalized Anxiety disorders in type 2 DM and control Groups According to Ages Age Patient with type2dm No. Case % No. Case % Significance Of the difference P- value % % <0.005 significant % % <0.005 significant % % <0.005 significant % % <0.005 significant % % <0.005 significant % % <0.005 significant Tikrit Medical Journal 2009; 15(1):
7 Table (5) Relation of the generalized anxiety disorder in type 2 diabetes and control group according to the Sex Sex Type 2DM patients No. Cases % No. Cases % P - value Male % % significant Female % % significant Total % % Chi- square Df P- value Table (6) the relation between Generalized Anxiety disorder in Type (2) DM and control group according to the occupation Patient group Occupation No. Case % No. Case % P- value House wife % % significant Official staff % % significant Retired % % significant Unemployed % % significant Private sector work % significant Chi- square Df P-value Table (7) The relation between generalized anxiety disorder in type2 DM and control group according to marital states Patient with type 2 DM Marital status No. Case % No. Case % P- value Single % % s. Married % % s. Widow % % s. Divorce % % s. Other Total % % Chi- square =16.47 DF =3 P-value= Tikrit Medical Journal 2009; 15(1):78-85
8 Table (8) The relation of generalized anxiety disorder in type 2 DM and according to the education: Patients group Education No. Case % No. Case % P- value Graduate % % Non- significant 2ndary school % % Non- significant Primary school % % Non significant Illiterate % % Chi- square=1.79 DF= 4 P- value= Table (9) Generalized anxiety disorder in type 2 DM according to duration of diabetes. Duration of type 2DM No. of type2 DM. No. case % P-value 1mounth- 1 year % Non- significant 2 10 years % Non- significant years % Non- significant 21 years & above % Non- significant Chi square DF P- value Table (10) Rate of GAD in regard to authors Researcher Year Rate of GAD Comment A ten primaria(3) HibbsED,Liakopoutom(4) Peyrot M, Rubbin RR( 5) Lloyd CE,Dyer ph ( 6) Fellaton BJ ( 7) Skinner TC,Davies MJ( 8 ) Jalenques I, Lonjaret D, Thieblot P (9 ) Cafvelc, Lithner, E, Borjeson( 10 ) % 40.6% 45.3% 38.2% 42.1% 45.3% 39.6% 80.2% GAD in divorces Tikrit Medical Journal 2009; 15(1):
Prevalence and Associated Factors of Depression among Elderly Population Living in Geriatric Homes in Kathmandu Valley
39 Prevalence and Associated Factors of Depression among Elderly Population Living in Geriatric Homes in Kathmandu Valley Choulagai P S, Sharma C K, Choulagai B P Tribhuvan University, Institute of Medicine,
More informationMental Health Status of Female Workers in Private Apparel Manufacturing Industry in Bangalore City, Karnataka, India
1893 Mental Health Status of Female Workers in Private Apparel Manufacturing Industry in Bangalore City, Karnataka, India Deepthi Shanbhag 1*, Bobby Joseph 2 1 Assistant Professor; Department of Community
More informationImpact of Preoperative Anxiety Intervention on Postoperative Pain
Impact of Preoperative Anxiety Intervention on Postoperative Pain Dr. Shirin Aziz Bakr * Dr. Sirwan Kamil Ali ** Dr. Saadia Ahmed Khudhr *** ABSTRACT Background and Objectives: Numerous prospective randomized
More informationKnowledge And Attitude on Self Monitoring of Blood Glucose (Smbg) Among Diabetic Patients Belongs to Waghodia Taluka
IOSR Journal of Nursing and Health Science (IOSR-JNHS) e-issn: 2320 1959.p- ISSN: 2320 1940 Volume 5, Issue 5 Ver. II (Sep. - Oct. 2016), PP 06-11 www.iosrjournals.org Knowledge And Attitude on Self Monitoring
More informationRISK FACTORS AND PREVALENCE OF ANXIETY AND DEPRESSION IN URBAN MULTAN
ORIGINAL ARTICLE RISK FACTORS AND PREVALENCE OF Nauman Arif Jadoon *, Waqar Munir **, Zeshan Sharif Choudhry **, Rehan Yaqoob **, Muhammad Asif Shehzad **, Irfan Bashir **, Wasim Shehzad Rao **, Ali Raza
More informationA Comparative Study of Socio Demographic and Clinical Profiles in Patient with Obsessive Compulsive Disorder and Depression
American Journal of Psychiatry and Neuroscience 2018; 6(4): 99-103 http://www.sciencepublishinggroup.com/j/ajpn doi: 10.11648/j.ajpn.20180604.12 ISSN: 2330-4243 (Print); ISSN: 2330-426X (Online) A Comparative
More informationPsychosocial Wellbeing of People with Cancer and Heart Disease: The Case of Clients in Ayder Referral Hospital, Northern Ethiopia
Psychosocial Wellbeing of People with Cancer and Heart Disease: The Case of Clients in Ayder Referral Hospital, Northern Ethiopia Teklebrhan Berhe Department of Psychology, Adigrat University, Tigray,
More informationViews of Alcoholic Patients' about the Concept of Alcohol Addiction in Ibn Rushed Hospital in Baghdad City
Research Article Views of Alcoholic Patients' about the Concept of Alcohol Addiction in Ibn Rushed Hospital in Baghdad City Siham A. Hamoo BSc, MSc, PhD Date Submitted: 11/2/2016 Date Accepted:8/5/2016
More informationDepression: Role of life events and confiding relationship
Research Article Depression: Role of life events and confiding relationship Krishna S Pevekar 1*, Suvarna N Patil 2, Ashwini J Chavan 3 { 1 Assistant Professor, 3 Psychologist, Department of Psychiatry}
More informationScreening for psychiatric morbidity in an accident and emergency department
Archives of Emergency Medicine, 1990, 7, 155-162 Screening for psychiatric morbidity in an accident and emergency department GARY BELL, NICK HINDLEY, GITENDRA RAJIYAH & RACHEL ROSSER Department of Psychiatry,
More informationPsychiatric morbidity in patients with Chronic Obstructive Pulmonary Disease
International Journal of Sciences & Applied Research www.ijsar.in Psychiatric morbidity in patients with Chronic Obstructive Pulmonary Disease RuthSneha Chandrakumar*, V.V. Mohan Chandran, Rohan D. Mendonsa
More informationPrevalence of Negative Symptoms in Chronic Long Stay Schizophrenic Patients at AL-Rashad Mental Teaching Hospital
Prevalence of Negative Symptoms in Chronic Long Stay Schizophrenic Patients at AL-Rashad Mental Teaching Hospital Aziz Salim Shaker ABSTRACT: BACKGROUND: The phenomena of negative symptoms of long stay
More informationA study on awareness of Breast Carcinoma amongst the women aged 15 years and above in Urban slums of Turbhe, Navi Mumbai
Original Article A study on awareness of Breast Carcinoma amongst the women aged 15 years and above in Urban slums of Turbhe, Navi Mumbai Patel Neha A*, Pandit Daksha**, Khanolkar Ameya***, Surve Shweta***,
More informationA Study on Depression Among HIV/ AIDS Persons
A Study on Depression Among HIV/ AIDS Persons N. HEMALATHA, Ph.D., Scholar, Karpagam, University Coimbatore, India Dr. A. SAVARIMUTHU, Dean, Department of Management Studies, St.Joseph's College (Autonomous),
More informationA Study of Prevalence and Clinical Correlates of Nicotine Dependence Among Patients With Bipolar Disorder
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 17, Issue 9 Ver. 13 (September. 2018), PP 05-21 www.iosrjournals.org A Study of Prevalence and Clinical
More informationLoneliness: Understanding risks and influences
Loneliness: Understanding risks and influences Vanessa Burholt, Centre for Innovative Ageing, Swansea University Thomas Scharf, Irish Centre for Social Gerontology, NUI Galway What do we know about loneliness?
More informationInternational Journal of Scientific & Engineering Research Volume 9, Issue 1, January ISSN
International Journal of Scientific & Engineering Research Volume 9, Issue 1, January-2018 781 Prevalence of depression among diabetic patients and the factors affecting it Fahad Mousa Wasili,Abrar Yousef
More informationSELECTED EPIDEMIOLOGICAL ASPECTS OF SCHIZOPHRENIA: A CROSS SECTIONAL STUDY AT TERTIARY CARE HOSPITAL IN MAHARASHTRA
Original Article SELECTED EPIDEMIOLOGICAL ASPECTS OF SCHIZOPHRENIA: A CROSS SECTIONAL STUDY AT TERTIARY CARE HOSPITAL IN MAHARASHTRA Madhura D Ashturkar 1, Jaggnath V Dixit 2 Financial Support: None declared
More informationA Comparison of Clinical Features among Patients Suffering from Depression in HIV Positive and HIV Negative Cases
Original Article A Comparison of Clinical Features among Patients Suffering from Depression in HIV Positive and HIV Negative Cases Rajdeep Kaur, Ramandeep Kaur Civil Hospital, Gurdaspur, Punjab Abstract
More informationInternational Journal of Health Sciences and Research ISSN:
International Journal of Health Sciences and Research www.ijhsr.org ISSN: 2249-9571 Original Research Article Assessment of Susceptibility to Diabetes Mellitus among Rural Population using Indian Diabetic
More informationPsychiatric morbidity in married females living away from their spouses attending the psychiatry clinic in a tertiary care, teaching hospital
International Journal of Research in Medical Sciences Baig MG et al. Int J Res Med Sci. 2015 Aug;3(8):2086-2092 www.msjonline.org pissn 2320-6071 eissn 2320-6012 Research Article DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20150331
More informationExpectations Of Patients Using Mental Health Services
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 16, Issue 8 Ver. I (Aug. 2017), PP 33-37 www.iosrjournals.org Expectations Of Patients Using Mental Health
More informationThe Level of Anxiety and Depression Among Iranian Infertile Couples Undergoing In Vitro Fertilization or Intra Cytoplasmic Sperm Injection Cycles
Received: 12/21/2004 Accepted: 4/30/2005 Original Article The Level of Anxiety and Depression Among Iranian Infertile Couples Undergoing In Vitro Fertilization or Intra Cytoplasmic Sperm Injection Cycles
More informationDeterminants of Psychological Distress in Chinese Older People with Type 2 Diabetes Mellitus
Determinants of Psychological Distress in Chinese Older People with Type 2 Diabetes Mellitus Y.L. TSANG 1, Doris, S.F. YU 2 1 Accident and Emergency Medicine Academic Unit, 2 The Nethersole School of Nursing,
More informationInternational Journal of Health Sciences and Research ISSN:
International Journal of Health Sciences and Research www.ijhsr.org ISSN: 2249-9571 Original Research Article A Cross-Sectional Study to Assess Depression and Its Associated Factors among Elderly Debajani
More informationA study of clinico-demographic profile of patients with dissociative disorder
Journal of College of Medical Sciences-Nepal, 2012, Vol-8, No-3, 30-35 Original Article A study of clinico-demographic profile of patients with dissociative disorder SK Shah Lecturer, Department of Psychiatry,
More informationPrevalence of mental morbidities among the slum dwellers of Kolkata, West Bengal
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 79-0853, p-issn: 79-0861.Volume 15, Issue 1 Ver. III (Jan. 16), PP 44-48 www.iosrjournals.org Prevalence of mental morbidities among the
More informationDepression and Depressive Symptoms in Korean Women
Depression and Depressive Symptoms in Korean Women Nam-Soon Kim Research Fellow, KIHASA Introduction Depression refers to a psychiatric condition exemplified by diminution of interest, changes in appetite
More informationPSYCHIATRIC MORBIDITY AMONG JAIL IN- MATES
The Professional Medical Journal ORIGINAL PROF-2645 PSYCHIATRIC MORBIDITY AMONG JAIL IN- MATES 1. MBBS,FCPS(Psychiatry) Assistant Professor Head of department of Psychiatry and Behavioral Sciences Independent
More informationThe Prevalence of Depression Among the Elderly in Sepang, Selangor
The Prevalence of Depression Among the Elderly in Sepang, Selangor M S Sherina, MMed, L Rampal, PhD, A Mustaqim, BSc Department of Community Health, Faculty of Medicine and Health Sciences, Universiti
More informationCOPING PATTERN AMONG THE CAREGIVERS OF PERSONS LIVING WITH CANCER
Science COPING PATTERN AMONG THE CAREGIVERS OF PERSONS LIVING WITH CANCER Dr. Thirumoorthy *1, Dr. P. Saraswati Devi 2, Dr. K. Thennarusu 3 *1 Additional Professor, Dept. of Psychiatric Social Work, National
More informationHelp-seeking behaviour and its impact on patients attending a psychiatry clinic at National Hospital of Sri Lanka
Help-seeking behaviour and its impact on patients attending a psychiatry clinic at National Hospital of Sri Lanka DM Gomez, C Gunarathna, S Gunarathna, K Gnanapragasam, R Hanwella Abstract Background Mental
More informationA cross sectional study on prevalence and pattern of personality disorders in psychiatric inpatients of a tertiary care hospital
Original Research Article A cross sectional study on prevalence and pattern of personality disorders in psychiatric inpatients of a tertiary care hospital Maanasa T J 1*, Sivabackiya C 1, Srinivasan B
More informationStigma in Patients Using Mental Health Services
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861Volume 17, Issue 12 Ver 2 (December 2018), PP 16-23 wwwiosrjournalsorg Stigma in Patients Using Mental Health
More informationCHAPTER VI SUMMARY AND CONCLUSIONS
CHAPTER VI SUMMARY AND CONCLUSIONS Infertility is not an absolute condition. The ability to conceive varies with each cycle, environmental circumstances and treatment options. Women may find themselves
More informationStudy on sleep quality and associated psychosocial factors among elderly in a rural population of Kerala, India
International Journal of Community Medicine and Public Health George S et al. Int J Community Med Public Health. 2018 Feb;5(2):526-531 http://www.ijcmph.com pissn 2394-6032 eissn 2394-6040 Original Research
More informationDEPRESSION AMONG RURAL ELDERLY POPULATION
DEPRESSION AMONG RURAL ELDERLY POPULATION Mr. Sharad V. Dighe Lecturer, PIMS (DU), CON, Loni Mr. Eknath M. Gawade Lecturer, PIMS (DU), CON, Loni Abstract Statement: A study to assess the depression among
More informationIndian Journal of Basic and Applied Medical Research; March 2018, Vol.-7, Issue- 2, P
Original article: Study of estimation of prevalence of mental health disorders with special reference to anxiety and depression in tuberculosis patients using Global Mental Health Assessment Tool Primary
More informationEmployment, Unemployment And The Health Of Pregnant Women
Employment, Unemployment And The Health Of Pregnant Women J. M. NAJMAN, J. D. KEEPING, A. CHANG, J. MORRISON AND J. S. WESTERN * Abstract Much of what little we know about the impact of unemployment or
More informationAssessment of depression severity among cancer patients in Nanakaly Hospital, Erbil City
Assessment of depression severity among cancer patients in Nanakaly Hospital, Erbil City Received: 27/4/2016 Accepted: 8/12/2016 Mosleh Saber Kareem* Yusif Bakr Omer** Bakhtyar Othman Omer** Introduction
More informationAssessment of Patients Knowledge towards Angina Pectoris in Kirkuk City
Assessment of Patients Knowledge towards Angina Pectoris in Kirkuk City Younis Khider Baez * ABSTRACT Background and aim: Angina pectoris is a clinical syndrome usually characterized by episodes or paroxysms
More informationBreast cancer and self-examination knowledge among Tanzanian women: implications for breast cancer health education
64 Breast cancer and self-examination knowledge among Tanzanian women: implications for breast cancer health education T.A. NGOMA & M. NGOMA Ocean Road Cancer Institute, Dar es Salaam, Tanzania Abstract:
More informationA study of socio-demographic profile and treatment outcome of tuberculosis patients in an urban slum of Mumbai, Maharashtra
Original article: A study of socio-demographic profile and treatment outcome of tuberculosis patients in an urban slum of Mumbai, Maharashtra Dnyaneshwar M. Gajbhare 1, Rahul C. Bedre 2, Harsha M. Solanki
More informationDESCRIPTION OF FOLLOW-UP SAMPLE AT INTAKE SECTION TWO
SECTION TWO DESCRIPTION OF FOLLOW-UP SAMPLE AT INTAKE 7 2.1 DEMOGRAPHIC CHARACTERISTICS Table 2.1 presents demographic descriptive data at intake for those who were included in the follow-up study. Data
More informationPattern of Anxiety and Depression among Secondary School. Students in Riyadh, KSA
The International Journal of Indian Psychology ISSN 2348-5396 (e) ISSN: 2349-3429 (p) Volume 3, Issue 1, No.8, DIP: C03132V3I12015 http://www.ijip.in October December, 2015 Pattern of Anxiety and Depression
More informationORIGINAL ARTICLE ASSESSMENT OF SOCIO-DEMOGRAPHIC CORRELATES OF DEPRESSION AMONG THE ELDERLY IN AN URBAN AREA IN MAHARASHTRA
ASSESSMENT OF SOCIO-DEMOGRAPHIC CORRELATES OF DEPRESSION AMONG THE ELDERLY IN AN URBAN AREA IN MAHARASHTRA Swapnil P. Yadav 1, Mohan K. Doibale 2, N.R. Aswar 3, I.F. Inamdar 4, V.K. Sonkar 5, R.D. Gadekar
More informationInternational Journal Of Recent Scientific Research
International Journal Of Recent Scientific Research ISSN: 0976-3031 Volume: 7(6) June -2016 PERCEIVED STRESS AND DEPRESSION AMONG ELDERLY PEOPLE RESIDING AT OLD AGE HOME Karpagavalli Nageswaran and Suresh
More informationSituation of Obesity in Different Ages in Albania
Available online at www.scholarsresearchlibrary.com European Journal of Sports & Exercise Science, 2018, 6 (1): 5-10 (http://www.scholarsresearchlibrary.com) Situation of Obesity in Different Ages in Albania
More informationAnxiety and Depression Association of America 34 th Annual Conference March 27-30, 2014
Anxiety and Depression Association of America 34 th Annual Conference March 27-30, 2014 Inger E. Burnett-Zeigler, Ph.D. Assistant Professor Asher Center for the Study and Treatment of Depressive Disorders
More informationDescriptive Study of Family Planning Methods and Factors Influencing Their Usage Among Women Attending Tikrit Teaching Hospital.
Descriptive Study of Family Planning s and Factors Influencing Their Usage Among Areej Mothanna Noaman, MSc Community Medicine. College of Medicine. Tikrit University. Abstract Fertility control had been
More informationSocial Factors and Psychopathology in Epilepsy
ORIGINAL ARTICLE Social Factors and Psychopathology in Epilepsy N. Cyriac, P.N. Sureshkumar, A.M. Kunhikoyamu, A.S. Girija* Departments of Psychiatry and Neurology* Medical College Calicut, Kerala, India.
More informationA study on awareness of cervical cancer among women of reproductive age group in urban slums of old Hubli, Karnataka, India
International Journal of Community Medicine and Public Health Bathija GV et al. Int J Community Med Public Health. 0 Sep;(9):79-8 http://www.ijcmph.com pissn 94-0 eissn 94-040 Research Article DOI: http://dx.doi.org/0.80/94-040.ijcmph007
More informationProf. Norm O Rourke, Ph.D. Department of Public Health Ben-Gurion University of the Negev Be er Sheva, Israel
Prof. Norm O Rourke, Ph.D. Department of Public Health Ben-Gurion University of the Negev Be er Sheva, Israel Over recent decades, an large increase in the number of older adults with BD This is likely
More informationPrevalence and factors associated with depression among the elderly in rural areas of Kannur, North Kerala, India: a cross sectional study
International Journal of Community Medicine and Public Health Thilak SA et al. Int J Community Med Public Health. 206 Aug;3(8):986-99 http://www.ijcmph.com pissn 2394-6032 eissn 2394-6040 Research Article
More informationPsychiatric morbidity after screening for breast cancer
Journal of Epidemiology and Community Health, 1986, 40, 71-75 Psychiatric morbidity after screening for breast cancer CHRISTINE DEAN,1 M MAUREEN ROBERTS,2 KATE FRENCH,2 AND SUSAN ROBINS ON 2 From the University
More informationAnxiety and Depression among Nursing Staff at King Fahad Medical City, Kingdom of Saudi Arabia
Anxiety and Depression among Nursing Staff at King Fahad Medical City, Kingdom of Saudi Arabia Mostafa A F. Abbas 1, 2 ; Lamiaa Z. Abu Zaid 1, 2 ; Mona Hussaein 3 ; Khaled H. Bakheet 1 and Nasser A. AlHamdan
More informationCoping Repertoire in Caregivers of Schizophrenic Patients: An Indian Study
IOSR Journal of Pharmacy and Biological Sciences (IOSR-JPBS) e-issn: 2278-3008, p-issn:2319-7676. Volume 9, Issue 5 Ver. IV (Sep -Oct. 2014), PP 37-41 Coping Repertoire in Caregivers of Schizophrenic Patients:
More informationDEPRESSION AND ANXIETY STATUS IN KANSAS
DEPRESSION AND ANXIETY STATUS IN KANSAS 2011 Behavioral Risk Factor Surveillance System This report was prepared by the Bureau of Health Promotion, Kansas Department of Health and Environment February
More informationADULT PATIENT HISTORY FORM. Name: Address: City: State: Zip: Occupation (if applicable): Religious Affiliation (if applicable):
ADULT PATIENT HISTORY FORM DEMOGRAPHIC INFORMATION: Name: Address: City: State: Zip: Age: Date of Birth: Gender: Male Female Transgender Marital Status: Never Married Domestic Partners Married Separated
More informationMedical and Socio-demographic Features of Elderly Patient Population Attending Primary Health Care Facilities in Dubai, UAE
Advances in Applied Psychology Vol. 1, No. 1, 2015, pp. 10-14 http://www.aiscience.org/journal/aap Medical and Socio-demographic Features of Elderly Patient Population Attending Primary Health Care Facilities
More informationKnowledge on Prevention and Immediate Management of Child with Febrile Seizure among Mothers of Under Five Children
International Journal of Science and Healthcare Research Vol.3; Issue: 3; July-Sept. 2018 Website: www.ijshr.com Original Research Article ISSN: 2455-7587 Knowledge on Prevention and Immediate Management
More informationBEHAVIORAL ASSESSMENT OF PAIN MEDICAL STABILITY QUICK SCREEN. Test Manual
BEHAVIORAL ASSESSMENT OF PAIN MEDICAL STABILITY QUICK SCREEN Test Manual Michael J. Lewandowski, Ph.D. The Behavioral Assessment of Pain Medical Stability Quick Screen is intended for use by health care
More informationPrevalence of depression among elderly people living in old age home in the capital city Kathmandu
Original Article Prevalence of depression among elderly people living in old age home in the capital city Kathmandu S Ranjan 1, A Bhattarai 2, M Dutta 2 1 Department of Psychiatry, Universal College of
More informationMental Health in Workplaces in Taipei
26 Taiwanese Journal of Psychiatry (Taipei) Vol. 25 No. 1 2011 Original Article Mental Health in Workplaces in Taipei Mei-Ju Chen, M.D. MPH 1,2, Tony Szu-Hsien Lee, Ph.D. 3, Huey-Mei Jeng, Ph.D. 3, Wen-Hsiang
More informationCommon psychiatric disorders in glaucoma patients as seen at the University of Benin Teaching Hospital, Benin City, Nigeria
JMBR: A Peer-review Journal of Biomedical Sciences June 2004, Vol. 3 No. 1 pp 42 47 Common psychiatric disorders in glaucoma patients as seen at the University of Benin Teaching Hospital, Benin City, Nigeria
More informationA STUDY ON STRESS OF PRIVATE SCHOOL TEACHERS IN PEIYAKULAM TALUK
A STUDY ON STRESS OF PRIVATE SCHOOL TEACHERS IN PEIYAKULAM TALUK Dr.Chitra.,M.Com., M.Phil.,B.Ed.,PGDCA.,PhD., Principal and Professor in Commerce, Nadar Saraswathi College of arts and Science, Theni,
More informationA cross-sectional study on stress perceived by families of mentally retarded children enrolled in special schools of a city of central India
International Journal of Community Medicine and Public Health Chourasiya SK et al. Int J Community Med Public Health. 2018 Aug;5(8):3618-3623 http://www.ijcmph.com pissn 2394-6032 eissn 2394-6040 Original
More informationFactors associated with treatment lag in mental health care
Buckshey award Factors associated with treatment lag in mental health care Rohit Garg, Ajeet Sidana, Bir Singh Chavan Abstract Background: Despite the substantial distress and impairment caused by mental
More informationI n a general hospital, patients with psychiatric disorders are
175 ORIGINAL ARTICLE Anxiety and depressive disorders in an emergency department ward of a general hospital: a control study C Marchesi, E Brusamonti, C Borghi, A Giannini, R Di Ruvo, F Minneo, C Quarantelli,
More informationEffectiveness of Cognitive Behaviour Therapy on Patients Suffering From Depression
The International Journal of Indian Psychology ISSN 2348-5396 (e) ISSN: 2349-3429 (p) Volume 3, Issue 4, No. 64, DIP: 18.01.119/20160304 ISBN: 978-1-365-32519-9 http://www.ijip.in July-September, 2016
More information10-YEAR PATTERN OF ADMISSIONS IN PSYCHIATRIC UNIT AT A TERTIARY CARE HOSPITAL IN PAKISTAN.
O R I G I N A L A R T I C L E 10-YEAR PATTERN OF ADMISSIONS IN PSYCHIATRIC UNIT AT A TERTIARY CARE HOSPITAL IN PAKISTAN. Dr. Raza ur Rahman 1, Dr. Abdul Ghani Khan 2, Dr. Naila Naerm Shahbaz 3 1 MBBS,
More informationJMSCR Vol 05 Issue 11 Page November 2017
www.jmscr.igmpublication.org Impact Factor 5.84 Index Copernicus Value: 71.58 ISSN (e)-2347-176x ISSN (p) 2455-0450 DOI: https://dx.doi.org/10.18535/jmscr/v5i11.56 A Study on Demographic Variables in Patients
More informationMabel Ng APN DM Diabetes Ambulatory Care Centre United Christian Hospital
Mabel Ng APN DM Diabetes Ambulatory Care Centre United Christian Hospital Background From literature review Diabetes self-management education1-2 Group-based approaches of diabetes self-management interventions3-6
More informationIntroduction. original article. Camilla Callegari Ivano Caselli Marta Ielmini Simone Vender E-bPC
original article Camilla Callegari Ivano Caselli Marta Ielmini Simone Vender Department of Clinical and Experimental Medicine, Section of Psychiatry, University of Insubria, Varese, Italy Influence of
More informationPSYCHIATRIC MORBIDITY AMONG OVERSEAS STUDENTS
ABSTRACT PSYCHIATRIC MORBIDITY AMONG OVERSEAS STUDENTS Pages with reference to book, From 115 To 117 Muhammad Afzal Javed ( Department of Psychiatry, Mayo Hospital, Lahore. ) Cohn M. Shapiro ( Department
More informationResults. Variables N = 100 (%) Variables N = 100 (%)
ht t p: / / doi. or g/ 10. 4038/ s l j ps yc. v8i 2. 8157 Stigma experienced by persons diagnosed to have a mental illness turn to see the doctor in the clinic. Participants were invited to complete the
More informationSan Diego Center for the Treatment of Mood Disorders 1
San Diego Center for the Treatment of Mood Disorders 1 DATE NAME Last Middle First REFERRAL HISTORY: How did you find us (via a referral, web search, recommendation)? Please provide the name and phone
More informationQuality of life of people with non communicable diseases
Original Article NUJHS Vol. 5, No.3, September 015, ISSN 49-7110 Quality of life of people with non communicable diseases 1 3 Anju Rose, Shashidhara Y.N. & Manjula 1 3 MSc Nursing Student, Associate Professor
More informationStatus of Syndromic Management of Clients and their Partners at STI Clinic in a Suburban Area of Mumbai, India
International Journal of Medical Research & Health Sciences Available online at www.ijmrhs.com ISSN No: 2319-5886 International Journal of Medical Research & Health Sciences, 2017, 6(10): 115-120 I J M
More informationInternational Journal of Medical and Health Sciences
International Journal of Medical and Health Sciences Journal Home Page: http://www.ijmhs.net ISSN:2277-4505 Original article Prevalence of Urban Geriatric - A Cross sectional Study in Pondicherry R.S Bharatwaj*
More informationIndian J. Prev. Soc. Med. Vol. 43 No.4, 2012
ISSN- 0301-1216 Indian J. Prev. Soc. Med. Vol. 43 No.4, 2012 KNOWLEDGE OF CANCER PATIENTS WITH REGARD TO DISEASE AND MEDICAL CARE Aparna Rai 1, CP Mishra 2, Anand Kumar 3, S Pradhan 4 ABSTRACT Backgrounds:
More informationA Study of Depression among Individuals Suffering From Obsessive Compulsive Disorder
The International Journal of Indian Psychology ISSN 34836 (e) ISSN: 3434 (p) Volume 6, Issue 1, DIP: 18.1.1/1861 DOI: 1.1/61.1 http://www.ijip.in January March, 18 Research Paper A Study of Depression
More informationA study of Dhat syndrome- a culture bound syndrome in Nepalese context
ORIGINAL ARTICLE A study of Dhat syndrome- a culture bound syndrome in Nepalese context Dhungana M 1, Ghimire SR 2, Thapa M 3, Kafle B 1 1. Lecturer, Department of Psychiatry, Devdaha Medical College,
More informationAwareness and Knowledge of the Public in Abha City about Vitamin B 12 Deficiency
Med. J. Cairo Univ., Vol. 85, No. 3, June: 1201-1205, 2017 www.medicaljournalofcairouniversity.net Awareness and Knowledge of the Public in Abha City about Vitamin B 12 Deficiency AHMED AWWADH, M.B.B.S.*;
More informationMental health and substance use among US adults: An analysis of 2011 Behavioral Risk Factor Surveillance Survey
Mental health and substance use among US adults: An analysis of 2011 Behavioral Risk Factor Surveillance Survey Soumyadeep Mukherjee 1, MBBS, DPH 1 PhD student, Dept. Of Epidemiology, Robert Stempel College
More informationPrevalence of psychosomatic and other medical illnesses in anorexic and bulimic patients 1
Behavioural Neurology (1993),6, 123-127 Prevalence of psychosomatic and other medical illnesses in anorexic and bulimic patients 1 A.-M. Ghadirian, F. Engelsmann, P. Leichner and M. Marshall Department
More informationPrevalence of Impaired Glucose Tolerance and its Utility to Predict Prognosis of Patients with Liver Cirrhosis
American Research Journal of Medicine and Surgery ISSN (Online) : 2379-8955, 6 pages Research Article Prevalence of Impaired Glucose Tolerance and its Utility to Predict Prognosis of Patients with Liver
More informationTreatment Intervention Inventory Reliability, Validity and Accuracy
Treatment Intervention Inventory Reliability, Validity and Accuracy 8-2-02 Abstract The validity of the Treatment Intervention Inventory (TII) was investigated in a sample of 3,414 participants. The TII
More informationDr. Viral Bhatt 3rd Director, Sal Institute of Management, Ahmedabad, Gujarat (India) I. INTRODUCTION REVIEW OF LITERATURE
Volume-3, Issue-06, June 2016 ISSN: 2349-7637 (Online) RESEARCH HUB International Multidisciplinary Research Journal (RHIMRJ) Research Paper Available online at: www.rhimrj.com A Study on Awareness of
More informationShatha Abdul-Rahman Al-Ghurairi College of Nursing, Mosul University
Prevalence of anxiety disorders in children Shatha Abdul-Rahman Al-Ghurairi College of Nursing, Mosul University Abstract The aims of this study were to determine the prevalence of anxiety disorders among
More informationPatterns of binge drinking among adults in urban and rural areas of Pha-An township, Myanmar
Patterns of binge drinking among adults in urban and rural areas of Pha-An township, Myanmar Saw Morgan Soe Win 1, Chitlada Areesantichai 2. 1 College of Public Health Sciences, Chulalongkorn University,
More informationA study of the predictive factors of diagnostic instability of ATPD in Indian population
Original article: A study of the predictive factors of diagnostic instability of ATPD in Indian population 1Dr.Sonia Malhotra, 2 Dr. Pankaj B.Borade, 3 Dr. Jay P.Kumawat, 4 Dr.YogeshSatija 1M.D. Psychiatry,
More informationDepression Among Rural Aged : Facts & Reasons
ORIGINAL ARTICLE Depression Among Rural Aged : Facts & Reasons *M Rahman 1, A Rahman 2, TT Sajoni 3 1 *Prof. Dr. Md. Mahfuzar Rahman, Professor and Head Dept. of Community Medicine, AKMMC 2 Dr. Md. Atiqur
More informationType 1 diabetes mellitus (T1DM) is the most common
Original Article Disturbed eating behavior in Iranian adolescent and young females with type-1 diabetes compared to non diabetic peers: A cross-sectional study Hamid Reza Roohafza 1, Zahra Abdeyazdan 2,
More informationEffectiveness of Assertiveness Training on Assertiveness skills among Alcoholic Patients of selected De-addiction centers in Chennai
IOSR Journal of Nursing and Health Science (IOSR-JNHS) e-issn: 2320 1959.p- ISSN: 2320 1940 Volume 6, Issue 4 Ver. IV. (Jul. -Aug.2017), PP 24-30 www.iosrjournals.org Effectiveness of Assertiveness Training
More informationA STUDY TO ASSESS THE LEVEL OF STRESS AMONG WOMEN WITH PRIMARYINFERTILITY ATTENDING INFERTILITY CLINIC AT SRM GENERAL HOSPITAL
ISSN: 2321-3272 (Print), ISSN: 2230-7605 (Online) IJPBS Volume 6 Issue 1 JAN-MAR 2016 94-99 Research Article Biological Sciences A STUDY TO ASSESS THE LEVEL OF STRESS AMONG WOMEN WITH PRIMARYINFERTILITY
More informationTHE HEALTH OF ELDERLY CHINESE LIVING
THE HEALTH OF ELDERLY CHINESE LIVING IN THE COMMUNITY E H Kua ABSTRACT A stratified random sample of 1000 elderly Chinese was drawn from the electoral register of three constituencies, namely Tiong Bahru,
More informationProfile of breast cancer patients attending a tertiary care centre: a cross-sectional study
International Journal of Community Medicine and Public Health Amgiasvasanth AM et al. Int J Community Med Public Health. 2016 Mar;3(3):663-667 http://www.ijcmph.com pissn 2394-6032 eissn 2394-6040 Research
More informationQuality of life factors affecting quality of life in people living with HIV/AIDS in an urban area
International Journal of Community Medicine and Public Health Jadhav PS et al. Int J Community Med Public Health. 2017 Aug;4(8):3031-3036 http://www.ijcmph.com pissn 2394-6032 eissn 2394-6040 Original
More informationCase Study 3. DSM Symptoms Present: [DSM criteria as evidenced by (with evidence from case study)]
Case Study 3 DSM Symptoms Present: [DSM criteria as evidenced by (with evidence from case study)] Insomnia Related to Generalized Anxiety Disorder A. The predominant complaint is difficulty initiating
More information