ABSTRACT
To find out the association of family size and birth order in patients suffering from conversion disorder, and to observe its correlation with pattern of conversion symptoms and co morbid anxiety and depressive symptoms. This was a hospital based, descriptive, cross sectional study. The study was conducted in the Department of Psychiatry, Services hospital, Lahore from August 2003 to January 2004. One hundred patients, suffering from conversion disorder diagnosed on the basis of DSM-IV criteria were assessed for symptom pattern. A semi-structured interview was used to collect details of family size and birth order. Anxiety and Depressive symptoms were evaluated by using Hospital Anxiety and Depression Scale [HADS]. The majority of the patients were having 4-6 siblings. A strong correlation was found between the larger sized family and the middle born patients with the pattern of the conversion symptoms as well as with the anxiety and depressive symptoms. The patients with a diagnosis of conversion disorder need to be managed for, not only the psychological aspects but also the social issues like family size and stresses associated with it
Subject(s)
Humans , Birth Order , Family Characteristics , Anxiety , DepressionABSTRACT
Background: Co-morbidity with obsessive-compulsive symptoms is often misdiagnosed or even neglected by psychiatrists. It has been suggested that obsessive-compulsive co morbidity leads to a poorer clinical course, lower levels of functioning, and longer periods of hospitalization compared with schizophrenics who are not obsessive-compulsives. Present study aims to address the issue by exploring the co-morbidity of obsessive compulsive symptoms in schizophrenia and to see their relationship in clinical setting
Methods: The study was conducted at Department of Psychiatry, Services Institute of Medical Sciences and Services hospital, Lahore from September 2003 to May 2004. One hundred and eighty patients with schizophrenia diagnosed on the basis of DSM-IV were included in the study. Positive and Negative Syndrome Scale for Schizophrenia [PANSS] was administered to assess the severity of the positive and negative symptoms. Same patients were evaluated for obsessions and compulsions using Padua Inventory [Pl]
Results: Sample of the patients having schizophrenia co-morbidity with obsessive compulsive symptoms was having mean age of 32 years. Among them, 45.6 % were males, 54.6 % were females and 78 [43.3 %] patients with schizophrenia were having Obsessive Compulsive symptoms. Results show that Obsessive Compulsive symptoms were significantly co morbid with schizophrenia. The correlation was significant for positive and general psychopathology symptoms, whereas, no significant relationship was found for negative symptoms
Conclusion: Obsessive Compulsive symptoms significantly co morbid in patients suffering from schizophrenia with positive symptoms
ABSTRACT
To determine symptom pattern of conversion disorder and its association with co-existent anxiety and depressive symptoms. Descriptive, cross-sectional study. The study was conducted in the Department of Psychiatry, Services Hospital, Lahore from August 2003 to January 2004. One hundred patients, suffering from conversion disorder, diagnosed on the basis of DSM-IV criteria, were assessed for severity of anxiety and depressive symptoms by using hospital anxiety and depression scale [HADS]. A semi-structured interview was used for demographic details. Anxiety was seen to be present in 35% of cases, depression in 29% and 31% of the patients had both anxiety and depressive symptoms. Overall co-morbidity of anxiety and depressive symptoms in conversion disorder was high i.e. 95% and only 5% of the patients were without any co-morbid anxiety and depressive symptoms. A significant association was found between depressive and sensory symptoms [p=<0.05] in patients with conversion disorders. The patients with a diagnosis of conversion disorder need to be managed for anxiety and depressive symptoms appropriately for better outcome