ABSTRACT
Background: Mental health problem is a major public health issue all over the world including India. In India, mental disorders are the leading contributors to significant morbidity and disability amongst those affected. With changing health pa?erns among Indians, mental behavior and substance use disorders are coming to the forefront in health care delivery systems. Objec?ve: This study was aimed to assess the diagnos?c pa?ern of psychiatric morbidity among the pa?ents a?ending psychiatric outpa?ent department in a private medical college. Methodology: This cross-sec?onal study was carried out in the Department of Psychiatry in Prathima Ins?tute of Medical Sciences located at Karimnagar, Telangana, India. For this study, a total of 442 new subjects a?ending Psychiatry Outpa?ent Department (OPD) from August 2020 to July 2021 were taken. All the informa?on including longitudinal histories of pa?ents was recorded in files and the diagnosis was made following Diagnos?c and Sta?s?cal Manual of Mental Disorders-Fi?h Edi?on (DSM 5). Sociodemographic parameters and family history of mental illness were collected from the record file of the individual pa?ent. Results: In the present study, among the different age groups, the majority (28.05%) of the study subjects were of the age ranging from 21-30 years. The distribu?on according to gender was (62.89%) males and (37.10%) females. The majority of the study subjects belonged to the rural background (69.45%), educated up to 10th standard (28.73%), self-employed (29.86%), married (67.42%), belonged to Hindu religion (85.74%), and with a monthly family income of 5,000 to 10,000 (38.68%). The majority of the study subjects were diagnosed with Major depressive Disorders (28.05%), followed by anxiety disorders (17.87%) and Substance-Related and Addic?ve Disorders (16.96%). Conclusion: This study provides informa?on about the prevalence of psychiatric morbidity among pa?ents a?ending outpa?ent department in a private medical hospital in Northern Telangana. It helps in assessing the pa?ern of psychiatric problems and taking necessary steps to plan for better management of mental health care in the near future.
ABSTRACT
Background: Post Stroke Depression (PSD) is one of the most frequent Neuropsychiatric consequences of stroke. It affects almost 29%-70% of Stroke Survivors (SS). There is paucity of research data in determining the risk factors and especially severity and associa?on of depression with site of lesion loca?on in Indian community. Aim and Objec?ves: To determine factors associated with PSD and associa?on between Socio-demographic profiles, Stroke symptoms, Site of lesion with depression. Materials and Methods: It’s a cross-sec?onal study including par?cipants from the outpa?ents sec?on of Department of Neurology at Prathima Ins?tute of Medical Sciences. A predetermined sample size of 60 pa?ents with CVA pa?ents was enrolled in the study and their socio demographic details are collected along with administering Beck’s Depression Inventory for Depression. Neuro-imaging provided informa?on on lesion loca?on. Collected data was analysed using SPSS version 19 and using descrip?ve and inferen?al sta?s?cs. Results: In this study 18 out of 60 subjects with stroke were diagnosed with PSD. Risk factors found to be mainly associated with PSD are lack of family support, Joint family types, Stroke with Aphasia, Cranial Nerve involvement and Motor System weakness whereas, Substance use is found to be a protec?ve factor. Significant numbers of subjects were found to have le?-anterior-sub-cor?cal lesions associated with PSD. Conclusion: This study highlights the variables which are to be considered in the recogni?on of PSD for Neurologists and Mental health care workers for early interven?on and a be?er outcome in view of stroke recovery