Dermatological disorders; psychiatric co-morbidity

The study aimed to determine the prevalence and risk factors of Depression and Anxiety in indoor Patients of Dermatology Department. cross sectional study. The study was conducted at in door Department of Dermatology, D.H.Q Hospital Faisalabad from August 2006 to October 2006. A total of 77 diagnosed dermatological patients, [21 males and 56 females] were selected by using non-probability convenient sampling. Hospital Anxiety and Depression Scale and DSM -IV-TR criteria for depression and anxiety were used to evaluate the patients. QOL-BREF was administered. Results were also correlated with patient's demographics. Out of 77 Patients who were enrolled in a study, 52% of subjects reported psychiatric co-morbidity regarding anxiety and depression according to DSM-IV-TR, HADS, anxiety and depression score was 12.75 [ +/- 4.33] and 11.18 [ +/- 4.51] respectively. A strong co-relation of HADS anxiety and HADS depression was found with the DSM-IV- TR diagnosis respectively. The strong negative association was found with the education, monthly income and socio-economic status respectively. The study shows high Prevalence of Depression and Anxiety in Patients having dermatological disorder. The findings also highlight the importance of recognizing dermatological disease related psychiatric problems. Through training, dermatologists can identify psychiatry morbidity and play their role in early detection, management and referrals of complicated cases of these co- morbid conditions. In this way better quality of care can be assured

Anxiety and depressive disorders as psychiatric co-morbidity in hepatic diseases

The study was designed to assess the co morbidity of anxiety and depressive disorders in the patients suffering from various hepatic diseases and to examine the split up of patients as per age, gender, marital status, family type, residence, occupation, income and type of hepatic disease diagnosis. Cross sectional study. The study was conduced from September 2007 to November 2007 in liver center DHQ hospital Faisalabad. 102 patients with different hepatic diseases participated in it through purposive convenient sampling technique. To diagnose the patients with anxiety and depression, the diagnostic criteria of DSM IV TR were employed while demographic variables were recorded on a demographic sheet. Results showed that anxiety and depressive disorders were found 88.2% co morbid in all hepatic patients. These psychiatric disorders were more frequently found in urban areas [57.63% anxiety and 37.3% depression] where as it was lesser in joint families [45.94% anxiety and 32.43% depression] and service personals [42.11% anxiety and 26.32% depression]. The proportion of the patients diagnosed with depression was higher in females and elderly, while it was lower in educated class. As the Psychiatric co morbidity especially anxiety and depressive disorders in patients suffering from hepatic disorders is so frequent hence the doctors dealing with such patients should be better trained in assessment and management of these disorders