RESUMO
Fifty subjects with seizure disorder were compared with thirty subjects with bronchial asthma and assessed for depression and suicidal behaviour. 34% of the epilepsy group had a diagnosis of major depressive episode compared to 13.3% of Bronchial Asthma group, which demonstrated a significant difference. Complex partial seizures and use of phenobarbitone had significant association with depression. 16% of the epilepsy group had a history of atleast one suicidal attempt in the previous year with 88% using anticonvulsants. 20% of the group also expressed current suicidal ideation, which correlated with Hamilton Depression Rating Scale total scores.
RESUMO
The present study was aimed to find out the alteration of NE and 5HT systems in depression, if so in the same direction or not and to find out the clinical response to combined therapy of Imipramine and Amitriptyline, both tricyclic antidepressants. The study group consisted of 39 depressives as defined by I. C. D. 9 and 17 normal controls. Hamilton Depression Rating Scale was used to assess the severity of depression initially and after clinical improvement with drugs. Urinary MHPG and CSF 5HIAA were estimated final] depressives as per the standard procedure. It was found that both urinary MHPG and CSF 5HIAA were lowered in depressives but when individual patients were analysed both were not altered in the same direction in a given individual. All the depressives showed equal therapautic response to combined administration of Imipramine and Amitripiyline.
