Study of Psychiatric Comorbidity of Alcohol Use Disorder.

Study of Psychiatric Comorbidity of Alcohol use Disorder.

J Nepal Health Res Counc. 2013 Jan; 11(23): 66-69
Sedain CP

Background: The problem of alcohol abuseis increasing in the world. The subjects for this study comprised of all patients visiting Department of Psychiatry of Chitwan Medical College Teaching Hospital, Bharatpur, Nepal and who were regularly consuming alcohol. Methods: This is a retrospective study done at the Department of Psychiatry, Chitwan Medical College Teaching Hospital. Of the 263 patients of alcohol use disorder with or without psychiatric comorbiditywere analyzed. The ratios and proportions were used for statistical analysis.The study was conducted from 1st January 2009 to 30th December 2009. Results: This study shows that alcohol use disorder without comorbidity is 184 (71.04%). Psychosis is (alcoholic hallucinosis) 32(12.36%) followed by anxiety disorder 19 (7.33%) and depressive disorder 17 (6.56%). Data shows highest number of cases were age group (40-49) 88 (33.46%) followed by (50-59), 65 (24.71%). Highest number of cases were of lower caste, Baisya 139 (52.85%) followed by Sudra 57 (21.67%). Conclusions: The current study shows 75 (28.95%) patients consuming alcohol have psychiatric comorbidity including psychosis, anxiety disorder, depressive disorder and bipolar disorder etc. Keywords: alcoholic hallucinosis; bipolar disorder;comorbidity. HubMed – depression


Association of Thyroid Dysfunction with Depression in a Teaching Hospital.

J Nepal Health Res Counc. 2013 Jan; 11(23): 30-34
Ojha SP, Dhungana S, Chapagain M, Tulachan P

Background: Thyroid dysfunction is common in patients with depression and depression is also common in patients with thyroid dysfunction. The purpose of this study was to estimate the prevalence of thyroid dysfunction in newly diagnosed depressed patients attending Psychiatry outpatient department of Tribhuvan University Teaching Hospital, Nepal and to find the correlation between the two. Methods: The study population comprised of 70 patients aged more than 15 years selected by simple random sampling technique who attended the Psychiatry OPD of Tribhuvan University Teaching Hospital, Kathmandu, Nepal and were diagnosed with first episode depression. A self- designed semi structured proforma was devised to obtain the socio- demographic characteristics of the study population. These patients were diagnosed as depression as per the ICD-10 DCR Criteria and HDRS scale was used at the same interview to verify it objectively. Results: Fifteen patients (21%) were found to have thyroid dysfunction, the most common being sub-clinical hypothyroidism, seen in 8 (11%). Thyroid dysfunction also showed positive correlation with depression severity. The diagnosis of depression by ICD- 10 DCR Criteria had positive correlation with HDRS grading of depression, though no significant association was found between different socio- demographic variables and depression. Conclusions: This study concluded that thyroid dysfunction is common in depressed patients and larger studies are required in this field before TFTs are considered as an integral part of evaluation of these patients. Keywords: depression; HDRS; ICD-10 DCR Criteria; thyroid dysfunction. HubMed – depression



Georgian Med News. 2013 May; 49-53
Kenchadze R, Iverieli M, Geladze N, Khachapuridze N, Bakhtadze S

The aim of the research was to detect the stomatologic, endocrine and psycho-neurologic status in patients with burning mouth syndrome, elaborate different diagnostic criteria and effective therapy for the patients with burning mouth syndrome. 92 patients with burning mouth syndrome were studied. Patients ranged in age from 28 to 72 years. The conducted studies gave the possibility to make conclusions, the most important of which are: burning mouth syndrome (BMS) is not only stomatologic problem; this psychosomatic syndrome belongs to gerontologic disease and tendency of its “rejuvenation” was revealed as well (in the current study – 2 women (28 and 32 year old and 38 year old man); degree of revelation of the symptoms of depression, anxiety, obsession and somatization is closely related with duration of the diseases. These symptoms are progressing together with aging and reach the peak at 60-70 years old. Individual scheme of therapy was developed on the background of clinico-paraclinical study. HubMed – depression