The Correlation Between Emotional Distress and Aging Males’ Symptoms at a Psychiatric Outpatient Clinic: Sexual Dysfunction as a Distinguishing Characteristic Between Andropause and Anxiety/depression in Aging Men.

The correlation between emotional distress and aging males’ symptoms at a psychiatric outpatient clinic: sexual dysfunction as a distinguishing characteristic between andropause and anxiety/depression in aging men.

Clin Interv Aging. 2013; 8: 635-40
Chen CY, Lee CP, Chen Y, Jiang JR, Chu CL, Chen CL

Andropause and psychiatric disorders are associated with various symptoms in aging males and are part of the differential diagnosis of depression and anxiety. This study was designed to investigate the relationship between symptoms of aging, anxiety, and depression, and to determine if sexual dysfunction could be a differentiating characteristic in the psychiatric outpatient clinic.One hundred seventy-six male psychiatric outpatients participated in the study and completed self-reported measures assessing symptoms of aging, depression, and anxiety. Symptoms of aging were assessed by the Aging Males’ Symptoms scale. Anxiety and depression were measured by the Hospital Anxiety and Depression Scale. Erectile dysfunction was considered if a response to item 15 on the Aging Males’ Symptoms scale (impaired sexual potency) was rated with 4 or 5 points. Affective disturbance was assessed by the total scores of the Hospital Anxiety and Depression Scale.Age was correlated with less anxiety and more sexual symptoms. Anxiety and depression were associated with more severe symptoms of aging, and depression was associated with more sexual symptoms than was anxiety. Impaired sexual potency was the only sexual symptom not significantly associated with depression and anxiety. Depression was associated with an interspousal age gap of ?6 years. The point prevalence of erectile dysfunction was 28.4%, and age and affective disturbance were associated with the risk of erectile dysfunction.Impaired sexual potency should raise the suspicion of androgen deficiency rather than depression and anxiety among middle-aged or older male psychiatric outpatients. HubMed – depression


Effectiveness of Group Psycho-education on Well-being and Depression Among Breast Cancer Survivors of Melaka, Malaysia.

Indian J Palliat Care. 2013 Jan; 19(1): 34-9
Ram S, Narayanasamy R, Barua A

The psychological stress after diagnosis of breast cancer is often severe. Most of the women with breast cancer and their families suffer from emotional, social, financial and psychological disturbances.A cluster non-randomized trial was conducted at a Cancer Society in Melaka, Malaysia to assess the effectiveness of psycho-education on well-being status and depression among breast cancer patients. The study period was for one month (11(th) June 2011 and 16(th) July 2011). Participants in this study were 34 adult women suffering from non-metastatic breast cancer and on appropriate allopathic medication. The WHO-five Well-being Index (1998 version) was used as the screening instrument for the assessment of well-being and depression. The data collected were tabulated and analyzed by using the Statistical Package for Social Sciences (SPSS) version 11.0. Wilcoxon Signed-rank Test was applied for comparison between pre-test and post-test scores. A P value <0.05 was considered as statistically significant.This study revealed that majority of the participants was in the state of adequate well-being after the psycho-education 33 (97.1%). The proportion of depressed individuals had also reduced from 8 (23.5%) to 1 (2.9%) after the psychological intervention. The post-test results significantly improved after the intervention for the items related to "I have felt calm and relaxed", "I woke up feeling fresh and rested" and "my daily life has been filled with things that interest me" along with the "overall impression" in the WHO-5 Well-being Index.Group psycho-education played a significant role in improving the well-being status and reducing depression of breast cancer survivors. HubMed – depression


Psychiatric morbidity in school children who suffered a stampede.

Ind Psychiatry J. 2012 Jan; 21(1): 61-3
Bhatia MS, Srivastava S, Jhanjee A

Stampede is described as a sudden movement of a mass of people in response to a particular circumstance or stimulus. Human stampedes are quite often reported from crowded places like places of worship, sporting events, political rallies, etc. There are reports of development of posttraumatic stress disorder, depressive and anxiety symptoms in children and adolescents subsequent to both natural and man-made disasters. The present tragedy struck in a Government Secondary School in Delhi on September 9, 2009. The study describes the long-term psychiatric morbidity in children following stampede.The study was conducted by the department of psychiatry of a tertiary care hospital. A total of 38 children (all adolescent girls) were registered at the casualty of the hospital and 1 absconded, 5 were brought dead. A total of 32 children were included in the study. After first assessment in the casualty, subsequent assessments at 8 weeks and 6 months were done using semi-structured performa, GHQ and Child’s reaction to traumatic event scale (CRTES-Revised). Data was analyzed using SPSS version 17.The age-group of the children were 12-20 years(mean 14.3), all girls, studying in grades – VII to X Eight weeks follow up GHQ score was high in 27 (87%). On CRTESQ-R scale, 22 children were in high distress group (71%). Twenty-two children had symptoms of PTSD and five were in moderate distress group. Eleven children also had a comorbid diagnosis of depressive disorder, six had phobic disorder and generalized anxiety disorder. There were statistically significant differences in mean GHQ scores at baseline and at 6 months follow up. There was also significant decrease in CRTESQ-R scale scores between baseline and 6 months.The children who were victims of stampede warrant the need for long-term intervention. HubMed – depression


Psychosocial correlates of human immunodeficiency virus infected patients.

Ind Psychiatry J. 2012 Jan; 21(1): 55-60
Agrawal M, Srivastava K, Goyal S, Chaudhury S

Reactions of people to a diagnosis of HIV and its effect on well-being vary greatly. There is paucity of Indian studies in this area.To assess the level of anxiety, depression and quality of life in HIV seropositive individuals.It was a descriptive cross-sectional study with a sample size of 50 seropositive individuals. They were assessed using a specially prepared proforma containing several questions pertaining to their demographic profile, details of HIV status and high-risk behavior, questions on family support and discrimination. In addition, all subjects were evaluated with WHO well-being index, General Health Questionnaire (GHQ), and Hospital Anxiety, and Depression Scale.Anxiety was noted in 54% of the individuals whereas only 30% suffered from depression. GHQ showed psychological morbidity in 44% individuals. WHO well-being index noted poor psychological well-being in 46% of individuals.The high level of anxiety and depression in HIV seropositive subjects reiterates the importance of psychological counseling in HIV afflicted individuals in conjunction with suitable pharmacotherapy. HubMed – depression


Migraine: Clinical pattern and psychiatric comorbidity.

Ind Psychiatry J. 2012 Jan; 21(1): 18-21
Bhatia MS, Gupta R

Migraine is a common disorder which has psychiatric sequelae.The objective of this study was to determine the clinical pattern and psychiatric comorbidity of migraine.100 cases of migraine seen over a period of one year were analysed to know the sociodemographic characteristics, clinical pattern and psychiatric morbidity.Maximum patients were between 31-40 years of age group (40%), females (78.0%), married (76%) and housewives (56.0%). Family history of migraine was present in 12% cases. Average age of onset was 22 years. Unilateral and throbbing type of headache was most common. The commonest frequency was one to two per week. Migraine without aura was commonest sub-type (80%). Generalized anxiety disorder (F41.1) was the most common psychiatric disorder (34%), followed by mixed anxiety and depressive disorder (F41.2) (18%) and depressive episode (F32) (14%). In 22% cases, no psychiatric disorder could be elicited.The present study confirms that majority patients with migraine had psychiatric disorders. This needs timely detection and appropriate intervention to treat and control the migraine effectively. HubMed – depression