Does depression conciliate in marital adjustment?

Marriage is one of the principal facets when it comes to interpersonal context of depression. There is evidence supporting bidirectional casual effect between depression and marital satisfaction. However the phenomenon of marital adjustment and its related variable has not been given much attention in the Pakistan.ObjectiveTo determine the frequency of marital adjustment in patients with depression.MethodDepressed patients, who were aged between 15–65 were included. Patients who had documented co morbid of substance use or any unstable serious general medical condition were excluded. The severity of depression was evaluated by using Urdu validated Hamilton Depression Rating Scale. Marital adjustment is determined by using Urdu validated version of Kansas Marital Satisfaction Scale.ResultOnly 8.6% were well adjusted in their marital life, and all were females. The association of marital adjustment and severity of depression and difference in both genders on KANSAS was insignificant. The longer duration of illness was positively interrelated to the marital adjustment with odd ratio of 7.6. Being employed and above 30 years of age were inversely related to marital satisfaction with odd ratio of 6.1 and 5.4 respectively. However, the correlation between other independent variables and marital adjustment were insignificant in both genders.ConclusionThis study confirms the presence of high frequency i.e. 91.4% of marital dissatisfaction in depression in both male and females, irrespective of their severity of depression.Disclosure of interestThe author has not supplied their declaration of competing interest.

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Anxiety Symptoms in Older Adults with Depression Are Associated with Suicidality

Dementia and Geriatric Cognitive Disorders ◽

10.1159/000488480 ◽

2018 ◽

Vol 45 (3-4) ◽

pp. 180-189 ◽

Cited By ~ 4

Author(s):

Anette Bakkane Bendixen ◽

Knut Engedal ◽

Geir Selbæk ◽

Cecilie Bhandari Hartberg

Keyword(s):

Older Adults ◽

Cognitive Functioning ◽

Depressive Disorders ◽

Rating Scale ◽

Medical Condition ◽

Anxiety Symptoms ◽

Clock Drawing Test ◽

General Medical Condition ◽

Icd 10 ◽

Severity Of Depression

Objective: Anxiety symptoms are common in older adults with depression, but whether severe anxiety is associated with poorer outcomes of depression is unknown. The objective of the present study was to examine the association between severity of anxiety and severity of depression and physical illness, suicidality, and physical and cognitive functioning in older adults with depression. Methods: We included 218 older adults with diagnoses of a depressive disorder according to the ICD-10 criteria; their mean age (SD) was 75.6 (7.2), and 67.0% were women. The Geriatric Anxiety Inventory (GAI) was used to measure the severity of anxiety symptoms. The Montgomery-Aasberg Depression Rating Scale (MADRS) was used to assess the severity of depression. We obtained information on the level of functioning with the Physical Self-Maintenance Scale (PSMS) by Lawton and Brody and on cognition with the Mini-Mental State Examination (MMSE) and the Clock-Drawing Test (CDT). Physical health was determined based on information regarding falls and weight loss and an assessment of each patient’s general medical condition. The treating physician evaluated current suicidality in a comprehensive and standardized way. Results: Higher GAI scores were significantly associated with scores on the MADRS (β = 0.233, p = 0.002) and suicidality (β = 0.206, p = 0.006). Levels of physical or cognitive functioning were not associated with the GAI score. Conclusion: The severity of anxiety symptoms was associated with the severity of depression and suicidality in older adults with depressive disorders. The results could indicate a need to focus greater attention on the treatment of anxiety and suicidality in older patients with depression.

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Association between severity of schizophrenic symptoms and urinary retention

European Psychiatry ◽

10.1016/s0924-9338(01)00612-5 ◽

2001 ◽

Vol 16 (8) ◽

pp. 497-500 ◽

Cited By ~ 10

Author(s):

R. Shiloh ◽

A. Weizman ◽

P. Dorfman-Etrog ◽

N. Weizer ◽

H. Munitz

Keyword(s):

Urinary Retention ◽

Rating Scale ◽

Medical Condition ◽

Paranoid Schizophrenia ◽

Temporal Correlation ◽

Continuous Treatment ◽

Psychotic Symptoms ◽

General Medical Condition ◽

Haloperidol Treatment ◽

Psychotic Exacerbation

SummaryA case is presented in which severe urinary retention (UR) occurred during an acute psychotic exacerbation of paranoid schizophrenia. The voiding dysfunction was apparent during continuous treatment with unchanged doses of haloperidol, and it completely resolved with the remission of the psychotic symptoms. A clear temporal correlation was evident between the patient’s mental status, the Brief Psychiatric Rating Scale (BPRS) score and the degree of the UR as assessed by quantitatively measuring the total daily postvoiding urine residues. We could not relate the UR to any apparent general medical condition or to the haloperidol treatment. The presented data suggests that UR in schizophrenic patients might be the end-result of various psychosis-related mechanisms.

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MARITAL SATISFACTION AND QUALITY OF LIFE IN PATIENTS WITH ALCOHOL AND OPIOID DEPENDENCE SYNDROME: A HOSPITAL BASED STUDY

10.36106/ijsr/8901009 ◽

2021 ◽

pp. 28-29

Author(s):

Vinay Kumar ◽

Sunila Rathee ◽

Sidharth Arya ◽

Priti Singh ◽

Rajiv Gupta

Keyword(s):

Quality Of Life ◽

Marital Satisfaction ◽

Alcohol Dependence ◽

Marital Quality ◽

Opioid Dependence ◽

Marital Adjustment ◽

Satisfaction Scale ◽

Cross Sectional ◽

The Individual

Background: Opioid and alcohol consumption is considered as an on-going stressor, not only for the individual, but for family members as well. Spouses are particularly affected given the intimate nature of their relationship and constant exposure to the behaviour of the dependent persons. Quality of life has emerged as an important treatment outcome measure for alcohol and opioid dependence whose natural course comprises of remission and relapse. Objective: To assess the quality of life, marital adjustment and among the patients of alcohol and opioid dependence syndrome. Materials and Methods: This was a cross sectional hospital based study and included 100 treatment seeking population 50 each with alcohol dependence and opioid dependence as per ICD-10 criteria. The participants were purposively selected and informed consent were taken. Research tools were Hindi version of Kansas Marital Satisfaction scale and WHOQOL-BREF. Results: The mean age of the participants were 34.87 +12.48 years. The study did not observe a signicant difference in the overall domains of quality of life. Except the overall health domain, quality of life was more in alcohol subjects as compared to opioid subjects (p < 0.05). There was a signicant difference in the marital quality of life which was lower in opioid dependence than alcohol dependence subjects. Conclusion: Improved marital adjustment are most important part of improved quality of life and its sustainability plays key role in preventing relapse and reaching to the recuperation. Effective management for the alcohol and opioid patients must include the marital intervention to improve the recovery and rehabilitation of the patients.

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Case Report: Use of Subcutaneous Midazolam During an Episode of Catatonia

Frontiers in Psychiatry ◽

10.3389/fpsyt.2021.666646 ◽

2021 ◽

Vol 12 ◽

Author(s):

Valentin Raymond ◽

Etienne Véry ◽

Adeline Jullien ◽

Fréderic Eyvrard ◽

Loic Anguill ◽

...

Keyword(s):

Rating Scale ◽

Medical Condition ◽

Oral Treatment ◽

First Episode ◽

Polycystic Kidney ◽

Anesthetic Induction ◽

General Medical Condition ◽

Injectable Treatment ◽

History Of ◽

Patient’S History

Midazolam is a benzodiazepine (BZD) mainly used in anesthetic induction due to its pharmacokinetic features. Its place in the therapeutic management of catatonia remains to be determined. Here we present the case of a 65-year-old man who presented with a first episode of catatonia with opposition to any form of oral treatment, where a single dose of 1 mg of subcutaneous (SC) Midazolam permitted clinical improvement allowing oral treatment to be given. The patient's history notably included a renal transplant linked to Polycystic Kidney Disease (PKD) and no history of psychiatric illness nor of any use of psychotropic drugs. As the patient refused to drink or eat and ceased answering basic questions, a psychiatric assessment was required. A diagnosis of Catatonic disorder due to a general medical condition [DSM 5–293.89/ ICD10 [F06.1]] was made. A Bush-Francis Catatonia Rating Scale (BFCRS) analysis returned a score of 15 out of 62, with stupor, mutism, negativism, staring, withdrawal, rigidity, and stereotypy. As the negativism prevented the patient from taking any form of oral treatment, after a brief discussion with the unit's physician, it was decided to administer 1 mg of SC Midazolam. One hour later, the patient was more responsive and compliant, and agreed to drink, eat, and take medication. Thus, the catatonic signs of mutism, negativism, staring, and withdrawal were resolved, but waxy flexibility and catalepsy appeared, leading to a new BFCRS score of 10 out of 62. Oral treatment with 2.5 mg Lorazepam, 4 times a day, was then initiated. Midazolam could be a safer choice compared with the other options available, such as other SC BZD, considering the complex safety profile of this patient with renal insufficiency. This situation represents the first report of using SC Midazolam as an injectable treatment for catatonia. More studies are needed to assess the clinical pertinence of SC Midazolam in the treatment of catatonia.

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Psychosocial factors that influence marital couple duration

Technium Social Sciences Journal ◽

10.47577/tssj.v5i1.243 ◽

2020 ◽

Vol 5 ◽

pp. 151-160

Author(s):

Sandu Mihaela Luminita ◽

Claudia Salceanu

Keyword(s):

Marital Satisfaction ◽

Marital Conflict ◽

Marital Adjustment ◽

Married Couples ◽

Cultural Economic ◽

Satisfaction Scale ◽

Financial Status ◽

The Family ◽

Political Dimensions ◽

The Relationship

Humanity’s history, with its biological, psychological, social, cultural, economic and political dimensions, belongs to the coexistence of man and woman, to the relationships between them and their children. In time, family has become one of the oldest community forms, which ensures the evolution and continuity of the human species. Family influences the most the human being. Many studies made by researchers in this field, have proved the importance of the family for people, emphasizing that family is a real laboratory for the development of a person. In contemporary society, family suffered a lot of important transformations, like female empowerment for example, which, in turn, has determined many other changes in the family life. Due to these changes, the marital couple is currently more interested in satisfying its own interests and minimizes the tasks that society assigns to the family. A sample of 30 married couples, residing in Constanta County, has been assessed with Kansas Marital Satisfaction Scale, Locke-Wallace Marital Adjustment Scale, Kansas Marital Conflict Scale and Influence of the Material Situation on the Couple Questionnaire. The main objective of the research was to identify the relationship between these factors and the duration of the marital couple. We identified significant correlation between: (1) the couple’s duration and marital satisfaction; (2) the marital satisfaction and marital adjustment; (3) the level of the financial status and marital quarrels. Results are discussed in terms of marital counseling, the increase of marital satisfaction and the development of assistance for families in need.

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PSYCHOMETRIC PROPERTIES OF THE CHINESE VERSION OF THE KANSAS MARITAL SATISFACTION SCALE

Social Behavior and Personality An International Journal ◽

10.2224/sbp.1993.21.3.241 ◽

1993 ◽

Vol 21 (3) ◽

pp. 241-249 ◽

Cited By ~ 28

Author(s):

Daniel T. L. Shek ◽

M. C. Lam ◽

K. W. Tsoi ◽

C. M. Lam

Keyword(s):

Marital Satisfaction ◽

Marital Adjustment ◽

Reliability And Validity ◽

Dyadic Adjustment ◽

Chinese Version ◽

Satisfaction Scale ◽

High Internal Consistency ◽

Comparison Level ◽

Acceptable Reliability ◽

Objective Tool

The Chinese version of the Kansas Marital Satisfaction Scale (C-KMS) was administered to 91 maritally “adjusted” and 81 maritally “maladjusted” adults, along with other instruments assessing marital adjustment (the Chinese Dyadic Adjustment Scale) and marital expectations (the Chinese Marital Comparison Level Index). The C-KMS was found to have high internal consistency as a scale and the C-KMS scores were observed to correlate substantially with measures of marital adjustment and marital expectation but not significantly with measures not expected to be related to marriage. The results also showed that there were significant differences between the maritally “adjusted” and the “maladjusted” groups of subjects in terms of C-KMS scores. The present data show that the CKMS has acceptable reliability and validity status and that it can be used as an objective tool in assessing marital satisfaction in the Chinese context.

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