scholarly journals Differences in psychiatric symptoms among Asian patients with depression: A multi-country cross-sectional study

2013 ◽  
Vol 68 (4) ◽  
pp. 245-254 ◽  
Author(s):  
Ahmad H. Sulaiman ◽  
Dianne Bautista ◽  
Chia-Yih Liu ◽  
Pichet Udomratn ◽  
Jae Nam Bae ◽  
...  
2015 ◽  
Vol 133 (5) ◽  
pp. 435-438 ◽  
Author(s):  
Leonardo Baldaçara ◽  
Álvaro Ferreira Silva ◽  
José Gerley Díaz Castro ◽  
Gessi de Carvalho Araújo Santos

CONTEXT AND OBJECTIVE: Teachers are at great risk of physical and mental stress due to material or psychological difficulties associated with their work. This study aimed to assess the prevalence of common psychiatric symptoms measured on the Self-Reporting Questionnaire (SRQ-20) scale that would suggest a diagnosis of psychiatric disorders among public school teachers in Palmas, Tocantins, Brazil, in 2012. DESIGN AND SETTING: Observational cross-sectional study in Palmas, Tocantins, Brazil. METHOD: We assessed 110 municipal teachers in the city of Palmas, Tocantins, Brazil. They were selected randomly from a list of employees of the Municipal Education Department of Palmas. All of them answered the SRQ-20 questionnaire after giving their consent. RESULTS: Between the years 2008 and 2011, 24 cases of absence from work due to mental disorders were found. We excluded one case and 109 teachers answered the SRQ-20questionnaire. Out of the 109 teachers assessed, 54 had ≥ 7 points on the SRQ-20 scale. This finding suggests that 49.5% of the teachers had symptoms that were sufficient to consider a diagnosis of mental disorder, with the need for treatment. CONCLUSION: Our study found that the prevalence of mental disorders among teachers is as high as seen in the literature. Our results suggest that recognition of mental disorders is low and that the current statistics fail to reach the occupational health sector.


Author(s):  
Jery Antony ◽  
Anisha Nakulan ◽  
Shiny John

Background: Cognitive impairment in the elderly is a common condition and, in most instances, primary care providers are the first point of contact for a patient and family. This study was aimed to find out the association between socio-demographic profile and severity of cognitive impairment in elder patients presenting with new onset of psychiatric symptoms.Methods: A cross sectional study was done among elder subjects (≥60 years of age) presented with new onset of psychiatric symptoms during one year period. A structured questionnaire was used to assess the socio-demographic details such as age, sex, education, occupation, socio-economic status and marital status. Mini International Neuropsychiatric interview and Montreal Cognitive Assessment scale were used for psychiatric diagnosis and severity of cognitive impairment grading, respectively. Association between socio-demographic data and cognitive impairment was statistically analyzed.Results: Among the 67 subjects included in the study, 76.2% had cognitive impairment. Majority of the subjects were females (56.7%) in the age group of 66-70 years. The association between cognitive impairment and sex (p=0.006), education (p=0.002) and occupation (p=0.015) were significant. But no significant association between cognitive impairment and marital status (p=0.0137) or socioeconomic status (p=0.400) was evidenced.Conclusions: Females in the age group of 66-70 years were more prevalent to cognitive impairment. The association between sex, education, occupation and severity of cognitive impairment was significant. No significant association between severity of cognitive impairment score and marital status or socioeconomic status was found.


2021 ◽  
Vol 71 (10) ◽  
pp. 2340-2343
Author(s):  
Ammar Ahmed ◽  
Muhammad Aqeel ◽  
Naeem Aslam ◽  
Bashir Ahmed

Objective: To identify the psychiatric features among patients having tinnitus and vertigo symptoms due to vestibulocochlear disturbances. Methods: A cross-sectional study was conducted on Vestibulocochlear disorder Patients aged 18 Years and above, having chief symptoms of vertigo and tinnitus for the past 3 months. Patients having any cardiac linked disease and experiencing side effects of some medicines were excluded from the study. Present study spanned from May to September, 2019 at Hearts International Hospital, Rawalpindi and Hearing and Balance clinic, Rawalpindi in collaboration with the Foundation University, Islamabad. Ethical approval was obtained from the ethics committee of the Psychology department of Foundation University, Islamabad. Psychiatric evaluation was conducted by incorporating Tinnitus Handicap Inventory (THI), Dizziness Handicap Inventory (DHI) and Depression, Anxiety, Stress Scale (DASS). Audiological evaluations were carried out to gauge the severity of symptoms. Results: Of the 202 subjects, 60 were female (30%) and 142 were male (70%), fulfilling the inclusion criterion. It was found that patients experiencing vertigo and tinnitus symptoms had a strong tendency to develop psychiatric problems such as stress, anxiety and depression. Significant differences were noted among male and female patients regarding the representation of psychiatric symptoms. Conclusion: Various factors contribute and interfere in the psychological process that further contribute and aggravate the severity and symptoms of tinnitus and vertigo. Patients experiencing symptoms like tinnitus and vertigo in this domain tend to have a deviant psychological profile that is analogous with other chronic diseases. Continuous...


2020 ◽  
Author(s):  
Hong Shen ◽  
Xia Zhou ◽  
Xiaolan Wang ◽  
Rui Li ◽  
Ying Xiao ◽  
...  

Abstract Background There are some conflicting results regarding the neutrophil-to-lymphocyte ratio (NLR) and the severity of disease in patients with schizophrenia. Inconsistent findings among the studies might be caused by several limitations, such as, heterogeneous patient populations lacking stratification by antipsychotic therapy, small sample sizes lacking statistical power, ignoring multicollinearity between NLR and other related factors, and lack of controlling for potential confounding factors. In this study, we evaluated the possible correlation between NLR and disease severity as manifested in clinical scores in patients with schizophrenia. In particular, NLR is correlated with discrepant psychiatric symptoms in the different status of antipsychotic medication administration. Methods This was a cross-sectional study conducted in our hospital. We identified inpatients with schizophrenia between July 12, 2018 and March 27, 2019 and who had NLR, Clinical Global Impression Severity scale (CGIS) and Brief Psychiatric Rating Scale (BPRS) scores. Results The records of 1144 identified patients (32.4% male, 76.6% with NLR ≤ 1.98, and 10.8% drug-free patients) were analyzed. Multivariate logistic regression showed that NLR was positively associated with worse psychiatric symptoms, both the CGIS score (moderately ill: OR: 63.578, p = 0.011; severely ill: OR: 53.617, p = 0.015) and the BPRS total score (moderately ill: OR: 4.049, p = 0.055; severely ill: OR: 4.312, p = 0.045). In the drug-therapy subgroup, there was a negative correlation between NLR and severe negative symptoms (severely ill: OR: 0.850, p = 0.018) after controlling for potential confounding factors. Conclusions The study is the first to confirm the hypothesis that NLR is independently associated with severe psychopathology in schizophrenia. There is the different correlation between NLR and psychiatric symptoms in the different status of antipsychotic therapy. Therefore, NLR is not appropriate to be an inflammatory biomarker for assessment of disease severity, but provide potential mechanistic insights on specific pathological cellular processes, as well be a potential target to improve the course of the psychotic disorder.


2017 ◽  
Vol 13 (1) ◽  
pp. 185-199 ◽  
Author(s):  
Srisurapanont Manit ◽  
Mok Yee Ming ◽  
Yang Yen Kuang ◽  
Chan Herng-Nieng ◽  
Della Constantine D ◽  
...  

Background:Cognitive dysfunction is a predominant symptom of Major Depressive Disorder (MDD), contributing to functional impairment.Objective:The primary objective of this study was to assess and describe perceived cognitive dysfunction amongst Asian patients diagnosed with MDD. The secondary objective was to explore the associations between depression severity, perceived cognitive dysfunction and functional disability.Methods:This was a multi-country, multi-centre, cross-sectional study. Adults with a current episode of MDD were recruited from 9 university/general hospital clinics in Asia. During a single study visit, psychiatrists assessed depression severity (Clinical Global Impression-Severity, CGI-S); patients completed questionnaires assessing depression severity (Patient Health Questionnaire-9 items, PHQ-9), perceived cognitive dysfunction (Perceived Deficit Questionnaire-Depression, PDQ-D) and functional disability (Sheehan Disability Scale, SDS).Results:Patients (n=664), predominantly women (66.3%), were aged 46.5±12.5 years, lived in urban areas (81.3%) and were employed (84.6%). 51.5% of patients were having their first depressive episode; 86.7% were receiving treatment; 82.2% had a current episode duration >8 weeks. Patients had mild-to-moderate depression (CGI-S=3.3±1.0; PHQ-9=11.3±6.9). Patients reported perceived cognitive dysfunction (PDQ-D=22.6±16.2) and functional disability (SDS=11.3±7.9). PHQ-9, PDQ-D and SDS were moderately-to-highly correlated (PHQ-9 and SDS: r=0.72; PHQ-9 and PDQ-D: r=0.69; PDQ-D and SDS, r=0.63). ANCOVA showed that after controlling for patient-reported depression severity (PHQ-9), perceived cognitive dysfunction (PDQ-D) was significantly associated with functional disability (SDS) (p<0.001).Conclusions:Asian patients with MDD reported perceived cognitive dysfunction. There is a need for physicians to evaluate cognitive dysfunction in the clinical setting in order to reach treatment goals, including functional recovery beyond remission of mood symptoms.


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