Prevalence and determinants of depression in females with primary infertility.

2021 ◽  
Vol 28 (03) ◽  
pp. 372-376
Author(s):  
Sundus Fatima ◽  
Zaidan Idrees Choudhary ◽  
Nariman Haider ◽  
Fareed Aslam Minhas ◽  
Sadia Yasir ◽  
...  
Keyword(s):  
Rating Scale ◽  
Psychological Intervention ◽  
Tertiary Care ◽  
Severe Depression ◽  
Clinical Information ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Mild Depression ◽  
Cross Sectional ◽  
Primary Infertility

Objective: This study was designed to evaluate the prevalence of depression in females with primary infertility at a tertiary care hospital in Rawalpindi and identify the factors associated with the condition. Study Design: Descriptive Cross-sectional study. Setting: Infertility Clinic of the Department of Obstetrics and Gyanecology, Benazir Bhutto Hospital, Rawalpindi. Period: February to August 2016. Material & Methods: Females between the ages of 18 and 40 years with primary infertility were included in the study. The presence and severity of depressive symptoms were assessed using the Hamilton Rating Scale for Depression (HAM-D). Socio-demographic details and clinical information was collected on a pre-designed proforma. Results: A total of 102 females were included in the study. The mean age of the patients was 31 years with a STD of ± 4.3 years. 78.4% (n=80) patients were suffering from depression on the basis of HAM-D scores. 18 (17.6%) had mild depression, 34 (33.3%) had moderate depression, 20 (19.6%) had severe depression and 8 (7.8%) patients had very severe depression. An analysis of the socio-demographic factors showed that a majority of the females were educated, housewives and living in extended families. The frequency of depression was significantly associated with a low monthly household income (p=0.046). Conclusion: A high proportion of females with primary infertility suffer from depression. Screening for psychiatric illnesses should be part of the standard evaluation of these patients. Early detection and timely psychological intervention can lead to a significant reduction in long-term morbidity.

scholarly journals ANTENATAL DEPRESSION;

2017 ◽  
Vol 24 (03) ◽  
pp. 458-461
Author(s):  
Farasat Ali ◽  
Ammara Butt ◽  
Aamir Hameed ◽  
Aamir Furqan ◽  
Farman Ali
Keyword(s):  
Low Socioeconomic Status ◽  
Tertiary Care ◽  
Previous History ◽  
Severe Depression ◽  
Antenatal Depression ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Contributing Factors ◽  
Mild Depression ◽  
Cross Sectional

Objectives: To determine frequency of Antenatal Depression by ICD_10diagnostic criteria in patients presenting to a tertiary care hospital and contributing factors forantenatal depression. Study Design: Cross-sectional study. Setting: Department of Psychiatryand outdoor of Gynae & Obs Sir Ganga Ram Hospital / Fatima Jinnah Medical College Lahore.Period: November 2012 to May 2013. Materials and Method: Three hundred and fifty (350)patients were included in this study. SPSS version 12 was used for data analysis. Frequenciesand percentages were calculated to present qualitative variables and mean ± standard deviationwas calculated to present quantitative data. Results: A total of 350 patients were included inthis study. Out of 350 patients, depression was found in 104 patients. Out of these 104 patients,52 patients (50.0%) had mild depression, 37 patients (35.6%) had moderate depression while115 patients (14.4%) had severe depression. Conclusion: Antenatal depression was noted in29.7% of patients. Most common contributing factor was low socioeconomic status (64.4%)a second factor was no partner social support (22.1%) and previous history of psychiatric ofpsychological consultation (13.5%) of antenatal depression.

scholarly journals Mental stress in infertility: a tertiary care hospital-based study

2018 ◽  
Vol 7 (10) ◽  
pp. 4249
Author(s):  
Susmita Bhattacharya ◽  
Amit Kyal ◽  
Payel Mondal ◽  
Partha Mukhopadhyay ◽  
Mrinalini Chowdhury ◽  
...  
Keyword(s):  
Mental Stress ◽  
Married Couple ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Dyadic Adjustment ◽  
Care Hospital ◽  
Chi Square ◽  
Cross Sectional ◽  
Primary Infertility ◽  
Icd 10

Background: Most of the couples suffering from infertility report it to be the most stressful and depressing period of their life, more so if it is a primary infertility. Studies regarding the prevalence and role of infertility-specific stress especially in eastern part of India is very limited. The objective of the present study was to estimate the prevalence of infertility-specific stress and its role in marital adjustment in women diagnosed with infertility.Methods: It was a cross-sectional study done on 80 married couple diagnosed with infertility (both primary and secondary) over 1 year from July 2016 to June,2017. Dyadic Adjustment Scale (DAS), "semi-structured questionnaire" compiled by the authors and "ICD-10 Classification of Mental and Behavioral Disorders (Clinical Descriptions and Diagnostic Guidelines)" were used for the evaluation. The analysis was done using SPSS (version 16) and Chi-square test.Results: Around 86% infertile women and 21% infertile men were found to suffer from mental stress. Infertility related stress were more in patients with primary infertility than in secondary one. Women mostly (56.5%) coped with stress by self-blaming whereas men (58.2%) by blaming the partner.Conclusions: Mental stress was significantly associated with infertility. In fact, maladjustment in marital relation caused by the stress adversely affected the conjugal life and thus also the fertility. Proper counselling of both partners might be helpful to solve this problem.

scholarly journals Frequency and Severity of Depression in Cancer Patients Presenting to Tertiary Care Hospital

2021 ◽  
pp. 59-70
Author(s):  
Rakesh Kumar ◽  
Haresh Kumar ◽  
Sarika Bai ◽  
Azra Shaheen ◽  
Safdar Ali Pervez ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Severe Depression ◽  
World Health ◽  
Care Hospital ◽  
Validity And Reliability ◽  
Mild Depression ◽  
Cross Sectional ◽  
Civil Hospital

Introdution: Cancer and depression, independently, cause massive human suffering worldwide. By the end of 2030 the unipolar major depression disorder could be as the chief source of ailment as estimated by World Health Organization. Objective: Objective of this study is to detect prevalence the frequency and severity of the depression in cancer patients presenting to tertiary care hospital of Karachi. Methodology: The current prospective cross-sectional research was performed over a period of six months from August 2020 to January 2021 on 179 patients in the Department of Oncology of Civil Hospital Karachi, after approval of synopsis from CPSP and the ethical committee of Civil Hospital. All patients who fulfilled the inclusion criteria and visited OPD of Civil hospital were selected in the study. Informed consent was taken after explaining the procedure, risks and benefits of the study.Patients were assessed clinically by using ICD-10 criteria and then for validity and reliability, patients were screened for presence of depression and its severity through PHQ-9.Patients scoring higher than 4 was labeled as having depression and PHQ-9 score of 5 to 9, 10 to 14, 15 to 19, 20-27 were labeled mild, moderate, moderately severe and severe depression correspondingly. Observed data was entered in the predesigned Performa was gathered and SPSS version 20.0 was used for data analysis. Mean ± SD of age was 47.75±14.901years. Out of 179 patients 95 (53.1%) were male and 84 (46.9%) were female. 93(52%) cancer patients were depressed while 86(48%) were normal. Patients suffering from mild depression were 3.2%, moderate depression were 54.85%, moderately severe depressed were 19.4%, while 22.6% cancer patients were severely depressed. It is to be concluded that out of 179cancer patients 93(52%) diagnosed to have depression while 86(48%) did not have depression. Based on our study findings, it is suggested that depression commonly presented in cancer patients and there is a need to screen all cancer patients for depressive disorder.

scholarly journals Assessment of depression and diabetes distress in type 2 diabetes mellitus patients in a tertiary care hospital of South India

2017 ◽  
Vol 5 (9) ◽  
pp. 3880
Author(s):  
Prerna Dogra ◽  
Rajendra Prasad S. ◽  
Subhashchandra B. J.
Keyword(s):  
Rating Scale ◽  
Economic Status ◽  
Tertiary Care ◽  
Sociodemographic Factors ◽  
Cross Sectional Study ◽  
Diabetes Distress ◽  
Treatment Modalities ◽  
Care Hospital ◽  
Cross Sectional ◽  
Complications Of Diabetes

Background: Depression is one of the many complications seen among diabetics. Depression leads to lack of self-care by the diabetic and endangers the therapeutic compliance, accounting for a derangement in metabolic control which in turn causes further diabetic complications and may even result in hospitalization. This leads to an increase in depressive symptoms and thus the vicious cycle continues.Methods: It is a Descriptive, cross sectional study conducted in the Medicine outpatient department. Depression was assessed by Hamilton depression rating scale. Diabetic distress was assessed by diabetic distress scale.Results: Out of the 250 study participants, 142 (56.8%) were found to be suffering from depression and 6 (2.4%) were found to have diabetes distress. The magnitude of depression was similar in both male and female. Depression was high among illiterates, unemployed (70%), single, separated individuals and patients with complications of diabetes. There was no significant association between religion and low economic status with depression. Treatment modalities, complications of diabetes, sociodemographic factors like age, sex, occupation, education, marital status, religion and socio-economic status had no significant correlation with diabetic distress. But there was a statistically significant association between diabetic distress and co-morbid conditions. 95.8% with depression had no distress and this association was found to be statistically significant (0.038).Conclusions: The magnitude of depression and distress is much high among diabetics. Early detection, counselling and treatment are required for all diabetics, especially those who have additional risk factors for the development of depression.

scholarly journals Core Prescribing Indicators and the Most Commonly Prescribed Medicines in a Tertiary Health Care Setting in a Developing Country

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Priyadarshani Galappatthy ◽  
Priyanga Ranasinghe ◽  
Chiranthi K. Liyanage ◽  
Maheshi Wijayabandara ◽  
Dinuka S. Warapitiya ◽  
...  
Keyword(s):  
Clinical Medicine ◽  
Tertiary Care ◽  
Essential Medicine ◽  
Clinical Information ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
Prescribing Indicators ◽  
Rational Prescribing ◽  
Prescribed Medicines

Irrational prescribing is common, especially in developing countries. It is important to identify the magnitude of irrational use, to take necessary steps to promote rational prescribing. We identified core prescribing indicators and commonly prescribed medicines at ward settings (IW) and outpatients’ clinics (OPC) in a tertiary care hospital in Sri Lanka. A descriptive cross-sectional study was carried out at IW and OPC settings. Prescriptions were obtained from 5 major specialties (Clinical Medicine (CM), Gynaecology and Obstetrics (GO), Paediatrics, Psychiatry, and Surgery). The WHO core prescribing indicators were used to describe the pattern of prescribing, and the most commonly prescribed medicines were identified. A total of 1,318 prescriptions were analyzed. The five most commonly prescribed medicines were paracetamol (31.0%), omeprazole (20.6%), folic acid (18.3%), atorvastatin (16.2%), and salbutamol (15.3%). The average number of medicines per encounter was 4.8 ± 3.6 (IW: 5.7 ± 4; OPC: 3.8 ± 2.8; p < 0.001 ), with the highest IW (7.8 ± 4.2) and OPC (7.8 ± 2.7) values were from CM, being significantly higher than all other disciplines ( p < 0.05 ). Percentage encounters with an antibiotic or an injection was 26.4% and 30.1%, respectively, with IW being significantly higher than OPC ( p < 0.001 ). Percentage of medicines prescribed by generic name and from the essential medicine list (EML) was 90.1% and 91.1%, respectively, with no significant IW and OPC difference. In conclusion, a high degree of polypharmacy was noted. The use of injectable medicines, prescribing from the EML, and generic name prescribing was satisfactory; however, overall rational prescribing needs further improvement. Further investigation into the degree of rational prescribing associating it with clinical information will be important.

scholarly journals Study of Menopausal Symptoms using Menopause Rating Scale at a Tertiary Care Center: A Descriptive Cross-sectional Study

2020 ◽  
Vol 58 (230) ◽  
Author(s):  
Asmita Pandey ◽  
Chanda Karki ◽  
Veena Rani Shrivastava ◽  
Dipty Shrestha ◽  
Pratigyan Gautam
Keyword(s):  
Binary Data ◽  
Rating Scale ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Menopausal Symptoms ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Perimenopausal Women ◽  
Menopause Rating Scale

Introduction: Menopause is the permanent cessation of menstruation for more than a year resulting from the loss of follicular activity of the ovaries. It is manifested by vasomotor, psychological, and urogenital symptoms which can be assessed by an internationally accepted scale known as Menopause Rating Scale. This study was conducted to find out the issues of perimenopausal women and proceed for management and proper counseling. Methods: A descriptive cross-sectional study was conducted among women visiting the gynecological outpatient department of a tertiary care hospital from June 2017 to May 2018 using the Menopause Rating Scale. Ethical approval was taken from the Institutional Review Committee (reference number: 20122016). Convenient sampling was done. Statistical Package for the Social Sciences version 20.0 was used for data analysis. Point estimate at 90% confidence interval was calculated along with frequency and proportion for binary data. Results: Out of 189 perimenopausal women interviewed, the mean age of menopause was found to be 50.2±2.1 years. The most common gynecological symptoms among the study population was abnormal uterine bleeding 66 (34.9%) followed by abnormal vaginal discharge 50 (26.5%). Among symptoms in Menopause Rating Scale, the depressive mood was found in 99 (52.4%) cases followed by joint and muscular discomfort 88 (46.6%) and bladder problems in 87 (46%). None of the women had a score on the Menopause Rating Scale more than 16 and did not require management for their problem. Conclusions: Most of the women didn't know menopausal symptoms. However, none required intervention from gynecologists for their problems reflecting better quality of life.

scholarly journals Depression in cancer patients undergoing chemotherapy in a tertiary care hospital: a cross-sectional study

2019 ◽  
Vol 6 (7) ◽  
pp. 3102
Author(s):  
Shivani S. Vaidya ◽  
Sarita K. Sharma
Keyword(s):  
Cancer Patients ◽  
Heart Diseases ◽  
Tertiary Care ◽  
Severe Depression ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical College ◽  
Long Course

Background: Cancer is the second most common cause of death after heart diseases and it accounted for 8.8 million deaths worldwide in 2015. The long course of treatment, repeated hospitalisations, and the side effects of chemotherapy along with the trauma of being diagnosed with cancer has a significant effect on psyche of cancer patient. Depression is the most frequent cancer related symptom and 15-25% of cancer patients are affected by depression. The aim of this study is to determine the levels of depression in cancer patients undergoing chemotherapy.Methods: Present cross-sectional study was conducted amongst cancer patients undergoing chemotherapy at Day Care Centre, Department of Radiation Therapy and Oncology, Government Medical College and Hospital, Nagpur. 95 participants were interviewed using predesigned and pretested questionnaire based on the Beck’s Depression Inventory.Results: Among the study subjects, 70 (73.69%) had depression of which 15 (21.42%) had borderline clinical depression, 44 (62.85%) had moderate depression and 11 (15.73%) had severe depression. None of the study subjects had extreme depression.Conclusions: Majority of the study subjects receiving chemotherapy were depressed.

scholarly journals Fatigue, depression and anxiety among nurses working in shift in a tertiary care hospital in South India

2019 ◽  
Vol 7 (7) ◽  
pp. 2655
Author(s):  
Deepalakshmi Kaliyaperumal ◽  
Yaal Elango ◽  
Iswarya Santhanakrishnan
Keyword(s):  
Sleep Deprivation ◽  
Shift Work ◽  
Rating Scale ◽  
Tertiary Care ◽  
Night Shift ◽  
Severe Depression ◽  
Working Hours ◽  
Care Hospital ◽  
Depression And Anxiety ◽  
Cross Sectional

Background: Shift work has become a social and economic necessity, as most sectors like the healthcare require round the clock operation. Extended and variable working hours leads to desynchronization of the body’s circadian rhythm. Thus, shift work is commonly associated with various physical and mental disorders like insomnia, fatigue, depression, anxiety, cognitive impairment, etc. The aim of the study was to assess the prevalence of sleep deprivation and hence, the levels of fatigue, depression and anxiety among shift working nurses.Methods: This cross-sectional study was conducted among shift working nurses. Sleep deprivation among 97 female and 3 male healthy nurses of age 20-50 years was assessed by Epworth Sleepiness Scale (ESS). Fatigue Severity Scale, Patient Health Questionnaire (PHQ-9) and Hamilton Anxiety Rating Scale (HAM-A) were used for assessing fatigue, depression and anxiety respectively. Level of Sleep deprivation, Depression and Anxiety were expressed in Proportion. Difference in fatigue levels during day and night shift was analyzed using Wilcoxon Signed-Ranks Test.Results: Analysis of ESS, showed, 69% of shift working nurses had poorer sleep quality. The level of fatigue experienced following a night shift work was significantly higher than that following day shift work (Z= 3.34, p = 0.0008). Moderate to severe depression and anxiety was observed in 15% and 16% of the nurses working in shift.Conclusions: Thus, shift work is inevitably associated with sleep deprivation. There exists an increased prevalence of fatigue, depression and anxiety among shift working nurses.

scholarly journals Psychological Impact among COVID-19 Positive Patients in a Tertiary Care Hospital: A Cross-sectional Study

2021 ◽  
Author(s):  
Poonam Bharti ◽  
Bimal Kumar Agrawal ◽  
Parul Gupta ◽  
Mohit Singla ◽  
LN Garg ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Marital Status ◽  
Rating Scale ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Anxiety Symptoms ◽  
Care Hospital ◽  
Sectional Study ◽  
Tertiary Care Centre ◽  
Cross Sectional

Introduction: Coronavirus Disease (COVID-19) outbreak is one of the biggest medical challenges to humankind in recent times, started from China in December 2019, and had spread to almost all the countries of the world. The social, psychological and economic fissures exposed by the pandemic resulted in mass disruption in human behaviour population. This is pushing them towards more stress. Aim: To analyse the anxiety and depressive symptoms in COVID-19 positive patients. Materials and Methods: A cross-sectional study was conducted on 325 COVID positive patients who were admitted in isolation ward in Tertiary Care Centre and were enrolled in this study, out of which 18 subjects refused to give the consent and 5 were already taking psychiatric medications and were excluded. Telephonic contact was not established with rest of the 5 patients. After ethical clearance, the anxiety and depressive symptoms were assessed by using Hamilton Anxiety Rating Scale (HAM-A) and Hamilton Depression Rating Scale (HAM-D). Results: Maximum patients belonged to age group of 21-40 years (54.9%). Maximum patients were males (70%). Almost 3/4th of the population 64% had depressive symptoms of different severity and 61% had anxiety symptoms. Significant association of anxiety symptoms was seen with gender (p=0.001) and marital status (p=0.002). No association with depressive symptoms was seen with gender (p=0.087) and marital status (p=0.399). Conclusion: COVID-19 had significant impact on the patients. More than half of the population had showed the psychological issues in the form of anxiety and depression. Males and married patients were affected more with both anxiety and depressive symptoms.

scholarly journals Infertility and Depression: Frequency of Depression in Infertile Males

2020 ◽  
pp. 109-115
Author(s):  
Anwar Ali Jamali ◽  
Haresh Kumar ◽  
Safdar Ali Parvez Tunnio ◽  
Shahbuddin Rind ◽  
Ashok Kumar Lohano ◽  
...  
Keyword(s):  
Rating Scale ◽  
Sperm Count ◽  
Semen Analysis ◽  
Severe Depression ◽  
Cross Sectional Study ◽  
Mild Depression ◽  
Cross Sectional ◽  
Rating Scale Data ◽  
Male Subjects ◽  
Scale Data

Background: There is increasing concern that the depression may be associated with infertility. Objective: The current research was aimed to explore the frequency of depression in infertile males. Study Design: This was a cross sectional study. Duration: March 2016 to September 2018. Place: Department of Medicine, PUMHS Nawabshah, Pakistan. Materials and Methods: A total of 385 infertile male subjects who reported for the semen analysis at young age group were included in the study. Depression was assessed by using Hamilton Depression Rating Scale. Data was collected via self-made proforma and analyzed by using SPSS version 20. Results: A total of 385 infertile males were studied. Mean age of individuals was 30.28+6.18 years. Mild depression was found in 34.8% patients, moderate depression was seen in 18.2% patients, severe depression was in 8.1% patients and very severe depression was in 9(2.3%) patients. Moderate and severe depression was higher in cases of Oligospermia and Azoospermia as compared to those having normal sperm count, while results were statistically insignificant (p=0.747). Conclusions: In the observation of this study, there was a significant relationship between infertility and depression in infertile males. Depression was found in 64.6% of infertile males, ranging from mild to very severe levels.

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