Depression in patients in a somatic hospital

2021 ◽  
pp. 667-673
Author(s):  
Kseniya Vladislavovna Suslova ◽  
Sergey Galinurovich Pakriev
Keyword(s):  
Depressive Episode ◽  
Depressive Disorders ◽  
Previous History ◽  
Depression Scale ◽  
Continuous Sampling ◽  
Russian Version ◽  
Somatic Illness ◽  
Chronic Somatic Diseases ◽  
Somatic Diseases ◽  
The City

The aim of this work was to assess the prevalence and risk factors for depression in patients in a somatic hospital in the city of Izhevsk. The study group (94 adult patients) was compiled by the method of continuous sampling. The Russian version of M. I. N. I. 5.0.0 interview, Depression Scale were used for the diagnosis of depression. The prevalence of current depressive disorders was 19,1 %. Depression was more often diagnosed in patients with chronic somatic diseases (47,0 %), women (45 %), widowed or divorced patients (63,6 %), patients with psychological problems in the family (100 %). In patients with acute somatic illness, the current depressive episode correlated with the influence of psychological factors. In 64,2 % of patients with chronic somatic diseases with an identified depressive episode at the time of examination depression had a previous history. None of the patients with identified depression sought medical help or received antidepressant therapy.

Posttraumatic stress disorder and and concomitant comorbidity in BIH war veterans 12 years after war

2011 ◽  
Vol 26 (S2) ◽  
pp. 1073-1073
Author(s):  
M. Klarić ◽  
T. Frančišković ◽  
B. Petrov
Keyword(s):  
Depressive Episode ◽  
Psychiatric Treatment ◽  
Traumatic Event ◽  
Psychological Disorder ◽  
Control Group ◽  
War Veterans ◽  
Demographic Questionnaire ◽  
Somatic Comorbidity ◽  
Chronic Somatic Diseases ◽  
Somatic Diseases

IntroductionPTSD is dominant, but rarely the only psychological disorder that is present among individuals who have a history of exposure to traumatic event.ObjectivesTo examine morbidity in veterans 12 years after the war, with special emphasis on comorbidity of PTSD and other psychiatric disorders.MethodsThe study population consisted of 154 veterans who sought psychiatric treatment due to PTSD. The control group consisted of 77 war veterans who do not have PTSD, collected by snow balling method through veteran associations. The study used a general demographic questionnaire, the HTQ-version for BiH, and the MINI.ResultsVeterans who sought psychiatric treatment due to PTSD, were experienced a significantly greater number of traumatic events (t = 5.66; P < 0.001) and achieved significantly higher scores on a scale of PTSD symptoms (t = 15.291; P < 0.001), perceived personal functionality (t = 12.491; P < 0.001) and the overall result of traumatic symptoms (t = 14.499; P < 0.001). Additionally, among veterans with PTSD there are significantly more of those who reported chronic somatic diseases (X2 = 17.988; P < 0.001), who met the criteria for the diagnosis of current depressive episode (X2 = 36.297; P < 0.001), previous depressive episode (X2 = 29.356; P < 0.001), depressive episode with melancholic features (X2 = 29.356; P < 0.001), dysthymia (X2 = 9.959; P = 0.007), the criteria for the diagnosis of panic disorder with agoraphobia (X2 = 5.490; P = 0.019), PTSD (X2 = 102.018; P < 0.001) and generalized anxiety disorder (X2 = 89.755; P < 0.001).ConclusionAlthough PTSD is the dominant cause for seeking psychiatric treatment in veterans, PTSD promotes a comprehensive psychiatric and somatic comorbidity, and predominated are anxious and affective disorders.

scholarly journals Risk Modifying Factors of Anxiety and Depressive Disorders, Using the Example of a Population Study in the Żywiec District

2021 ◽  
Vol 18 (19) ◽  
pp. 10248
Author(s):  
Bogumiła Lubecka ◽  
Marek Lubecki ◽  
Janusz Kasperczyk ◽  
Jadwiga Jośko-Ochojska ◽  
Robert Pudlo
Keyword(s):  
Physical Activity ◽  
Anxiety Disorders ◽  
Population Study ◽  
Depressive Disorders ◽  
Depression Scale ◽  
Mental Work ◽  
Heavy Smoking ◽  
Regular Treatment ◽  
Modifying Factors ◽  
Somatic Diseases

The aim of this study was the identification of the risk modifying factors of anxiety and depressive disorders based on a population study. This study was conducted in a randomly selected group of 1659 adult inhabitants of the Żywiec district. Anonymous questionnaires consisting of a proprietary questionnaire and the Hospital Anxiety and Depression Scale (HADS) were used to collect the data. The conducted analysis revealed that the factors increasing the risk of depressive disorders in the studied population were female gender, age over 60, retirement period, primary and vocational education, unemployment, mental work and absolute lack of physical activity, but also daily and intensive sports, heavy smoking, chronic somatic diseases and misuse of sleeping pills and over-the-counter sedatives. Anxiety disorders occurred more often in the group of unemployed, self-employed or retired people. They also occurred more often in the group of people who do not perform any physical activity and use alcohol every day, but also among those who maintain abstinence, regularly smoke tobacco and use stimulants, suffer from somatic diseases and overuse sleeping drugs. Disease preventive factors for anxiety disorders and depression were a constant form of employment, moderate and regular physical activity, avoiding the use of psychoactive substances and the regular treatment of comorbid somatic diseases and insomnia.

ABNORMAL UTERINE BLEEDING IN PUBERTAL GIRLS, MANAGEMENT TACTICS

ASJ. ◽  
2021 ◽  
Vol 1 (49) ◽  
pp. 28-31
Author(s):  
A. Mishina ◽  
A. Kazakova ◽  
O. Lineva ◽  
E. Frolova ◽  
A. Vinogradova ◽  
...  
Keyword(s):  
Preventive Measures ◽  
Clinical Course ◽  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Psychological Status ◽  
Routes Of Administration ◽  
Therapeutic Measures ◽  
Chronic Somatic Diseases ◽  
Somatic Diseases ◽  
The City

Abnormal uterine bleeding (AMC) is one of the most common pathologies of the reproductive system in girls of the pubertal period, which is certainly a medical and social problem. The solution of this issue has been relevant for many years, the main area of   which is the development of preventive, diagnostic and therapeutic measures. The aim of the study was to study the features of the clinical picture of pubertal AMC, assessing the effectiveness of therapy. The study involved 140 girls from the city of Togliatti aged 10 to 15 years, who underwent a full clinical examination, assessment of psychological status, excluded chronic somatic diseases and diseases associated with a violation of the hemostasis system, sexual development according to Tanner corresponded to age norms. Two groups were formed: the first 30 girls diagnosed with abnormal uterine bleeding, who were on inpatient treatment, 110 girls received outpatient therapy. It has been established that AMCs are recurrent, which certainly requires preventive measures. The method of hemostasis in AMC should be selected individually, depending on the severity of bleeding and the characteristics of the clinical course. Antianemic therapy is necessary for all patients with signs of ZHD depending on severity, choosing the routes of administration of the drug, the duration of therapy.

Impact of Anxiety and/or Depressive Disorders and Chronic Somatic Diseases on disability and work impairment

2017 ◽  
Vol 94 ◽  
pp. 10-16 ◽  
Author(s):  
Wicher A. Bokma ◽  
Neeltje M. Batelaan ◽  
Anton J.L.M. van Balkom ◽  
Brenda W.J.H. Penninx
Keyword(s):  
Depressive Disorders ◽  
Work Impairment ◽  
Chronic Somatic Diseases ◽  
Somatic Diseases

Risk of Suicidal Behaviours in Elderly

2017 ◽  
Vol 41 (S1) ◽  
pp. S652-S652 ◽  
Author(s):  
S. Goretti ◽  
M.D.C. Sanchéz Sanchéz ◽  
B. Góngora Oliver ◽  
M.D. Sanz Fernández
Keyword(s):  
Risk Factors ◽  
Suicidal Behaviour ◽  
The Elderly ◽  
Progressive Increase ◽  
Age Group ◽  
Somatic Illness ◽  
History Of ◽  
Competing Interest ◽  
Chronic Somatic Diseases ◽  
Somatic Diseases

IntroductionOlder adults constitute the age group in which suicide more often reaches its most categorical expression: consummation.ObjectiveIdentify risk factors for suicide in older people.MethodSystematic review of the literature on the subject. The databases consulted were Dialnet and Pubmed. The descriptors used have been: “suicide”, “risk factors” and “elderly”, accepting the works found in English and Spanish, with a total of 501 references found after the search, from which 75 have been selected.ResultsAs shown in the reviewed studies, there is a progressive increase in suicide rate with age in males. The purpose of dying in the old man is usually characterized by his firm conviction, not infrequently reflexive and premeditated. In the multifactorial etiology of suicidal behaviour in this age group, the main elements to be considered would be psychosocial factors, psychiatric diseases and chronic somatic diseases, resulting in a potentiation among them due to their frequent interaction. The feeling of abandonment, the feeling of emptiness, the despair of the organic collapse and the self-perception of being a useless person, without projects, generates deterioration in the quality of life.ConclusionsIn the multifactorial etiology of the suicidal behaviour of the elderly, they usually play coprotagonic roles, loneliness, isolation, somatic illness and depression. The most likely profile of the suicidal elder would be represented by a man with a history of depressive episode after age 40, who lives alone, with a family history of depression or alcoholism and a recent loss.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Clinical features of affective disorders in the elderly

2011 ◽  
Vol 26 (S2) ◽  
pp. 855-855 ◽  
Author(s):  
N.M. Popova ◽  
N.I. Shakhurova ◽  
E.D. Schastnyy
Keyword(s):  
Affective Disorders ◽  
Depressive Disorders ◽  
Clinical Symptoms ◽  
Clinical Problem ◽  
The Elderly ◽  
Co Morbidity ◽  
Somatic Disorders ◽  
Chronic Somatic Diseases ◽  
High Level ◽  
Somatic Diseases

IntroductionMood disorders in the elderly are a relevant clinical problem associated with high prevalence and frequent co-morbidity with chronic somatic diseases.ObjectiveStudy of clinical traits of depression in elder persons with somatic disorders.MethodsThe investigation was entered by 582 persons (women = 391 (67,1%), men = 191 (32,9%)), mean age of women has constituted 67,5 ± 5,8 years, men - 62,1 ± 3,8 years.Criteria of inclusionAge in women 55 years and higher, in men - 60 years and higher, clinical level of depression according to Beck Inventory more than 22 scores.ResultsAffective disorders were represented by symptom complexes that masked depression and complicated diagnosis. Clinical symptoms in the kind of anhedonia and complaints about anergia dominated (73,6%), whereas depression, melancholy have moved behind and have constituted 26,4%. Psychopathologic disturbances presented against the background of lingering chronically flowing neurological and somatic diseases (cerebral atherosclerosis, brain blood circulation impairment, IHD, HI, respiratory organs’ diseases) in 73,6 %. High risk of emergence of depressive disorders was noticed in widows with low level of education, living in rural area and in persons with somatic diseases. In 32% of probands we have revealed depression that correlated with marital status and feeling of loneliness (p > 0,005). In persons with high level of depression and experiencing feeling of loneliness, risk of suicidal behavioral was higher 2,1 as much.ConclusionsStudy of affective disorders in the elderly allows assessing co-morbidity of somatic and mental disorders, developing tactic of psychotherapeutic and psychopharmacological assistance rendering.

scholarly journals Loneliness and Depression among Polish High-School Students

2021 ◽  
Vol 18 (4) ◽  
pp. 1706
Author(s):  
Beata Dziedzic ◽  
Paulina Sarwa ◽  
Ewa Kobos ◽  
Zofia Sienkiewicz ◽  
Anna Idzik ◽  
...  
Keyword(s):  
High School ◽  
High School Students ◽  
Depressive Disorders ◽  
Depression Scale ◽  
Young Person ◽  
Anxiety And Depression ◽  
School Students ◽  
Loneliness Scale ◽  
Emotional Loneliness ◽  
Anxiety Depression

Introduction: Having impaired relations and limited interpersonal contact is associated with a sense of loneliness, and can result in a number of mental disorders, including the development of depression. Approximately one in five adolescents in the world suffers from depression, and first episodes of such are occurring at increasingly young ages. Due to a lack of appropriate support from parents, teachers and the healthcare system, the young person feels alone when dealing with their problem. Aims: The aims of this study are to determine the prevalence of anxiety, depression, aggression and sense of loneliness among high school students, and to analyze a correlation between loneliness and depression. Materials and methods: The study was conducted on 300 high school students in Poland. The study material was collected using the Hospital Anxiety and Depression Scale (HADS-M) and De Jong Gierveld Loneliness Scale (DJGLS). Results: A feeling of loneliness correlated significantly with depressive disorders (p < 0.005), with the strongest effect between the total HADS-M score and the total loneliness scale score (r = 0.61). The overall presence of disorders as per HADS-M was found to be 23%, and borderline conditions were found in 19.3%. In 24% of the students, disorders were revealed on the anxiety subscale and in 46.3% on the aggression subscale. On DJGLS, a very severe sense of loneliness was observed in 6.67% of the subjects, and in 42.3% of them, a moderate feeling of loneliness was indicated. On the social loneliness subscale, a severe sense of loneliness was found in 22.7%, while on the emotional loneliness subscale, it was found in 16.7% of the subjects. Conclusions: In this study, a quarter of the student participants experienced anxiety and depression disorders. Students showing higher levels of anxiety, depression, and aggression also showed enhanced loneliness. Girls showed higher levels of anxiety, depression and aggression, as well as emotional loneliness.

scholarly journals Using the 11-item Version of the RCADS to Identify Anxiety and Depressive Disorders in Adolescents

2021 ◽  
Author(s):  
Jerica Radez ◽  
Polly Waite ◽  
Bruce Chorpita ◽  
Cathy Creswell ◽  
Faith Orchard ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Depressive Disorders ◽  
Community Sample ◽  
Depression Scale ◽  
Parent Report ◽  
Depression Symptoms ◽  
Adolescent Report ◽  
Two Samples ◽  
Sensitivity Specificity ◽  
Anxiety Depression

AbstractThe purpose of this study was to identify items from the Revised Children’s Anxiety and Depression Scale – RCADS-C/P that provided a brief, reliable and valid screen for anxiety and/or depressive disorders in adolescents. In addition, we examined whether adding items assessing suicidal ideation (Moods and Feelings Questionnaire – MFQ- C/P) and symptom impact and duration (items adapted from the Strengths and Difficulties Questionnaire – SDQ) improved the identification of adolescents with anxiety and/or depressive disorders. We compared two samples of adolescents and their parents – a community sample, recruited through secondary schools in England (n = 214) and a clinic-referred sample, who met diagnostic criteria for anxiety and/or depressive disorder and were recruited through a university-based research clinic (n = 246). Participants completed the RCADS-C/P with additional symptom impact and duration items, and the MFQ-C/P. Using ROC curve analyses, we identified a set of 11 RCADS-C/P items (6 addressing anxiety and 5 depression symptoms) for adolescent- and parent-report. This set of 11 symptom items achieved sensitivity/specificity values > .75, which were comparable to corresponding values for the RCADS-47-C/P. Combining adolescent and parent-report improved the identification of anxiety/depression in adolescents compared to using adolescent-report alone. Finally, adding two symptom impact items further improved the sensitivity/specificity of the 11 symptom items, whereas adding suicidal ideation items did not. The 11 RCADS items accurately discriminated between the community and clinic-referred sample with anxiety and/or depressive disorders and have the potential to quickly and accurately identify adolescents with these disorders in community settings.

scholarly journals Validation of the Edinburgh postnatal depression scale (EPDS) for screening of major depressive episode among adults from the general population

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Alicia Matijasevich ◽  
Tiago N Munhoz ◽  
Beatriz Franck Tavares ◽  
Ana Paula Pereira Neto Barbosa ◽  
Diego Mello da Silva ◽  
...  
Keyword(s):  
General Population ◽  
Depressive Episode ◽  
Postnatal Depression ◽  
Major Depressive Episode ◽  
Edinburgh Postnatal Depression Scale ◽  
Depression Scale ◽  
Major Depressive

scholarly journals AB0177 ANXIETY-DEPRESSIVE SPECTRUM IN PATIENTS WITH RHEUMATOID ARTHRITIS AND ANKYLOSING SPONDILITIS

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1114.2-1114
Author(s):  
M. Letaeva ◽  
M. Koroleva ◽  
J. Averkieva ◽  
O. Malyshenko ◽  
T. Raskina
Keyword(s):  
Rheumatoid Arthritis ◽  
Depressive Disorders ◽  
Depression Scale ◽  
Well Being ◽  
Depressive Syndrome ◽  
Depression Screening ◽  
Anxiety And Depression ◽  
Control Group ◽  
Subjective Well Being ◽  
Anxiety Depression

Objectives:to assess the frequency of occurrence of the anxiety-depressive spectrum in patients with rheumatoid arthritis and ankylosing spondylitis.Methods:A survey was conducted of 44 patients aged from 21 to 57 years (average age - 42.3 ± 6.7 years), who were treated at GAUZ KO OKGVV. All patients had a verified diagnosis of RA and AS according to the ACR criteria and received treatment with basic drugs. The control group consisted of 40 people comparable in age and sex, without concomitant pathology of RA and AS.The depression screening card, the subjective well-being scale, and the hospital anxiety and depression scale (HADS) were used to assess and detect anxiety-depressive syndrome. The assessment of the condition is carried out over the last 2 weeks, which corresponds to the temporary diagnostic criterion for depression.The Depression Screening Scale is a 35-item self-questionnaire that assesses 7 categories of signs: sleep and appetite disorders, anxiety, emotional instability, cognitive impairment, loss of self, guilt, and suicidal tendencies. A total score of 65 and above indicates a high likelihood of depression.The Subjective Well-Being Scale is a psychodiagnostic screening tool for measuring the emotional component of subjective well-being or emotional comfort.Hospital Anxiety and Depression Scale Zigmond A.S., Snaith R.P. was developed for the primary detection of depression and anxiety in a general medical practice. The HADS scale consists of 14 statements with 4 possible answers and includes two parts: anxiety and depression. The sum of points of 8 or more is regarded as “subclinically expressed anxiety / depression”, 11 or more points - “clinically expressed anxiety / depression”.Results:According to the results of the depression screening questionnaire, 34 (77.3%) patients with RA and AS showed signs of depression, while in the control group only 6 (15%) patients tested positive for the presence of depressive disorders. According to the data obtained when assessing the scale of well-being in the main group, 26 (59.1%) patients showed signs of emotional discomfort (the indicator was 80% or more), in the control group - in 6 (15%). Using the hospital scale of anxiety and depression HADS, anxiety-depressive syndrome was detected in 36 (81.8%) patients with RA and AS: 16 (44.4%) patients had anxiety, 20 (55.6%) - depression, of them, subclinically expressed anxiety and depression were observed in 10 (27.7%) and 12 (33.3%) people, respectively. Anxiety-depressive syndrome in the control group, according to the HADS questionnaire, was detected only in 8 (20%) patients, of whom 4 (10%) patients had subclinical anxiety and 4 (10%) had signs of depression. No clinically pronounced anxiety and depression were registered in the control group.Conclusion:In most patients with rheumatoid arthritis and ankylosing spondylitis, anxiety-depressive disorders have been identified, which can directly affect both the course of the disease itself and the development of various complications. Timely diagnosis of mental disorders and close cooperation of rheumatologists, psychiatrists and psychologists in the selection of adequate therapy can improve the course and prognosis of the disease.Disclosure of Interests:None declared

Sign in / Sign up

Export Citation Format

Share Document