scholarly journals A cross sectional study of socio demographic profile and psychiatric co morbidity in patients of alcohol dependence syndrome

2019 ◽  
pp. 48-51
Author(s):  
Challuri Prashanth ◽  
B. Sowmya Grace
Keyword(s):  
Alcohol Dependence ◽  
Economic Status ◽  
Cross Sectional Study ◽  
Integrated Treatment ◽  
Cross Sectional ◽  
Demographic Profile ◽  
Comprehensive Management ◽  
Co Morbidity ◽  
Icd 10 ◽  
Alcohol Dependence Syndrome

Background :Alcohol is a ordinary commodity, used since time immemorial. Psychiatric co morbidities have a high prevalence among patients of alcohol dependence and often pose challenges in their diagnosis and treatment and are found to be a major contributor to relapses. They raise a challenging question of how to provide the best integrated treatment to address both. Aim : To study the socio demographic profile and psychiatric co morbidity in patients of alcohol dependence syndrome. Objectives: 1. To study the socio demographic profile of alcohol dependence patients 2. To determine the prevalence and type of psychiatric co-morbidity in alcohol dependent patients. Methodology : A consecutive sample of 100 Alcohol Dependence Syndrome patients attending outpatient were selected. A questionnaire was administered to collect sample and alcohol dependence characteristics. psychiatric co-morbidity evaluation was done using Mini International Neuropsychiatric Interview (MINI Plus) and the diagnosis was confirmed by using ICD-10. Results : Majority of the subjects were young adults with a mean age of 42 years, were illiterates, married, employed, belonged to rural background and from lower socio-economic status. psychiatric co-morbidities were present in 33% of population. More of affective spectrum (18%) as compared with lesser numbers of patients in the anxiety (11%) or psychotic spectrum (4%). psychiatric co-morbidity is significantly greater in those who are unemployed. Conclusions: The psychiatric co-morbidity was present in 33% of the population studied. More of affective spectrum, followed by anxiety spectrum and less number of them in psychotic spectrum. All psychiatric co-morbidities may need to be identified for patients diagnosed as alcohol dependence who present with longer duration of drinking and unemployed for effective and comprehensive management.

scholarly journals Co-morbidity in women with alcohol dependence syndrome (ADS) in Eastern Nepal

2017 ◽  
Vol 5 (1) ◽  
pp. 18-21
Author(s):  
R.G. Joshi ◽  
D.R. Shakya ◽  
P.M. Shyangwa ◽  
B. Pradhan
Keyword(s):  
Gastrointestinal Tract ◽  
Alcohol Dependence ◽  
Mood Disorders ◽  
Psychiatric Comorbidity ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Co Morbidity ◽  
Icd 10 ◽  
Alcohol Dependence Syndrome

Introduction: Women with ADS may have psychiatric comorbidites along with physical comorbidities. Societal attitudes towards women and alcohol are barriers to the detection and treatment of their alcohol related problems.Objective: To explore the magnitude of co-morbidity among women with ADS in Eastern Nepal.Method: This is a hospital based cross-sectional study of women with ADS. Those who scored two or more than two in T-ACE questionnaire were enrolled. The diagnosis was made according to ICD-10 criteria. Consultation with concerned physician was done to assess physical condition.Result: Fifty one patients with ADS were enrolled. Among them, 21.6% had no comorbidity, 52.9% had single co-morbidity (psychiatric or physical) and 25.5% had both psychiatric and physical co-morbidity. In psychiatric comorbidity, mood disorder in 35.29% was the commonest followed by nicotine use in 26.47%. Among mood disorders 83.3% had depression. In physical comorbidity, disease of gastrointestinal tract and hepatobiliary system in 50.9% was the commonest followed by hypertension in 11.5%.Conclusion: : Psychiatric as well as physical co-morbidities are common in women with ADS. The finding points to the importance of exploring comorbidities and their optimal treatment.

scholarly journals Spouse Burden in Patients with Alcohol Dependence Syndrome

2019 ◽  
Vol 16 (3) ◽  
pp. 27-33
Author(s):  
Sanjeev Chandra Gautam ◽  
Yash Bhattarai
Keyword(s):  
Alcohol Dependence ◽  
Primary Alcohol ◽  
Age Group ◽  
Physical And Mental Health ◽  
Physical Strain ◽  
Alcohol Abusers ◽  
Cross Sectional ◽  
Icd 10 ◽  
Alcohol Dependence Syndrome ◽  
The Cost

Use of alcohol has been one of the major source of recreation and stress relievers to date and it is one of the most abused substances in the world due to its free availability. The cost that a spouses incur in terms of economic hardships, social isolation and physical strain can be referred to as Spouse Burden. Spouses play an important role inpatient’s support and treatment and with a study like this there might be a better understanding of the problem. A descriptive, cross-Sectional hospital based study was done in 62 patients who met the diagnostic criteria for Alcohol Dependence Syndrome (ICD-10 DCR) and consents were taken from required personnel. Most of the patients examined were in the age group 40 to 60 years of age (72.6%) followed by the age group up to 40 (22.6%). 72.5% of the spouses were up to 40 years of age, followed by spouses of the age group 40-60 (27.5%).Males were the primary alcohol abusers(87%).51.6% of the patients were unemployed and the rest 48.4% was still employed whereas 51.6%of the spouses were employed and the rest48.4% unemployed. 51.6% of the patients were illiterate whereas majority of the spouses were literate(67.7%). There is a significant severity of burden of alcohol dependence syndrome in spouses and these verity of dependence is positively correlated with spouse burden. Financial, spouse routine, spouse interaction, physical and mental health of other members of the family were significantly affected with increase in dependence.

The Influence of Clinical and Socio-Demographical Characteristics on Medical Co-Morbidity Occurrence in Unipolar Depressive Individuals

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
V.R. Enatescu
Keyword(s):  
Diagnostic Criteria ◽  
Total Duration ◽  
Unipolar Depression ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Co Morbidity ◽  
Icd 10 ◽  
History Of ◽  
Severity Of Depression ◽  
Demographical Data

Aims/Objectives:Our main purpose was to examine the clinical and socio-demographical influencing factors that play a significant role to medical co-morbidity occurrences in unipolar depressives.Methods:We performed two types of clinical studies, one longitudinal retrospective study on 248 unipolar depressives admitted in our Clinic during 2001 - 2005 and second represented by a cross-sectional study on 45 inpatients and outpatients that had meet diagnostic criteria of unipolar depression according to ICD-10 and DSM-IV.Results:Socio-demographical factors that concurring to medical co-morbidity in unipolar depressives were represented by advanced current age and low educational level. Interestingly, the total duration of unipolar depression was not significant correlated with medical co-morbidity. A positive familial history of depression was correlated with a significant higher risk for coronary hearth diseases (depressives - average=0.443, S.D. =0.652; bipolars+delusionals - average=0.252, S.D.=0.499; t=2,665, p=0.008). Cluster C personality traits have had higher risk of cardiovasculare diseases (p=0.024). Inversely, in cross-sectional research those who met diagnostic criteria for cluster A and/or B personality disorders have had significant higher risk to develop medical co-morbidity. The higher level of co-existing anxiety, both as a trait as well as a state, was correlated with medical co-morbidity of unipolar depression. Surprisingly, in both type of studies, the severity of depression was not significant correlated with the extension of medical co-morbidity. Unipolar depressives were more prone to use dysfunctional copings as psychoactive substance use.Conclusions:Both clinical and socio-demographical data profiles could give us some valuable informations in predicting medical co-morbidity in unipolar depressives.

scholarly journals DERMATOLOGICAL DISORDERS

2010 ◽  
Vol 17 (02) ◽  
pp. 334-349
Author(s):  
IMTIAZ AHMAD DOGAR ◽  
M. ARIF MAN ◽  
ASMA BAJWA ◽  
Aysha Bhatti ◽  
Shazia Naseem ◽  
...  
Keyword(s):  
Economic Status ◽  
Cross Sectional Study ◽  
Depression Score ◽  
Anxiety And Depression ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
Dermatology Department ◽  
Dermatological Disease ◽  
Co Morbidity ◽  
Dsm Iv

Objectives: The study aimed to determine the prevalence and risk factors of Depression and Anxiety in indoor Patients of Dermatology Department. Types of study: cross sectional study. Place and Duration of study: The study was conducted at in door Department of Dermatology, D.H.Q Hospital Faisalabad from August 2006 to October 2006. Patients & Methods: A total of 77 diagnosed dermatological patients, (21males and 56 females) were selected by using non-probability convenient sampling. Hospital Anxiety andDepression Scale and DSM –IV-TR criteria for depression and anxiety were used to evaluate the patients. QOL-BREF was administered. Results were also correlated with patient’s demographics. Result: Out of 77 Patients who were enrolled in a study, 52 % of subjects reported psychiatric co-morbidity regarding anxiety and depression according to DSM-IV-TR, HADS, anxiety and depression score was 12.75 (±4.33)and 11.18 (±4.51) respectively. A strong co-relation of HADS anxiety and HADS depression was found with the DSM-IV- TR diagnosis respectively. The strong negative association was found with the education, monthly income and socio-economic status respectively. Conclusion: The study shows high Prevalence of Depression and Anxiety in Patients having dermatological disorder. The findings also highlight the importance of recognizing dermatological disease related psychiatric problems. Through training, dermatologists can identify psychiatry morbidity and play their role in early detection, management and referrals of complicated cases of these co- morbid conditions. In this way better quality of care can be assured.

scholarly journals A cross sectional study among patients with co-morbidities of alcohol dependence and mental illness admitted in Institute of Psychiatry, Kolkata

2015 ◽  
pp. 5-8
Author(s):  
Ajay Halder ◽  
Uday Sankar Mandal ◽  
Sikha Mukhopadhyay ◽  
Abhijit Chakraborty ◽  
Tamoghna Bandopadhyay ◽  
...  
Keyword(s):  
Alcohol Dependence ◽  
Family Income ◽  
Bipolar Affective Disorder ◽  
Cross Sectional Study ◽  
Diagnostic Tools ◽  
Cross Sectional ◽  
Psychiatric Comorbidities ◽  
Educational Standard ◽  
Co Morbidity ◽  
Alcohol Dependent

Background : Psychiatric comorbidities are not very uncommon particularly in alcohol dependent patients. They are sometime very difficult to treat and overall prognosis is unpredictable most of the time.Aims : To measure the prevalence of several psychiatric comorbidities in patients with alcohol dependence.Settings and Design : The study assessed the prevalence of psychiatric comorbidities among 100 alcohol dependent patients admitted in Institute of Psychiatry, Kolkata.Methods and Material : A semistructuredproforma and Structured Clinical Interview for DSM-IV (SCID) diagnostic tools were used among alcohol dependent patients who met inclusion and exclusion criteria.Statistical Analysis used : Statistical analysis was done by using Statistical Package for Social Sciences (SPSS).Results : The psychiatric comorbidities among alcohol dependent patients were depression (32%), Bipolar affective disorder (20%), Anxiety disorder (18%), Personality disorder (10%), Schizophrenia (10%).Conclusions : Most of the patients in this study were males. Those of (V-X) educational standard, male persons of mean age group 25.4 years and having monthly family income of Rs 1,000 - 5,000 were most vulnerable group of alcohol dependence with comorbidities. The most common psychiatric comorbidity was depression (32.5%).Key Message : Alcohol abuse is a great worldwide problem and psychiatric comorbidities arenot uncommon with alcohol dependence. However, the co-morbidity with substance problemsis underreported and understudied. Early detection and prompt intervention to treat alcoholdependence is essentially needed to overcome this burning problem.

scholarly journals A Comparative Study of Clinical Profile, Metabolic Parameters and Outcome of Patient Among Subtypes of Alcohol Dependence Syndrome in Tertiary Level Hospital of Kathmandu Valley

2019 ◽  
Vol 2 (1) ◽  
pp. 145-148
Author(s):  
Prabhakar Pokhrel ◽  
Neena Rai ◽  
Rajan Pathak ◽  
Aajma Thapa ◽  
Nishchal Regmi ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Alcohol Dependence ◽  
Cross Sectional Study ◽  
Metabolic Parameters ◽  
Psychiatric Ward ◽  
Cross Sectional ◽  
Duration Of Stay ◽  
Medical College ◽  
Alcohol Dependence Syndrome ◽  
Withdrawal Phase

Introduction: Alcohol is a legally allowed substance used for recreation associated with harmful health consequences both on using it and trying to quit (withdrawal phase). Many patients of alcohol dependence are brought to hospital or emergency in the withdrawal phase and require intensive treatment. It’s associated with life threatening conditions and associated with occurrences of seizures and confusion. Based on severity, it can be subtyped and managed differently. The study tries to compare and contrast the subtypes of withdrawal phases of alcohol in terms of clinical, outcome and metabolic parametersMaterials and Methods: This is a cross-sectional study of all patients diagnosed as alcohol dependence syndrome admitted over a period of two years (June 2016 to June 2018) in the psychiatric ward of KIST medical college and teaching hospital. It’s divided into two phases namely complicated and uncomplicated phase and clinical, outcome and metabolic parameters are compared and contrasted.Results: Out of 166 patients studied, 54% of the patients were diagnosed with complicated withdrawal features. Significant changes were noticed in increase duration of stay, low level of platelets and potassium and SGPT levels in a complicated group compare to the uncomplicated group. Mortality was not seen in any of the groupConclusions: Patients can be treated in-ward setting successfully and if the diagnosis is of complicated withdrawal then metabolic parameters like potassium, platelet level has to be taken into consideration. Complicated withdrawal features increase the chance of morbidity and increase the duration of stay.

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