scholarly journals Prevalence of Anxiety and Depression amongst Patients presenting with Non-inflammatory Vaginal Discharge.

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Sayed Shah Khalid ◽  
Shafqat Huma ◽  
Usman Amin Hotiana ◽  
Muhammad Tariq ◽  
Muhammad Nadeem
Keyword(s):  
Vaginal Discharge ◽  
Psychotic Disorders ◽  
Reproductive Age ◽  
Anxiety And Depression ◽  
Military Hospital ◽  
Outpatient Services ◽  
Cross Sectional ◽  
Health Related ◽  
Organic Brain ◽  
Clinically Significant

Background: Abnormal vaginal discharge/leucorrhea amongst women of reproductive age group(15-49) is a frequently encounteredcomplaint especially across South-east Asia. It is commonly associated with tremendous stress, anxiety and depression. The currentstudy was planned to determine the prevalence of anxiety and depression amongst such patients.Objective: To stydy, the prevalence of anxiety and depression as a cause of vaginal discharge in young women.Design: Descriptive, cross-sectional studyPlace and duration of study: Combined Military Hospital,Kohat, for a period of 3 months from June 2015 till September 2015.Material and Methods: 62 consecutive patients presenting with non-infectious, chronic, leucorrhea were inducted from GynecologyOutpatient Department, Combined Military Hospital. As per the inclusion criteria for this study, any female aged 1845 years presentingto Gynaecology outpatient services with chronic non-infective vaginal discharge was eligible for the study. Patients with comorbidmental retardation, psychotic disorders, or organic brain syndromes were excluded.Their basic demographic details were recorded through a sociodemographic proforma and then Hospital Anxiety and Depression Scalewas administered orally in the native language to the participants.The data was entered in the computer and analysed using SPSS 22.0. and results interpreted accordingly.Results: 26(42.6%) of cases were normal, 10(16.4%) had borderline anxiety symptoms, and 25(41%) cases had abnormal/severeanxiety; regarding depression, it was found that 34(55.7%) were normal cases, 11(18%) borderline and 16 (26.2%) wereabnormal/severe according to Hospital and anxiety scale.Conclusion: Clinically significant anxiety and depression are frequently reported in patients presenting with chronic leucorrhea.Appropriate and timely management of these could be better health related outcomes.

scholarly journals Cross-sectional study evaluating the association between integrated care and health-related quality of life (HRQOL) in Dutch primary care

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e040781
Author(s):  
Pim P Valentijn ◽  
Marcel Kerkhoven ◽  
Jantien Heideman ◽  
Rosa Arends
Keyword(s):  
Primary Care ◽  
Integrated Care ◽  
Primary Care Practice ◽  
Anxiety And Depression ◽  
Care Practice ◽  
Cross Sectional ◽  
Practice Population ◽  
Related Quality ◽  
Health Related

ObjectivesThe aim of this study was to evaluate the association between integrated care and health-related quality of life (HRQOL) in a primary care practice population.DesignA cross-sectional survey study.SettingPrimary care practice population.ParticipantsA sample (n=5562) of patients in two general practitioner practices in the Netherlands.Primary outcome measuresThe Rainbow Model of Integrated Care Measurement Tool patient version and EQ-5D was used to assess integrated service delivery and HRQOL. The association between integrated care and HRQOL groups was analysed using multivariate logistic regression.ResultsOverall, 933 respondents with a mean age of 62 participated (20% response rate) in this study. The multivariate analysis revealed that positive organisational coordination experiences were linked to better HRQOL (OR=1.87, 95% CI 1.18 to 2.95), and less anxiety and depression problems (OR=0.36, 95% CI 0.20 to 0.63). Unemployment was associated with a poor HRQOL (OR=0.15, 95% CI 0.08 to 0.28). Ageing was associated with more mobility (OR=1.06, 95% CI 1.04 to 1.09), self-care (OR=1.06, 95% CI 1.02 to 1.11), usual activity (OR=1.03, 95% CI 1.01 to 1.05) and pain problems (OR=1.02, 95% CI 1.01 to 1.04). Being married improved the overall HRQOL (OR=1.60, 95% CI 1.13 to 2.26) and decreased anxiety and depression (OR=0.47, 95% CI 0.31 to 0.72). Finally, females had a poor overall HRQOL (OR=1.67, 95% CI 0.48 to 0.93) and more pain and discomfort problems (OR=1.47, 95% CI 1.11 to 1.95).ConclusionThis study shows for the first time that organisational coordination activities are positively associated with HROQL of adult patients in a primary care context, adding to the evidence of an association between integrated care and HRQOL. Also, unemployment, ageing and being female are accumulating risk factors that should be considered when designing integrated primary care programmes. Further research is needed to explore how various integration types relate to HRQOL for people in local communities.

CONSANGUINITY AND MATERNAL AGE;

2017 ◽  
Vol 24 (04) ◽  
pp. 511-515
Author(s):  
Nayyab Zehra ◽  
Ahmed Hassaan Malik ◽  
Zahabia Khalid ◽  
Misha Sabir ◽  
Simra Tanvir ◽  
...  
Keyword(s):  
Family History ◽  
Gestational Age ◽  
Maternal Age ◽  
Sampling Technique ◽  
Reproductive Age ◽  
Military Hospital ◽  
Age Group ◽  
Spontaneous Abortions ◽  
Cross Sectional ◽  
History Of

Objectives: To determine the frequency of risk factors i.e. consanguinity andmaternal age associated with spontaneous abortions in Pakistan and to propose ways toreduce them. Study design: Cross sectional descriptive study. Place of study: Gynecologydepartment of Military Hospital and Combined Military Hospital, Rawalpindi. Duration ofstudy: 6 months (September 2015 to February 2016). Sampling technique: Non probabilityconvenient sampling. Methodology: 150 married female patients in reproductive age group(15-49 years), who were confirmed cases of pregnancy and presented with abortions, wereinterviewed and responses were filled in a structured questionnaire after written consent.The collected data was then entered and analyzed by SPSS 20.0. Results: The major bulkof spontaneous abortions occurred in the maternal age group of 25-35 years (55.3%). A totalof 53.3% of abortions occurred in the gestational age of less than 12 weeks. Around 54.7% offemales had family history of spontaneous abortions and 65.3% had consanguineous marriage.Conclusion: Spontaneous abortions occur more frequently in the females of 25-35 yearsage group and among the fetuses with gestational age less than 12 weeks (1st trimester ofpregnancy). Family history of spontaneous abortions and consanguinity are associated withspontaneous abortions.

Daily intake of soft drinks is associated with symptoms of anxiety and depression in Chinese adolescents

2019 ◽  
Vol 22 (14) ◽  
pp. 2553-2560 ◽  
Author(s):  
Xingyu Zhang ◽  
Xiaoyan Huang ◽  
Yi Xiao ◽  
Danrong Jing ◽  
Yuzhou Huang ◽  
...  
Keyword(s):  
Soft Drink ◽  
Daily Intake ◽  
Cross Sectional Study ◽  
Soft Drinks ◽  
Mediation Effect ◽  
Anxiety And Depression ◽  
Cross Sectional ◽  
Soft Drink Consumption ◽  
Patient Health ◽  
Clinically Significant

AbstractObjective:The association of soft drink consumption with mental problems in Asian adolescents has not been reported. The present study aimed to investigate the association of soft drink consumption and symptoms of anxiety and depression in adolescents in China.Design:A cross-sectional study to investigate the association of intake of soft drinks and sugars from soft drinks with symptoms of anxiety and depression measured by the two-item Generalized Anxiety Disorder (GAD-2) and the Patient Health Questionnaire (PHQ-2), respectively.Setting:A comprehensive university in Changsha, China.Participants:Newly enrolled college students in 2017.Result:In total, 8226 students completed the investigation and 8085 students with no systemic disorders were finally analysed. Students consuming soft drinks ≥7 times/week had significantly higher (mean difference; 95 % CI) GAD-2 (0·15; 0·07, 0·23) and PHQ-2 (0·27; 0·19, 0·35) scores compared with those barely consuming soft drinks, adjusted for demographic and behavioural factors. Those consuming >25 g sugar/d from soft drinks had significantly higher GAD-2 (0·11; 0·04, 0·18) and PHQ-2 (0·22; 0·15, 0·29) scores compared with non-consumers. The mediation effect of obesity in the associations was not clinically significant.Conclusions:Adolescents consuming soft drinks ≥7 times/week, or >25 g sugar/d from soft drinks, had significantly higher levels of anxiety and depression. Dietary suggestion is needed to prevent anxiety and depression in adolescents.

scholarly journals Prevalence and sociodemographic correlates of vaginal discharge among married women of reproductive age group at a teaching hospital

2017 ◽  
Vol 6 (11) ◽  
pp. 4840
Author(s):  
Indira Guntoory ◽  
Narasinga R. Tamaraba ◽  
Lakshmana R. Nambaru ◽  
Alina S. Kalavakuri
Keyword(s):  
Tract Infection ◽  
Rural Women ◽  
Vaginal Discharge ◽  
Reproductive Tract ◽  
Lower Abdominal Pain ◽  
Reproductive Age ◽  
Age Group ◽  
Cultural Perspective ◽  
Cross Sectional ◽  
Reproductive Tract Infection

Background: Vaginal discharge is the commonest reproductive tract infection among rural women in many community based studies in India. Recent evidence shows that the association between vaginal discharge and reproductive tract infection is weak. Psychosocial factors also contribute to vaginal discharge. So, the problem of vaginal discharge can be best understood not only in the biomedical perspective but also in the socio-cultural perspective. Proper understanding of this problem helps in initiating appropriate medical education programmes and framing health policies. This study is aimed to determine the prevalence of vaginal discharge, the socio demographic factors associated with it, women’s perceptions of vaginal discharge and their treatment seeking behaviour.Methods: This is a hospital based cross sectional study conducted in the outpatient department of Obstetrics and Gynaecology, MIMS, Nellimarla, Vizianagaram district of Andhra Pradesh. Women with the complaint of vaginal discharge were interviewed with a pretested questionnaire and sociodemographic details, details of obstetric history and contraceptive practices, personal and menstrual hygiene were noted. Statistical analysis of the significance of association of different variables was done.Results: The prevalence of vaginal discharge was found to be 28.99%. Its prevalence was found to be more in the younger age group, illiterate, women belonging to lower socioeconomic status and those who were married at less than 18 years of age. History of induced abortion, home deliveries, permanent method of sterilization, availability of toilet facility at home were significantly associated with vaginal discharge. Lower abdominal pain, dysuria and backache were the most prevalent co-morbidities with vaginal discharge.Conclusions: Improvement of the literacy rate, economic status and women’s empowerment will help to mitigate the problem of vaginal discharge.

scholarly journals DEPRESSION AND ANXIETY IN CORRELATION TO BODY AREAS INVOLVED IN PATIENTS OF BURNS

2021 ◽  
Vol 71 (3) ◽  
pp. 734-38
Author(s):  
Ghazanfar Ali ◽  
Sikander Ali Khan ◽  
Muzzafar Ahmed ◽  
Muhammad Sheraz Afzal Malik ◽  
Danish Almas ◽  
...  
Keyword(s):  
Severe Depression ◽  
International Classification Of Diseases ◽  
Cross Sectional Study ◽  
Anxiety And Depression ◽  
Military Hospital ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
High Prevalence ◽  
Classification Of Diseases ◽  
Burns Unit

Objective: To evaluate the severity of depression and anxiety among patients of burns and correlate depression and anxiety with areas of body involved in burns. Study Design: A cross-sectional study. Place and Duration of Study: The departments of Psychiatry and department of Plastic Surgery, Combined Military Hospital Multan, from Oct 2019 to Mar 2020. Methodology: Through consecutive sampling, 56 patients of burns reporting to burns unit were assessed for anxiety and/ or depression based on the diagnostic criteria of International Classification of Diseases version 10. Symptom severity was assessed using Beck Depressive Inventory for depression and Beck Anxiety Inventory for anxiety. Descriptive statistics like mean with standard deviation was calculated for age. Frequency along with percentages was calculated for sociodemographic variables, Anxiety and depression. Results: Depression was present among 30 (53%) of participants out of which 16 (53.5%) had mild, 11 (37.9%) had moderate while only 3 (12.5%) had severe depression. Anxiety was seen among 50 (89%) of participants out of which sixteen (32.1%) had mild, 26 (51.7%) had moderate while 8 (16%) had severe anxiety. Significant correlation existed among the major area involved in burn with both anxiety and depression (p<0.01). Conclusion: There is a very high prevalence of anxiety and depression among patients of burn. Significant positive correlation existed between the level of anxiety and the areas involved in burns.

scholarly journals Assessing Psychosocial Distress in Cystic Fibrosis: Validation of the ‘Distress in Cystic Fibrosis Scale’

2021 ◽  
Author(s):  
Caroline Finlay ◽  
Sejal Patel ◽  
Jonathan Evans
Keyword(s):  
Cystic Fibrosis ◽  
Psychosocial Distress ◽  
Anxiety And Depression ◽  
Adherence To Medication ◽  
Wide Range ◽  
Important Health ◽  
Health Related ◽  
High Internal Consistency ◽  
Clinically Significant

AbstractExperiences of anxiety and depression are common in adults with Cystic Fibrosis (AwCF) (e.g. Quittner in Thorax 69:1090-1097, 2014) and may impact on a wide range of important health-related behaviours, such as adherence to medication and timely attendance for medical review when experiencing pulmonary exacerbation. Common screening measures used in CF such as the PHQ-9 and GAD-7 may reflect an absence of anxiety or depression when clinically significant emotional difficulties are apparent on further assessment. This study preliminarily validated the previously developed Distress in Cystic Fibrosis Scale (DCFS) (Patel in Journal of Cystic Fibrosis 15:S26, 2016); a 23-item questionnaire to assess psychosocial distress in AwCF. Inpatient and outpatient participants with CF (N = 119) completed a battery of questionnaires, including the DCFS. PCA results supported a single component model. The DCFS showed high internal consistency and correlated significantly with measures of mood and quality of life. The DCFS shows promise as a screening tool to assess clinically significant psychosocial distress in an adult CF population.

scholarly journals DEPRESSION AND ANXIETY AMONG PATIENTS SEEKING RHINOPLASTY

2021 ◽  
Vol 71 (Suppl-3) ◽  
pp. S594-97
Author(s):  
Sikandar Ali Khan ◽  
Ghazanfar Ali ◽  
Maqbool Raza ◽  
Muhammad Tariq ◽  
Imran Adeel ◽  
...  
Keyword(s):  
Plastic Surgery ◽  
High Frequency ◽  
Cross Sectional Study ◽  
Anxiety And Depression ◽  
Military Hospital ◽  
Depression And Anxiety ◽  
Sectional Study ◽  
Very High Frequency ◽  
Cross Sectional ◽  
Very High

Objective: To evaluate the presence and relation of depression and anxiety among patients seeking rhinoplasty Study Design: A cross-sectional study. Place and Duration of Study: Departments of Psychiatry, department of Plastic Surgery and ENT, Combined Military Hospital Multan, from Jan 2019 to Mar 2020. Methodology: A total of 102 patients were recruited that reported to Plastic surgery and ENT unit. Patients were divided equally in two groups of 51 each. One group included patients seeking rhinoplasty while other group included those patients that reported in Plastic surgery and ENT unit for reasons other than rhinoplasty. Symptom were assessed using Beck Depressive Inventory for depression and Beck Anxiety Inventory for anxiety. Results: A total of 102 participants were included in the study, of these 51 were patients seeking rhinoplasty and 51 were controls. Significant correlation exist between anxiety and depression (p<0.00). Conclusion: There is a very high frequency of anxiety and depression among patients seeking Rhinoplasty along with significant positive correlation.

scholarly journals Socio-demographic Characteristics of Women having Vaginal Discharge Attending a Military Hospital

2020 ◽  
Vol 14 (2) ◽  
pp. 183-185
Author(s):  
Shamima Yasmin ◽  
Nasrin Ara Zaman ◽  
Farzana Zafreen
Keyword(s):  
Vaginal Discharge ◽  
Reproductive Tract ◽  
Health Knowledge ◽  
Lower Abdominal Pain ◽  
Armed Forces ◽  
Medical Intervention ◽  
Personal Hygiene ◽  
Military Hospital ◽  
Cultural Perspective ◽  
Cross Sectional

Introduction: Vaginal discharge is the commonest concern among women and leads many women to visit Gynaecology OPD. It is a normal part of women reproductive cycle, unless it causes itching, burning or other bothersome symptoms. Association between vaginal discharge and reproductive tract is weak. Psychological factors also contribute in vaginal discharge. So the problem of vaginal discharge can be best understood not only in bio-medical perspective but also in socio-cultural perspective. Proper understanding of the subject is required for appropriate medical intervention and bringing awareness among women. Objectives: To determine prevalence of vaginal discharge, the socio-demographic factors associated with it, women’s perceptions of vaginal discharge and their treatment seeking behaviour. Materials and Methods: This cross sectional study was performed at outpatients’ Department of Obstetrics and Gynecology, Combined Military Hospital, Chattogram from January 2016 to January 2017. Total 150 women with complains of vaginal discharge were interviewed with questionnaire. Results: Most of the patients63(42%) belong to 25-34 age group, 86(57.3%) had poor sanitation facilities and 126(84%) used cloth pads during menstrual period. Many of them had backache 64(42.6%) followed by itching, bad smell 48(32%) and lower abdominal pain 15(10%). Most of the cases 98(65.3%) were multiparous. Conclusion: To diminish the problem of vaginal discharge women should improve their health knowledge, empower economic status, maintain personal hygiene. Further study is needed for better outcome. Journal of Armed Forces Medical College Bangladesh Vol.14 (2) 2018: 183-185

scholarly journals Prevalence of Bacterial Vaginosis in Females of Child-Bearing Age and Utility of pH and Whiff Test in Diagnosis

2020 ◽  
pp. 51-56
Author(s):  
Fakhar Uddin ◽  
Faiza Zeeshan ◽  
Rakhshanda Younus ◽  
Haleema Yasmin ◽  
Saima Bugti ◽  
...  
Keyword(s):  
Bacterial Vaginosis ◽  
Vaginal Discharge ◽  
Local Population ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Chi Square ◽  
Cross Sectional ◽  
Child Bearing ◽  
Chi Square Test ◽  
The Mean

Background: To determine the prevalence of bacterial vaginosis among females of reproductive age and assessment of the effectiveness of pH and the Whiff test in its diagnosis. Methods: This was a cross-sectional study. A total of 100 subjects were included, coming with a complaint of vaginal discharge. The bacterial vaginosis was diagnosed by using the Nugent scoring system, Whiff and pH tests. The prevalence was calculated by descriptive statistics and using the Chi-square test and results were shown in percentages and mean with standard deviation. Results: The estimated prevalence of bacterial vaginosis among the local population of females of child-bearing age was found to be 39%. The mean age of females with bacterial vaginosis was 33.33±10.46 years. The Whiff test was positive in 89.74% cases, while pH was elevated in 94.87% females with bacterial vaginosis. Conclusion: Bacterial vaginosis is a frequent cause of vaginal discharge in females of reproductive age in Pakistan. The diagnosis can be easily made by using Whiff and pH tests even at resource-poor settings. Keywords: Bacterial vaginosis, Child-bearing age, pH test, Whiff test.

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