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Prevalence and pattern of psychiatric morbidity and health related quality of life in patients...
Full title: Prevalence and pattern of psychiatric morbidity and health related quality of life in patients with ischemic heart disease in a tertiary care hospital.
BACKGROUND: Psychiatric morbidity and Health Related Quality of Life (Hr-QoL) in Ischemic Heart Disease (IHD) are relatively less studied in our country. AIMS: This cross-sectional observational study was undertaken to assess the common psychiatric disorders and Hr-QoL in IHD. MATERIALS AND METHODS: One-hundred and thirty patients with IHD were evaluated for psychiatric morbidity and Hr-QoL. Tools used were SCID-1, Euro QoL-5D, and Socio-demographic data sheet. The data were analyzed using SPSS v 10.0 software, Chi-square test, T-test, ANOVA were used as needed. RESULTS: Psychiatric morbidity was assessed using psychiatric assessment schedule SCID-I for generating diagnosis as per DSM-IV criteria. Major depressive disorder was found in 34.6% (n=45) patients. 23.8% (n=31) patients had a diagnosis of depression due to general medical condition. Anxiety disorder due to general medical condition was present in 36.9% (n=48) patients. Around 95.4% of patients reported psychiatric symptoms, either depression or anxiety. Though widely disputed, low educational status was reported as significantly associated with psychiatric morbidity in IHD. Female sex of the patient and the presence of diabetes mellitus were associated with psychiatric morbidity in a significant manner. Majority of patients with poor quality of life were in the domain of anxiety/depression. CONCLUSION: The findings of our study reveal a high rate of psychiatric morbidity and impaired quality of life in IHD Patients.
Indian J Psychiatry. 2013 Oct;55(4):353-9. doi: 10.4103/0019-5545.120554. John S. Department of Psychiatry, Amala Institute of Medical Sciences, Thrissur, Kerala, India.
The three most popular assisted techniques for shedding those extra pounds are pills, hypnosis, and surgery. The problem with the first is that using pills for weight reduction means that most people must needlessly rely upon them if they are to keep their weight off. And, don’t forget the side effects. People react differently. Some medications even come with warnings of death through heart failure and change in personality. Yet, pills are still very popular in our quick-fix culture.
Surgery, such as fatty tissue removal or lap-band operations, is another alternative. For those people...
Addictions are serious chronic brain diseases, which have biological, psychological, and social implications. They are powerful because they employ neurological processes required for learning and survival. However, they use these vital systems in a way that threatens the addict’s health, relationships, and may often end in criminal prosecution and jail time. So, to understand and treat this problem both the patient and the counselor must know how abuse is encoded, triggered, and reinforced.
Our brain participates in a two-level learning system. Generally, learning can be divided into...
Frequently I hear that speaking in public is the number one fear in America and probably the world. Why is it that people will more likely risk their lives rather than get up in front of a group of strangers or even people who they know well? If this describes you, think for a moment. You become self-conscious and tense. Your blood pressure goes up. Your mind is racing. You are afraid that you won’t remember what to say. You are afraid that you will look like a fool? You even remember your last attempt and have never gotten over that experience.