Study on psychiatric morbidities in patients with newly (recently) detected type 2 diabetes mellitus
Aims and objectives: Psychiatric co-morbidity in patients with diabetes mellitus (DM) is associated with higher level of functional impairment and poor self-care. This study was carried out with the aim to find out existing psychiatric morbidity in newly detected diabetic patients who were not yet s...
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doaj-dede5f41bef04b70a1009e98daf67ce92020-11-24T21:55:58ZengAcademy PublisherOpen Journal of Psychiatry and Allied Sciences2394-20532394-20612016-07-017213213610.5958/2394-2061.2016.00021.5Study on psychiatric morbidities in patients with newly (recently) detected type 2 diabetes mellitusAdya Shanker Srivastava0Ashish Nair1SK Singh2Maheshwar Nath Tripathi3Balram Pandit4Jai Singh Yadav5Associate Professor, Department of Psychiatry , Institute of Medical Sciences , Banaras Hindu University, Varanasi, Uttar Pradesh, IndiaConsultant Psychiatrist, EMS Memorial Cooperative Hospital and Research Centre, Perrinthalmanna, Kerala, IndiaProfessor, Department of Endocrinology Institute of Medical Sciences , Banaras Hindu University, Varanasi, Uttar Pradesh, IndiaConsultant Psychiatrist, Mahadeva Neuropsychiatry Centre, Kashi Vidyapeeth, Varanasi, Uttar Pradesh, IndiaAssistant Professor in Psychiatry, Department of Medical Sciences, College of Medicine, Nursing & Health Sciences, Fiji National University, FijiAssistant Professor, Department of Psychiatry, Institute of Medical Sciences, Banaras Hindu University. Varanasi, Uttar Pradesh, IndiaAims and objectives: Psychiatric co-morbidity in patients with diabetes mellitus (DM) is associated with higher level of functional impairment and poor self-care. This study was carried out with the aim to find out existing psychiatric morbidity in newly detected diabetic patients who were not yet started on anti-diabetic medication so that proper evaluation of mental health and comprehensive management of both the conditions can be planned. Methodology: Hundred newly detected and diagnosed type 2 DM patients attending endocrinology and psychiatry outpatient departments of Sir Sunder Lal Hospital, Institute of Medical Sciences, Banaras Hindu University, Varanasi were screened and selected for the study. Psychiatric evaluation was done on the basis of structured proforma containing socio-demographic details, physical and mental status examination, and relevant investigations pertaining to diagnosis of DM. Psychiatric diagnosis was made on the basis of the text revision of the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) criteria. Relevant rating scales (Hamilton Anxiety Rating Scale for anxiety disorder, Hamilton Depression Rating Scale for depression, Yale-Brown Obsessive Compulsive Scale [Y-BOCS] for obsessive compulsive disorder, and Brief Psychiatric Rating Scale [BPRS] for psychosis) were used for assessing severity of the conditions. Result: Majority of the patients were males (65%). Psychiatric morbidity was detected in 34% of patients – most common was major depressive disorder (21%) followed by anxiety disorder (eight per cent), dysthymic disorder (four per cent), and substance abuse (one per cent). In major depressive disorder group, moderate (ten per cent) to severe (four per cent) level of depression was detected and in anxiety disorder group, five per cent patients had moderate level of anxiety. Conclusion: Evaluation of psychiatric status at the very beginning when DM is detected ; may help in proper management of both the conditions resulting in better outcome, self-care, and maintenance therapy in follow-up.http://ojpas.npage.de/get_file.php?id=30971965&vnr=239934DepressionAnxiety Disorders. Dysthymic Disorder. Substance AbuseAnxiety DisordersDysthymic Disorder. Substance AbuseDysthymic DisorderSubstance Abuse |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Adya Shanker Srivastava Ashish Nair SK Singh Maheshwar Nath Tripathi Balram Pandit Jai Singh Yadav |
spellingShingle |
Adya Shanker Srivastava Ashish Nair SK Singh Maheshwar Nath Tripathi Balram Pandit Jai Singh Yadav Study on psychiatric morbidities in patients with newly (recently) detected type 2 diabetes mellitus Open Journal of Psychiatry and Allied Sciences Depression Anxiety Disorders. Dysthymic Disorder. Substance Abuse Anxiety Disorders Dysthymic Disorder. Substance Abuse Dysthymic Disorder Substance Abuse |
author_facet |
Adya Shanker Srivastava Ashish Nair SK Singh Maheshwar Nath Tripathi Balram Pandit Jai Singh Yadav |
author_sort |
Adya Shanker Srivastava |
title |
Study on psychiatric morbidities in patients with newly (recently) detected type 2 diabetes mellitus |
title_short |
Study on psychiatric morbidities in patients with newly (recently) detected type 2 diabetes mellitus |
title_full |
Study on psychiatric morbidities in patients with newly (recently) detected type 2 diabetes mellitus |
title_fullStr |
Study on psychiatric morbidities in patients with newly (recently) detected type 2 diabetes mellitus |
title_full_unstemmed |
Study on psychiatric morbidities in patients with newly (recently) detected type 2 diabetes mellitus |
title_sort |
study on psychiatric morbidities in patients with newly (recently) detected type 2 diabetes mellitus |
publisher |
Academy Publisher |
series |
Open Journal of Psychiatry and Allied Sciences |
issn |
2394-2053 2394-2061 |
publishDate |
2016-07-01 |
description |
Aims and objectives: Psychiatric co-morbidity in patients with diabetes mellitus (DM) is associated with higher level of functional impairment and poor self-care. This study was carried out with the aim to find out existing psychiatric morbidity in newly detected diabetic patients who were not yet started on anti-diabetic medication so that proper evaluation of mental health and comprehensive management of both the conditions can be planned.
Methodology: Hundred newly detected and diagnosed type 2 DM patients attending endocrinology and psychiatry outpatient departments of Sir Sunder Lal Hospital, Institute of Medical Sciences, Banaras Hindu University, Varanasi were screened and selected for the study. Psychiatric evaluation was done on the basis of structured proforma containing socio-demographic details, physical and mental status examination, and relevant investigations pertaining to diagnosis of DM. Psychiatric diagnosis was made on the basis of the text revision of the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) criteria. Relevant rating scales (Hamilton Anxiety Rating Scale for anxiety disorder, Hamilton Depression Rating Scale for depression, Yale-Brown Obsessive Compulsive Scale [Y-BOCS] for obsessive compulsive disorder, and Brief Psychiatric Rating Scale [BPRS] for psychosis) were used for assessing severity of the conditions.
Result: Majority of the patients were males (65%). Psychiatric morbidity was detected in 34% of patients – most common was major depressive disorder (21%) followed by anxiety disorder (eight per cent), dysthymic disorder (four per cent), and substance abuse (one per cent). In major depressive disorder group, moderate (ten per cent) to severe (four per cent) level of depression was detected and in anxiety disorder group, five per cent patients had moderate level of anxiety.
Conclusion: Evaluation of psychiatric status at the very beginning when DM is detected ; may help in proper management of both the conditions resulting in better outcome, self-care, and maintenance therapy in follow-up. |
topic |
Depression Anxiety Disorders. Dysthymic Disorder. Substance Abuse Anxiety Disorders Dysthymic Disorder. Substance Abuse Dysthymic Disorder Substance Abuse |
url |
http://ojpas.npage.de/get_file.php?id=30971965&vnr=239934 |
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