Clinical features and comorbidities of depression among inpatients in a tertiary care centre
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Date
2014-07
Journal Title
Journal ISSN
Volume Title
Publisher
Indian Psychiatric Society
Abstract
Background: Background: There are few studies of depression in Indian population which have looked at depression comprehensively covering various
facets in a sample population. The objective of the current study was to recognize the clinical features and comorbidities of depression among inpatients
in a tertiary care centre.
Method: This was an observational study in which 50 patients admitted with ICD-10 diagnosis of depression were assessed for clinical symptomatology
and comorbidity.
Results: The mean number of somatic symptoms was 11.44 (SD 6.66), and the mean number of stressful life events over lifetime and in past 1 year
were 8.02 (SD 3.8) and 1.44 (SD 1.18), respectively. One fifth of the sample (20%) had personality disorder; among them, mixed personality disorder
(12%) was the most common diagnosis. Most of the patients had suicidal ideation (62%) and 26% had attempted suicide during their lifetime. Majority
(60%) had atleast one psychiatric comorbidity; the most common being anxiety disorder (46%). Physical comorbidity was present in 54% of the
patients; the common diagnoses were hypertension (18%), diabetes mellitus (14%) and ischaemic heart disease (12%).
Conclusion: The current study found somatic symptoms and suicide ideation to be frequent in the sample. Also, comorbid conditions including
personality disorders are frequent in patients with depression.
Description
Keywords
Depression, Comorbidity, Somatic Symptoms, Melancholia
Citation
Munoli Ravindra N, Sharma PSVN, Kongasseri Sreejayan, Bhandary Rajeshkrishna P, Praharaj Samir Kumar. Clinical features and comorbidities of depression among inpatients in a tertiary care centre. Andhra Pradesh Journal of Psychological Medicine. 2014 Jul-Dec; 15(2): 193-200