A study of disability and perceived stress in patients of anxiety disorders
Journal Title: Telangana Journal of Psychiatry - Year 2017, Vol 3, Issue 2
Abstract
Introduction: Patients of anxiety disorders have substantial work disability, social impairment, perceived stress and lower life satisfaction. Aims: We assessed perceived stress level in various anxiety disorders and examined association of perceived stress with severity of anxiety and disability. Materials & Methods: This was an observational, single center, cross sectional, interview based study of 150 patients attending Psychiatry OPD of tertiary care hospital. Every consenting participant was interviewed by Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM 5) for diagnosis of anxiety disorder and those qualifying for the diagnosis were assessed for severity of anxiety disorder by Hamilton Anxiety Rating Scale (HAM-A), perceived stress was measured by the perceived Stress Scale (PSS) and disability by World Health Organization Disability Assessment Schedule 2.0(WHODAS 2.0). The patients were further assessed for demographic details. The statistical analysis was done with graphpad instat version 3.06 Proportion of participants were compared by using chi-square test while score of PSS, HAM-A and WHODAS2.0 were compared using Kruskal-Wallis test or Mann-Whitney test. Correlation between severity of anxiety, perceived stress level and severity of disability was assessed by Spearman’s rank correlation. A p value of <0.05 was considered statistically significant. Results: We found participants with high perceived stress level were having more anxiety symptoms (p<0.0001) and vice a versa (p value <0.0001). We found that participants having more anxiety symptoms are likely to have significant disability in all domains of WHODAS 2.0 (p<0.0001). Conclusion: Participants with higher perceived stress have severe anxiety symptoms and more disability.
Authors and Affiliations
Dharamveer Chaudhary, Bharat N. Panchal, Ashok U. Vala, Imran J Ratnani, Sneha Vadher
Ketamine abreaction in dissociative amnesia: A case report
Drug facilitated abreaction has been in use for the treatment of Dissociative disorders for many years now The successful use of ketamine as an abreactant was reported in the 1980s Not much literature is available on thi...
Knowledge and attitude of mental health professionals towards psychodrama as a psychotherapeutic tool
Aim To understand the attitude and knowledge of mental health professionals towards psychodramaMaterials and Methods Knowledge and attitude towards psychodrama was studied during a basic psychodrama workshop for 30 menta...
Psychiatrist for the society, society (IPS) for the psychiatrist
Delivered at Second Annual Conference of Indian Psychiatric Society- Telangana State Branch (IPS- TJP) held at, Hyderabad, Telangana at 18.06.2016.
The Relationship between Body shape concern, Self-esteem, Social anxiety and Body mass index in College students
Background: Body shape concerns among adolescents are gradually increasing in India. What was initially thought of as a western concept is now being increasingly seen in India as well. Possibly the result of advent of me...
Neurobiology of Pornography Addiction – A clinical review
The aim of the current review is to provide a clinically oriented overview of the neurobiology of pornography addiction. The review first looks at the basic neurobiology of addiction with the basic reward circuit and str...