A STUDY OF PREVALENCE OF MAJOR DEPRESSIVE DISORDER IN PATIENTS PRIMARILY HAVE HEADACHE AS A SYMPTOM
Journal Title: Indian journal of applied basic medical sciences - Year 2018, Vol 20, Issue 30
Abstract
Background Given the stigma regarding psychiatric illnesses in our country, it is common for patients to visit the O.P.D. with the primary generalized complain which requires a medical personnel to create a rapport and unmask the underlying stressor. Based on surveys like these, training modules can be developed for General practitioners and Community Level Health care workers to create awareness and unmask underlying stressor. Aims and Objectives 1 To establish the prevalence of M.D.D. in patients reporting headache as their primary symptom 2To establish coexistence of M.D.D. with Headache disorders 3To quantify the severity of M.D.D. (if present) Materials and Methodology Patients coming to O.P.D. of a Private multi-speciality hospital, having full time psychiatry facilities, primarily for treatment of Headache were studied. The patients were first exposed to International Classification of Headache, Then Mini Psychiatric Scale and then if the patients came positive for MDD then they were exposed to HDRS. Result and Discussion The main findings of our study are: Maximum proportion of patients presenting to a General Hospital O.P.D. with the primary complain of Headache cannot be classified into a particular type of Headache as per I.C.H. Prevalence of Headache is more common in Females as compared to Males. Prevalence of Major Depressive Disorder is also more common in Females as compared to Males. The prevalence of Moderate type of Major Depressive Disorder is the most common amongst the various grades of M.D.D. this is consistent in both the sexes. The co-existence of M.D.D. was most rampant with Tension Type Headache and Least common with Cluster type Headache. Conclusion The study shows how frequently and rampantly Headache and Major Depressive Disorder co-exist and it highlights the need to train the staff and doctors at the Primary and Community Health-care level to explore and create a rapport with the patients visiting the O.P.D. to get to the root of their problems and make sure that the stigma associated with Psychiatric illnesses doesn’t lead to people not opening up to the physician, directly increasing the burden of Psychiatric morbidities on the country.
Authors and Affiliations
Dr. Vaishal N. Vora
Keywords
Related Articles
- EP ID EP265408
- DOI -
- Views 76
- Downloads 0
(11) COMPARISON OF REGIONAL WITH GENERAL ANESTHESIA TECHNIQUES FOR NON CARDIAC SURGEY IN PATIENT WITH ISCHEMIC HEART DISEA
As incidence of ischemic heart disease (IHD) has increased dramatically nowadays, we are finding at least one or two patients of IHD daily in operating lists of our hospital. It is a life style disease and also found in...
12 IMPACT OF ACUTE PARTIAL SLEEP DEPRIVATION ON S.L.C.T. AS A TEST FOR ATTENTION SCORE ON MEDICAL STUDENTS: a comparative study
INTRODUCTION: sleep is an essential function of brain and help to maintain of attention and concentration. Sleep deprivation lead to difficulty in maintaining attention and concentration. Some medical students study...
17 EFFECT OF TRANSDERMAL NITROGLYCERIN PATCH ON INTRATHECAL NEOSTIGMINE WITH BUPIVACAINE FOR POST OPERATIVE ANALGESIA
Background: Spinal anesthesia is preferred over general anesthesia for various surgeries as it is simple to perform and economical. And produces rapid onset of anesthesia, analgesia with good muscle relaxation. Concept...
10 COMPARATIVE EVALUATION OF EFFICACY OF EMLA CREAM AND A PLACEBO (MOISTURIZING CREAM) IN PRODUCING DERMAL ANALGESIA FOR VENOUS CANNULATION.
BACKGROUND: Venous cannulation is the most commonly performed invasive procedure in hospital patients. It is painful and associated with a high incidence of vasovagal reactions and haemodynamic stress response in patien...
Adverse Drug Reactions Monitoring in Pentavalent Vaccination Program at a Tertiary Care Teaching Hospital
ABSTRACT Introduction: Four out of ten prescriptions in indoor-patient departments contains gastroprotective drugs. Study aimed to detect classes of gastro protective drugs prescribed with other therapies, to assess tren...