Prevalence and pattern of anxiety and depression in pain and palliative care patients
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 5
Abstract
Background: Psychological problems and psychiatric co morbidities, particularly anxiety and depression are known to be the most commonly occurring mental health problems in palliative medicine and terminally ill patients. They are a source of significant distress for the patients and their caregivers. Studies report a prevalence of anxiety and depression between 15 to 25% to as high as 50 to 60 %. PURPOSE: To determine the pattern and prevalence of anxiety and depression in the patients under palliative care material and method: The study design was cross-section., conducted on inpatients referred to pain and palliative care department in a general hospital setting. A sample size of 150 patients of palliative care was taken. Tools used for screening were MMSE, Hospitia Anxiety and Depression Scale (HADS).Those screened positive were interviewed using Mini International Neuropsychiatric Interview-PLUS. Results: 57(38%) subjects had Cancer, 57(38%) had HIV and 36 (24%) had chronic pain. We found that 137(91.7%) patients had symptoms of anxiety and depression. In the structured interview, 94(68.6%) patients had a current diagnosis of depressive disorder, 9 (6.56%) had dysthymia, 8 (5.83%) subjects had generalized anxiety disorder, 6(4.37%) had mixed anxiety and depression. conclusion: This study has found that prevalence of anxiety and depression is significantly high in palliative care patients.
Authors and Affiliations
Sally John, Kanika Kumar
Keywords
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