Psychiatric Co-morbidity in Patients of Bronchial Asthma
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 9
Abstract
Introduction: Asthma is a chronic inflammatory disorder of the airways where there is a large impact of stress and strong emotions, on the occurrence of acute exacerbations of asthma. This study was done for assessment of asthma patients for co-morbid psychiatric disorders for better treatment & proper health care utilization. Material and Methods: 50 consecutive patients suffering from Bronchial asthma were assessed with a semi- structured proforma containing details of socio-demographic profile and questions pertaining to the health care utilization & asthma severity. The Diagnostic and Statistical Manual of Mental Disorders –IV Text Revision (DSM IV-TR) was used for diagnosis of psychiatric disorders. Results: Mean age of the sample population was 43.6. As per DSM-IV TR, 31 patients had psychiatric disorders- 14 patients (28%) had Major Depressive Disorder, 13 Patients had anxiety disorder (26%). Awakening at night & morning symptoms were significantly associated with Major Depressive disorder. Number of casualty visits & hospital admissions in 1 year were significantly higher in asthmatics with anxiety disorders. Conclusions: In this study it was found that 62 % asthma patients had psychiatric co-morbidity. Also the severity of asthma symptoms, casualty visits & hospital admissions were more in the patients with psychiatric co-morbidity. So there is need of accurate diagnosis & management of these psychiatric co-morbidities in patients of bronchial asthma for proper utilization of limited health care resources.
Authors and Affiliations
Khot Pawan Vilas
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