STUDY OF ANXIETY, DEPRESSION AND PSYCHOSEXUAL DYSFUNCTION IN FUNCTIONAL GASTRODUODENAL DISORDERS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 30
Abstract
BACKGROUND The association of anxiety, depression and psychosexual dysfunction in patients of functional gastroduodenal disorders has not been studied in detail among our population. There have always been mixed results with few studies favouring strong association with anxiety and few with depression and many more denying the presence of these psychiatric illnesses. There are also no data related to the psychosexual dysfunction in these patients. The aim of this study was to estimate anxiety, depression and psychosexual issues in patients with functional gastroduodenal disorders and to determine the predominant gastroduodenal symptom in these patients. MATERIALS AND METHODS A total of 100 patients of either sex who had normal upper GI endoscopy and having symptoms suggestive of functional gastroduodenal disorders fulfilling Rome 4 criteria were evaluated for anxiety using HAM-A scale, depression using HAM-D scale and sexual disorders using ASEX scale and p values are calculated using chi-square test. RESULTS Post-prandial fullness, a symptom of functional gastroduodenal disorder was found in 55% patients, of which 32 were women and 23 were men. Anxiety was seen in 71 people of whom 73.2% were women, depression was noted in 7 [15.9%] men and 13 [23.2%] women. Overall only 6% had no evidence of anxiety, depression or psychosexual issues. Psychosexual issues were seen in 3 [6.8%] men and 16 [28.6%] women. CONCLUSION It was observed that post-prandial fullness was the most predominant gastroduodenal complaint and anxiety was the most prevalent psychiatric issue. Depression was not statistically significant. Females than males had higher association of anxiety and sexual dysfunction with statistical significance.
Authors and Affiliations
Tejaswini C. J, Madhu Srinath, Shilpa Avarebeel, Shivanand Shivanand
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