ASSESSMENT OF CLINICAL FEATURES IN PATIENTS WITH DEPRESSION
DOI:
https://doi.org/10.61841/8bjcht79Keywords:
Depression, employment, marital statusAbstract
Depression is a commonly occurring mental health ailment. The present study was conducted to assess clinical features in patients with depression.This study was conducted on 252 cases of major depressive disorder (MDD). Education status, family history, employment and marital status was recorded. All were subjected to the 30-item Inventory of Depressive Symptomatology–Clinician-Rated (IDS-C30) scale. Out of 252 patients, males were 82 and females were 170. We found that 97 had education upto high school, 110 upto secondary and 45 upto higher, 65 were married, 95 unmarried, 40 divorced and 52 were widow. 82 had income between 10000- 20000, 112 had between 20000-50000 and 58 had >50000, 187 were employed and 65 were unemployed, 158 had family history of depression. IDS-C30 Items showed onset insomnia in 110, middle insomnia in 67, early morning insomnia in 30, mood (sad) in 45, mood (irritable) in 59, mood (anxious) in 120, mood reactivity impaired in 132, mood variation by day of time in 45, distinct mood quality in 70, decrease appetite in 60, increase appetite in 89, weight decrease in 95, weight increase in 56. Authors found that depression is a major psychiatric disorder more prevalent in females as compared to males. Common clinical features were decreased appetite, weight loss, mood alteration, suicidal attempt.
Downloads
References
1. Anderson IM, Ferrier IN, Baldwin RC, et al. Evidence-based guidelines for treating depressive disorders with antidepressants: A revision of the 2000 British Association for Psychopharmacology guidelines. Journal of Psychopharmacology 2008;22:343–96.
2. Owens M, Nemeroff CB. Role of serotonin in the pathophysiology of depression: focus on the serotonin transporter. Clinical Chemistry 1994;40:288–95.
3. Lingford-Hughes AR, Welch S, Peters L, et al. BAP updated guidelines: evidence-based guidelines for the pharmacological management of substance abuse, harmful use, addiction and comorbidity: recommendations from BAP. Journal of Psychopharmacology 2012;26:899–952.
4. National Institute for Health and Clinical Excellence. Alcohol-use disorders: diagnosis, assessment and management of harmful drinking and alcohol dependence. February 2011. www.nice.org.uk/cg115 (accessed 19 June 2012).
5. Patten SB, Barbui C. Drug-induced depression: a systematic review to inform clinical practice. Psychotherapy and Psychosomatics 2004;73:207–15.
6. Kessler RC, Demler O, and Frank RG. et al. Prevalence and treatment of mental disorders, 1990 to 2003. N Engl J Med. 2005 352:2515–2523.
7. Kessler RC, Berglund P, and Demler O. et al. The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R). JAMA. 2003 289:3095–3105.
8. Robinson WD, Geske JA, and Prest LA. et al. Depression in primary care. J Am Board Fam Pract. 2005 18:79–86.
9. Patten SB, Beck CA, and Kassam A. et al. Long-term medical conditions and major depression: strength of association for specific conditions in the general population. Can J Psychiatry. 2005 50:195–202.
10. Noel PH, Williams JW Jr, and Unutzer J. et al. Depression and comorbid illness in elderly primary care patients: impact on multiple domains of health status and well-being. Ann Fam Med. 2004 2:555–562.
11. Evans DL, Charney DS, and Lewis L. et al. Mood disorders in the medically ill: scientific review and recommendations. Biol Psychiatry. 2005 58:175–189.
12. Yates WR, Mitchell J, Rush AJ, Trivedi M, Wisniewski SR, Warden D, Bryan C, Fava M, Husain MM, Gaynes BN. Clinical features of depression in outpatients with and without co-occurring general medical conditions in STAR D: confirmatory analysis. Primary care companion to the Journal of clinical psychiatry.2007;9(1):7.
13. Kathol RG, Mutgi A, and Williams J. et al. Diagnosis of major depression in cancer patients according to four sets of criteria. Am J Psychiatry. 1990 147:1021–1024.
14. Rush AJ, Fava M, and Wisniewski SR. et al. Sequenced Treatment Alternatives to Relieve Depression (STAR*D): rationale and design. Control Clin Trials. 2004 25:119–142.
15. Rush AJ, Carmody T, Reimitz P-E.. The Inventory of Depressive Symptomatology (IDS): Clinician (IDS-C) and Self-Report (IDS-SR) ratings of depressive symptoms. Int J Methods Psychiatr Res. 2000;9:45–59.
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
