This is the first study to document high rates of vascular depression in a clinical sample of African Americans and Caucasians. Our findings suggest that vascular depression may be overrepresented among African Americans, which is consistent with the high rates of cardiovascular disease, hypertension, and stroke in this population.
Background: In developing world, the number of women undergoing miscarriage has increased. Women facing miscarriage are susceptible to develop depression and the risk is more if the perceived social support is low or not adequate. This study was conducted to assess the presence of depressive features and perceived social support and to correlate between the two entities in patients with miscarriage. Methods: This was a cross-sectional, single interview study conducted in 100 consecutive patients with miscarriage in current pregnancy admitted in obstetrics and gynecology ward of a tertiary care center. After ethics committee approval and written informed consent, each patient was individually interviewed using a semi structured proforma. To assess depressive features, Patient Health Questionnaire-9 (PHQ-9) and to evaluate perceived social support-Multidimensional Scale for Perceived Social Support (MSPSS) were administered. Data was analyzed statistically. Results: The mean age of the participant was 28.5 years (3.9), all of them were married, majority of them being housewives, with primary/secondary level of education and from rural area. On assessment with PHQ9, the prevalence of depression was 32%. Among them 17 % had mild depression, 12% had moderate depression, and 3% had severe depression. Women with advancing age, lower education level, unemployment, previous miscarriage, miscarriage following treatment for infertility had significant depression. The perceived social support in the form of family and friends was significantly less in depressed patients. Conclusion: Miscarriage is a significant stressful event in a women's life. These women should be evaluated for depressive symptoms and carers should be psycho-educated regarding need of social support following miscarriage. Early diagnosis and management of depression will help in reducing further morbidity and will improve the quality of life of these patients.
We describe the clinical presentation of a 25-year-old female patient who presented in dermatology with recurrent episodes of painful ecchymotic bruising over the anterior aspect of both arms and face. On enquiry, these episodes were precipitated by emotional stress and were preceded with a history of fall from the stairs. The patient also had multiple stressors in her day-to-day life and symptoms of depression. A diagnosis of mild depressive disorder without somatic complaints and Gardner Diamond syndrome was made. The patient was started on antidepressants, which not only improved her mood symptoms but also caused a remission of her painful bruises.
Background: The extensive use of mobile phones and its addiction brings in newer psychological problems like nomophobia which necessitates close examination of its impacts on people’s health. Despite growing concerns over the increasing incidence of nomophobia there is paucity of research on the various factors affecting it. Aim: This study aims at assessing the prevalence of nomophobia and its relationship with various clinical and socio-demographic factors. Materials & Methods: 100 post graduate residents were included in the study after informed consent and ethics committee approval. Self reported semi-structured questionnaire which included details about socio-demographic profile, questions pertaining to factors affecting nomophobia and Nomophobia Questionnaire (NMP-Q) were administered. Data was analyzed statistically. Results: Nomophobia was seen in 38% of the participants with significantly more prevalence in younger age group and in females. Majority of the participants were using mobile phone since 5-10 years (71%). Around 46% participants used mobile phone for 2-3 hours per day with most of them(47%) checking their phones 25-50 times per day. More than half of the participants (59%) spent 500-1000 rupees per month as their mobile expenses. Physical symptoms due to mobile phone use were reported by 37% of the participants and they were seen significantly more in those with nomophobia. Conclusion: This study not only gives useful insight into nomophobia and its risk factors, but it is also one of the few studies to explore the relationship between clinical and socio-demographic factors related to nomophobia.
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