STOPS may be useful in enhancing adherence to treatment for schizophrenia in LAMI countries.
Depression is a common problem among women. Different variables contributein influencing depression among women. Menopause is one variable that may trigger symptomsof depression. Different variables jointly contribute in influencing the presentation of menopausalsymptoms including sociocultural, psychological and environmental factors. No studies havebeen conducted to assess mean age and symptoms of depression among menopausalwomen of Mardan. Objectives: To assess accompanying symptoms of depression and theirseverity among menopausal women. Study Design: Cross-sectional study. Setting: GynaeOut-patient Department at Mardan Medical Complex. Period: February 2017 to October 2017.Methods: The sample consisted of 200 women ranging in age from 45-71 years. Each patientwas assessed using sociodemographic sheet, menopausal symptoms were assessed usingMenopausal rating scale and severity of depression was measured using Hamilton depressionscale. Data was entered and analyzed using SPSS Version 21.0. Results: According to thefindings of this study, mean age at menopause was noted to be 49.1 ranging from 44-59. Amongthe many predominant menopausal symptoms, the most common among these symptomsreported were joint and muscle discomfort in 62% of women, followed by sleep problem (17%),and physical and mental exhaustion (11%). The least reported menopausal symptoms weredrying of vagina, sexual problems and anxiety. Depression was found among 26 % of thefemale participants according to Hamilton scoring criteria. Mild depressive symptoms werenoted among 24%, moderate depressive symptoms 14%, severe 5% and very severe 7%.Conclusion: According to the results of the current study, 50 % of the participants lies in therange of depression according to Hamilton depression scores. Among these 50%, more thanhalf 26 % lies in the range of severe to very severe depression while the rest 24% lies in therange of mild to moderate depression.
Objective: The present study is aimed to determine the frequency of depression and anxiety in patients presenting with Acute Coronary Syndrome to a teaching Hospital. Methodology: It was a cross sectional descriptive study, which included 110 patients suffering from Acute coronary syndrome. Admitted patients were interviewed following ACS in 3-5 days, using semi structured interview method for important demographic information, history of psychiatric illness, and other variables. Afterwards patients were assessed for depression and anxiety. This study was conducted at MTI Mardan Medical Complex from June 2018 to June 2019. Results: There were 110 patients out of which males were 68.2% and females were 31.8%. Among these 99% were married. 10% were unemployed, while remaining were either government servants, businessmen, laborers or housewives. Educated were 40%, while remaining had received some form of education. There were 69.1% who had STEMI, 12.7% had NSTEMI, and 12.7% had CCF. Based on HDRS, 35.5% met criteria for very severe depression, followed by 15.5% severe depression. According to HAM-A scores, 14.5% met criteria for very severe anxiety, followed by 19.2% moderate to severe anxiety, and 32.7% met criteria for mild to moderate anxiety. Depression and anxiety were more prevalent among females in comparison with males. Conclusion: There is high prevalence of depression, and anxiety in patients with ischemic heart disease. Diagnosing and treating psychiatric conditions in such patients will lead to improve compliance and outcomes.
Aim: To assess the sleep deprivation and quantity related incidence in students of medicine. Study design: Descriptive cross sectional study. Place and duration study: Psychiatry Department, Balochistan Institute of Psychiatry and Behavioural Sciences, Quetta from 1st October 2020 to 31st March 2021 at the Methodology: One hundred thirty-five students, both males and females, took part in this research. After obtaining written agreement, the detailed demographics of study participants such as age, body mass index, gender, marital status, socioeconomic and 18-30 years were recorded. Athens scale for insomnia was used for the estimation of how frequently people experienced insomnia. Results: The mean age was 23.04±11.33 years and mean BMI 21.43±21.45 kg/m2. There were 81(60%) males and 54(40%) females. One hundred and one (74.8%) patients had middle socio-economic status and 31 (25.2%) had upper class. Majority of the patients 135 (85.2%) were unmarried. The use of the AIS scale revealed that 59 (43.7%) of the patients had insomnia, among these majority were 39 (28.9%) females. Practical Implication: The report is not accessible at the time of this writing. The outcomes of this study will allow insomnia specialists to develop evidence-based recommendations for the prevention and treatment of insomnia in students who are at risk of developing the condition in the first place. This analysis serves as a baseline for investigators. Conclusion: Incidence of insomnia amongst medical students was significantly increased as a result of the stress of overachievement and late-night study sessions to achieve good grades and significantly higher as one's age increased. Furthermore, it is possible to reduce it to the entire sleeping period (8-12 hours) at night. Keywords: AIS scale, Insomnia, Medical students, Demographic
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