Introduction:Erectile dysfunction (ED) is a common complication of diabetes mellitus. ED, like other sexual disorders, is often under-reported and under-diagnosed, as talking about sex is considered a taboo in our society.Methodology:All the male patients with diabetes mellitus (with or without active complaints of ED) attending Medicine or Psychiatry OPD of the institute during the study period were enrolled in the study. They were investigated for their body-mass index (BMI), blood sugar and lipid profile; and were assessed on HAM-D, General Health Questionnaire-30, IIEF, sex myth checklist and QOL Instrument for Indian Diabetes Patients (QOLID).Result and Discussion:In the present study, a total of 138 diabetic patients were assessed, and those with severe ED were found to have poor glycemic control, worse lipid profile, higher body mass index, later age of onset, and longer duration of untreated diabetes as compared to non-ED patients. ED patients also scored higher on depression rating scale, had poorer general health and quality of life (QOL). Early attention to ED in diabetic patients can improve general health and QOL of the sufferers.Conclusion:DM patients with poor glycemic control and advanced age have a higher propensity of developing severe ED, which further deteriorates the already compromised health & QOL.
The aims of this study were to determine the prevalence of erectile dysfunction (ED) and its relationship with comorbidity in patients with diabetes. The study population comprised of 312 consecutive patients aged 20 years or over residing in the city of Hamadan in Iran in 2005. Depression was assessed by the modified version of the Beck Depression Inventory (BDI-II) and ED by the short form of the International Index of Erectile Function (IIEF-5) questionnaire. Potential confounding was controlled by stratification and by a logistic regression model. The prevalence of moderate or complete ED (IIEF score p11) was 34% and that of moderate or severe depressive symptoms 30%. Each 1-year increment in diabetes duration was associated with a 10% higher risk of ED. The risk of ED was higher in men with depression (odds ratio (OR) ¼ 10.7, 95% CI 5.4-21.1) and in those with cardiovascular disease (CVD) (OR ¼ 2.0, 95% CI 1.1-3.6). CVD was associated with ED only in elderly men, whereas depression was related to ED in both young and older subjects. The risk of ED was higher in subjects with both depression and CVD (OR ¼ 17.2, 95% CI 6.8-43.1 compared with men free from both diseases). Subjects who consumed fruits weekly or seldom had a higher risk of ED (OR ¼ 3.2) compared with those who consumed daily. Our study shows a strong association between depressive symptoms and ED. The association is much stronger for older men. Depression and CVD may interact with one another in relation to a higher risk of ED. A diet rich in fruits may have a beneficial effect on erectile function.
Background: Anxiety and depression are the most common problems that we face in our daily life and both affect our quality of life. So, the present study was done to assess and compare anxiety, depression and quality of life among working married and unmarried women. Methods and Materials: Purposive sampling technique was used for recruiting 100 working women (an equal number of married and unmarried), with their informed consent. The tools used for the present study were Hamilton Anxiety Rating Scale, Beck Depression Inventory-II and WHO Quality of Life-Bref for anxiety, depression and quality of life assessment respectively. Results: Result shows significant differences in the levels of anxiety, depression and quality of life of working married and unmarried women. Conclusion: The present study also concludes that married working women do experience a higher level of anxiety and depression as well as a lower quality of life in comparison to unmarried working women. Keywords:  Anxiety, depression, quality of life, working women
Attenuated or transient Psychosis is experienced by a substantial proportion of the general population. Research also predicted that subjects perceiving psychotic-like experience are at high risk to develop psychotic spectrum disorder in the future. Aim The present study planned to estimate the psychotic-like experience or Attenuated psychosis in caregivers of psychotic patients attending the psychiatry department at JN Medical College, Aligarh Muslim University (AMU) Aligarh. In this study, we will also assess the relationship between disturbed sleep, perceived stress, and transient psychosis. Materials and methods: Purposive sampling was used to recruit all the subjects with informed written consent. All data were collected by applying a self-administered semi-structured proforma. Peters Delusions Inventory (PDI), Launay Slade Hallucination Scale-Revised (LSHS-R), Perceived Stress Questionnaire (PSQ), and Pittsburgh Sleep Quality Index (PSQI) General Health Questionnaire-12 (GHQ-12) on the subjects. Statistical analyses was done by using SPSS software 20 version. Result: Result shows the majority of caregivers belong to the age group 18-30 years (56.45%). Maximum patients have the persecutory type of psychotic-like experience and among hallucinatory experience maximum subjects responded that “no matter how hard I try to concentrate; unrelated thoughts always creep into my mind”. Delusion experiences were strongly positively correlated with hallucinatory experiences, perceived stress. Hallucinatory experiences were positively correlated with perceived stress poor sleep quality. Conclusion: It can be concluded that stress increases subclinical delusional and hallucinatory experiences. Though disturbed sleep is positively correlated with hallucination but not a delusion.
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