Background: Sexual dysfunction, a potential side effect of selective serotonin reuptake inhibitors (SSRIs), can lead to marital dissatisfaction in remitted depression patients, affecting their quality of life (QOL), and all of these are risk factors for treatment noncompliance. We aimed to estimate the proportion of female sexual dysfunction and its subtypes compared to the general population and correlate it with various factors, including marital satisfaction and QOL, in remitted depressive patients on SSRI treatment. Methods: This analytical cross-sectional study assessed 116 women, comprising 58 patients aged 18– to 45 years with remitted depression on SSRI monotherapy for a minimum of six weeks and their age-matched comparative group. Hamilton Depression Rating Scale was used to assess depression severity and Female Sexual Functional Index, to assess sexual dysfunction. Couple Satisfaction Index and WHOQOL-BREF version were used to assess marital satisfaction and QOL, respectively. Results: In total, 56.89% of the patients had sexual dysfunction, compared to 39.65% in the general population. Exploratory analyses revealed that overall sexual functioning had a significant positive correlation with education (P = .002), marital satisfaction ( P < .001), and QOL ( P <.01), and a significant negative correlation with the age of onset of depression ( P = .004), total marital duration ( P = .02), and duration of current treatment ( P = .02). Conclusion: Sexual dysfunction is common in remitted female depression patients on SSRI treatment, which may further impair their marital satisfaction and QOL. Hence, routine screening for sexual dysfunction is necessary for them.
Background: Psychiatric manifestations due to space-occupying lesions, although not uncommon, are generally misdiagnosed, leading to an unfavorable outcomes. Colloid cyst is a slow-growing, benign tumor in the anterior part of the third ventricle, which frequently presents with neurological complaints like headache and gait disturbances. However, a patient with colloid cyst may also present to the OPD with a spectrum of psychiatric symptoms. Case Report: We here report a middle-aged man who was brought to the OPD with symptoms of pervasive irritability and disinhibited behavior for three months, along with complaints of increased activity, reduced sleep and appetite, suspicious about wife, family members and neighbors. Patient had frequent episodes of headache in the past 3 months associated with nausea, restlessness for which neuroimaging was advised, which showed a hyper-dense lesion in the third ventricle. Patient was referred to neurosurgery and was operated for the same. Post-operatively, family members reported improvement in his behavior. Conclusion: A detailed systemic evaluation for any neurological causes of organic causes or atypical picture of psychiatric conditions is of extreme necessity. There is a dire need for liaison of psychiatrists with neurophysicians and neurosurgeons to attain betterment in patients in both physical as well as psychological aspects, especially in psychiatric diagnosis with organic causes.
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