Mental health problems are often unrecognized and neglected by patients, their relatives and by the society. The objective of the study was to find out the pattern of psychiatric morbidity of the patients attending at the psychiatry outpatient department. This was a cross sectional study carried out in the department of Psychiatry at North Bengal Medical College Hospital (NBMCH), Sirajganj from August, 2015 to July, 2017. For this purpose, 918 respondents attending in psychiatry outpatient department of NBMCH were enrolled in the study by using convenient sampling technique. The results showed that majority (26.3%) were from the age group of 31-40 years with female preponderance (58.7%). Among them 71.8% were married and 71.1% came from rural background. Maximum respondent’s (56.3%) monthly family income was in between 15,000-30,000 BDT. The most common psychiatric morbidity among the respondents was major depressive disorder (38.6%) followed by anxiety disorsers (25.8%). Most (85.1%) of the respondents were referred either by themselves or by their family members, friends or by relatives. The rest (14.9%) were referred by general physicians and specialists of different disciplines. The result of this study may help in the planning for better mental health service in private medical college hospitals.Bang J Psychiatry June 2016; 30(1): 10-13
IntroductionDiabetes mellitus is a chronic disorder characterized by impaired metabolism of glucose and other energy-yielding fuels as well as by the late development of vascular and neurological complication. 1 DM may present with characteristic or classical symptoms such as polydipsia, polyuria, polyphagia, loss of weight, fatigue, blurring of vision etc. Diabetic subjects are at an increased risk of atherosclerotic changes affecting the vessels leading to cardiovascular, cerebrovascular and peripheral vascular diseases. Several pathogenetic processes are involved in the development of diabetes. The autoimmune destruction of the beta cells of the islets of Langerhans of the pancreas results in insulin deficiency. DM is a major global public health problem which is increasing dramatically in developing countries. 2 The prevalence of DM worldwide is estimated to be around 200 million people, more than 5% of the adult population globally. 3 Several factors contribute in type 2 DM pathogenesis, including environmental and lifestyle factors. 4,5 In modern life suffering from diabetes mellitus has become an integral part for many. Not only the genetic inheritance but also the environmental factors and lifestyle we lead in this era also can cause diabetes in people. Among the many additional complications which coincide with DM, depression, anxiety, tension and stress are most commonly under-detected. 6 This is that a growing body of literature has reported that patients with diabetes are almost twice as suffer from anxiety and depression as the general population. 7,8 To our knowledge, insufficient studies had conducted regarding psychiatric morbidities among diabetic patients in our country and no study had conducted in North zone of Bangladesh. So the objective of the study was to evaluate the proportion of MDD and GAD among the patients suffering from Diabetes mellitus as well as to identify the socio-demographic characteristics of patients in this area. This study will give baseline information about psychiatric co-morbidity among the diabetic patients. Among them 18 (22.5%) were suffering from MDD and 11 (13.7%) were suffering from GAD. It was shown that both MDD and GAD were higher among female patients. So physicians should pay attention to rule out psychiatric disorders in patients with DM.
Background: Depression is now a recognized independent risk factor of coronary artery disease. Postmyocardial infarction (MI) patients with a clinician-diagnosed depressive disorder or self-reported depressive symptoms carry a 2.0- to 2.5-fold increased relative risk of new cardiovascular events and cardiac mortality. Objective: The objective of this study was to determine the prevalence of depression among patients suffering from MI. Materials and Methods: This was a cross sectional study carried out in the department of Cardiology in collaboration with department of Psychiatry at North Bengal Medical College Hospital (NBMCH) Sirajganj, Bangladesh, during the period of July 2016 to December 2017 among purposively selected 50 patients attended the Cardiology in-patient department of NBMCH. Results: The heighest number of respondents (30%) were from 41-50 years of age group. Among the respondents, 68% were male and 32% were female. Most of them were married (80%), muslim (78%), completed higher secondary level of education (26%), businessmen (38%) and of rural background (60%). Total numbers of depression were 28 (56%), among them, 17 were males and 11 were females. Conclusion: This study reflects that post MI patients experienced significantly higher rate of depression. So we should pay attention for their cardiac management as well as to evaluate depression KYAMC Journal Vol. 10, No.-1, April 2019, Page 39-42
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