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Aims: To find out the prevalence of illness anxiety disorder (hypochondriasis) in medical outpatients as well as the associated risk factors and psychiatric comorbidities. Method: 400 consecutive medical outpatients were asked about sociodemographic characteristics and risk factors associated with illness anxiety and filled in the Short Health Anxiety Inventory (SHAI). Psychiatric comorbidities were assessed using the Mini International Neuropsychiatric Interview (MINI). A score of 18 or above on SHAI indicated illness anxiety disorder (IAD), which was then confirmed using DSM-5 criteria. Data were analyzed using SPSS version 17, Chi squared and Student's t-test. Results: The prevalence of IAD in the sample was 7%. Around 18% of patients with IAD had positive family history for hypochondriasis; 32.1% had a history of abuse in childhood; 71.4% of patients had psychiatric comorbidities-25% had depression and 28.6% had anxiety spectrum disorder. Discussion: The prevalence of hypochondriasis ranges from 0.4 to 14% in various studies and it is more common in the third and fourth decade of life. Significant risk factors include divorce, family history and history of abuse. Between 65 and 88% of patients with hypochondriasis have psychiatric comorbidities such as depression and anxiety disorders. Managing psychiatric comorbidities and early treatment of both will lead to better prognosis. Conclusion: The anxiety of having a serious medical illness is reasonably high in patients attending medical outpatients departments. About three-quarters of these patients had a comorbid psychiatric condition, mostly depression and anxiety disorder.

Aim of the studyStudy aimed to find out the prevalence and risk factors of depression among the health care workers during COVID-19 outbreak.Subject or material and methodsThis was a three month, cross-sectional, observational, single center study of heath care workers of a notified COVID-19 hospital. Study objectives were explained to health care workers, and written consent was obtained. Patient health questionnaire-9 (PHQ-9), DSM-5 Criterion of major depressive disorder and Structured Clinical Interview for DSM-5 were used to diagnose the depression. Descriptive statistics, chi-square test and binary logistic regression were used for analysis of variablesResultsOverall 18.78% health workers reported major depressive disorder.Nearly three fourth of the old age participants had moderate to severe depression. 20.69% of married subjects had major depression. Medical health workers reported more depression . One third of the front line workers had major depression. 51% of the participants with medical co-morbidity reported Major depression as compared to only 12% in those without any medical co-morbidity.33% of subjects watching COVID-19 news very frequently in a day had major depressionDiscussionThe prevalence of depression ranges from 9 to 35% in various studies. . Among them living in joint family, married, elderly, presence of medical illness, frontline work, frequently watching COVID-19 news, excessive fear of COVID-19, and medical health worker emerged as statistically significant variables associated with major depressionConclusionsThe prevalence of depression is high among health care workers while performing duties during COVID-19 outbreak. Early diagnosis and treatment of depression would be crucial during this difficult time.

Purpose: The purpose is to find out the rate of nocturnal enuresis in school going children (5–12 years) and the risk factors associated with it. Materials and Methods: The parents of children aged between 5 and 12 years studying in two primary schools in Ahmedabad completed a self-administered semi-structured questionnaire comprising of enuresis, sociodemographic profiles, and risk factors. Children with enuresis and those without were compared on demographic characteristics and risk factors using Chi-square and t -test for categorical and quantitative data respectively. The data were analyzed using SPSS version 17. Results: The response rate was 86.54% as 1904 responses were collected out of 2200. The overall rate of nocturnal enuresis was 6.7% (according to Diagnostic and Statistical Manual of Mental Disorders, 5 th Edition definition of nocturnal enuresis). As the age increased, the rate of nocturnal enuresis declined. A positive family history was seen in 36.6% of children with enuresis. Enuresis was found to be more frequently in lower socioeconomic class. It was a neglected problem, only 20.6% of children received some kind of treatment. Conclusion: The rate of nocturnal enuresis was 6.7% in school going children. Strong correlation was found with family history. Although the rate was high, most of the children with enuresis were not treated.

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