Volume : IX, Issue : VIII, August - 2019

PSYCHIATRIC COMORBIDITY IN PATIENTS OF BRONCHIAL ASTHMA

Nikhil S Gupta, Abhinav Gupta, Chander Mohan

Abstract :

Introduction: Present study was done to determine the prevalence of psychiatric comorbidity in patients of onchial asthma. Since the comorbid psychiatric disorder can lead to over diagnosis of asthma attacks & overutilization or underutilization of health care services it is important to assess the patients of onchial asthma for psychiatric comorbidity. Assessment of asthma patients for comorbid psychiatric disorders can lead to more appropriate and adequate treatment of both asthma and associated psychiatric condition. Materials & Methods: A hospital based observational study was conducted in department of psychiatry of a tertiary care hospital. Study included 50 consecutive patients suffering from onchial asthma attending Pulmonary Medicine OPD in our hospital. Subjects were assessed with a semi structured proforma containing details of socio–demographic profile and questions pertaining to the aims of the study. Psychiatric co–morbidities were diagnosed as per DSM–V criteria [6]. Data was analysed by SPSS ver 21.0. Results: Most common psychiatric co–morbidity was major depressive disorder (28%) followed by anxiety disorders (26%), alcohol (5%) and nicotine dependence (10%). A significant association was observed between marital status and severity of asthma symptoms with presence of psychiatric co–morbidities (p<0.05). Similarly, a significant association was also observed between asthma drug usage and psychiatric co–morbidity (p<0.05). Number of hospital and causality visits were also higher among these cases, the difference was however not statistically significant. Conclusion: Present study observed a higher prevalence of psychiatric co–morbidities in patients of onchial asthma especially depression and anxiety disorders. Psychiatric co–morbidities leads to an increase in the use of health care resources by these patients. So there is an urgent need for accurate diagnosis & management of these comorbidities to improve the quality of life of asthma patients.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

PSYCHIATRIC COMORBIDITY IN PATIENTS OF BRONCHIAL ASTHMA, Nikhil S Gupta, Abhinav Gupta, Chander Mohan INDIAN JOURNAL OF APPLIED RESEARCH : Volume-9 | Issue-8 | August-2019

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