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IJHSR. 2013; 3(4): 70-79


Psychiatric Aspects of Diabetes Mellitus - A Hospital Based Study.

Mohammad Maqbool Dar, Sheikh Shoib, Waseem Hassan Ahangar, Mohammad Younis Bhat, Haamid Bashir.

Abstract
Background: Diabetes mellitus (DM) is a chronic medical disease, which can cause a number of psychological, emotional, social and psychosexual problemsand is often associated with several psychiatric disorders. Psychiatric disorders can be a risk factor as well as complication of diabetes leading to interaction between two disorders, so if diabetes is managed in its initial phase, complication may be prevented at an early stage.
Objective: The aim of the study was to assess the pattern of psychiatric morbidity in Diabetic patients.
Methodology: We conducted a cross-sectional study for a period of Oneyear in Shri Maharaja Hari Singh Hospital (SMHS), one of the major associated hospitals of Government Medical College Srinagar. We selected every alternate diabetic patient by random sampling attending to theOut Patient department (OPD) of Endocrinology department. General description, demographic data and psychiatric history were recorded using the semi structured interview scale. Selected patients were subjected to Mini International Neuropsychiatric Interview –Plus (MINI - Plus) for evaluation of symptoms and diagnosis. A control group (n = 200) was selected amongst the non-diabetic patients and the same instruments were applied.
Results: Out of total 200 subjects 87 were males (43.5 %), and 113 females (56.5 %). Most of cases belong to 41 -50 year age group (33.5%) followed by age group 51 – 60 years (22.5%) and 71% were married and 11.5% were unmarried. 57 % of diabetic patients had significant psychiatric morbidity. Only 25.5 % of the control group had psychiatric problems (p = 0.0027) highly significant. Depressive disorder (13.5%) was the most common presentation, followed by Adjustment disorder (7.5 %), premenstrual Dysphoric disorder (6.5%), panic disorder (6%) generalized anxiety disorder (5.5), dysthymia (4.5%), and Suicidality (4%) mixed anxiety (1.5%), OCD, agoraphobia (1.5%) and other disorders.
Conclusion: The increased frequency of psychiatric morbidity among the diabetic patients raises the need for early diagnosis and prompt treatment.

Key words: Diabetes mellitus, Psychiatric disorders, OPD



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