Amol Jadhao ¹, B. S. V. Prasad ¹

Affiliations
1 Department of Psychiatry, Dr. Vasantrao Pawar Medical College Hospital & Research Centre, Nashik - 422003, Maharashtra,, IN

Abstract

Background: There has been an increase in the global burden of chronic kidney disease. India especially has to face the brunt of this problem due to factors such as increased life expectancy and a recent epidemic of type-2 diabetes mellitus. Patients with End Stage Renal Disease (ESRD), have to depend on renal replacement therapy for their survival. ESRD is a multifaceted problem having medical and psychological consequences. Psychiatric problems like depression and anxiety are especially common among ESRD patients being treated with haemodialysis. A presence of psychopathology among these patients is associated with poor outcome. Aim: The aim of this study was to find out the prevalence of psychiatric illness among ESRD patients who are being treated with haemodialysis. Setting and Design: A cross sectional study was conducted in a haemodialysis unit of a tertiary health care institute. Material and Method: Seventy four ESRD patients on maintenance haemodialysis were selected. They were interviewed using a special proforma and screened using the Mini –international Neuropsychiatry interview English Version 6.0.0. Statistical Analysis Used: The data was analysed using SPSS version 19 & EPI INFO software. Result: Psychopathology was found in 52.70% of the study population. Depression was the most common psychiatric illness found followed by generalized anxiety disorder. Conclusion: Patients on haemodialysis should be routinely screened for psychological disturbances and psychiatric morbidity to diagnose underlying mental illness.

Keywords

Psychiatric Morbidity, End Stage Renal Disease (ESRD), Haemodialysis.

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Robin Juneja ¹, B. S. V. Prasad ¹

Affiliations
1 Department of Psychiatry, Dr. Vasantrao Pawar Medical College Hospital & RC, Nashik - 422003, IN

Abstract

Background: Amputation has an impact on quality of life of the individual due to immediate limitation in the physical activities. There are significant repercussions on occupational, economical and social functioning, contributing to psychiatric morbidity. Aims and Objective: To study socio-demographic profile and evaluate the psychiatric morbidity in amputees of age between 18-60 years. Material and Methods: Descriptive cross-sectional study was carried out on Consecutive 70 new and follow-up cases of amputees who were being treated by Surgery or Orthopedics department of a tertiary health care centre. Results: Out of 70 patients Psychiatric morbidity was found in 32 (45.71%) of amputees. 25 (35.71%) were diagnosed with major depressive disorder, 5 (7.14%) had panic disorder and 2(2.86%) had post-traumatic stress disorder. There was significant association between psychiatric morbidity and patients living in nuclear family, patients in the age group 31 to 40 years, had amputation on dominant side, and had neuropathic pain after amputation and phantom limb experience after amputation. Conclusion: Psychiatric morbidity was found in 45.71% of amputees. The most common psychiatric morbidity in amputees was Major depressive disorder.

Keywords

Amputation, Psychiatric Morbidity.

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