Extent Of Depression Among Patients With Gastrointestinal TractSymptoms In Outpatient Clinic Of Al-Hussein Teaching Hospital In Al-NasiriyahAt 2018

A. Hussein, M. N. Saeed, A. A. Hassan
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Abstract

Background:Depression is one of the most common mental health conditions inthe general population as well as in clinical practice. In clinical studies, there is astrong relationship between gastrointestinal symptoms and depression and thegastrointestinal symptoms remain for longer time and are more serious than inpatients without depression.Objective:To estimate extent of depression in gastrointestinal tract symptoms inmedical outpatient clinic attendees.Methods:The study was a cross-sectional analytical study for 154 adult populationin the Al-Hussein teaching hospital in Nasiriyah city,conducted at first March 2018and completed at end of September 2018. Tools of method was questioner and fordiagnosis of depression was used Diagnostic and Statistical Manual of Mental Disorders,fourth edition (DSM- IV) criteria. refusal rate was zero and for statisticanalysis was used SPSS version 22.Result:The study showed that 43.5 % of subjects with gastrointestinal symptomssuffer from depression. depression found in 40.7% of females and 47.1% of males. 50.0% of depressed patients were in two age groups of 20 -44 years and ≥ 65 years.Most of depressed patients were suffering constipation (51.3%), change in appetite (51.3%) and change in weight(50.7%), where only change in appetite hadsignificant association with depression, were p-value=0.001. More of depressedsubjects had GI symptoms with one month duration and ≥7 numbers of GIT symptoms.Recommendation:Raising awareness of general population about the depressionand relation of that with GIT symptoms.
2018年al - nasiriyah Al-Hussein教学医院门诊胃肠道症状患者抑郁程度分析
背景:抑郁症是普通人群和临床实践中最常见的心理健康状况之一。在临床研究中,胃肠道症状与抑郁症有较强的相关性,且胃肠道症状比无抑郁症的住院患者持续时间更长、更严重。目的:评估内科门诊患者胃肠道症状的抑郁程度。方法:该研究是对纳西里耶市Al-Hussein教学医院的154名成年人进行的横断面分析研究,于2018年3月1日进行,并于2018年9月底完成。方法工具为提问者,抑郁症诊断采用《精神障碍诊断与统计手册》第四版(DSM- IV)标准。拒绝率为零,采用SPSS 22进行统计分析。结果:43.5%的胃肠道症状患者患有抑郁症。40.7%的女性和47.1%的男性患有抑郁症。50.0%的抑郁症患者分布在20 ~ 44岁和≥65岁两个年龄组。大多数抑郁症患者表现为便秘(51.3%)、食欲变化(51.3%)和体重变化(50.7%),其中只有食欲变化与抑郁有显著相关性,p值=0.001。更多的抑郁受试者出现持续1个月且胃肠道症状≥7次的胃肠道症状。建议:提高普通人群对抑郁症及其与GIT症状的关系的认识。
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