Original Research Article
Year: 2019 | Month: October-December | Volume: 4 | Issue: 4 | Pages: 1-5
Frequency and Nature of Psychiatric Disorders in Patients with Bronchial Asthma
Dr Karthika Johnson1, Dr Pavithra P Rao2, Dr Safeekh A.T3
1Senior Resident, Department of Psychiatry, Mount Zion Medical College Hospital, Adoor, Kerala, India.
2Assistant Professor, Department of Psychiatry, Father Muller Medical College, Mangalore, Karnataka, India.
3HOD & Professor, Department of Psychiatry, Father Muller Medical College, Mangalore, Karnataka, India
Corresponding Author: Dr Pavithra P Rao
ABSTRACT
Background: Asthma is a chronic, reversible, inflammatory disease of the airways, whose incidence is increasing worldwide. Asthma can impose restrictions on the physical, emotional, and social life of a patient, leading to impaired coping capacity and an impact on their careers and quality of life (QOL). Psychiatric morbidity is common among patients with bronchial asthma and the rates of occurrence of certain psychiatric disorders among asthmatics have been reported to be at least double than those observed in the general population.
Aims: 1. To evaluate the frequency of occurrence of psychiatric morbidity in patients with bronchial asthma. 2. To evaluate the nature of psychiatric disorders in patients with bronchial asthma.
Settings and Design: Case Controlled Study done in a Tertiary care centre in Department of Medicine
Methods and Material: Thirty patients with bronchial asthma with ACT score >21 and thirty relatives of patients with bronchial asthma were assessed in the outpatient department of General Medicine in FMMCH between June-August 2017. Details of Socio-demographic status were enquired into. Diagnosis of psychiatric disorder was made using ICD 10 DCR Criteria.
Statistical analysis used: Independent student t test and Chi square test were used.
Results: 83% of patients with bronchial asthma had a psychiatric illness which was statistically significant. 64% had only one, 32% had two and 4% had three psychiatric disorders. 53.3% of the patients had a mood disorder of which 31% patients had a moderate depressive episode which was statistically significant. 23.3% of the patients had anxiety disorders of which frequency of panic disorder was significant.
Conclusions: The result of this study highlights the high prevalence of psychiatric disorders among adult asthmatics, and the range of increased morbidity that may be associated with it
Key words: Bronchial asthma, morbidity, psychiatric disorder