Objective: There is evidence that asthma is associated with an increase in psychiatric disorders (depression, anxiety, distress and somatization). The purpose of this study was to assess the presence of psychiatric disorders in adult asthmatic patients and to examine its relationship to asthma control.Methods: A cross-sectional case-control study was conducted on 134 subjects (65 healthy volunteers, 69 asthmatic patients). The asthmatic patients were divided into 3 groups, according to GINA guidelines (GINA, 2010) [2] criteria for asthma control, and were subsequently compared to control groups in terms of demographic, clinical, and spirometric data, as well as The Four-Dimensional Symptom Questionnaire to assess psychological symptoms.Results: The sample was predominantly female 49 patients (71%). Of the 69 patients, 32 (46%) were classified as having uncontrolled asthma. Somatization, anxiety, depression, distress levels were higher among asthma patients compared to control and the difference was statistically significant (p < 0.05). High levels of somatization and distress were found among uncontrolled asthma cases compared to partially and controlled cases with no statistically significant difference (p > 0.05 and p > 0.05, respectively). High levels of anxiety were found among uncontrolled and partially controlled asthma cases compared to controlled cases with no statistically significant difference. Low grade depression levels were noticed among controlled cases. High levels of anxiety were found among uncontrolled and partially controlled asthma cases compared to controlled cases with no statistically significant difference (p > 0.05 and p > 0.05, respectively). There was a negative weak correlation between psychiatric symptoms and age, duration of asthma and forced expiratory volume in the first second (p > 0.05).Conclusions: Asthmatic patients are at high risk of psychiatric problems, particularly depression, anxiety and somatization. Asthmatic patients need psychotherapy besides their medication of asthma to obtain better asthma out come and management.
Background
United Nations considered intimate partner violence (IPV) as a serious problem affecting 35% of females all over the world requesting action to face this problem. There is strong evidence that the effect of violence against women has short-term and long-term negative outcomes on women physical health such as pain, wounds, fractures or even death in addition to serious psychiatric disorders for example anxiety, depression, and post-traumatic stress disorder (PTSD).
The study aims to evaluate the prevalence of different subtypes of (IPV) in a group sample of married females.
Also, the current study will examine the relation of intimate partner violence with subsequent depression and post-traumatic stress disorder disorders among those females.
Results
This study highlights subtypes of intimate partner violence among the studied females according to the Composite Abuse Scale (CAS); the highest prevalence type of violence is harassment (72.2%) followed by physical violence (57.8%), severe combined violence (54.4%), emotional violence (53.3%), and finally the last one is sexual abuse (7.8%). Post-traumatic stress disorder distribution among studied females; the highest prevalence (n = 37, 41.1%) had mild PTSD, followed by 23 (25.6%) who were normal, and then n = 20 (22.2%) who had severe PTSD, while the least prevalence (n = 10, 11.1%) had moderate PTSD.
In concern to depressive disorder distribution among studied females, the highest prevalence (n = 33, 36.7%) were normal, followed by 29 (32.2%) who had moderate depression, and then n = 12 (1.3%) who had severe depression, n = 9 (10.0%) who had mild depression, while the least prevalence (n = 7, 7.8%) had very severe depressive symptoms.
Conclusions
This study found that the prevalence of intimate partner violence among the studied females is high. In addition, the presence of a strong relationship between all subtypes of intimate partner violence and the diagnosis of PTSD and depressive disorder among studied females. Potential implications; these results can be applied clinically as females are exposed to the burden of IPV and should be helped empowered in various ways such as providing psychiatric counselling for those females.
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