To Study the Occurrence and Functional Consequences of Insomnia in Adult Patients of Depression and/ or Anxiety Disorders

Abstract

Background: Depressive syndrome is a complex mental illness with multiple symptomatic dimensions comprising affective, cognitive and physical symptoms. Anxiety is behavioral, affective, physical and cognitive responses to perception of danger. There is increased evidence of increasing prevalence of these mental illnesses. Insomnia is an important feature in patients of depression and anxiety disorders. To st Aim: udy the occurrence and functional consequences of insomnia in adult patients of depression and/ or anxiety disorders Total 60 pati Material And Methods: ents aged 18-60 years were recruited as per inclusion and exclusion criteria. The socio demographic details were gathered using semi- structured socio demographic proforma. Insomnia severity index was administered to evaluate the occurrence and severity of insomnia and WHO DAS2.0 scale was applied to measure the functional consequences of insomnia. The Result: main ndings of our study showed that all the demographic characteristics were comparable among the three diagnostic groups and the differences observed were statistically insignicant.The association between diagnostic groups and Functionalconsequences where mobility and life activities were signicantly higher inthe subjects with co morbid depression and anxiety disorders, whereas other consequences were associated insignicantly. It was observed that all the functional consequences increase signicantly as the ISI grading increases from absent to severe. Sleepiness, sl Conclusion: eep quality, and insomnia severity were consistently poorer in subjects with both depression and anxiety. Anxiety and depression affect insomnia in a supra-additive manner.