Title: Depressive symptoms in patients of schizophrenia in state mental health hospital

Authors: Abhilaksh Kango, Anukriti Singh

 DOI: https://dx.doi.org/10.18535/jmscr/v9i6.45

Abstract

Aim: To study prevalence of depressive symptoms in schizophrenia patients in HHMH & R, Shimla.

Material and Methods: A cross-sectional observation was done in schizophrenia patients admitted in our hospital with diagnosis of schizophrenia. After informed consent sociodemographic information and clinical characteristics were collected from patients and attendants.

Results: Mean age of participants was around 37 years and most were male and single. Olanzapine was most common prescribed drug second most common was haloperidol. Depressive symptoms were reported by 54% of participants out of which 26% participants had clinically significant depression as per CDSS.

Conclusion: In schizophrenia it is difficult to distinguish true negative and depressive symptoms. But over 50% of patients have depressive symptoms which needs proper assessment and timely measures to prevent suicides and improve quality of life of patients.

Keywords: Calgary depression scale (CDSS), Positive and negative syndrome scale (PANSS).

References

  1. Pokorski M, Warzecha a. Depression and religiosity in older age. Eur J Med Res. 2011; 16: 1-6.
  2. Barnes tR, curson Da, Liddle PF, Patel M. the nature and prevalence of depression in chronic schizophrenic inpatients.Br J Psychiatry. 1989; 154: 486-91.
  3. Mulholland c, cooper s. the symptoms of depression in schizophrenia and its management. adv Psychiatr treat.2000; 6: 169-77.
  4. Caldwell cB, Gottesman II. schizophrenics kill themselves too: a review of risk factors for suicide. Schizophr Bull. 1990; 16: 571-89.
  5. Bartels sJ, Drake RE, McHugo GJ. alcohol abuse, depression and suicidal behavior in schizophrenia. Am J Psychiatry. 1992; 149: 394-5.
  6. Drake RE, cotton PG. Depression, hopelessness and suicide in chronic schizophrenia. Br J Psychiatry. 1986; 148:554-9.
  7. Bandelow B, Muller P, Gaebel WE. Depressive syndromes in schizophrenic patients after discharge from hospital. Eur arch Psychiatry clin neurosci. 1991; 240:113-20.
  8. Siris SG, Bench c. Depression and schizophrenia. In: Hirsch SR, Weinberger DR (eds.), schizophrenia. Black-well Science: oxford, 2003.
  9. Baynes D, Mulholland c, cooper sJ, Montgomery Rc, MacFlynn G, Lynch G, Kelly c, King DJ. Depressive symptoms in stable chronic schizophrenia: Prevalence and relationship to psychopathology and treatment. Schizophr Res. 2000; 45: 47-56.
  10. Herz M, Melville c. Relapse in schizophrenia. am J Psychiatry. 1980; 137: 801-5.
  11. Emsley Ra, oosthuizen PP, Joubert aF, Roberts Mc,stein DJ. Depressive and anxiety symptoms in patients with schizophrenia and schizophreniform disorder. J clin Psychiatry. 1999; 60: 747-51.

Corresponding Author

Dr Abhilaksh Kango

Psychiatrist, Himachal Hospital of Mental Health and Rehabilitation, Shimla (HP), 171005, India