Treating out of the box: A psychiatry for all! - 08/07/17
Résumé |
Introduction |
Psychiatrists used to focus on some chronic illness such as schizophrenia and bipolar disorder. However, non–psychiatric chronic illness also need psychiatric follow-up. Indeed, the reciprocal impact of chronic illness and depression is becoming increasingly clear. There is evidence that living with a chronic illness can increase the risk for depression and that depression can impair the quality of life (QoL).
Objectives |
We aim to assess the prevalence of depression in a chronic disease such as hemophilia and to evaluate the patients’ QoL.
Methods |
Thirty-seven adults from the hemophilia treatment center were screened for depression using the Hamilton Scale for Depression. QoL was assessed using the norm based scores of the SF-36. When the group's score was below 47, the quality of life was below the average.
Results |
The average age of our population was 26.5years. 46% were married, 27% achieved a superior level of education and 30% were jobless. Good social and professional integration were reported in 70% and 76% respectively. 77% of our sample had depressive symptoms which were mild (30%), moderate (24%) or severe (13%). The physical and mental Component Scores (PCS and MCS) of the SF-36 scored 46.48 and 43.45 respectively. PCS and MCS were significantly lower in patients with depressive symptoms (P=0.002/P=0.048). However, depressive symptoms and SF-36 scores did not differ according to education level, marital and professional status.
Conclusions |
Psychiatrists should be aware of the psychological impact of general chronic illness. Psychiatric consultations must be implemented in every general hospital.
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Vol 41 - N° S
P. S494 - avril 2017 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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