Psychiatric morbidity and psychopathology in patients with hypothyroidism
Journal Title: MedPulse -International Medical Journal - Year 2016, Vol 3, Issue 2
Abstract
Background: Hypothyroidism is of great importance in psychiatric practice. Cognitive disturbances include the inability to concentrate, poor attention, bradyphrenia, calculation difficulties and difficulty in understanding complex questions. Hypothyroidism is a known cause of secondary depression. This study aims to evaluate the frequency of psychiatric disorders in patients with hypothyroidism and nature of psychiatric symptoms in patients with hypothyroidism. Materials and methods: 30 patients with hypothyroidism(cases) and 30 patients with hypothyroidism(controls) are recruited between Dec 2014-Jan 2015 from departments of Endocrinology and Medicine of Father Muller Medical College, Kankanady, Mangalore. Patients were recruited for the study after giving written informed consent and inclusion and exclusion criteria. Socio-demographic details were collected by a predesigned proforma and they were later assessed with MINI plus and CPRS for psychiatric morbidity and psychopatholgy respectively. Results: 30% of hypothyroidism and 10 % of hypertension patients had psychiatric comorbidity. Dysthymia was found to be common in hypothyroidism patients, followed by major depressive disorder, generalised anxiety disorder. Generalised anxiety disorder was common in hypertension patients. More psychopathology was seen in both cases and controls with psychiatric diagnosis than without. Conclusion: Depressive and anxiety disorders are found more commonly in hypothyroidism and hypertension patients and this study supports the existing literature.
Authors and Affiliations
Pruthvi Reddy Muddasani, K M Satish Kumar, P John Mathai, Preethi Rebello
Keywords
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