CLINICAL ESTIMATION OF IMPLICATIVE FACTORS ALONGWITH TREATMENT OF DEPRESSION BY USING PHQ-9 SCORE ANALYSIS

Main Article Content

Faiza Naeem
Muhammad Omer Iqbal
Hafiz Muhammad Mazhar Asjad
Muhammad Soaib Said
Nazir Suliman
Amer Hayat Khan
Aqsa Tanveer
Manan Khalil

Keywords

Depression, female, socioeconomic status, stressful situations, severity, counselling, SSRIs.

Abstract

Depression is a mental health condition marked by ongoing feelings of grief, loss of energy and difficulty dealing with daily life activities. Aim of this study is to assess the implicative factors, prevalence and treatment trend of depression. A prospective cross-sectional study was conducted in the department of psychiatry of Islam Teaching Hospital, Sialkot, Pakistan. Data of 55 depressive patients was taken and filled in a well-structured questionnaire during face to face interview. Majority of the depressive patients were from the age category of 21-30 years (n=20, 36.4%). Females (n=39, 70.9%) were more affected by depression than males (n=16, 29.1%) with more prevalence in unmarried people (n=33, 60%) and in urban population (n=42, 76.4%). Most of the depressive patients were of graduation level (n=34, 61.8%) and were students (n=20, 36.3%). A number of depressive patients were suffering from hypertension (n=5, 9.1%). The risk factor with the highest prevalence among the depressive patients was socioeconomic status including both middle and low class (n=36, 65.5%), followed by stressful situations (n=34, 61.8%), irregular sleep (n=31, 56.4%), unemployment (n=30, 54.5%), lack of exercise (n=20, 36.4%), mental traumatic events (n=15, 27.3%), genetic factors (n=9, 16.4%) and physical traumatic events (n=3, 5.5%). Equal number of moderate (n=16, 29.1%) and severely moderate depressive patients (n=16, 29.1%) were reported, followed by mild depression (n=15, 27.3%), minimal depression (n=6, 10.9%) and severe depression (n=2, 3.6%). Majority of the depressive patients were receiving counselling (n=49, 89.1%) along with cognitive behavioral therapy (n=17, 30.9%). Most of the patients were taking escitalopram (n=12, 21.8%), followed by fluoxetine (n=6, 10.9%), venlafaxine (n=03, 5.5%), fluvoxamine (n=3, 5.5%), sertraline (n=2, 3.6%), quetiapine (n=2, 3.6%), dosulephine HCl (2, 3.6%), paroxetine (n=2, 3.6%), fluphenazine/nortriptyline (n=1, 1.8%), lithium carbonate (n=1, 1.8%) and mirtazapine (n=1, 1.8%).

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