|Year : 2013 | Volume
| Issue : 1 | Page : 59-62
Psychiatric morbidity in patients with transverse myelitis and stroke: A comparison
Raman Baweja, Ajit Avasthi, Subho Chakrabarti, Sudesh Prabhakar
Department of Psychiatry and Neurology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
Background: Psychiatric morbidity may be highly prevalent in transverse myelitis (TM), but data on this aspect are limited.
Aim: To assess psychiatric morbidity in a clinical sample of patients with idiopathic TM compared to patients with a recent stroke.
Materials and Methods: Consecutive patients with idiopathic TM and stroke (30 each) underwent two-stage screening with the General Health Questionnaire-12 (GHQ-12) and Structured Clinical Interview for Axis I DSM-IV Disorders - Clinician Version (SCID I-CV), and ratings of depression, disability levels, and cognitive impairment.
Results: Seventy percent of the patients with TM scored above the cut-off on the GHQ; 30% had a positive diagnosis of a psychiatric disorder. Major depression (17%) was the commonest psychiatric disorder. Mini-Mental State Examination (MMSE) scores indicated cognitive impairment in 23% of patients with TM. Higher GHQ-12 scores were associated with greater disability. These results were similar to those obtained among patients with stroke.
Conclusion: A high prevalence of psychological distress and psychiatric morbidity was found in idiopathic TM. This morbidity was associated with greater disability.
Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh
Source of Support: None, Conflict of Interest: None
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