Psychosocial morbidity in Cushing disease: a study from India.
The main objective of this article is to study the psychosocial profile of patients of Cushing disease (CD) in a developing country setting. Eighteen patients with CD underwent a cross-sectional assessment regarding their socio-demographic and clinical profile, life events, social support, coping, dysfunction, quality of life, and psychiatric morbidity. Twenty-two demographically group-matched healthy participants (free from psychological morbidity) acted as the control group. The CD group had predominance of females (71.5%) with mean age at onset of 20.38 (range 8-38) years, and mean duration of illness of 65.33 (range 4-260) months. Six subjects (i.e., GHQ positive group) scored positive on the General Health Questionnaire-12 giving a psychological morbidity rate of 33.33%, with one having an ICD-10 diagnosis. There was no difference between GHQ positive and GHQ negative groups on number of life events, social support, quality of life and dysfunction. However, GHQ positive group used significantly more of internalizing coping strategies. Psychological morbidity occurs in a significant percentage of patients with CD. Presence of psychological morbidity is associated with internalizing coping strategies.
Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh 160 012, India. skm_ddtc@glide.net.in
Surendra Kumar
SK
Mattoo
Anil Kumar
AK
Bhansali
Nitin
N
Gupta
Sandeep
S
Grover
Rama
R
Malhotra
D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D017668:Age of Onset; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D007194:India / Q000453:epidemiology; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology*; D009017:Morbidity; D047748:Pituitary ACTH Hypersecretion / Q000453:epidemiology* / Q000523:psychology; D012944:Social Support; D011795:Surveys and Questionnaires; D055815:Young Adult