title: Comorbidity in patients with Dhat syndrome: a nationwide multicentric study.
abstract: BACKGROUND
  There are limited numbers of studies on Dhat syndrome. Major limitations of the existing literature are heterogeneous assessment methods used to describe the comorbidity and small sample size from isolated centers.
  
  
  OBJECTIVE
  To assess comorbidity with a common methodology in patients with Dhat syndrome from multiple centers across India.
  
  
  METHODS
  Using a cross-sectional design, this multicentric study involved assessment of 780 male patients, aged more than 16 years, across 15 study centers.
  
  
  METHODS
  ICD-10 criteria (for evaluation of psychiatric morbidity and sexual dysfunction)
  
  
  RESULTS
  About one-third (32.8%) of the cases had no comorbidity. One-fifth (20.5%) of the patients had comorbid depressive disorders and another one-fifth (20.5%) had comorbid neurotic, stress-related and somatoform disorders. Half (51.3%) of the study sample had comorbid sexual dysfunction. When various combinations of comorbidities were evaluated, it was seen that more than one-fourth (28.7%) of the patients had only comorbid sexual dysfunction and one-sixth (15.9%) had only comorbid depressive/anxiety disorders. A little more than one-fifth (22.6%) had comorbidity of both sexual dysfunction and depressive/anxiety disorders.
  
  
  CONCLUSIONS
  Comorbid sexual dysfunction is seen in half of the cases of Dhat syndrome, and it is more common than comorbid depressive and anxiety disorders.
authors.affiliation: Post Graduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Sandeep
authors.initials: S
authors.lastname: Grover
authors.affiliation: Post Graduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Ajit
authors.initials: A
authors.lastname: Avasthi
authors.affiliation: 2-NIMS Medical College & Hospital, Jaipur, India.
authors.forename: Sunil
authors.initials: S
authors.lastname: Gupta
authors.affiliation: Calcutta National Medical College (CNMC), Kolkata, India.
authors.forename: Amitava
authors.initials: A
authors.lastname: Dan
authors.affiliation: Medical College and Hospital (MCH), Kolkata, India.
authors.forename: Rajarshi
authors.initials: R
authors.lastname: Neogi
authors.affiliation: Jawaharlal Nehru Medical College, Wardha, India.
authors.forename: Prakash B
authors.initials: PB
authors.lastname: Behere
authors.affiliation: B J Medical College & Civil hospital, Ahmedabad, India.
authors.forename: Bhavesh
authors.initials: B
authors.lastname: Lakdawala
authors.affiliation: King George Medical University, Lucknow, India.
authors.forename: Adarsh
authors.initials: A
authors.lastname: Tripathi
authors.affiliation: College of Medicine & J N M Hospital, West Bengal University of Health Sciences (WBUHS), Kalyani, India.
authors.forename: Kaustav
authors.initials: K
authors.lastname: Chakraborty
authors.affiliation: S N Medical College, Agra, India.
authors.forename: Vishal
authors.initials: V
authors.lastname: Sinha
authors.affiliation: UCMS & GTB hospital, New Delhi, India.
authors.forename: Manjeet Singh
authors.initials: MS
authors.lastname: Bhatia
authors.affiliation: Hitech Medical College, Bhubaneswar, India.
authors.forename: Amrit
authors.initials: A
authors.lastname: Pattojoshi
authors.affiliation: J S S Medical College, Mysore, India.
authors.forename: T S S
authors.initials: TS
authors.lastname: Rao
authors.affiliation: SHKM Government Medical College, Mewat, India.
authors.forename: Abhijit
authors.initials: A
authors.lastname: Rozatkar
mesh_terms: D000293:Adolescent; D000328:Adult; D001007:Anxiety / Q000453:epidemiology*; D015897:Comorbidity; D003430:Cross-Sectional Studies; D003866:Depressive Disorder / Q000453:epidemiology*; D005260:Female; D006801:Humans; D007194:India / Q000453:epidemiology; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology*; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D012735:Sexual Dysfunction, Physiological / Q000201:enzymology* / Q000523:psychology; D013001:Somatoform Disorders / Q000523:psychology; D013577:Syndrome
keywords: Comorbidity; Culture Bound Syndrome; Dhat Syndrome