DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20204904

Psychiatric comorbidity in substance abusing population in Garhwal hills of Uttarakhand

Prem Singh, Harsh Rathi, Anjali Mishra

Abstract


Background: Psychiatric morbidity occurs more frequently in patients with substance abuse than in the general population. Routine evaluation and treatment of psychiatric morbidity can be helpful in improving care of substance abusing population but such data are relatively meager from developing countries.

Methods: This study was conducted in the Out-patient facility of the Department of Psychiatry, Veer Chandra Singh Garhwali Government Institute of Medical Science & Research, Srinagar (Uttarakhand), starting from 23 September 2015. One hundred consecutive treatment seeking subjects fulfilling international classification of diseases and related health problems, 10th Revision (ICD-10), criteria for mental and behavioral disorders due to psychoactive substance use were included in the study. All the participants were required to sign an informed consent approved by the institutional ethical committee before being enrolled in the study. All the subjects included in the study were administered a semi-structured Proforma to elicit the clinical and socio-demographic variables.  

Results: One hundred patients consisting of 95 men (95%) and 05 women (05%) were included. The average age of the sample was 39.68 years (SD=11.97). As for the socio-demographic variables other than age, 87% of the patients were married, 62% patients were living in nuclear families and 66% belonged to the rural areas. 79% patients were educated up to high school and above and only 06% were illiterate. 36 % of the subjects screened positive for psychiatric morbidity. Psychiatric morbidity was significant higher in unmarried people with less education (primary or less) and those living in nuclear families.  

Conclusions: Psychiatric comorbidity was found in 36% of the study subjects.


Keywords


Substance abuse, Psychiatric morbidity, Garhwal hills, Clinical profile, Socio-demographic profile

Full Text:

PDF

References


Gururaj G, Varghese M, Benegal V, Rao GN, Pathak K, Singh LK et al. National Mental Health Survey of India, 2015-16: Summary. Bengaluru, Nation Instit Ment Heal Neur Sci. 2016;128.

Basu D, Basu A, Ghosh A. Assessment of clinical co morbidities. Ind J Psychiat. 2018;60:457-65.

Gul D, Sharma N. Socio-demographic profile and pattern of substance abuse among patients presenting to a de-addiction centre in a teaching hospital of Punjab. Int J Med and Dent Sci. 2017;6(2):1504-8.

Farhat S, Hussain SS, Rather YH, Hussain SK. Sociodemographic profile and pattern of opioid abuse among patients presenting to a de-addiction centre in tertiary care Hospital of Kashmir. J Basic Clin Pharm. 2015;6(3):94-7.

Rather YH, Bashir W, Sheikh AA, Amin A, Zahgeer YA. Sociodemographic and clinical profile of Substance abusers attending a Reigonal Drug De-addiction Centre in chronic conflict area: Kashmir, India. Malays J Med Sci. 2013;20(3):31-8.

Sau M, Mukherjee A, Manna N, Sanyal S. Socio-demographic and Substance use correlates of repeated relapse among patients presenting for relapse treatment at an addiction treatment centre in Kolkata, India. Afr Health Sci. 2013;13(3):791-9.

Margoob MA. Intense psychosocial stress and changing pattern of psychiatric disorders over the past eleven years in Kashmir valley of Indian sub continent. Wor Assoc Soc Psychiat. 2001.

Saddichha S, Sinha BN, Khess CR. The role of Gateway drugs and psychological factors in substance dependence in Eastern India. Int J Psychiatry Med, 2007;37(3):257-66.

Arya S, Singh P, Gupta R. Psychiatric comorbidity and quality of life in patients with alcohol dependence syndrome. Ind J Soc Psychiat. 2017; 33:336-41.

Ravikanth T, Sultan S. The prevalence of psychiatric comorbidity and its relationship to the severity of alcohol dependence in the population of rural south India. Midd Eas Curre Psychiat. 2020; 27:1

Regier DA, Farmer ME, Rae DS, Locke BZ, Keith SJ, Judd LL et al. Comorbidity of mental disorders with alcohol and other drug abuse. Results from the Epidemiologic Catchment Area (ECA) Study. J Americ Medic Assoc. 1990;264(19):2511-8.