Abstract

SEVERITY AND PATTERN OF DEPRESSION IN MAJOR DEPRESSIVE DISORDER WITH AND WITHOUT DELUSIONS

Dr. Santosh S.V *,Dr. Sudarshan C.Y, Dr. Shilpa B.J

Abstract

BACKGROUND Major depress ive disorder (MDD) is a common psychiatric illness. Severity and pattern of depression in MDD with and without delusions has been a subject of research since many years. This study compares two groups of pat ients of MDD with and without delusion with respect to socio-demographic features, clinical variables, pattern and severit y of depression. SUBJECTS AND METHODS:Sixty eight patients fulfilling DSM-IVTRcriteria for MDD were selected. Among them 35 pat ients were with delusions (Group-1) and 33 pat ients were without delusions (Group-2). Socio-demographic details and clinical variables were assessed. Delus ions were ident ified and the two groups were compared with respect to Socio-demographic features, clinical variables, pattern and severit y of depression. RESULTS: Significant number of group-I pat ients were aged 33.94±11.88 years. Durat ion of illness from the onset of first episode, late insomnia, loss of insight and melancholic features were significant ly more in group-1 pat ients with significant ly severe depression. In group-2 pat ients history of previous admissions was significant ly more.

Keywords: Major depress ive disorder, delusion, Melancholic features.