Disorders In Adult Population Research Articles

Analysis of Large Muscle Movements in the Diagnosis of Possible Restless Sleep Disorder in Adult Population.

Analysis of Large Muscle Movements in the Diagnosis of Possible Restless Sleep Disorder in Adult Population.

Community prevalence of psychiatric disorders: Findings from a nationwide survey in Bangladesh

ObjectiveTo determine the community prevalence of psychiatric disorders in adult population and describe the prevalence by age, men-women, urban-rural strata. MethodsA nationwide household survey was conducted in 2019 where adults aged 18 years and above were selected by a multicentric, stratified, systematic random approach. The Self-Reporting Questionnaire (SRQ) was used for screening purpose and screened positive individuals were interviewed by research psychiatrists and diagnosed according the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria. ResultsOverall adult response rate for this survey was 90.4%. In total, of the 7270 adults, 1570 (21.6%) came positive on the SRQ. Overall prevalence of mental disorders found was 18.7% ((95% CI: 17.4%−20.0%). Women reported higher prevalence of psychiatric disorders than men (21.5% vs 15.7%). No significant difference was observed between urban and rural residents (18.9% vs 18.7%). Most common psychiatric disorders found were depressive disorders (6.7%), anxiety disorders (4.7%), somatic symptom and related disorders (2.3%), sleep-wake disorders (1%) and schizophrenia spectrum disorders (1%). ConclusionsThe study revealed that a substatial proportion of adults received diagnoses for psychiatric disorders. Once again, our findings emphasize the need for development of comprehensive mental healthcare services.

Musculoskeletal Disorders Risk Factors among Faculty Members of Academic Institute

Musculoskeletal disorders in adult population have been a rapidly expanding issue. It has been determined that teachers in educational institutions are one profession that is susceptible to musculoskeletal disorders. Even while MSDs among occupational groups have been extensively researched in other nations, Pakistan currently lacks solid information on this health issue, notably in the teaching profession. Work-related MSDs may result from the demands of this work, which involve daily, continuous stress on the body's muscular systems over the course of at least a year. So, this study is to identify papers that looked into instructor complaints of pain in lower back, shoulder and neck and other body areas. In this way, the objective of this review is likely to explore the works fundamentally and account on the incidence of MSDs as well as the risk factors relating to the job of educator. Any felt pain or discomfort from the nine body regions neck, shoulders, upper back, lower back, elbows, wrists/hands, hips/thighs, knees, and ankles/feet lasting for more than one day over the course of the previous 12 months was defined as the prevalence of MSDs which is growing rapidly all around the world

Prevalence and Auditory Characteristics of Auditory Neuropathy Spectrum Disorder in Adult Population with Sensory Neural Hearing Loss: A Hospital Based Study in South India.

Auditory neuropathy spectrum disorder (ANSD) is a heterogenous group of disorder characterized by abnormalities in auditory brainstem responses (ABR) with preserved otoacoustic emissions and/or cochlear microphonics. The aim of the study is to estimate the prevalence and evaluate the audiological characteristics of ANSD in adult population with sensory neural hearing loss. A prospective study was conducted on the adult population (≥ 18 years) attending ENT outpatients clinic at Rajiv Gandhi Government General Hospital, Chennai. All patients reported to the department with auditory and vestibular symptoms underwent case history, otoscopic examination, and routine audiological evaluation (pure tone audiometry, speech audiometry and immittance audiometry). Patients with indications of ANSD in case history and routine audiological evaluation were further evaluated using distortion product otoacoustic emissions and ABR. A total of 8682 adult population was evaluated during the period of 2017 to 2018. Out of 8682 patients, 1343 (15.46%) of them had sensory neural hearing loss of varying degrees. Out of 1343 adults with sensory neural hearing loss, 24 (1.78%) adults were diagnosed as ANSD. The prevalence of ANSD in adult population with sensory neural hearing loss in our study is 1.32% per 1000 adults. The clinical characteristics of ANSD shows impairment in speech perception irrespective of degree of hearing loss, preserved cochlear functions and abnormal ABR. Hence ANSD is not a rare clinical finding in adults with sensory neural hearing loss, but its prevalence was estimated to be lower in Indian population. Often young females are affected causing significant impairment in speech perception and disability.

Burden of Musculoskeletal Disorders in Adults of Rural Areas of Delhi: A Cross-sectional Study

Background: Musculoskeletal disorders (MSDs) are disabling chronic conditions prevalent worldwide. However, there is paucity of literature of such disorders from India.Objective: To study the epidemiology of Musculoskeletal disorders in adult population of rural areas of Delhi.Materials and Methods: The study was a descriptive, cross sectional, community-based study and conducted in a rural area of Delhi. Modified Nordic musculoskeletal questionnaire (NMQ-E) was used to determine the prevalence of MSDs. Data were summarized using frequencies, proportions and appropriate statistical tests were applied for significance. Binary logistic regression was used.Results: The lifetime prevalence of MSDs in the present study was found to be 57% (114) of the study participants, 53% (106) participants had history of MSDs in the past 12 months, 48% (96) participants had history of MSDs in the past 4 weeks while 35% (70) participants had history of MSDs at the time of interview. Lower backache was the most common complaints (54.2%). MSDs were found to be more associated with female gender, increasing age, being overweight or obese, and having a history of trauma.Conclusion:One in three adults was suffering from MSDs in rural Delhi and more so in females and elderly.

The effectiveness of different acupuncture therapies for neck pain: A protocol for systematic review and/or network meta-analysis.

Background:Neck pain is common musculoskeletal disorders in adult population. Acupuncture treatment has been widely used for treating neck pain. Nevertheless, previous systematic reviews (SRs) on acupuncture for neck pain remain controversial, and there is no SR for the comparative efficacy and safety of various types of acupuncture. Therefore, this study aims to evaluate and rank the effectiveness and safety of different types of acupuncture for neck pain by SR and network meta-analysis.Methods:Nine databases will be searched, including Ovid-MEDLINE, EMBASE, Cochrane library, China National Knowledge Infrastructure (CNKI), KoreaMed, Korean medical database (KMBASE), Korean Studies Information Service System (KISS), ScienceON, and Oriental Medicine Advanced Searching Integrated System (OASIS) from their inception to July 2021. The primary outcome is the change of pain intensity. A frequentist network meta-analysis will be performed to compare all relative outcomes of different acupuncture methods, using R software. The quality of included randomized controlled trials will be assessed by Cochrane Collaboration “risk of bias” tools and the evidence will be evaluated by the Grading of Recommendations Assessment, Development and Evaluation instrument.Results:The final findings of this network meta-analysis will be published in a recognized journal.Conclusions:Our study will evaluate and compare the effectiveness of various types of acupuncture for neck pain and provide clinicians with best option for what types of acupuncture treatments are effective.Trial registration number:INPLASY202120041

EPIDEMILOGY OF ENT DISORDERS IN ADULT POPULATION OF AGRICULTURAL REGION

The aim:TostudyandanalyzeSumy region population morbidity dynamics taking into account current stage of medical reform. Sumy region here is represented as one of the main agricultural regions of Ukraine. The prevalence of ENT disorders (otolaryngologic diseases) was studied. Materials and methods: During the study we used data of statistical report of Public Health Board, Sumy State Administration for the period from 2015 to 2019 years by administrative territories. Obtainedresults wereprocessed, usinggeneral statistics methodsandanalyzed, usingstructural-logicalanalysis. Conclusions: The study found that the morbidity rates of ENT disorders in adult population during the study period increased and had levels of 2113.0 and 122.1 per 100 thousand adult population, respectively, and the prevalence rates and the prevalence rates ofENT disorders among the adult population decreased , respectively to 167.7; 2113,0; 665.1 and 389.9. All indicators have reliable differences in terms of administrative territories of the region. The results of the study should be taken into account in the process of reforming the otolaryngological service in the region.

Therapeutic Interventions for Adjustment Disorder: A Systematic Review.

Adjustment disorder requires therapeutic intervention because of its complications, which include a significant risk of suicide, but evidence-based therapeutic guidelines are not available. The main problem is related to answer to the following question: What is the optimal therapeutic approach to adjustment disorder? In this respect we review all randomized controlled trials that aimed to investigate therapeutic interventions for adjustment disorder in adult populations. Comprehensive search of the electronic database PubMed (January 1980-June 2019). The review included clinical trials that aimed to investigate a psychological or pharmacological treatment for adjustment disorder in adult population and reported outcome data for therapeutic interventions. The search identified 23 studies that fulfilled the inclusion criteria for this review. Pharmacotherapy interventions were the focus of 11 studies that used various medications and dosages including viloxazine, lormetazepam, S-adenosylmethionine, pivagabine, trazodone, clorazepate, etifoxine, lorazepam, diazepam, afobazole, and plant extracts (Kava-kava, Euphytose, and Ginkgo biloba) on a total number of 1020 patients. Psychotherapy interventions were identified in 12 studies that used mirror therapy, short-term dynamic psychotherapy, yoga meditation, body-mind-spirit technique, mindfulness, bibliotherapy (self-help manual), humor training, and cognitive behavioral therapy. Psychotherapy seems indicated for mildly symptomatic adjustment disorder. Given the fact that adjustment disorder with severe symptoms is associated with a high risk of suicidal ideation and suicide attempts, clinicians must consider the potential benefit of using psychotropic agents such as benzodiazepines, antidepressants, or etifoxine.

Pediatric autoimmune connective tissue diseases – epidemiology, clinical manifestations, diagnosis and treatment

Pediatric autoimmune connective tissue diseases are a group of disorders characterized by the presence of anti­bodies formed against tissue antigens. These di­seases in­clude: systemic lupus erythematosus (SLE), der­ma­to­myo­sitis (DM), polymyositis (PM), scleroderma (SSc) and Sjögren’s syndrome. The incidence is reduced in children and among the most frequent are lupus erythematosus, dermatomyositis and scleroderma. There are many studies based on these disorders in adult population, but only a few describe the pathogenesis and clinical manifestations in children which are essential for the choice of treatment and outcome. In addition to morbidity and mortality due to internal organs damage, the prognosis is also influenced by the adverse effects of immunosuppresive drugs and by emotional, mental, social and economic factors which can have an impact on patients and their families.

Evaluation of significance of clinical scoring systems in osteoarthritis knee in a South Indian population

Introduction: Osteoarthritis is one of the most common joint disorders in adult population affecting about 10 % of global population above the age of 60 years. Knee osteoarthritis is an important contributor for global disability among the other osteoarthritis and it contributes for 83% of the global disease burden for osteoarthritis. The symptoms of knee osteoarthritis include pain, stiffness and activity induced swelling. Present study aims to validate the correlation between WOMAC index, a widely used clinical scoring system and radiologically proven osteoarthritis which is graded by Kellgren-Lawrence radiological grading system.Material and Methods: The present study was undertaken in a tertiary care teaching hospital by the Department of Orthopaedics, IGMC & RI, Puducherry. It was a hospital-based cross-sectional study. A sample of 240 respondents was selected based on inclusion criteria. Functional limitation and radiological assessment were done using Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and Kellgren and Lawrence (KL) scoring scale respectively. Observation and Results: The mean age of the study participants was 58.17±8.18. Chi square test was applied to test the correlation between WOMAC scoring and Kellgren-Lawrence radiological grading and found that there was significant correlation (P=0.0001 which was

Prevalence of personality disorders in the general adult population in Western countries: systematic review and meta-analysis.

Personality disorder is a severe health issue. However, the epidemiology of personality disorders is insufficiently described and surveys report very heterogeneous rates.AimsWe aimed to conduct a meta-analysis on the prevalence of personality disorders in adult populations and examine potential moderators that affect heterogeneity. We searched PsycINFO, PSYNDEX and Medline for studies that used standardised diagnostics (DSM-IV/-5, ICD-10) to report prevalence rates of personality disorders in community populations in Western countries. Prevalence rates were extracted and aggregated by random-effects models. Meta-regression and sensitivity analyses were performed and publication bias was assessed. The final sample comprised ten studies, with a total of 113 998 individuals. Prevalence rates were fairly high for any personality disorder (12.16%; 95% CI, 8.01-17.02%) and similarly high for DSM Clusters A, B and C, between 5.53 (95% CI, 3.20-8.43%) and 7.23% (95% CI, 2.37-14.42%). Prevalence was highest for obsessive-compulsive personality disorder (4.32%; 95% CI, 2.16-7.16%) and lowest for dependent personality disorder (0.78%; 95% CI, 0.37-1.32%). A low prevalence was significantly associated with expert-rated assessment (versus self-rated) and reporting of descriptive statistics for antisocial personality disorder. Epidemiological studies on personality disorders in community samples are rare, whereas prevalence rates are fairly high and vary substantially depending on samples and methods. Future studies investigating the epidemiology of personality disorders based on the DSM-5 and ICD-11 and models of personality functioning and traits are needed, and efficient treatment should be a priority for healthcare systems to reduce disease burden.Declaration of interestNone.

Prevalence of Adult Attention Deficit Hyperactivity Disorder (ADHD) among Undergraduates at BUITEMS

Adult attention deficit hyperactivity disorder (ADHD) is a psychosomatic issue which comprises of complications like problem in paying attention, hyperactivity and impulsive behavior. Our obtained results indicated that the general incidence rate of attention deficit hyperactivity disorder in adult population is low that out of 100 undergraduates 36% were ADHD, 53% were non-ADHD and 11% were possible ADHD. Besides it was also revealed from this study that attention deficit hyperactivity disorder is widespread in adult males than in females this is probably due to the constricting emotional nature of males’ influenced by the perceived stereotypic virility. However it is crucial to identify ADHD as a serious mental health issue in adults for early treatment and personality management.

A systematic review of reviews on the prevalence of anxiety disorders in adult populations.

BackgroundA fragmented research field exists on the prevalence of anxiety disorders. Here, we present the results of a systematic review of reviews on this topic. We included the highest quality studies to inform practice and policy on this issue.MethodUsing PRISMA methodology, extensive electronic and manual citation searches were performed to identify relevant reviews. Screening, data extraction, and quality assessment were undertaken by two reviewers. Inclusion criteria consisted of systematic reviews or meta‐analyses on the prevalence of anxiety disorders that fulfilled at least half of the AMSTAR quality criteria.ResultsWe identified a total of 48 reviews and described the prevalence of anxiety across population subgroups and settings, as reported by these studies. Despite the high heterogeneity of prevalence estimates across primary studies, there was emerging and compelling evidence of substantial prevalence of anxiety disorders generally (3.8–25%), and particularly in women (5.2–8.7%); young adults (2.5–9.1%); people with chronic diseases (1.4–70%); and individuals from Euro/Anglo cultures (3.8–10.4%) versus individuals from Indo/Asian (2.8%), African (4.4%), Central/Eastern European (3.2%), North African/Middle Eastern (4.9%), and Ibero/Latin cultures (6.2%).ConclusionsThe prevalence of anxiety disorders is high in population subgroups across the globe. Recent research has expanded its focus to Asian countries, an increasingly greater number of physical and psychiatric conditions, and traumatic events associated with anxiety. Further research on illness trajectories and anxiety levels pre‐ and post‐treatment is needed. Few studies have been conducted in developing and under‐developed parts of the world and have little representation in the global literature.

The types of lipid disorders in adult population diagnosed with dyslipidemia in Poland

The types of lipid disorders in adult population diagnosed with dyslipidemia in Poland

Patient health questionnaire for screening psychiatric disorders in secondary healthcare

Background:The adult population often suffers from a number of physical and mental problems. This study was conducted to determine the proportion of mental illnesses in adult population visiting the outpatient departments at Dr. TMA Pai Rotary Hospital, Karkala and to study the socio-demographic correlates of psychiatric disorders.Materials and Methods:A cross-sectional study was conducted during March 2004 among 193 adult individuals of 18 years and above at Dr. TMA Pai Rotary Hospital, Karkala, Karnataka. Data was analyzed by the statistical package for social sciences version 10.0 for windows and results were expressed in terms of proportions and their 95% confidence intervals (CI). Chi-square test, multiple logistic regression with adjusted odds ratio and its 95% CI.Results:The proportion of psychiatric disorders in adult population was determined to be 39.9%. Proportion of psychiatric morbidity among males and females were 36.2 and 42.2%, respectively.Conclusion:This study revealed that socio-demographic correlates like age group of 50 years and above, unemployed or housewives, living alone, and a history of psychiatric illness in the family were independently associated with psychiatric disorders in adult population.

Double-balloon enteroscopy in children – a tertiary care experience

BackgroundDouble-balloon enteroscopy (DBE) has become a preferred method for management of small bowel disorders in adult population. Experience in paediatric population remains limited and we present our experience with the...

Prevalence of Mental Disorders in Adult Population attending Primary Health Care Setting

Prevalence of Mental Disorders in Adult Population attending Primary Health Care Setting

Mindfulness-based stress reduction for the treatment of adolescent psychiatric outpatients: A randomized clinical trial.

Research has shown that mindfulness-based treatment interventions may be effective for a range of mental and physical health disorders in adult populations, but little is known about the effectiveness of such interventions for treating adolescent conditions. The present randomized clinical trial was designed to assess the effect of the mindfulness-based stress reduction (MBSR) program for adolescents age 14 to 18 years with heterogeneous diagnoses in an outpatient psychiatric facility (intent-to-treat N = 102). Relative to treatment-as-usual control participants, those receiving MBSR self-reported reduced symptoms of anxiety, depression, and somatic distress, and increased self-esteem and sleep quality. Of clinical significance, the MBSR group showed a higher percentage of diagnostic improvement over the 5-month study period and significant increases in global assessment of functioning scores relative to controls, as rated by condition-naïve clinicians. These results were found in both completer and intent-to-treat samples. The findings provide evidence that MBSR may be a beneficial adjunct to outpatient mental health treatment for adolescents.

Balance treatment ameliorates anxiety and increases self-esteem in children with comorbid anxiety and balance disorder

Comorbidity between balance and anxiety disorders in adult population is a well-studied clinical entity. Children might be particularly prone to develop balance-anxiety comorbidity, but surprisingly they are practically neglected in this field of research. The consequence is that children are treated for what seems to be the primary disorder without noticing possible effects on the other disorder. In Study 1, children with balance dysfunction were compared to normally balanced controls on anxiety and self-esteem. In study 2, children with balance dysfunction were assigned to either balance training or a waiting-list control. Training consisted of 12 weekly sessions of balance treatment. Anxiety and self-esteem were tested before and after treatment/waiting. Study 1 confirmed significantly higher anxiety and lower self-esteem in the balance dysfunction group compared to the control group. Study 2 showed that treatment improved balance performance, reduced anxiety, and increased self-esteem relative to the control waiting list group. Taken together, the present findings are in accord with the observations of comorbidity between balance and anxiety disorders in adults and confirm their validity in children younger than 7 years of age. This profile of comorbidity between balance dysfunction and anxiety also include lower self-esteem.

Prévention des troubles anxieux et dépressifs par une action d'éducation pour la santé en consultation : résultats du programme APRAND

Background Studies devoted to the detection and treatment of anxiety and depression in adult populations show that at least 10% meet ICD10 criteria for an anxiety or a depressive disorder, but only half are diagnosed as such and only one third of those receive appropriate treatment. The goal of the APRAND program was to explore the possibility of improving management strategies via health education during doctors' visits. Methods In 2001, EDF-GDF conducted an experimental program in which 21 physicians from its in-house health insurance program used the MINI mental state examination to screen for ICD10 criteria for anxiety and depressive disorders in 9743 employees on sick leave. A “here-elsewhere” epidemiologic study evaluated the program, recording the initial diagnoses and studying a year later the outcome of the persons identified with these disorders in 8 active centers (with prevention activities) and in 13 control centers (without prevention activities). The activities consisted of explanations of the disorders identified, delivery of the test results, delivery of leaflets based on the WHO guidelines, and strong recommendations to see a general practitioner, or a psychiatrist, or the occupational physician, if necessary. Logistic regressions compared the two groups, taking into account sex, age, geographic region, comorbidity, and medical care at screening. Results Preventive activities were significantly associated with the disappearance at 1 year of depressive episodes (OR = 1.93; CI 95%; 1.3–2.84) and of phobic or panic disorders (OR = 1.98; CI 95%; 1.14–3.44). The only other variables affecting prognosis were age and sex. The probability of recovery or remission increased by 10 to 20% at active centers, according to age, sex and disorder. Moreover, the physicians reported that they learned a great deal from the program, which thus also improved their practices. Conclusion Diagnosis and prognosis of depressive episodes and phobic and panic disorders in adult populations can be improved by a preventive diagnostic and educational approach of the type used by APRAND during doctor's visits.