Assessment of depressive symptoms in hospitalized patients with schizophrenia
Introduction The prevalence of depressive disorders in patients with schizophrenia is estimated at 25%. Nevertheless, depressive symptoms occurring during the acute decompensation of schizophrenia have rarely been studied. Objectives The aim of our study was to assess depressive symptoms in hospit...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-06-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933822020302/type/journal_article |
| _version_ | 1797616643677880320 |
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| author | M. Abdelkefi S. Ellouze S. Ajmi M. Turki N. Halouani J. Aloulou |
| author_facet | M. Abdelkefi S. Ellouze S. Ajmi M. Turki N. Halouani J. Aloulou |
| author_sort | M. Abdelkefi |
| collection | DOAJ |
| description |
Introduction
The prevalence of depressive disorders in patients with schizophrenia is estimated at 25%. Nevertheless, depressive symptoms occurring during the acute decompensation of schizophrenia have rarely been studied.
Objectives
The aim of our study was to assess depressive symptoms in hospitalized patients suffering from schizophrenia.
Methods
We conducted a cross-sectional, descriptive and analytical study, including 30 schizophrenic patients, hospitalized in the psychiatry B “department of the Hedi Chaker university hospital in Sfax. The assessment of clinical severity of schizophrenia was performed by the Positive and Negative Syndrome Scale (PANSS), that of depressive symptoms by the “Calgary Depression Scale for Schizophrenia” (CDSS).
Results
The mean age of patients was 41.2. Most of patients were male (86.7%) and unemployed (83.3%). Only 13.3% of them were married. Patients were hospitalized 8.83 times in average. A personal history of suicide attempts was found in 16.70% of cases. The mean score in the CDSS scale was 5.12. According to the CDSS score, a depressive state was diagnosed in 36.7% % of patients. Depression was associated with significantly more frequent history of suicide attempts (p=0.028), as well as significantly higher scores in the positive dimension of the PANSS (p=0.03).
Conclusions
Our results show that depressive symptoms are common during the acute decompensation phase of schizophrenia. They are associated with impaired functioning of patients, as well as a higher risk of suicide. Screening for depressive symptoms in patients hospitalized for schizophrenia is therefore essential in order to ensure better management.
Disclosure
No significant relationships.
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| first_indexed | 2024-03-11T07:44:10Z |
| format | Article |
| id | doaj.art-60bcd512cae34b07bf2ffd5b8ac790f0 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:44:10Z |
| publishDate | 2022-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-60bcd512cae34b07bf2ffd5b8ac790f02023-11-17T05:07:55ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S786S78610.1192/j.eurpsy.2022.2030Assessment of depressive symptoms in hospitalized patients with schizophreniaM. Abdelkefi0S. Ellouze1S. Ajmi2M. Turki3N. Halouani4J. Aloulou5CHU Hedi Chaker, Psychiatry, sfax, TunisiaHedi Chaker University Hospital, Psychiatry B, Sfax, TunisiaCHU Hedi Chaker, Psychiatry, sfax, TunisiaHedi Chaker University Hospital, Psychiatry “b” Department, Sfax, TunisiaHedi Chaker University Hospital, Psychiatry, Sfax, TunisiaHedi Chaker University Hospital, Psychiatry, Sfax, Tunisia Introduction The prevalence of depressive disorders in patients with schizophrenia is estimated at 25%. Nevertheless, depressive symptoms occurring during the acute decompensation of schizophrenia have rarely been studied. Objectives The aim of our study was to assess depressive symptoms in hospitalized patients suffering from schizophrenia. Methods We conducted a cross-sectional, descriptive and analytical study, including 30 schizophrenic patients, hospitalized in the psychiatry B “department of the Hedi Chaker university hospital in Sfax. The assessment of clinical severity of schizophrenia was performed by the Positive and Negative Syndrome Scale (PANSS), that of depressive symptoms by the “Calgary Depression Scale for Schizophrenia” (CDSS). Results The mean age of patients was 41.2. Most of patients were male (86.7%) and unemployed (83.3%). Only 13.3% of them were married. Patients were hospitalized 8.83 times in average. A personal history of suicide attempts was found in 16.70% of cases. The mean score in the CDSS scale was 5.12. According to the CDSS score, a depressive state was diagnosed in 36.7% % of patients. Depression was associated with significantly more frequent history of suicide attempts (p=0.028), as well as significantly higher scores in the positive dimension of the PANSS (p=0.03). Conclusions Our results show that depressive symptoms are common during the acute decompensation phase of schizophrenia. They are associated with impaired functioning of patients, as well as a higher risk of suicide. Screening for depressive symptoms in patients hospitalized for schizophrenia is therefore essential in order to ensure better management. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822020302/type/journal_articleschizophréniaDepressiondecompensationacute |
| spellingShingle | M. Abdelkefi S. Ellouze S. Ajmi M. Turki N. Halouani J. Aloulou Assessment of depressive symptoms in hospitalized patients with schizophrenia European Psychiatry schizophrénia Depression decompensation acute |
| title | Assessment of depressive symptoms in hospitalized patients with schizophrenia |
| title_full | Assessment of depressive symptoms in hospitalized patients with schizophrenia |
| title_fullStr | Assessment of depressive symptoms in hospitalized patients with schizophrenia |
| title_full_unstemmed | Assessment of depressive symptoms in hospitalized patients with schizophrenia |
| title_short | Assessment of depressive symptoms in hospitalized patients with schizophrenia |
| title_sort | assessment of depressive symptoms in hospitalized patients with schizophrenia |
| topic | schizophrénia Depression decompensation acute |
| url | https://www.cambridge.org/core/product/identifier/S0924933822020302/type/journal_article |
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