Sandeep Grover1, Ajit Avasthi1, Sunil Gupta2, Amitava Dan3, Rajarshi Neogi4, Prakash B Behere5, Bhavesh Lakdawala6, Adarsh Tripathi7, Kaustav Chakraborty8, Vishal Sinha9, Manjeet Singh Bhatia10, Amrit Pattojoshi11, T S S Rao12, Abhijit Rozatkar13. 1. Post Graduate Institute of Medical Education and Research, Chandigarh, India. 2. 2-NIMS Medical College & Hospital, Jaipur, India. 3. Calcutta National Medical College (CNMC), Kolkata, India. 4. Medical College and Hospital (MCH), Kolkata, India. 5. Jawaharlal Nehru Medical College, Wardha, India. 6. B J Medical College & Civil hospital, Ahmedabad, India. 7. King George Medical University, Lucknow, India. 8. College of Medicine & J N M Hospital, West Bengal University of Health Sciences (WBUHS), Kalyani, India. 9. S N Medical College, Agra, India. 10. UCMS & GTB hospital, New Delhi, India. 11. Hitech Medical College, Bhubaneswar, India. 12. J S S Medical College, Mysore, India. 13. SHKM Government Medical College, Mewat, India.
Abstract
INTRODUCTION: 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. AIM: 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. MAIN OUTCOME MEASURES: 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. CONCLUSION: Comorbid sexual dysfunction is seen in half of the cases of Dhat syndrome, and it is more common than comorbid depressive and anxiety disorders.
INTRODUCTION: 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. AIM: 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. MAIN OUTCOME MEASURES: 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. CONCLUSION: 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: Mathilde Salmon; Jordan Sibeoni; Aurélie Harf; Marie Rose Moro; Maude Ludot-Grégoire Journal: Front Psychiatry Date: 2022-07-25 Impact factor: 5.435