Study of comorbid psychiatric diagnoses in premature ejaculation and erectile dysfunction

Objective: To study prevalence of comorbid psychiatric diagnoses in cases with either premature ejaculation (PME) and/or erectile dysfunction (ED) among adult males visiting a tertiary care hospital. Design: This cross-sectional study was conducted in the outpatient department of Department of Psychiatry, Government Medical College, Latur, Maharashtra, India over a period of two years from 2015 to 2017. Materials and methods: Ninety five male patients with either PME and/or ED were recruited from a pool of patients presenting with sexual complaints and were interviewed. Sociodemographic data was collected on semi-structured proforma designed for the study. The tenth revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10) criteria were applied to establish psychiatric diagnoses. Results: The mean age of the sample was 35.17 years and 70.52% were married. Out of the total patients participating in the study (PME=34, ED=44, both=17), 41 (43.15%) patients were found to have the diagnosis of anxiety disorders and 23 (24.21%) with depression. Conclusion: Depression and anxiety affect a significant group of men with sexual dysfunction. Men presenting for the evaluation of PME and ED should be carefully screened for these disorders. These findings merit further investigation on its aetiological, epidemiological, and psychopathological correlates

Does resilience affect illness perception and well-being in the elderly?

Background: Increased life expectancy has increased many chronic illnesses in the elderly population, adding a phase of life affecting resilience, well-being, and perception of illness. Aims and Objectives: To assess resilience, well-being, and illness perception in the elderly and study the relation among them. Materials and Methods: A population of 90 (30 from the psycho-geriatric OPD, 30 from medical geriatric OPD and 30 normal elderly, accompanying patients in psycho geriatric OPD) patients age 60 years or more were taken, at a tertiary care center. Geriatric depression scale was applied and score 7 and fulfilling diagnostic and statistical manual-IV TR criteria were taken in depression group. Semi-structured proforma and scales (Connor Davidson resilience scale, Warwick Edinberg mental well-being scale, and brief illness perception scale) were applied, and statistical analysis was done using Statistical Package for the Social Sciences. Results: Results demonstrated resilience (P < 0.001) significantly differed in the three groups. Resilience was higher in normal (P < 0.001) than rheumatoid arthritis, which is higher (P < 0.02) than depression group. Well-being also significantly differ in all three group (P < 0.001), higher in normal elderly (P < 0.001) than affected elderly. We found strong positive correlation between resilience and well-being. Conclusion: Resilience is higher in those with a higher hardiness, optimism, purpose of life, and resourcefulness. Well-being gets significantly affected with mental and physical illness