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CONTEXT: Elder abuse has devastating consequences such as poor quality of life, psychological distress and loss of property and security. Abuse of elderly patients with depression has not been adequately researched in India. AIMS: To explore the prevalence and predictors of abuse and its relation to various sociodemographic variables in elderly patients with depression. SETTINGS AND DESIGN: A cross-sectional, observational study carried out at a tertiary care centre in Jamnagar. METHODS AND MATERIALS: In all, 100 elderly patients with depression, attending Out Patient Department of Psychiatry at Shree M. P. Shah Government Medical College and Guru Gobind Singh Hospital, Jamnagar, were selected using simple random sampling by lottery method. Actual Abuse Tool and Elder Abuse Suspicion Index were used to detect abuse. Geriatric Depression Scale was used to assess depression, and Mini Mental State Examination was used to rule out dementia. STATISTICAL ANALYSIS: Descriptive statistics, Chi-square test, and binary logistic regression were used. RESULTS: The prevalence of abuse was 24%. Among those who had experienced abuse, 50% had experienced psychological abuse, 17% had experienced neglect, 8% had experienced exploitation and 4% had experienced physical abuse. About 54% of patients with severe depression had experienced abuse. Daughters-in-law (54%) and sons (42%) were the most common perpetrators. Illiteracy and severe depression were found to be the predictors of abuse.
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OBJECTIVE: To study the association of panic disorder with severity of anxiety symptoms and quality of life among individuals presenting with headache. METHODS: This was a single-centre, cross-sectional, observational, questionnaire-based study performed at the psychiatry outpatient department of a tertiary care hospital. Participants of both genders, aged between 18 and 60 years, and having headache as a presenting complaint for at least 3 months were evaluated for symptoms of panic disorder. The severity of headache was evaluated with the visual analogue scale and that of anxiety disorder with the Hamilton Anxiety Rating Scale (HAM-A). The quality of life was evaluated with the World Health Organization Quality of Life Scale brief version. Proportions of participants were compared using Chi-square test, and scores by Mann-Whitney test or Kruskal-Wallis test followed by Dunn's post-hoc multiple comparisons. RESULTS: The frequency of panic disorder among patients with headache was 67%. Those with daily headache and panic disorder (with or without agoraphobia) showed higher HAM-A score and poorer quality of life than those with intermittent headache and without panic disorder, respectively. CONCLUSIONS: Co-morbid panic disorder among patients with headache was associated with high anxiety score and poor quality of life.