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Objective: To assess the rate of anxiety and depression in the patients suffering from various medical diseases. Design: Cross sectional study. Palace and Duration of Study: The study was conducted in District Headquarter Hospital and Allied Hospital, Faisalabad from 2005 to 2007. Subjects and Methods: Participants were inducted in the study through purposive convenient sampling technique. 339 patients of cardiac, cancer, hepatic, and dermatological diseases from both the above mentioned hospitals participated in this study. Co morbidity of psychiatric disorders was screened out with the help of DSM IV TR's criteria for depression and generalized anxiety. Results: Anxiety (n=32, 9.43%) was the major diagnosis in age group 40 - 49 and depression (n=31, 9.14%) in age group 50 - 59. All the diagnosis i.e., anxiety (n=30, 8.84%), depression (n=51, 15.04%) and both anxiety and depression (n=25, 7.37%) were common in illiterate patients. Anxiety (n=37, 10.91%) and depression (n=57, 16.81%) was found more in housewives. All the diagnosis i.e., anxiety (n=77, 22.71%), depression (n=93, 27.43%) and both anxiety and depression (n=45, 13.27%) were common in married patients. Anxiety (n=54, 15.92%) was common in hepatic patients and cardiac patients were having highest share of depression (n=51, 15.04%) and both anxiety and depression (n=32, 9.43%). Conclusion: Most cardiac patients were depressed; most heaptic patinets were anxious; almost half of cancer patients were both anxious and depressed; while majority of dermatological patients were having no psychiatric illness. [ABSTRACT FROM AUTHOR]

OBJECTIVE The objective of study is to assess the severity of Depression in patients with Diabetes Mellitus (DM) Type II, and to compare the severity of Depression among those using insulin versus oral hypoglycemic medications. DESIGN Cross sectional study SETTING Outpatient department of District Headquarters Hospital, Faisalabad METHODS 70 patients (Males: 57% and Females: 43%) with diagnosis of Diabetes Mellitus type II were recruited. 50 % of the patients were taking insulin and the other 50% oral hypoglycemic agents as part of their treatment regimen. Patients were interviewed according to ICD-10 criteria of Depression to establish the diagnosis as well as severity of Depression. RESULTS According to ICD-10 criteria, Depression was present among 53% of the patients. The severity of Depression was: mild in 20% of the surveyed population, moderate in 23% and severe in 10% of subjects. Among the 35 patients on insulin, 31% had Depression with severity of mild (9%), moderate (11%) and severe (11%) intensity. Among 35 patients on oral hypoglycemic medications, 74% were depressed with severity of mild (31%), moderate (34%), and severe (9%) intensity. CONCLUSIONS The frequency of depression is high among patients with Diabetes Mellitus type II. Patients with DM type II, who were on oral hypoglycemic medications, found to be at a higher risk of developing Depression as compared to patients on insulin (P value<.001). [ABSTRACT FROM AUTHOR]