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ORIGINAL ARTICLE
Year : 2020  |  Volume : 21  |  Issue : 1  |  Page : 43-49

Impact of stressful life events in mood disorders


1 Post-Graduate, Department of Psychiatry, Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation, Vijayawada, Andhra Pradesh, India
2 Assistant Professor, Department of Psychiatry, Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation, Vijayawada, Andhra Pradesh, India
3 Professor and HOD, Department of Psychiatry, Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation, Vijayawada, Andhra Pradesh, India
4 MSc Statistics, Department of Community Medicine, Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation, Vijayawada, Andhra Pradesh, India

Correspondence Address:
Dr. Rayapureddy Satya Krishna Kumar
Department of Psychiatry, Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation, Vijayawada - 521 286, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/AMH.AMH_12_20

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Background: Life events are defined as discrete experiences that disrupt an individual's usual activities, causing a substantial change and readjustment, such as marriage, physical illness or death in the family. A temporal relationship has been established between such stressful life events and the onset and severity of psychiatric illness in many studies. Aims: To assess the impact of stressful life events in patients with mood disorders. Materials and Methods: 70 patients with an established diagnosis of an affective disorder according to ICD-10 were sampled via consecutive sampling. Sociodemographic proforma and HAM-D or YMRS were applied as relevant to rate the severity of illness. Presumptive stressful life events scale (PSLES) was applied to assess for the number and score of stressful life events during the patient's lifetime and the past one year. Results: Stressful life events were found to have a significant contribution to the illness in the context of the socio-demographic background of the subjects. Significant correlation was also seen between severity of illness and stress scores from PSLES with events occurring over lifetime, desirable events and impersonal events eliciting a more severe illness. Conclusion: Life events can behave as acute and ongoing stressors during the course of an illness. Establishing their impact and addressing coping mechanisms should be done to make for a comprehensive management of any patient diagnosed with a mood disorder.


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