Skip to main content

Advertisement

Log in

Psychosocial morbidity in Cushing disease: a study from India

  • Case Report
  • Published:
Endocrine Aims and scope Submit manuscript

Abstract

The main objective of this article is to study the psychosocial profile of patients of Cushing disease (CD) in a developing country setting. Eighteen patients with CD underwent a cross-sectional assessment regarding their socio-demographic and clinical profile, life events, social support, coping, dysfunction, quality of life, and psychiatric morbidity. Twenty-two demographically group-matched healthy participants (free from psychological morbidity) acted as the control group. The CD group had predominance of females (71.5%) with mean age at onset of 20.38 (range 8–38) years, and mean duration of illness of 65.33 (range 4–260) months. Six subjects (i.e., GHQ positive group) scored positive on the General Health Questionnaire-12 giving a psychological morbidity rate of 33.33%, with one having an ICD-10 diagnosis. There was no difference between GHQ positive and GHQ negative groups on number of life events, social support, quality of life and dysfunction. However, GHQ positive group used significantly more of internalizing coping strategies. Psychological morbidity occurs in a significant percentage of patients with CD. Presence of psychological morbidity is associated with internalizing coping strategies.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. C. Tsigos, G.P. Chrousos, Ann. Rev Med. 47, 443–461 (1996)

    Article  CAS  PubMed  Google Scholar 

  2. J.A. Yanovski, G.B. Cutler Jr., Endocrinol. Metab. Clin. North Am. 23, 487–509 (1994)

    CAS  PubMed  Google Scholar 

  3. P.M. Gotch, Endocrinol Metab. Clin. North Am. 23, 607–617 (1994)

    CAS  PubMed  Google Scholar 

  4. M. Starkman, D. Schteingart, Arch. Intern. Med. 141, 215–219 (1981)

    Article  CAS  PubMed  Google Scholar 

  5. L. Pikkarainen, T. Sane, A. Reunanen, J Internal Med. 245, 463–468 (1999)

    Article  CAS  PubMed  Google Scholar 

  6. M. Mauri, E. Sinoforiani, G. Bono, F. Vignati, M.E. Berselli, R. Attanasio et al., Acta Neurol. Scand. 87, 52–55 (1993)

    Article  CAS  PubMed  Google Scholar 

  7. L.D. Dorn, E.S. Burgess, B. Dubbert, S.E. Simpson, T. Friedman, M. Kling, P.W. Gold, G.P. Chrousos, Clin Endocrinol. 43, 433–442 (1995)

    Article  CAS  Google Scholar 

  8. R.G. Kathol, J.W. Delahunt, L. Hannah, J. Clin. Psychiatry 46, 194–196 (1985)

    CAS  PubMed  Google Scholar 

  9. D. Hirsch, G. Orr, V. Kantarovich, H. Hermesh, E. Stern, I. Blum, Isr. J. Psychiatry Relat. Sci. 37, 46–50 (2000)

    CAS  PubMed  Google Scholar 

  10. H.M. Burke, L.C. Fernald, P.J. Gertler, N.E. Adler, Psychosom. Med. 67, 211–216 (2005)

    Article  CAS  PubMed  Google Scholar 

  11. D.E. Polk, S. Cohen, W.J. Doyle, D.P. Skoner, C. Kirschbaum, Psychoneuroendocrinology 30, 261–272 (2005)

    Article  CAS  PubMed  Google Scholar 

  12. J.W. Stewart, F.M. Quitkin, P.J. McGrath, D.F. Klein, J. Affect Disord. 86, 161–167 (2005)

    Article  CAS  PubMed  Google Scholar 

  13. M.O. van Aken, A.M. Pereira, N.R. Biermasz, S.W. van Thiel, H.C. Hoftijzer, J.W. Smit et al., J. Clin. Endocrinol. Metab. 90, 3279–3286 (2005)

    Article  PubMed  Google Scholar 

  14. Y. Sharma, S.K. Mattoo, P. Kulhara, S.C. Sharma, P. Sharan, German J. Psychiatry 6, 40–48 (2003)

    Google Scholar 

  15. D. Pershad, S.K. Verma, S. Malhotra, A. Malhotra, Measurement of Dysfunction and Dysfunction Analysis Questionnaire (National Psychological Corporation, Agra, 1985)

  16. S. Saxena, K. Chandramani, R. Bhargava, Natl. Med. J. Ind. 11, 160–166 (1998)

    CAS  Google Scholar 

  17. S.M. Skevington, M. Lotfy, K.A. O’Connell, WHOQOL Group, A report from the WHOQOL group. Qual. Life Res. 13, 299–310 (2004)

    Article  CAS  PubMed  Google Scholar 

  18. C.L. Cooper, E.B. Faragher, Psychol. Med. 22, 447–455 (1992)

    Article  CAS  PubMed  Google Scholar 

  19. G. Singh, D. Kour, H. Kour, Ind. J. Psychiatry 26, 107–114 (1984)

    Google Scholar 

  20. T.H. Holmes, R.H. Rahe, J. Psychosom. Res. 11, 213–218 (1967)

    Article  CAS  PubMed  Google Scholar 

  21. R. Nehra, P. Kulhara, S.K. Verma, Ind. J. Clin. Psychol. 23, 33–39 (1996)

    Google Scholar 

  22. L. Pollock, R. Harris, Psychol. Rep. 53, 446 (1983)

    Google Scholar 

  23. S.K. Chaturvedi, G. Singh, N. Gupta, Dermatol. Clin. 23, 635–642 (2005)

    Article  CAS  PubMed  Google Scholar 

  24. D. Goldberg, The Detection of Psychiatric Illness by Questionnaire, Maudsley Monograph No. 21 (Oxford University Press, London, 1972)

  25. S. Gautam, M. Nijhawan, P. Kamal, Ind. J. Psychiatry 29, 63–66 (1987)

    Google Scholar 

  26. K.S. Jacob, D. Bhugra, A.H. Mann, Ind. J. Psychiatry 39, 196–199 (1997)

    Google Scholar 

  27. S.K. Mattoo, S. Handa, I. Kaur, N. Gupta, R. Malhotra, J. Dermatol. 28, 424–432 (2001)

    CAS  PubMed  Google Scholar 

  28. S.K. Mattoo, S. Handa, I. Kaur, N. Gupta, R. Malhotra, J. Eur. Acad. Dermatol. Venereol. 16, 573–578 (2002)

    Article  CAS  PubMed  Google Scholar 

  29. S.K. Mattoo, S. Handa, I. Kaur, N. Gupta, R. Malhotra, German J. Psychiatry 8, 17–22 (2005)

    Google Scholar 

  30. A. Cano, R.P. Sprafkin, D.J. Scaturo, L.J. Lantinga, B.H. Fiese, F. Brand, Prim. Care Companion J. Clin. Psychiatry 3, 206–210 (2001)

    Article  PubMed  Google Scholar 

  31. M. Åsberg, S.A. Montgomery, C. Perris, D. Schalling, G. Sedvall, Acta Psychiatr. Scand. 271(Suppl), 5–28 (1978)

    Article  Google Scholar 

  32. E.W. Martinsen, S. Friis, A. Hoffait, Acta Psychiatr. Scand. 80, 492–498 (1989)

    Article  CAS  PubMed  Google Scholar 

  33. S.A. Montgomery, M. Åsberg, Br. J. Psychiatry. 134, 382–389 (1979)

    Article  CAS  PubMed  Google Scholar 

  34. World Health Organization, The International Classification of Diseases-10th revision (World Health Organization, Geneva, 1992)

  35. A. Mahal, A.S. Yazbeck, D.H. Peters, G.N.V. Ramana, The International Bank for Reconstruction and Development (The World Bank, Washington, DC, 2001)

  36. S. Gifford, J.G. Gunderson, Medicine 49, 397–409 (1970)

    Article  CAS  PubMed  Google Scholar 

  37. S.I. Cohen, Br. J. Psychiatry 136, 20–124 (1980)

    Google Scholar 

  38. N. Sonino, G.A. Fava, S. Grandi, F. Mantero, M. Boscaro, Clin. Endocrinol. (Oxf) 29, 617–623 (1988)

    Article  CAS  Google Scholar 

  39. N. Sonino, G.A. Fava, M. Boscaro, Clin. Endocrinol. (Oxf) 38, 261–264 (1993)

    Article  CAS  Google Scholar 

  40. E.S. Paykel, Psychol. Med. 27, 301–310 (1997)

    Article  CAS  PubMed  Google Scholar 

  41. M.T. Hawn, D. Cook, C. Deveney, B.C. Sheppard, Surgery 132, 1064–1068 (2002)

    Article  PubMed  Google Scholar 

  42. S.K. Nagesser, A.P. van Seters, J. Kievit, J. Hermans, H.M. Krans, C.J. van de Velde, World J. Surg. 24, 108–113 (2000)

    Article  CAS  PubMed  Google Scholar 

  43. J. Lindholm, S. Juul, J.O. Jorgensen, J. Astrup, P. Bjerre, U. Feldt-Rasmussen et al., J. Clin. Endocrinol. Metab. 86, 117–123 (2001)

    Article  CAS  PubMed  Google Scholar 

  44. R.F. Haskett, Am. J. Psychiatry 142, 911–916 (1985)

    CAS  PubMed  Google Scholar 

  45. F.A. Whitlock, Symptomatic Affective Disorders (Academic Press, Sydney, 1982)

  46. J.I. Hudson, M.S. Hudson, G.T. Griffing, J.C. Melby, H.G. Pope, Am. J. Psychiatry 144, 951–953 (1987)

    CAS  PubMed  Google Scholar 

  47. O.M. Wolkowitz, V.I. Reus, T. Chan, F. Manfredi, W. Raum, R. Johnson, J. Canick, Biol. Psychiatry 45, 1070–1074 (1999)

    Article  CAS  PubMed  Google Scholar 

  48. N. Sonino, G.A. Fava, Prog. Neuropsychopharmacol. Biol. Psychiatry 26, 1011–1018 (2002)

    Article  PubMed  Google Scholar 

Download references

Acknowledgment

The Research was funded by a Research Grant from the Postgraduate Institute of Medical Education and Research, Chandigarh.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Surendra Kumar Mattoo.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Mattoo, S.K., Bhansali, A.K., Gupta, N. et al. Psychosocial morbidity in Cushing disease: a study from India. Endocr 35, 306–311 (2009). https://doi.org/10.1007/s12020-009-9182-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12020-009-9182-2

Keywords

Navigation