Browsing by Author "Stojanović-Tasić, Mirjana (56301524700)"

Aim: To investigate the relationship between somatic health problems and comorbid condition of anxiety and depression. Methods: The cross-sectional study in a population of 2,000 students of the Belgrade University (four schools: Medicine, Geography, Economics, Electrical Engineering) during the period April - June 2010 was conducted. The students were randomly selected. The main instrument for data collection was a standardized epidemiological questionnaire, designed at the Institute of Epidemiology, School of Medicine in Belgrade. Results: According to the Hamilton Depression Scale (HAMD), correlation was found between the following somatic diseases and depression: diabetes (p=0.003), hypertension (p=0.007), heart disease (p=0.001), chronic bronchitis (p=0.033), neurological diseases (p=0.013), and gastric or duodenal ulcer (p=0.003). According to the Hamilton Anxiety Scale (HAMA) a correlation was found between the following somatic diseases and anxiety: diabetes (p=0.020), hypertension (p<0.001), heart disease (p=0.000), chronic bronchitis (p=0.037), bronchial asthma (p=0.049), gastric or duodenal ulcer (p=0.003). Conclusion: Depression and anxiety are common in persons with somatic diseases and have a significant association with physical health. This has considerable implications for somatic diseases management and clinical guidelines.

Introduction/Objective Higher rates of morbidity and mortality from the infection of COVID-19 have been recorded among people with mental disorders, especially among those suffering from severe forms, so they should be prioritized during vaccination campaigns. The aim of this study was to examine possible predictors of acceptance of vaccination against COVID-19 in patients with mental disorders. Methods This retrospective study was conducted from January 2021 until January 2022 and included 458 patients with mental disorders treated at the Dr Laza Lazarević Clinic for Mental Disorders in Belgrade, Serbia. Patients were segregated into the vaccinated and the unvaccinated group depending on their vaccination status. A questionnaire developed specifically for the present study was administered to gather the participants’ sociodemographic characteristics, while data related to their mental disorders, COVID-19 infection, and comorbidities was obtained from their medical records. Results Eighty percent of the vaccinated group opted for the Sinopharm vaccine. Significantly higher percentage of vaccinated patients was hospitalized during the study period and had comorbidities compared to the unvaccinated group (51.4% vs. 32.6% and 52.8% vs. 37.5%, respectively). Education level, employment status, marital status, diagnostic category, and comorbidities were statistically significant predictors of COVID-19 vaccination uptake among people with mental disorders. Conclusion Our findings show that higher level of education, greater trust in the healthcare system, and knowledge of the available vaccination points significantly contribute to the vaccination uptake in this vulnerable population group. © 2024, Serbia Medical Society. All rights reserved.

Background/Aim. The assessment of association of depression and diabetes mellitus type 2 using the Patient Health Questionaire (PHQ-9) has not been done in Montenegro. The aim of this study was to assess the prevalence of depression in the patients with type 2 diabetes mellitus, and to identify the risk factors associated with the presence of depression. Methods. A cross-sectional study was conducted at the General Hospital in Bijelo Polje, from July to September, 2015. It included 70 patients over 35 years of age with the diagnosis of diabetes for at least six months. For the assessment of depression presence and intensity PHQ–9 was used. All variables associated with the presence of depression at a significance level of p < 0.05 were included into the final method of the multivariate logistic regression analysis. Results. Comorbidities were statistically significant more frequent among patients with depression (χ2 = 5.40; p = 0.020). Duration of diabetes over five years was significantly associated with depression (χ2 = 12.48; p < 0.001). Depression occurred more frequently among physically inactive subjects (χ2 = 10.74; p = 0.005). The presence of diabetic polyneuropathy (χ2 = 6.04; p = 0.014) and cataract (χ2 = 5.351; p = 0.021) were also significantly associated with depression. A multivariate logistic regression analysis showed that the duration of diabetes over five years and presence of cataract were independently associated with depression. Conclusion. The risk factors for depression among the subjects with diabetes were disease duration more than five years and the presence of cataract. Since depression is a serious disease and can be a risk factor for many chronic diseases, the best way of prevention is its early detection and treatment. © 2019 Inst. Sci. inf., Univ. Defence in Belgrade. All rights reserved.

Introduction/Objective The prevalence of depression in primary care is relatively high. The aim of the study was to assess the frequency of depression among patients in Zvezdara Primary Health Care Center in Belgrade. We also examined the relationship between depression and individual risk factors (socio-demographics, lifestyle characteristics, and health-related factors). Methods A cross-sectional study, which included 422 adult patients, under 65 years of age, was con-ducted at the Zvezdara Primary Health Care Centre in Belgrade, Serbia, during January of 2018. The instrument used was Patient Health Questionnaire-9 (cut-off score ≥10). Multivariate logistic regression analysis was applied. Results Depression, at least of moderate intensity, was found in 36%of the respondents. Around 1.4% of the participants confirmed suicidal thoughts almost every day during the previous two weeks. The logistic regression model showed the association with depression and being married (OR: 0.24, 95% CI: 0.13–0.44), single (OR: 0.43, 95% CI: 0,22–0.83), unemployment (OR: 3.83, 95% CI: 1.51–9.76), lifetime contact with mental health services (OR: 3.79, 95% CI: 2.19–6.57), and regular treatment for chronic illnesses (OR: 3.22, 95% CI: 1.94–5.34). Conclusion This study found a relatively high prevalence of depression among patients in the primary health care center. We found an association between depression and marital status, employment, previous contact with mental health services, and regular treatment for chronic illnesses. The Patient Health Questionnaire-9 instrument could be implemented in primary health care settings in Serbia. © 2020, Serbia Medical Society. All rights reserved.