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Understanding masked depression: A Clinical scenario.

Prasad Shetty1, Akshata Mane1, Sourabh Fulmali1

  • 1Pfizer Ltd (Medical), Mumbai, Maharashtra, India.

Indian Journal of Psychiatry
|May 9, 2018
PubMed
Summary
This summary is machine-generated.

Masked depression, characterized by physical symptoms, is frequently misdiagnosed. This study surveyed doctors, revealing agreement on somatic symptoms but a need for better recognition and management, especially by non-psychiatrists.

Keywords:
Masked depressionmedical liaisingmisdiagnosisnonpsychiatristspsychiatristssomatic symptoms

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Area of Science:

  • Psychiatry
  • General Medicine
  • Mental Health Research

Background:

  • Masked depression often presents with somatic symptoms, leading to misdiagnosis.
  • Lack of physician awareness further complicates the identification of masked depression.

Purpose of the Study:

  • To survey psychiatrists and non-psychiatrists on masked depression presentation and management.
  • To aid in early identification and appropriate treatment of masked depression.

Main Methods:

  • A computer-aided telephonic interview survey was conducted.
  • 300 doctors (150 psychiatrists, 150 non-psychiatrists) across India participated.

Main Results:

  • High prevalence of somatic symptoms in masked depression reported by both groups.
  • Non-psychiatrists more frequently observed chronic pain (44%) vs. psychiatrists (20%).
  • Psychiatrists more frequently observed lack of concentration (31%) vs. non-psychiatrists (9%).
  • Sexual dysfunction and noncompliance to chronic illness therapy identified as potential predictors.
  • Medical liaising deemed beneficial for management by both groups.

Conclusions:

  • Agreement exists that somatic symptoms are common in masked depression.
  • Somatic symptoms are often mistaken for physical illness, creating a management gap.
  • There is an unmet need for improved masked depression management, particularly among non-psychiatrists.