Evidence map›Paper›PMID 41328118›Full record

ArticleCureus2025

Assessment of Psychological Comorbidities Among Noncommunicable Disease Patients in Rural and Urban Areas of a District in Northern India: A Community-Based Cross-Sectional Study.

Adarsh Maurya, Akansha Bansal, Urvashi Mavi, Pankaj K Jain, Dhiraj K Srivastava, Arun K Mishra, Anshul Kumar, Sushil K Shukla

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Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Adarsh MauryaCommunity Medicine, Uttar Pradesh University of Medical Sciences, Etawah, IND.
Akansha BansalCommunity Medicine, Uttar Pradesh University of Medical Sciences, Etawah, IND.
Urvashi MaviCommunity Medicine, Uttar Pradesh University of Medical Sciences, Etawah, IND.
Pankaj K JainCommunity Medicine, Uttar Pradesh University of Medical Sciences, Etawah, IND.
Dhiraj K SrivastavaPreventive Medicine, Uttar Pradesh University of Medical Sciences, Etawah, IND.
Arun K MishraPsychiatry, Uttar Pradesh University of Medical Sciences, Etawah, IND.
Anshul KumarCommunity Medicine, Uttar Pradesh University of Medical Sciences, Etawah, IND.
Sushil K ShuklaCommunity Medicine, Uttar Pradesh University of Medical Sciences, Etawah, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPsychiatric comorbidities such as depression, anxiety, and stress are two to threefold higher among patients with noncommunicable diseases (NCDs). These comorbidities are common in individuals with chronic NCDs and are linked to increased mortality and poorer health outcomes. Psychiatric disorders in patients with physical ailments are more likely to be associated with poor lifestyle choices and noncompliance with therapy, greater treatment costs, poor quality of life, deteriorating physical health, absenteeism from work, more hospitalizations, poor self-care, and increased mortality. AIM AND

objectivesThis article aims to assess psychological comorbidities among patients with noncommunicable diseases in rural and urban areas of Etawah, a district in northern India. MATERIALS AND

methodsA community-based cross-sectional study was conducted in both rural and urban areas of Etawah between October 2022 and March 2024. The study included 600 adults aged 18 years and above, of either gender, with one or more noncommunicable diseases. Participants were recruited through a multistage random sampling process. The study subjects were assessed using Patient Health Questionnaires (PHQs) for psychological comorbidities. The university's ethical committee granted approval before the start of the study. IBM SPSS Statistics for Windows, Version 24 (Released 2016; IBM Corp., Armonk, New York), was used for statistical analysis after the data from the selected study units were entered into the SPSS spreadsheet.

resultsOf the 600 study subjects, 306 had at least one psychological comorbidity, accounting for a total prevalence of 51.0%. The prevalence was higher in the urban areas (55.3%) compared with the rural areas (46.7%), with a statistically significant difference (p = 0.034). Stress was the most common psychological comorbidity (50.0%), while anxiety and depression were present in 7.2% and 8.5% of study subjects, respectively.

conclusionThere was a much higher burden of psychological comorbidities, mainly stress, affecting more than half of the study subjects. In comparison, anxiety and depression were observed more frequently among patients with cardiovascular diseases (CVDs), chronic kidney diseases (CKDs), and cancers. The burden of psychological comorbidities was significantly higher in urban areas than in rural ones. Therefore, more research is required to evaluate the factors that predict psychological comorbidities among NCD patients in rural and urban areas to alleviate the burden.

Indexed as

anxietydepressionnon-communicable diseasepsychological comorbiditiesruralstressurban

Identifiers

PMID41328118
PMCPMC12664937

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