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Go Back       Himalayan Journal of Medicine and Surgery | Volume:4 Issue:5 | Sept. 10, 2023
61 Downloads179 Views

DOI : 10.47310/Hjms.2023.v04i05.012       Download PDF       HTML       XML


Prevalence of Major Depressive Disorder Among Postmenopausal Iraqi women with Osteoporosis


Sura Kasim Abbas1 and Noura Sabah Mahdi2

1Ibn Sina training hospital, Ministry of Health, Baghdad, Iraq

1Al Karkh General Hospital, Baghdad Health Directorate - Al-Karkh, Baghdad, Iraq


*Corresponding Author

Sura Kasim Abbas


Article History

Received: 10.10.2023

Revision: 15.10.2023

Accepted: 20.10.2023

Published: 28.10.2023



Abstract: Background: Osteoporosis is a pathological condition characterised by a decrease in bone mineral density, resulting in an elevated vulnerability to fractures. Major depressive disorder (MDD) is a highly widespread mental condition that is characterised by symptoms such as anhedonia, sleep abnormalities and depressive mood. They consider chronic disease as they have a great impact on life quality, mortality, and morbidity. In fact, few studies were conducted on the association between depression and low BMD. Objectives: The objective of this research was to determine the prevalence of major depressive illness in postmenopausal Iraqi women diagnosed with osteoporosis, and its relationship with osteoporotic vertebral fracture and other mild stress fractures. Patients and methods: The present study was a cross-sectional investigation that included a sample of 100 post-menopausal women from Iraq who had been diagnosed with osteoporosis based on the categorization criteria established by the World Health Organisation (WHO) for osteopenia and osteoporosis. Lateral view x-rays of the thoracolumbar spine were conducted on a cohort of female individuals, with the objective of evaluating osteoporotic vertebral fractures. The semi-quantitative technique was employed for this assessment. The female participants underwent screening for major depressive disorder utilising the diagnostic criteria for depression outlined in the DSM5. Additionally, the intensity of their depressed symptoms was evaluated using the Beck Depression Inventory scale, specifically the Arabic version. Results: The present study reveals that 18% of postmenopausal Iraqi women with osteoporosis had a major depressive disorder. There is no statistically significant association between major depressive disorder and bone mineral density (p≥0.05). However, a statistically significant association (p=0.01) has been observed between osteoporotic vertebral fracture and major depressive disorder, when compared to a previous history of other types of low trauma fractures or no fractures. Conclusions: The present study reveals that 18% of postmenopausal Iraqi women with osteoporosis had a major depressive disorder with statistically significant association with osteoporotic vertebral fracture.


Keywords: Osteoporosis, Postmenopausal, Depressive, fractures


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