A Study of Psychological Morbidity and Quality of Life in Patients with Sexually Transmitted Infections

Abstract Background: Sexually transmitted infections (STIs) significantly impact public health, contributing to morbidity, mortality, and socioeconomic challenges. There is a lack of knowledge and awareness regarding the psychosocial effects of STIs, such as stigma, social isolation, and psychological distress, especially in the North India region. Therefore, this study aims to examine the psychological morbidity and quality of life (QOL) in STI patients to provide an understanding of complete care. Methodology: Over a duration of 6 months, 70 patients with clinically confirmed STIs who were over the age of 18 participated in cross-sectional observational research at Dr. RMLIMS in Lucknow. The General Health Questionnaire-12 (GHQ-12) was used to evaluate participants for psychological morbidity; answers ≥12 suggested further assessment based on DSM-V criteria. Using the HAM-D: Hamilton Depression Rating Scale HAM-A: Hamilton Anxiety Rating Scale measures, major depression and anxiety disorders were evaluated. By applying the Dermatology Life Quality Index (DLQI), QOL assessed. Results: The average age of participants was 33.14 ± 5.88 years, with 91.43% male and 71.43% married. Around 57.14% of participants scored 12 or higher, suggesting the presence of a psychological disorder. Mean HAM-D and HAM-A scores indicated moderate depression and anxiety. QOL was significantly impaired, with a DLQI score >10, indicating a large to extremely large impact. Common symptoms included urethral discharge (31.43%), cutaneous lesions (60%), and genital ulcers (2.86%). Conclusion: Due to the high prevalence of psychological morbidity and reduced QOL in STI patients, integrated medical and psychological therapy is essential. To improve patient outcomes and QOL, screening for mental health conditions and addressing stigma should be essential components of STI care procedures. Further research is needed to tailor interventions and support systems.