European Journal of Cardiovascular Medicine

Hansen's disease, caused by the bacteria Mycobacterium leprae, is a chronic illness that poses various challenges to affected individuals. This study aimed to assess the prevalence and types of psychiatric illnesses among leprosy patients receiving care at a tertiary health care facility in Odisha, while also examining the association between these conditions and sociodemographic and clinical factors. Methodology: A cohort of 100 leprosy patients aged 18 to 60, diagnosed and seeking treatment at the Fakhir Mohan Medical College and Hospital, Balasore, was enrolled in the study. Mental health evaluations were conducted using a specifically designed pro-forma based on the ICD-10 Mental Illness Checklist. Result: Our findings revealed that 34% of leprosy patients exhibited co-existing mental disorders. Depression emerged as the most prevalent mental illness, closely followed by anxiety. Notably, urban residents exhibited a lower prevalence of mental illness compared to their semiurban and rural counterparts. Among leprosy patients, psychiatric issues were more common in the older adult group (51–60 years), with women being more susceptible to mental health challenges than men. Additionally, patients with the lepromatous stage of leprosy demonstrated a higher likelihood of experiencing mental disorders. Conclusion: In our study underscores the significant occurrence of serious mental co-morbidities, particularly depression and anxiety, among leprosy patients. Beyond impacting patient well-being, psychiatric co-morbidities also exert a detrimental influence on prognosis and overall morbidity. Timely diagnosis and intervention for these mental health conditions can play a crucial role in improving patient outcomes.