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METABOLIC SYNDROME AMONG PSYCHIATRY PATIENTS: A CROSS SECTIONAL STUDY

Tue, 01 Apr 2025 00:00:00 GMT

Title: METABOLIC SYNDROME AMONG PSYCHIATRY PATIENTS: A CROSS SECTIONAL STUDY Authors: G K, Vathsala

PSYCHIATRIC COMORBIDITIES IN SPOUSES OF PATIENTS WITH ALCOHOL DEPENDANCE SYNDROME: A CROSS-SECTIONAL STUDY

Tue, 01 Apr 2025 00:00:00 GMT

Title: PSYCHIATRIC COMORBIDITIES IN SPOUSES OF PATIENTS WITH ALCOHOL DEPENDANCE SYNDROME: A CROSS-SECTIONAL STUDY Authors: EBY YESUDAS

PERSONALITY PROFILE AMONG PATIENTS WITH DELIBERATE SELF HARM IN TERTIARY CARE HOSPITAL: A CROSS SECTIONAL STUDY

Mon, 01 Jul 2024 00:00:00 GMT

Title: PERSONALITY PROFILE AMONG PATIENTS WITH DELIBERATE SELF HARM IN TERTIARY CARE HOSPITAL: A CROSS SECTIONAL STUDY Authors: MASHRU STUTI, JAYANTBHAI Abstract: Background Deliberate self-harm (DSM) refers to an intentional act of causing physical injury to oneself without wanting to die. DSH subjects with any personality disorder have more suicide attempts than those without personality disorder. A psychosocial assessment is an important area to assess DSH. It is important to further explore and better understand the correlates of self-harming behaviours and their outcomes. Although several studies have been conducted on identifying the socioeconomic factors for deliberate self-harm on adolescent populations and their personality disorders, only limited studies are available on general population. Objectives: To determine the personality profile among patients with deliberate self-harm (DSH) and to study the relationship between socio- demographic factors and deliberate self-harm (DSH). Methodology The participants in this analytical cross-sectional study were 193 adult individuals who had a history of DSH and who visited the psychiatric department of RL Jalappa hospital in Kolar between September 2022 and December 2023. The researcher conducted a comprehensive investigation into xiii DSH, gathering detailed accounts from patients and a trusted informant through in-depth interviews. Subsequently, these case studies were deliberated with the psychiatrist in the department. The diagnosis of personality profiles in patients who engage in DSH was determined according to the recommendations provided by the ICD-10 and DSM-V, and the IPDE questionnaire was utilized. Responses were documented and scoring was conducted according to the answers provided. Results The mean age of 193 research subjects was 31.46 ± 9.75 years. Among these samples, 51.3% were female and the occurrence of co-morbidities was noticed among 24.9%. About 70.5% belonged to lower income status, and 68.4% were unmarried. Among the respondents, 51.8% were employed and the remaining 48.2% were unemployed. Around 84.9% came from rural areas while 32.6% completed high school education. Among the study participants, 95.3% belongs to Hindu religion. Among 193 research patients, 57.5% attempted deliberate self-harm without any psychiatric illness while 42.5% attempted deliberate self-harm with the presence of psychiatric illness. Among them 53.4% had a previous history of suicide attempts. Nearly 51.3% have self-reported the presence of stress and the most common reason for this stress was family issues. The most common method of suicide attempts was liquid poison (65.8%), followed by Multiple xiv tablets (14.5%). Among the study participants, substance abuse was noticed among 50.25%. The most common substance abuse was alcohol use in the present study. The most common personality trait in the present study was borderline (24.9%) and it was followed by dependent (21.8%) and impulsive (14%). Cluster B (50.8%) was the most common personality cluster in the present study. Cluster C was noticed among 34.2% of the samples and the remaining 15% was Cluster A group of personality. The factors influencing the personality profile among patients with deliberate self-harm were younger age (18 to 30 years), female gender, lower education (school education), lower income status, unmarried, unemployment, history of suicidal attempts especially with more than 2 attempts, stress, substance abuse, and use of liquid poison for self-harm (p value less than 0.05). Conclusion: Our results are in line with those of other researchers who have found that mental health issues increase the likelihood of suicidal thoughts and behaviours. The assessment of personality traits among DSH patients necessitates additional research in this area using larger numbers of participants.

A STUDY TO EVALUATE THE PREVALENCE OF DEPRESSION AND ANXIETY AND ITS IMPACT ON QUALITY OF LIFE IN CERVICAL CANCER PATIENTS IN A TERTIARY CARE HOSPITAL

Mon, 01 Jul 2024 00:00:00 GMT

Title: A STUDY TO EVALUATE THE PREVALENCE OF DEPRESSION AND ANXIETY AND ITS IMPACT ON QUALITY OF LIFE IN CERVICAL CANCER PATIENTS IN A TERTIARY CARE HOSPITAL Authors: AFRA SHAZ RAHIMULLA Abstract: BACKGROUND AND OBJECTIVE Among women worldwide, cervical cancer is the fourth most common cancer to be diagnosed. In women, it ranks as the fourth most common cause of cancer related mortality. India accounts for 25% of the world’s mortality rate as well. Women who have cervical cancer are more likely to be depressed and anxious. Patients may experience severe adverse effects from the diagnosis and treatment of cervical cancer, which can significantly lower their quality of life. A cancer diagnosis is often accompanied by significant psychological distress. Multiple studies state the burden of psychiatric morbidities is notable in gynaecology clinic setting. Patients who have depression and anxiety concurrently tend to experience more severe symptoms, require longer period for recovery, use more healthcare resources, and generally face worse prognosis compared to individuals with only one of these disorders. Therefore, evaluation of cancer patients should include persons take on the disease, medical, personal and family history of psychiatric co morbidities along with suicidal tendencies. The present mental and physical condition, treatment side effects and their impact on health are crucial factors to consider. Therefore, the main objective of this research is to evaluate the prevalence of anxiety and depression among the subjects with cervical cancer and to investigate relationship between these conditions and quality of life. METHODOLOGY This cross-sectional observational research study was carried out at R.L.Jalappa Hospital, a teaching hospital of Sri Devaraj Urs Medical College, a constituent college of Sri Devaraj Urs Academy of Higher Education and Research. All in-patients diagnosed with cervical cancer meeting study criteria were interviewed and a pretested, semi structured proforma applied for clinical socio demographic xviii | P a g e profile, relevant scales that is HAM-A, HDRS and EORTC QLQ-C30were applied after obtaining informed consent for same. RESULTS Of the 76 patients studied following findings were revealed- 53.8 years was the average age of subjects in this study. Majority of the research subjects were found to be illiterate (71%), daily wage workers (54%), belonging to BPL category (96%) living in a nuclear setup (68%), bearing 1-3 children (62%), married between15-25 years (74%) and diagnosed within timeframe of 4-26 weeks (79%). A large proportion of study subjects (39%) were diagnosed with cervical cancer, stage 3b. Majority of patients were noted to suffer from moderate-severe anxiety (48.7%) as well as moderate depression (39.5%), along with moderate quality of life (67.1%). The HDRS scores correlated with carcinoma stage showed statistical significance (P=0.0001). Stage 3b, 3c, 4a had severe depression compared to 2b. Patients without formal education had better quality of life when compared to literate (P=0.003). Association of QoL and occupation of the patients also showed statistically significant results (P=0.0079) revealing employed participants to have better QoL compared to unemployed. Correlation of degree of anxiety and depression resulted in P=< 0.01which was significant, likewise was correlation of QoL and level of anxiety (P=0.0048). The association of life quality and depression levels also showed significance (P=0.0002) CONCLUSION This research highlights anxiety and depression prevalence women with carcinoma cervix with moderate quality of life. Cervical cancer is easily treatable if diagnosed early but the burden worsens with coexisting psychiatric morbidities which also impacts the compliance of treatment, mortality and prognosis of the cancer. This study throws light on the need for comprehensive approach to treatment of cervical cancer patients by addressing their mental health and necessary intervention to improve overall outcome in individuals afflicted with cancer of cervix.