Background: As a preventive measure to combat COVID-19 pandemic, India has undergone “lockdown” since March 25, 2020. The pandemic and lockdown can impose a psychological impact in the form of fear, anxiety, stress and insomnia etc. Aims and Objective: The aim of the current study is to assess the magnitude of anxiety, depression, stress and poor sleep quality among the adult population of Kolkata, West Bengal amidst COVID-19 pandemic. Materials and Methods: By this online survey using Google forms, a total of 435 responses were received. The online questionnaire comprises of Socio-demographic characteristics, COVID—19 Anxiety Scale (CAS), Perceived Stress Scale 4 (PSS 4), Patient Health Questionnaire-9 (PHQ 9) and Insomnia Severity Index (ISI). Results: COVID-19 related anxiety were almost similar across age groups, sex, marital and educational status. PSS score was found higher in ≤25 years and >40 years age group, those not currently married, students and homemakers. Patient Health Questionnaire scores were found significantly different across all background characteristics categories except for the level of education whereas Insomnia Severity index Scale scores were found significantly more among subjects not currently married and among subjects who were working from home. Conclusions: The current study provides evidence towards the negative psychological impact of the pandemic and reminds us about the need for widespread psychiatric services during and after pandemic.
YABA, also known as “Nazi speed” is a relatively newer stimulant drug with abusive potential that contains methamphetamine and caffeine in various proportions and mostly available in Bangladesh and its subcontinent and relatively rare in Indian states. Here, we report a case of a 30-year-old male with history of Yaba abuse for the past 4 years currently complaining of withdrawal symptoms palpitation, dry mouth, irritability, and mood symptoms that managed symptomatically and with topiramate tablets to prevent future relapse.
There have been a lot of documented cases of antipsychotic drug induced galactorrhea or non-puerperal lactation and isolated case reports of selective serotonin reuptake inhibitor induced galactorrhea. Here we are reporting a case of amitriptyline, a tricyclic antidepressant induced galactorrhea and complete resolution when the drug was withdrawn. There are other literature documenting antidepressant induced galactorrhea. This literature here is to support and understand the current trends and mechanism as it is different from what we encounter with antipsychotic.
BACKGROUND Somatization is a common problem in primary health care leading to disproportionately heavy demands on health services. Patients with somatoform disorder account for about 20% of the workload in general practice. In somatoform disorder multiple or unexplained physical symptoms cause substantial disability in patients, while their psychiatric distress remains unrecognised and untreated. Studies have shown that good perceived social support improves the well-being of a person and also affects the outcome of treatment in somatoform disorder. Our study aimed at investigating relationship of severity of somatic symptoms and perceived social support in people with somatoform disorder. METHODS This study is a cross-sectional single interview study in a tertiary care centre. All patients attending psychiatry OPD of R. G. Kar Medical College and Hospital, Kolkata, diagnosed with somatoform disorder (ICD-10) fulfilling inclusion and exclusion criteria were included in this study. Total 60 patients were selected. Inclusion criteria include patients aged between 18 to 60 years, both sexes and exclusion criteria include patients with mental retardation, epilepsy, any other neurological disorder and with co-morbid mental disorder. Patient Health Questionnaire-15 (PHQ-15) and Multidimensional scale of perceived social support assessment were used to assess severity of somatic symptoms and perceived social support respectively. Data was then analysed using standard statistical methods. RESULTS Our study revealed that women (93.33%) reported more somatic symptoms than men (6.66%). There was highly significant (p value=0.00) negative correlation (r=-0.76) between social support and severity of somatic symptoms i.e. patients who perceived high acuity of social support were reported to have less severity of somatic symptoms. CONCLUSIONS There exists a significant negative correlation between severity of somatic symptoms and perceived social support in persons with somatoform disorder.
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