Background: Prevalence of anxiety, depression and post traumatic stress disorder is high after earthquake. The aim of the study is to study the prevalence and comorbidity of commonly occurring psychological symptoms in people exposed to Nepal mega earthquake in 2015 after a year of the event.Methods: A community based, cross sectional, descriptive study was carried out in Bhumlichaur area of Gorkha district, Nepal after around 14 months of the first major earthquake. We used self-reporting questionnaire 20, Posttraumatic stress disorder 8 and hospital anxiety and depression scale to screen for presence of symptoms of anxiety and depression or post-traumatic stress disorder in this population. The risk of having these disorders according to different socio-demographic variable was assessed by calculating odds ratio. All calculations were done using predictive and analytical software (PASW) version 16.0.Results: A total of 198 participants were included in the final data analysis. The mean age of study participants was 35.13 years (SD=18.04). Borderline anxiety symptoms were found in 104 (52.5%) while significant anxiety symptoms were found in 40 (20%) of respondents. Borderline depressive symptoms were seen in 40 (20%) while significant depressive symptoms were seen in 16 (8%) of subjects. Around 27% (n= 53) of respondents were classified as having post-traumatic stress disorder.Conclusions: The prevalence of anxiety and depressive symptoms and post-traumatic stress disorder seems to be high even after one year in people exposed to earthquake.
Background: Mental health services in Nepal are limited and there is a scarcity of epidemiological studies in our country. The present study is done with the aim to study the socio-demographic characteristic and diagnostic profile of patients attending the psychiatric OPD. Methods: This is a retrospective study where case records of all new patients, diagnosed to be suffering from Mental and Behavioral disorders according to Chapter V (F) of ICD-10, who attended the OPD from July 2011 to December 2011, were included in the study. Results: Maximum patients fall in the younger age group and are females. The patients were found to be suffering from neurotic, stress-related and somatoform disorders (35.4%) followed by mood disorder (18.3%), schizophrenia, schizotypal and delusional disorders (17.4%) and mental and behavioral disorders due to psychoactive substance use (9.7%). Conclusion: Mental disorders comprise a wide variety of disorders and affect the most productive age group suggesting the need for early identification and prompt management. Keywords: ICD-10 DCR; psychiatric OPD; psychiatric morbidity; neurotic disorders DOI: http://dx.doi.org/10.3126/njms.v1i1.5790 Nepal Journal of Medical Sciences. 2012; 1(1): 15-18
Context:Aging of population is currently a global phenomenon. At least one in 5 people over the age of 65 years will suffer from a mental disorder by 2030. Study of psychiatric morbidities in this age group is essential to prepare for upcoming challenges.Aims:To find out the prevalence of different psychiatric morbidities in elderly population and to find out if there are any age and gender specific differences.Settings and Design:Retrospective review; Psychiatric outpatient department of Manipal Teaching Hospital, Pokhara, Nepal.Materials and Methods:Data for patients ≥ 65 years of age attending the psychiatric outpatient department of Manipal Teaching Hospital, Pokhara, Nepal, from 1st January 2012 to 15th January 2013 were collected retrospectively in a predesigned proforma.Statistical Analysis Used:Risk of having different psychiatric disorders was estimated using odds ratio.Results:The mean age of 120 patients included in this study was 69.67 (SD = 5.94) years. Depressive disorder (26.7%) was the most common diagnosis. There was no statistically significant difference in psychiatric disorders in >75 years compared with ≤75 years except for dementia [odd ratio (OR) (≤75 years/>75 years)=0.055, 95% confidence interval (CI)=0.016; 0.194]. Alcohol dependence syndrome [OR (male/female)=7.826, 95% CI = 1.699;36.705] and dementia [OR (male/female)=3.394, 95% CI = 1.015;11.350] was more common in males.Conclusions:Depressive disorder was the most common psychiatric morbidity among the elderly patients. The odds suffering from dementia increased with increasing age. The odds of having alcohol related problems and dementia were more in males compared with females.
Group A Beta Haemolytic Streptococcal (GABHS) infections and their sequelaeRheumatic fever (RF) and Glomerulonephritis (GN) have a world wide distributionand pose an important health problem. Present study intended to find out the prevalenceofGABHS pharyngitis among school children in the Pokhara Valley, Nepal. It was across sectional, observational study. During 7 months period total 750 children wereexamined from six government primary schools. 25.3% were found to have symptomsof clinical pharyngitis and the prevalence of GABHS pharyngitis was 7.2% amongthese school children. GABHS pharyngitis found more among male and in the agegroup of 3-10 years. This study was undertaken to highlight the problems of GABHSthroat infections in Nepalese school children and also to stress on the urgent need forcontrol programme for streptococcal disease complex.Key Words: Prevalence, Streptococcal pharyngitis, School children.
Introduction: Schizophrenia is a mental disorder in which clear consciousness and the intellectual capacity are usually maintained, although certain cognitive deficits may evolve in the course of illness. Working memory impairment in schizophrenia affects the course, outcome, and quality of life of the patient significantly. The aim of the study was to find out the prevalence of working memory impairment in drug naive schizophrenic patients. Methods: This descriptive cross-sectional study was done in a tertiary care hospital, from June 2015 to December 2015 after taking ethical clearance from institutional review board registration number 38970/062/063. Convenience sampling was done. The samples of 30 schizophrenic patients between the ages of 15 to 45 years were enrolled from the inpatient and outpatient unit of department according to inclusion and exclusion criteria. Data was collected and entry was done in Epi Info, point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: The prevalence of working memory impairment was 26 (86.7%) in digit span forward test and 27 (90%) in digit span backward test. The mean age of patients was 27.5 years and the age of onset of schizophrenia was mainly in the age group between 16 to 25 years 16 (53.3%). Conclusions: These finding suggests high prevalence of working memory impairment in schizophrenic patients. Keywords: age of onset; memory; schizophrenia.
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