The present study is a comprehensive investigation of the attitude toward psychiatry from Quaid-e-Azam Medical College, Bahawalpur (Pakistan). A total of 538 students were studied using a 50-item Scale (ATP 30). Responses of the students were collected from classes of 1st year and 4th year and a comparison was calculated on year wise and gender wise basis. The results are presented and discussed.
Most internally displaced persons (IDPs) live in low-income countriesexperiencing a war; their psychosocial health has not been well addressed. Objectives: To findout the prevalence of anxiety and depression in internally displaced persons (IDPs). Design:A randomized cluster sampling, case-controlled study. Period: 10th April 2009 to 10th July2009. Setting: This study was conducted at Kacha Ghari camp and Sheikh Yaseen camp forIDPs. Patients and Method: A total of 220 cases (those whom were exposed to traumaticexperiences) were selected through cluster random sampling. 220-matched controls (thosewhom were not exposed to traumatic experiences) were selected same day using the samesampling method. Both sexes were included. Socio-demographic information was obtainedfrom IDP- information form. Anxiety and depression was assessed using Hopkins symptomschecklist – 25 (HSCL-25). SPSS version -17 was used for statistical analysis. Chi square testwas applied for group comparison to calculate statistical significance. Results: More thanhalf of the participants (60 %) in this study were in age group between 18 to 38 years. 55 %of the population were females. Majority of participant were married (86% - 90%) and wereuneducated (74% - 90%) belongs to lower socio-economical class. The total Scores and theDepression Scores on Hopkins symptoms checklist – 25 (HSCL-25), were significant high incase group than in control group with the P values of 0.04 and 0.05 respectively. Discussion:Trauma and torture leaves a permanent scar on the survivors. It has physical, psychological andsocial squeals. Hopkins Symptoms Checklist-25 is intended to provide primary care physicians,mental health practitioners and other health care providers with an instrument for detectinganxiety and depression in torture and trauma victims. Conclusions: Besides being displacedfrom their residence exposure to trauma come out to be the important causative factor increating psychological disturbance among internally displaced persons.
Objectives: To assess the frequency of the various psychosocial stressors and stressful life events in patients presenting with conversion disorder. Study Design: Case series study. Place & Duration of Study: The study was conducted in the Department of Psychiatry & Behavioural Sciences, Bahawal Victoria Hospital & Quaid-e-Azam Medical College, Bahawalpur from January, 2009 to March, 2009. Subjects & Methods: The sample consisted of 100 in-patients (89 Female, 11 Male) with Conversion Disorder. They were interviewed andresults were analysed from the entries in a Performa. Results: Stressors were clearly identified in 100 patients. In all patients, we found more than one stressor. Among patients, there were (24%) In-laws problems, (23%) Love problems, (21%) Relationship problems with family, (20%) exam/study stress, (15%) marriage against will, (13%) demanding and pampered child, (11%) Issue less, (10%) sexual abuse, (8%) demand of marriage, (6%) overage in wait of marriage, (4%) death of partner, (3%) husband abroad and (3%) patient’s engagement break. Conclusions: We concluded that stressors and life events were present in all conversion disorder’s patients and these stressful life events are important causal factors for Conversion Disorder. Conversion Disorder has strong relationship with psychosocial stressors.
Objective: Frequency of the psychosocial stressors and stressful life events inchildren presenting with conversion disorder. Study design: A descriptive study. Place &duration of study: The study was conducted in the Department of Psychiatry & BehaviouralSciences, Bahawal Victoria Hospital & Quaid-e-Azam Medical College, Bahawalpur fromJanuary, 2010 to October, 2010. Subjects & methods: The sample consisted of 100 in-patients(62 Female, 38 Male) with Conversion Disorder. They were interviewed and results were analysedfrom the entries in a Performa. The Presumptive Stressful life Events Scale (PSLES) wasadministered by an open ended interview to elicit major life events in the past 10 months.Results: Stressors were clearly identified in 100 patients. In all patients, we found more than onestressor. Among patients, there were (29%) Educational and study stressors, (20%) Parent’sdeath / Separation, (20%) Sexual Abuse, (14%) Sibling Rivalry, (13%) Pampered / DemandingChild, (10%) Attention Seeking, (8%) Peer Group Problems, (8%) Improper Parenting, (8%)Learned behaviour, (7%) Emotional Involvement Issues, (5%) Habit of stealing and (4%) AdoptedChild. Conclusions: We concluded that stressors and life events were present in all conversiondisorder’s patients and these stressful life events are important causal factors for ConversionDisorder. Severe and sudden emotional stress serves to precipitate conversion reaction inpredisposed children. The symptom serves to solve the conflict and the gain obtained served toperpetuate the illness.
Objective: To determine the frequency and level of family support in Heroin Dependent patients presenting with 1st treatment and also the patients presenting with relapses. Study design: A descriptive study. Place & duration of study: The study was conducted in the Department of Psychiatry & Behavioral Sciences, Nishtar Hospital, Multan from September, 2013 to December, 2013. Subjects & methods: The sample consisted of 50 consecutive inpatients presenting with Heroin Dependence. They were interviewed and Family support Scale (FSS) was administered to know the level of support in heroin dependent patients. Results: Results showed that 20% patients relapsed 3 times while 38% had more than three times relapses among whome 30% patients have family support, but 70% have very low level and family support decreased with increasing number of replace. Conclusions: We concluded that higher level of family support was during in the 1st treatment of Heroin Dependence and family support decreased as the number of relapses increased.
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