It has been proposed that certainDiagnostic and Statistical Manual of Mental Disorders, Fourth EditionAxis I disorders share overlapping clinical features, genetic contributions, and treatment response and fall within an “obsessive-compulsive” spectrum. Obsessive-compulsive personality disorder (OCPD) resembles obsessive-compulsive disorder (OCD) and other spectrum disorders in terms of phenomenology, comorbidity, neurocognition, and treatment response.This article critically examines the nosological profile of OCPD with special reference to OCD and related disorders. By viewing OCPD as a candidate member of the obsessive-compulsive spectrum, we gain a fresh approach to understanding its neurobiology, etiology, and potential treatments.
Background
There is a deluge of information available and circulated about COVID-19, during the ongoing course of the pandemic. This study was conducted to assess knowledge, attitudes, practices, and behavior regarding COVID-19 among serving soldiers.
Methods
A quick cross-sectional online survey was conducted using a web portal and social media platform, wherein a pretested questionnaire was uploaded. Responses were collected for 3 days. Data were analyzed using Epi Info software.
Results
A total of 1231 serving personnel participated in the survey, 133 (10.80%) officers, 144 (11.69%) Junior Commissioned Officers, and 954 (77.49%) Other Ranks. The prevalence of correct knowledge was more than 80% (range 81.47–88.13) except 29.97% regarding transmission by food and water. A statistically significant association (all P values < 0.05) was found with increasing age and education. Social distancing was an effective method as per 93.54%, and 81.38% thought that the response measures were adequate. Handwashing was the only practice which demonstrated a statistically significant association across change in all 3, i.e. age (P = 0.001), education (P = 0.005) and rank (P = 0.022). In the affective domain, increased perception of anxiousness, worriedness, and not feeling relaxed was found in the responses.
Conclusion
Levels of knowledge, positive attitude, and practice are high among serving soldiers, however feeling of anxiousness and worry prevail. Aggressive, continuous, relevant target population-oriented Information Education and Communication is the need of the hour, with structured and programmed interventions for positive mental health during course of the pandemic and this has been implemented in our area.
Background: Obsessive-compulsive disorder (OCD) is a biologically heterogeneous neuropsychiatric disorder. It is associated with impulsive as well as compulsive neurocognitive mechanisms. Cigarette smoking is common among most psychiatric patients; however, OCD patients are thought to show reduced rates. OCD smokers may thus represent a relatively uncommon OCD subtype, characterised by increased impulsivity. In this study, we aim to establish the prevalence of smoking in a large, well-defined OCD cohort. We investigate whether smokers with OCD differ from non-smokers with OCD on clinical measures of behavioural impulsivity and domains of personality and temperament, including reward-dependence and novelty-seeking. Method: 183 of 200 outpatients with DSM-IV OCD were interviewed to determine smoking status. A sub-sample of 10 smokers was compared with 10 non-smokers, pair wise matched for age and gender. Patients were assessed for DSM co-morbidity, symptom profile, OCD severity, behavioural impulsivity and personality dimensions. Results: Only 10 individuals (5.46%; five males) were smokers. Compared to OCD non-smokers, OCD smokers scored significantly higher on the Barratt Impulsiveness Scale (p < 0.001). They also scored significantly higher on TCI measures of novelty seeking (p < 0.001) and reward dependence (p < 0.001) and significantly lower on measures of harm avoidance (p < 0.001). Conclusions: Tobacco smoking is rare in OCD. Significantly higher levels of behavioural impulsivity and temperamental factors associated with reward driven impulsivity are seen in OCD smokers compared to non-smokers. Tobacco smoking may indicate a possible source of neurocognitive heterogeneity in OCD.
Background: Global elimination of vaccine preventable diseases, such as measles, mumps and rubella is a priority. Many countries have reported diminishing of antibody titres against these diseases among young population as immunization coverage of adolescents and adults in not monitored. The objective of this study was to determine the susceptibility against measles, mumps and rubella among young adults.
Methods:In this cross-sectional study serological evidence of susceptibility to measles, mumps and rubella was determined by qualitative detection of IgG antibody titres by commercially available enzyme linked florescence assay (VIDAS, bioMerieux) in serum samples young adults.Results: A total of 335 young individuals (mean age: 20.54 ± 1.37 years) participated voluntarily between May 2017 to September 2018, of which 183 (54.63%) were males.Seroprotection against measles, mumps and rubella were 87.16%, 82.69% and 79.10% respectively.
Conclusion:Serological surveillance is important to monitor immune status in population. Susceptibility of young adults to measles, mumps, and rubella indicates need for booster vaccination. With the recent launch of measles-rubella vaccination campaign in India, country specific data will be required to plan periodicity of such campaign, which in turn would be based on accumulation of susceptible individuals in a community. Lastly, inclusion of mumps vaccine in the national universal immunization program needs consideration.
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