Objectives:To explore the quality of life (QOL) and its association with psycho-sociodemographic factors among caregivers of mentally ill patients in a tertiary care hospital in urban India.Materials and Methods:Sample consisted of 100 caregivers attending outpatient services in a tertiary care hospital. Data was collected using World Health Organization QOL-BREF (WHOQOL-BREF) questionnaire. The higher score meant a better QOL.Results:Of 100 caregivers, 66% were men, 47% were parents and 64% were literate. 52% of the caregivers were providing care for 1–5 years. The mean total score of QOL of the study population was 13.34 with the highest score 15.15 in the physical domain, followed by 12.75 in social, 12.96 in environmental, and 12.52 in psychological domain. In a multiple linear regression model, caregiver's elderly age was significantly associated most of the domains of WHOQOL.Conclusion:Caregivers of mentally ill patients have diminished QOL levels. Studies measuring QOL among caregivers can help initiate early intervention among the vulnerable caregivers. This study would help in increasing the awareness among the professional health care workers, to identify at risk caregivers. Health workers by providing better health services and better psycho-education to the caregivers can improve their QOL.
Background:Patients in palliative care suffer variously due to underassessment of needs and suboptimal intervention, coupled with lack of access to palliative care. This study attempts to identify effective coping strategies which lead to life satisfaction, among those afflicted with terminal cancer.Materials and Methods:This observational, cross-sectional study was carried out among terminally-ill cancer patients undergoing palliative care. Cancer patients receiving palliative care who give consent and were aged 18 years or older were included in the study. Those with cognitive deficits, delirium, or psychosis were excluded from the study. COPE scale, Temporal Satisfaction with Life Scale, and sociodemographic Performa were administered and analyzed. Pearson's r correlation coefficient test and multiple linear regression analyses were used to evaluate correlation and effect of coping strategies on life satisfaction.Results:Religious coping was the most frequently used coping strategy by patients, followed by acceptance. Females showed higher problem-focused coping, whereas males had higher emotion-focused and avoidant coping strategies. Females manifested more religious coping. Males showed more acceptance of their illness. Those without a partner had significantly higher emotion-focused coping strategies and higher religious coping. Income, social support, and problem-oriented coping were positively related to quality of life. Life satisfaction showed significant negative correlation with denial, substance use, and venting utilized as coping methods.Conclusion:Problem-focused coping (religious coping and acceptance) was found to be more effective than other methods. Patients in palliative care could be instructed for the use of problem-focused coping. Such training might enhance their life satisfaction, helping them experience greater control over the course of illness.
Background and Objectives:Relapse is a complex and dynamic phenomenon that appears to be determined by biological, psychological, and social factors and an interaction among these. This study examined the association between demographic variables, clinical parameters, and psychosocial factors that predict the vulnerability to relapse in cases of alcohol dependence syndrome.Materials and Methods:Structured assessments of clinical/demographic parameters, relapse precipitants, life events, and dysfunction were carried out among patients with alcohol dependence syndrome (n = 100) who had relapsed and compared with those (n = 100) who had managed to remain abstinent.Results:Patients who had relapsed were found to have significantly more positive family history of substance use, past history of alcohol-related comorbidity, experienced a higher number of undesirable life events, and higher negative mood states and social anxiety and dysfunction in social, vocational, personal, family, and cognitive spheres compared to patients who had remained abstinent.Conclusions:Relapse in alcohol dependents is an interaction of many factors, and multiple layers of assessment may be required to predict relapse. This study provided further evidence in support of the importance of certain clinical/psychosocial factors in relapse in substance dependence. It provides the basis for investigating the correlates of relapse in a wide range of behavioral and substance use problems.
Background:Depression and obesity are disorders of stress with a dose dependent relationship between the both. The adverse health and social consequences are significant, when depression and obesity co-exist. This study aimed to examine the prevalence of depression among overweight and obese patients in a large station of Armed Forces and associate other risk factors of depression.Methods:This cross sectional descriptive study was conducted in the general OPD of large Station medicare centre (SMC) on overweight and obese personnel. Data was collected by self-administered Patient Health Questionnaire (PHQ-9) to assess the risk for depression over a period of one month.Results:In this study, out of 106 individuals, 71 (67%) were overweight and 35 (33%) were obese, as per WHO criteria. Of the individuals assessed, 13 (12%) individuals were found to have risk of moderate depression, 58 (54%) for mild depression and 35 (33%) individuals had no risk for clinically significant depression. The likelihood of depression was most strongly associated with BMI followed by age, status of living with family and habit of drinking alcohol.Conclusion:Obesity and depressive disorders are common comorbidities with overlapping pathophysiology whose co-existence leads to exponential adverse health outcomes. The outcome of depression and obesity is to be managed comprehensively by psychological counseling and life style modification.
Introduction: Infant and young child feeding indicators have been developed by the World Health Organization (WHO), to guide and monitor the feeding practices of young children. The World Health Organization (WHO) recommends exclusive breast feeding (EBF) for the first six months of life, with the addition of complementary feeds (CF) at six months with continued breast feeding until at least the age of two years. Study aimed to find out the complementary feeding practices amongst mothers of children aged six months to two years. Material and Methods: A cross sectional study of complementary feeding practices amongst mothers of children aged six months to two years in an urban setting. Therefore a total of 154 subjects were taken into the study. The study was conducted from Jan 2014-Sep 2015. Result: Among the studied children, 59.7% were males and 40.3% were females. Almost more than half of the children were in the age groups of more than 9 months and only 18.2% were in the age group 6-8 months. Conclusion: This study suggested that accurate information and education should be given to mothers and caregivers about appropriate breast-feeding and complementary feeding practices to prevent malnutrition and improve the health status of the children.
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