Background:Psychosexual problems are very common presentation, be it with psychiatric or physical illness but there are very few studies available on psychosexual disorders especially in the Indian context. Indian society is deeply ingrained in customs and several misconceptions, myths, prejudices, and social taboos are attached to sex which makes it further very difficult to tackle.Objectives:The aim of this current study was to descriptively analyze the nature of sexual disorders in a tertiary care center.Materials and Methods:The current retrospective chart review included 698 consecutive subjects seeking treatment for their psychosexual problems at the Sexual Clinic, Department of Psychiatry, Dr. Ram Manohar Hospital, New Delhi (between 2006 and 2010).Results:This study observed erectile dysfunction (ED) (29.5%), Premature ejaculation (PME) (24.6%), Dhat syndrome (DS) (18.1%), and ED with PME (17.5%) as the common sexual dysfunctions leading to treatment seeking. DS was the major complaint among younger and unmarried individuals. We observed more married individuals seeking treatment for sexual disorders.Conclusions:These findings provide important information on a relatively under-researched area.

Introduction. Incidents of road rage are on a rise in India, but the literature is lacking in the aspect. There is an increasing realization of possibility of effective web based interventions to deliver public health related messages. Objective. The aim was to quantitatively evaluate risk factors among motor vehicle drivers using an internet based survey. Methods. Facebook users were evaluated using Life Orientation Test-Revised (LOT-R) and Driving Anger Scale (DAS). Results. An adequate response rate of 65.9% and satisfactory reliability with sizable correlation were obtained for both scales. Age was found to be positively correlated to LOT-R scores (r = 0.21; P = 0.02) and negatively correlated to DAS scores (r = −0.19; P = 0.03). Years of education were correlated to LOT-R scores (r = 0.26; P = 0.005) but not DAS scores (r = −0.14; P = 0.11). LOT-R scores did not correlate to DAS scores. Conclusion. There is high prevalence of anger amongst drivers in India particularly among younger males. A short web survey formatted in easy to use question language can result in a feasible conduction of an online survey.

Introduction: Marriage is the significant life event in a person. Marriage in Indian society has significant role and acts has a significant stigmatization factor if unmarried or separate or divorced. Marital pathology is considered the most stressful in comparison to other life events in an individual's life. When psychiatric illness is taken into consideration, it has a substantial role along with other factors in causing/worsening or relapse of the illness. Methodology:The results of the various studies in Indian context are being attempted to be compiled. Search was done through EMBASE, PsycINFO and PUBMED.Result: Epidemiological data supports the evidence that married individuals have less chances to have psychiatric illness. Epidemiological data supports the evidence that married individuals have less chances to have psychiatric illness. Positive correlation is illustrated with marital adjustment problems and anxiety/depressive psychopathology.When severe mental illnesses are compared worse marriage outcome is reported in schizophrenia patients. Conclusion:It has been understood from the studies done so far that marriage acts as both protecting factor and predisposing/precipitating factor for the causation of the psychiatric illness. Still huge area related to marital problems (legal issues, marital separation, divorce, infertility, intimacy issues) in individuals and their spouse is unexplored.

Background:There is a dearth of specialized mental health services for Indian paramilitary service personnel. Those requiring psychiatric evaluation are referred to government psychiatric services often with minimal information. Hence, major diagnostic and decision making relies on the psychiatrist's clinical evaluation and judgment. The aim of the present study was to quantitatively evaluate the paramilitary referrals to psychiatric services at a tertiary care referral center.Materials and Methods:A retrospective chart analysis of all consecutive referrals by various Indian paramilitary services to a tertiary care hospital (2008-2010) was carried out.Results:Among the sample of 18 referrals, all were males (mean age: 37 years ± standard deviation (SD) =7.79). Various reasons for referral included: Evaluation of fitness for duty (83.3%), fitness to handle firearms (16.7%), and for disability certification (5.6%). There were no informants at all in 22.2%, and family members were available in only 11.1%. Hence, most referrals were admitted to the psychiatry ward for observation for various lengths of time. The mean duration of assessment (outpatient and inpatient) was 17.89 days (SD = 20.74) and final reported diagnoses were schizophrenia, depression, and bipolar disorder in 16.7, 11.1, and 11.1%, respectively. There was concurrent history of alcohol and nicotine dependence (40%). A large group (40%) was diagnosed not to suffer from a major mental illness, while a firm and final diagnosis could not be arrived at in 16.7% subjects. Only one subject was given the fitness to handle firearms, fitness for duty was refused in three (16.7%) subjects, and one subject was referred to neurology after being diagnosed as a case of seizure disorder.Conclusion:There is an urgent need for intensive training both to paramilitary physicians as well as to general hospital psychiatrists regarding proper assessment of paramilitary personnel, as there are frequent chances of the cases being undiagnosed or improperly diagnosed.

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