Use of alcohol has been one of the major source of recreation and stress relievers to date and it is one of the most abused substances in the world due to its free availability. The cost that a spouses incur in terms of economic hardships, social isolation and physical strain can be referred to as Spouse Burden. Spouses play an important role inpatient’s support and treatment and with a study like this there might be a better understanding of the problem. A descriptive, cross-Sectional hospital based study was done in 62 patients who met the diagnostic criteria for Alcohol Dependence Syndrome (ICD-10 DCR) and consents were taken from required personnel. Most of the patients examined were in the age group 40 to 60 years of age (72.6%) followed by the age group up to 40 (22.6%). 72.5% of the spouses were up to 40 years of age, followed by spouses of the age group 40-60 (27.5%).Males were the primary alcohol abusers(87%).51.6% of the patients were unemployed and the rest 48.4% was still employed whereas 51.6%of the spouses were employed and the rest48.4% unemployed. 51.6% of the patients were illiterate whereas majority of the spouses were literate(67.7%). There is a significant severity of burden of alcohol dependence syndrome in spouses and these verity of dependence is positively correlated with spouse burden. Financial, spouse routine, spouse interaction, physical and mental health of other members of the family were significantly affected with increase in dependence.
Background: Headache is a pain that occurs above the eyes or the ears, behind the head in the occiput or the cervical region of neck. A primary headache is a type of headache that is caused by overactivity of the problems with pain-sensitive structures in your head and is not a symptom of an underlying disease condition in a patient. This study highlights on the association of Primary Headaches with psychiatric morbidities and stressful life events that may cause or increase the severity of Primary Headache and its psychiatric co-morbidities.Descriptive, Cross-Sectional, Hospital Based study was done in 75 patients who met the diagnostic criteria for Primary Headache. Results: Patients presenting with primary headache were of the age group 26-30(26.7%) followed by 21-25 and 31-35. 57.3% were female patients and 69.3% were married. 29.3% of the patients were housewives, 25.3% were into service and 21.4% were students. Majority of the patients had literacy upto Bachelors degree (32%). Anxiety and depression were the major diagnosis with 22.3 and 17.4 % respectively, they were also the major co-morbid conditions. Illness in the family and self or family member unemployment were the major stressful life events. There was a significant relation of Psychiatric Morbidity with Primary Headache. Conclusion: Anxiety disorder was the major morbid and comorbid psychiatric condition found in patient with Primary Headache followed by depression. This was seen majorly in female and of the age group 26-30 years of age and the patients who were married. Thus is it is necessary to screen Primary Headaches and reduce the stressful life events in these patients and limit the consequences and outcome of Primary Headache to prosper the health and living standard of the patients and the population as a whole.
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