The study of quality of life and subjective wellbeing of patient is a recent phenomenon which has gained attention only in last two decades. Less attention was given to treating long term impairement and chronic illness. Rather cure was given more importance. However, this trend has changed, and it has shifted to the concept of quality of life. Now the goal of treatment is to give the patient good quality of life, this becomes more important in cases where cure is impossible or there is long term impairements due to illness.
Background: Though anecdotal evidence of comorbid psychiatric disorders in alcohol dependent patient abound there is lack of systematic Indian studies in this area. Aim: To determine the type and frequency of comorbid psychiatric disorders in alcohol dependent individuals as compared with matched normal population. Methods: This cross-sectional, hospital based, utilized the Mini International Neuropsychiatric Interview to assess 88 alcohol-dependent patients consecutively admitted to de-addiction unit of two tertiary care hospitals, one in urban area and another in rural area. A matched control group of 88 subjects from the general population were also assessed. Psychiatric diagnoses were made as per DSM IV TR criteria. Results: Among the alcohol-dependent patients 46.59% showed personality disorders compared to 6.82% of the normal control sample. The difference was statistically significant. Depression (10.23%), mixed anxiety and depression (7.95%) and Adjustment disorder (7.95%) were most prevalent, followed by dysthymia (4.55%) and panic disorders (4.55%) were the commonest co-morbid psychiatric disorders. Conclusion: There is high prevalence of comorbid psychiatric disorders in patients with alcohol dependence
Background The coronavirus anxiety scale (CAS) was developed and validated in 2020 as a psychometrically suitable measure of anxiety incurred by the coronavirus disease of 2019 pandemic. Since it is available only in the English language, it cannot be used in the general population, most of whom are not English speaking. Aim The aim of this study is to determine the validity and the reliability of the Marathi adaptation of CAS. Materials and Method CAS was translated by bilingual experts, followed by forward and backward translation processes and pilot study. Final version was used. Eighty volunteers, who are versed in both English and Marathi languages, were included. The original English version of the scale was first applied, followed by the Marathi translation, after a hiatus of 14 days. Result Mean score of the original English version was 2.950 (±2.773) and that of the Marathi version was 2.775 (±2.778), showing significant correlation (.001 level) with Kendall’s tau-b of 0.830. The Marathi version of CAS has a high degree of internal consistency as demonstrated by a Cronbach’s alpha of 0.809. The scale has significant concurrent validity and acceptable split-half reliability. A principal components analysis with varimax rotation was performed on the CAS responses of the participants, which yielded one factors with an eigenvalue greater than one, representing 58.51% of the total variance. CAS was found to be easily understandable and capable of adequately evaluating and measuring various aspects of corona anxiety. Conclusion The Marathi adaptation of CAS is a valid and reliable instrument to assess anxiety due to coronavirus in the Marathi-speaking population of India.
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