Background: It can be a difficult task to provide care to the patients living with mental health issues, especially with chronic diseases such as schizophrenia and bipolar disorder where the patient loses touch with reality. Aim: The current study was aimed to assess the of burden of care that caregivers feel while giving care to the patients of schizophrenia and bipolar disorder and to compare the difference in burden between these two conditions. The study also evaluated the factors affecting the caregiver's burden. Settings and Design: This was a cross-sectional interview-based study conducted at the psychiatry department of a tertiary care hospital in Gujarat among caregivers of schizophrenia and bipolar disorder. Subjects and Methods: Each caregiver was given the Zarit-Burden Interview scale in vernacular language and asked to rate each statement from 0 to 4 where 0: never, 1: rarely, 2: sometimes, 3: quite frequently, and 4: nearly always. The final score was calculated and interpreted as: 0–21 – little or no burden, 41–60 – moderate to severe burden, and 61–88 – severe burden. Statistical Analysis: Data of the burden score were expressed as mean and standard deviation and compared using unpaired t -test. Pearson's correlation coefficient was used for correlation between burden score and variables such as age, years of education, and duration of illness. The analysis was done using GraphPad version 3.0 and Microsoft Excel 2016. Results: A total of 210 caregivers reported the interview scale completely, of which 105 caregivers belonged to schizophrenia group and 105 were related to bipolar disorder. Average of burden score was 64.89 ± 15.7 and 59.11 ± 17.8 (maximum score: 88) in schizophrenia and bipolar group, respectively, and difference between the group was statistically significant. In both the groups, it was found that, with increase in the age of patients, caregiver's burden significantly increased. Conclusion: Caregivers of schizophrenia and bipolar disorder patients feel a considerable burden of care with more burden felt by the caregivers of schizophrenia. The more vulnerable to burden are females, elderly, low-income groups, and patients in whom longer duration of care is required. The caregivers should receive an adequate support for maintaining their own mental health. they should be provided support for maintaining their mental health. Particularly, vulnerable are females, elderly, low-income groups, and longer duration of care. They should be provided with adequate support.

BACKGROUND: Depression, the most common disorder in psychiatry, affects about 121 million people worldwide. World Health Organization states that depression is the leading cause of disability as measured by Years Lived with Disability and the fourth leading contributor to the global burden of disease. Today, depression already is the second cause of disability adjusted life years in the age category 15-44 years. There is paucity of studies done in undergraduate students in our country.AIMS AND OBJECTIVES: To find out the prevalence of depression among undergraduate students and finding correlation between various demographic variables and depression. Cross sectional study carried on 1066 under graduate students of medical, dental, engineering and basic science branches. METHODS AND MATERIAL: CRF (containing demographic details) & Beck Depression Inventory Scale-II were given. Students' ≥18years of all academic years were included in the study. Statistical Analysis used were multiple ANOVA test and student t test.RESULTS AND CONCLUSIONS: Prevalence of depression was found to be 26.54%. More males (29.75%) than females (23.36%) (P value=.0001). Highest depression was found in basic Science undergraduate students (34.53%) followed by engineering undergraduate students (22.82%) followed by MBBS students (18.99%) and least in dental undergraduate students (17.54%) (P value=.00003). Students living at hostel (24.10%) showed least depression and maximum depression was found in students living at private rooms (31.54%) (P value= .0002).There is a need to diagnose and treat undergraduate students with depression at an early stage. This will help them to overcome their difficulties and lead a healthier life.

Clinicians are the one who are involved in most stressful events. Compassion fatigue comprises of two components-burnout and secondary traumatic stress. Up to one third of practicing clinicians could be expected to be suffering from burn out if assessed cross sectional. More importantly there has been an increasing trend in the emotional exhaustion of clinicians over the years. There is paucity of literature in this area, especially in the Indian setting. AIM: Identifying 'burn out' and 'compassion fatigue' among clinicians involved in care of individuals suffering from medical illness. MATERIAL AND METHODS: A total of 100 clinicians were included in the study. A semi structured questionnaire was administered to gather information related to personal & professional details of the study participants. Professional Quality of Life Scale (Pro QoL Version V) was used to assess burnout, compassion satisfaction and secondary traumatic stress. Analysis was carried out using the SPSS. RESULTS: Females had higher compassion satisfaction (CS) & less burn out (BO) compared to males. Clinicians working with both teaching and non-teaching institute had higher CS compared to clinicians working only in private practice or associated with teaching institute. Clinicians from dental field had higher CS compared to clinicians from medical field. Clinicians from non-surgical field had higher CS compared to surgeons. Increase in the number of hours spent in clinical practice decreases CS & increases BO. CONCLUSION: Clinicians are the first contact for any patients & gets affected by their physical as well as mental trauma. Clinicians are exposed to great level of stress & traumatic events in their day to day activity & handle the burden of disease & deceased. Thus it is necessary to know the level of burden a clinician is carrying & find out the way to improve the life style & the patient care.

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