No abstract

BACKGROUNDChronic pain is a distressing situation. Diverting life into more religious and spiritual sphere in order to cope with a distressing situation is practiced everywhere. But these are not studied in Indian scenario.

The study was conducted to assess the effectiveness of twin therapeutic approaches on pain and anxiety among patients following cardiac surgery. An evaluative approach with quasi experimental design was used for the study. 40 samples were selected by non probability convenience sampling technique. Intervention of Naadichudhi Pranayams and Instrumental music was given as twin therapeutic approaches for the samples in the study group. The present study was conducted in Sri Ramachandra Hospital, Chennai, India. The collected data were analyzed using descriptive and inferential statistics. A significant difference was found between pre test and post test in level of pain and anxiety (P<0.001). The study findings showed that the twin therapeutic approaches were very effective in reducing the pain and anxiety. There was no association found between level of pain and anxiety with demographic variables.

BACKGROUND Irritable Bowel Syndrome (IBS) is a common functional gastrointestinal disorder. Goal was to find the prevalence of psychiatric co-morbidities in IBS, and assess their sleep quality and dream pattern. Association between psychiatric comorbidities, sleep quality and dream pattern were also assessed. METHODS This is a cross sectional study done in 100 patients diagnosed with IBS attending the OPD of Department of Gastroenterology, Government Medical College, Thrissur, from June 2017 to July 2018. Performa includes the socio-demographic details, SCID-5 questionnaire, Pittsburgh Sleep Quality Index (PSQI) and pragmatic questionnaire for assessing dreams. Statistical analysis was done using chi square test, p value was set at < 0.05 using Statistical Package for the Social Sciences (SPSS). RESULTS 78% of study subjects had psychiatric comorbidities and 51% had poor sleep quality. 79% of the sample reported having dreams; among them 18% dreamt about pain, 15% dreamt about their bowels, 12% dreamt about other abdominal symptoms, 14% dreamt about toilets and 9% dreamt about soiling themselves. Significant association was noted between different psychiatric co-morbidities and sleep quality, also with various dream patterns. CONCLUSIONS Our analysis shows psychiatric co-morbidities and poor sleep quality has significant association with dreams in IBS patients. Possibility of using dream pattern as a prognostic indicator in IBS has to be studied further.

BACKGROUNDSevere persistent pain is a significant stressful experience and it possibly causes psychiatric morbidities. Most of doctors working in chronic pain management apart from psychiatrist believes that worries and distress of patients with chronic pain can be consider as normal response to a chronic stress. This study aims to measure the prevalence of psychiatric co morbidities in patients with chronic pain, its relation with severity of pain and to compare the common screening questionnaires to valid diagnostic interview.