Introduction: Psychiatric morbidity in parents can influence behavioral problems in children and behavioral problems in child can cause heightened family distress. Our objectives were to evaluate the frequency and nature of psychiatric morbidities in parents of children with psychiatric illness and to study their association. Methodology: The study sample included parents of children with behavioral problems attending the child guidance clinic, Government Medical College, Kottayam, Kerala. Children were initially screened using Childhood Psychopathology Measurement Schedule and in those screened positive the diagnosis was confirmed using the DCR criteria for ICD-10. The parents of those children were screened using the General Health Questionnaire-12 and those who scored above cut off were evaluated for psychiatric disorders by taking history doing detailed physical examination and mental status examination. Statistical analysis was done to find the frequency and nature of illnesses and the association between parental and child diagnoses. Results: 61% of the fathers and 25% of the mothers had psychiatric morbidity. Significant associations were found between 1) conduct disorders in children with fathers' alcohol dependence and bipolar affective disorder and mothers' depressive disorder 2) ADHD (F90.0) in children with fathers' alcohol harmful use 3) Hyperkinetic conduct disorder (ADHD+CD) in children with fathers' alcohol dependence and bipolar affective disorder and mothers' depression 4) Pervasive developmental disorder in children with fathers' alcohol dependence 5) Mental retardation in children with fathers' alcohol dependence. Conclusion: Parents of children with behavioural problems have higher rate of psychiatric morbidity and there are significant associations between many conditions in parents and their children.

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.