Objective: To evaluate the psychological well-being of substance use patients in comparison of combined religious therapy and pharmacotherapy effects with that of pharmacotherapy effects alone and also to assess the psychological well-being of drug addicts in comparison of demographics characteristics. Methods: This experimental study was conducted at Department of Psychology, University of Gujrat from July 5th 2016 to July 25th 2017. A sample of 140 drug addicted patients was taken from different hospital. The pre and post-test of experimental and control group was done. Experimental group received standard pharmacotherapy along with religious therapy while patients in the control group only induced standard pharmacotherapy. The effectiveness of therapy was judged on their psychological well-being using California Psychological Inventory Well-being sub-scale. Results: The results of the study confirmed that there was significant difference in the psychological well-being of control and experimental group (p-value <0.01). After the treatment a difference exists in the means of control and experimental (16.24 and 26.44 respectively) groups. An increase in the psychological well-being of those having religious therapy comparing to those not having religious therapy was observed. Further, comparing the demographic variables the means indicated that treatment affected all age groups, marital status and education level equally. Whereas, in the rural area (mean, 27.04) psychological well-being was better than the urban (mean=26.11) and with the income levels of 21,000 to 30,000 (mean, 27.57) there was more improvement as compared with other income levels (mean, 26.35 and mean, 26.03). Conclusion: The religious therapy had a significant therapeutic effect on psychological well-being of the substance use patients and it is equally effective for all age group, marital status and educational level. doi: https://doi.org/10.12669/pjms.35.5.561 How to cite this:Bano Z, Naz I, Leghari N, Ahmed I. Psychological well-being of substance use patient: Role of religious therapy as the treatment. Pak J Med Sci. 2019;35(5):---------. doi: https://doi.org/10.12669/pjms.35.5.561 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Objectives: Study aimed to assess the frequency of depression in patients on hemodialysis and to see the effect of sociodemographic variables on depression. Study Design: Cross Sectional study. Setting: Hemodialysis unit of Nishtar Medical University, Multan. Period: July 2018 to December 2018. Material & Methods: After taking ethical approval from Institutional ethical review committee. Total 384 patients with chronic kidney disease between the age range 16-60 years of both genders were included in the study. Patients of mood, psychotic and anxiety disorders before the onset of chronic kidney disease, other chronic disease and any substance abuse were excluded on the basis of history. The demographic data i.e. name, age, sex, locality, education & socioeconomic status and employment status was collected from each patient. In addition to these, duration and frequency of dialysis was also noted. All patients were evaluated by single psychiatrist, using ICD-10 criteria for depression (yes / no). Results: Mean age of the respondents was 49.28 ± 9.64 years in our study. Out of the 384 patients, 235 (61.2%) were male and 149 (38.80%) were females Majority of patients 68.5% belonged to rural area, 86% had monthly family income less than 50,000, 21.6% were unable to read & write and 43.0% were unemployed. Depression was diagnosed in 175 (45.6%) participants and there were 209 (54.4%) patients having no depression. Age (p<0.001), gender (p<0.001), educational level (p<0.001), employment status (p<0.001), and monthly family income was significantly associated with depression in patients on hemodialysis. Conclusion: Study concluded that frequency of depression among patients on hemodialysis was very high and strong association observed between depression and extremes of ages, unemployment, education and poor socioeconomic status.
Background: Burns are physically, psychologically and economically challenging injuries and the factors leading to them are many and under studied. Different studies have associated burn injuries with psychiatric disorders from different parts of the world. Objective: To determine the frequency of depression among the burn patients. Methodology: This cross sectional study was conducted at the Pak Italian Modern Burn Unit, Nishtar Medical University, Multan and the Department of Psychiatry, Nishtar Medical University, Multan. Non probability consecutive sampling technique was used to collect the data from study subjects, which consisted of 150 patients of burn. All patients were assessed by a single psychiatrist on Hospital Anxiety and Depression scale (HADS) scale for screening of depression. Chi square test was applied to determine association between the socio demographic factors of burn patients and depression. Results; Of these 150 study cases, 91 (60.7 %) were male patients while 59 (39.3 %) were female patients. Mean age of our study cases was 33.94 ± 8.88 years. The frequency of depression was noted as 88 (58.7%). Post stratification Pearson chi square test revealed significant associations between age (p=0.001), residential status (p=0.038), occupation (p= 0.000), etiology of burn (p=0.044) and duration of illness (p=0.000) with depression. Conclusion: A high frequency of depression was noted among burn patients in our study. Depression was significantly associated with age, residential status, occupation, duration of illness and etiology of the burn. Healthcare professionals treating such patients should anticipate depressive symptoms in these patients and treat them accordingly.
Objectives: To find out the impact of the COVID-19 epidemic in the prevalence of obsessive-compulsive disorder and differences in sociodemographic factors. Study Design: Descriptive study. Setting: Department of Psychiatry and Behavioral Sciences, Nishtar Hospital Multan. Period: January to March 2022. Material & Methods: The sample consisted of 50 OCD patients (Male=34, Females=16). Convenient sampling method was used to approach participants. Yale Brown Obsessive Compulsive scale was used along with Sociodemographic variables. Results were analyzed by using SPSS-21. Results: Findings of the study showed that Obsession with ideas of contamination and compulsion related to cleaning and washing rituals were more prevalent during Epidemic. It was also explored that there was significant increase in Incidence and prevalence of OCD during and after epidemic. Male population were more affected by OCD during Epidemic as compared to females. Residents of urban areas were more vulnerable for developing OCD. The incidents of developing OCD during the epidemic was higher in young population especially students. Conclusion: It is concluded that prevalence and incidents of OCD increased due to epidemic of COVID-19 Furthermore, it was further observed certain obsessions (obsession of contamination) and specific compulsions (cleaning and washing) was significantly higher than other types of OCD.
Introduction: In the present study social support will be defined in order tofind its moderating role in depression among people with substance use disorder. Objectives:The Objective of the study was to explore that stigma is a significant predictor of depressionin people with substance used disorder. Further, the study aim was to explore the significantrole of perceived social support in depression among the people with substance use disorder.Study Design: Sample was collected through purposive sampling technique. Setting, Period:Sample was gathered from different treatment and rehabilitation centers situated across Sialkot andMultan from August 2015 to June 2016. Material & Methods: Sample included 200 maleswith substance used disorder between age range of 20 to 50 (Mean age = 31.34, S.D = 7.988)were assessed on perceived stigma of substance abuse scale (Loma, O’ Hair, Knollenberg, Hayes,& Fletcher, 2010) and Saddiqui Shah Depression Scale (Shah, 1992). Regression analysis wasapplied to analyze the hypotheses. Results: The results reflected significant relationship ofperceived stigma and depression (r= .464; F (54.275), p<.001; R²=.215]. Resultshows perceived social support as a moderator between stigma and depression among peoplewith substance use disorder (r =.565; F (46.138), p<.001; R2=319]. Conclusion: Stigmatizingattitude of significant others in people with substance use disorder is increasing the negativefeelings among people with substance use disorder. Perception of this blaming attitude byother causes a deep effect on them and they suffer depression. Further, the Perception of socialsupport from others plays a momentous role in the lives of people it is helpful to cope all theproblems.
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