, Sultana Jam 5 ABSTRACT… Introduction: Melasma is an acquired, chronic, recurrent symmetrical hypermelanosis which is characterized by brown patches of variable darkness on sun exposed areas of the body primarily on the face.1,2 Melasma is more common in Asians and in people who live in locations that receive high intensity UV radiation. 3,4 Melasma is a skin disease that significantly affects social and emotional wellbeing of the patients as well as their Quality of Life (QoL). Objectives: To find out the impact of melasmaon quality of life of the patients. Study Design: It is a descriptive study and the sample (patients), were selected through convenient sampling. Place and Duration of study: The study was conducted in the department of psychiatry & Dermatology department of Bahawal Vicortoria Hospital, Bahawalpur from July to December 2016. Material and Methods: Hundred patients having melasma including 11 males and 89 females from both departments were included in the study. Two questionnaires were applied for measuring target variables, these were (i) Dermatology Life Quality Index to assess the effect of melasma on quality of life (DLQI) and (ii) Melasma Area Severity Index (MASI) to determine the severity of melasma. Results: The study included 100 patients of which 89 were females while 11 were males. Mean age of the patients was 27+6. Regarding the educational status of patients, the majority (36%) were graduates and 16% had a Masters degree. Of these patients, 53% were unmarried while 47% were married. Mean DLQI was slightly higher for female patients (13.48) as compared to male patients (12.82). Mean MASI was also higher in females (15.26) as compared to males which was (14.39). Conclusions: Melasma causes significant negative impact on quality of life especially in women.

Objective: Frequency of the psychosocial stressors and stressful life events inchildren presenting with conversion disorder. Study design: A descriptive study. Place &duration of study: The study was conducted in the Department of Psychiatry & BehaviouralSciences, Bahawal Victoria Hospital & Quaid-e-Azam Medical College, Bahawalpur fromJanuary, 2010 to October, 2010. Subjects & methods: The sample consisted of 100 in-patients(62 Female, 38 Male) with Conversion Disorder. They were interviewed and results were analysedfrom the entries in a Performa. The Presumptive Stressful life Events Scale (PSLES) wasadministered by an open ended interview to elicit major life events in the past 10 months.Results: Stressors were clearly identified in 100 patients. In all patients, we found more than onestressor. Among patients, there were (29%) Educational and study stressors, (20%) Parent’sdeath / Separation, (20%) Sexual Abuse, (14%) Sibling Rivalry, (13%) Pampered / DemandingChild, (10%) Attention Seeking, (8%) Peer Group Problems, (8%) Improper Parenting, (8%)Learned behaviour, (7%) Emotional Involvement Issues, (5%) Habit of stealing and (4%) AdoptedChild. Conclusions: We concluded that stressors and life events were present in all conversiondisorder’s patients and these stressful life events are important causal factors for ConversionDisorder. Severe and sudden emotional stress serves to precipitate conversion reaction inpredisposed children. The symptom serves to solve the conflict and the gain obtained served toperpetuate the illness.

INTRODUCTION: Acne vulgaris is a chronic inflammatory disorder of pilo-sebaceous glands, which most commonly affect face and trunk. It is most prevalent in adolescent age group. It has been seen that acne can have profound social and psychological effects which are not necessarily related to its clinical severity. Objectives: To determine the frequency and severity of depression among acne patients attending the outpatient dermatology department, of a tertiary care hospital. Study Design: Descriptive study.

Objective: To determine the frequency and level of family support in Heroin Dependent patients presenting with 1st treatment and also the patients presenting with relapses. Study design: A descriptive study. Place & duration of study: The study was conducted in the Department of Psychiatry & Behavioral Sciences, Nishtar Hospital, Multan from September, 2013 to December, 2013. Subjects & methods: The sample consisted of 50 consecutive inpatients presenting with Heroin Dependence. They were interviewed and Family support Scale (FSS) was administered to know the level of support in heroin dependent patients. Results: Results showed that 20% patients relapsed 3 times while 38% had more than three times relapses among whome 30% patients have family support, but 70% have very low level and family support decreased with increasing number of replace. Conclusions: We concluded that higher level of family support was during in the 1st treatment of Heroin Dependence and family support decreased as the number of relapses increased.

Objective: To find out the frequency and pattern of psychosocial stressors and adverse life events in patients presentingwith Acne vulgaris. Study design: A descriptive study. Place & duration of study: The study was conducted in the Department ofPsychiatry & Behavioural Sciences, in collaboration with Dermatological Department, Nishtar Hospital, Multan from September, 2012 toNovember, 2012. Subjects & Methods: The sample consisted of 50 consecutive out-patients (Female-42, Male-8) with acne. They wereinterviewed and The Presumptive Stressful life Events Scale (PSLES) was administered to elicit major life events and psychosocialstressors they had to face. Results were analysed from the entries in a semi structured Performa. Results: Out of 50 patients, 94%subjects reported more than one stress & 6% reported no stress. 15(30%) were suffering from the disease 6 months to one year. Wefound more than one stressor. Results showed 46% of the participants reported Social Withdrawal, 40% had Academic Problems, 38%showed Frustration and Anger, 32% had to face Critical Remarks / Stigmatization, 30% had Low self esteem & Negative thoughts aboutself, 12% presented with Suicidal Ideas / Attempts, about 22% reported disturbed Relationship with Spouse while 14% reported theRelationship problems with other family members. Conclusions: We concluded that psychosocial stressors and life events were presentin significant majority of patients with acne and these emotional, social, behavioural and psychological reactions have strong associationin patients suffering from acne vulgaris.