Introduction: Alcohol is a potent drug that can produce serious psychiatric symptoms including psychosis. It is believed that approximately 3% of alcoholic persons experience auditory hallucinations or paranoid delusions in the context of heavy drinking or withdrawal. Across Nepal, alcohol use varies widely and alcohol dependence is an increasing problem. So this study aims to provide information regarding prevalence and risk factors of Alcohol Induced Psychotic Disorder in context of Nepal. Material And Method: A hosiptal-based cross- sectional study was carried out among 37 patients admitted in psychiatric inpatient ward at Nepal Medical College Teaching Hospital, Kathmandu with the diagnosis of AIPD from the period of Magh 2075 to Poush 2076. Semi-structured proforma developed by department of Psychiatry was used to collect socio- demographic data. The consent was taken from the patients and caregivers and strict inclusion and exclusion criteria were applied. Diagnosis was based on ICD-10 DCR criteria and the collected data was analyzed with SPSS. Results: There were total 37 patients (29 males and 8 females) admitted with the diagnosis of AIPD and the prevalence of AIPD in our study was 6.19%. Among them majority of the patients (35.1%) were of age group (41-50) years and more than half were from rural areas (64.9%). Nearly half of the patients were educated upto primary level (45.9%) and (35.1%) were farmer by occupation. Also Hindus (56.8%) were found to be more associated with AIPD than Buddhist or Christian. Conclusion: The findings of this study concluded that alcohol is a substantial problem in Nepal. The efforts should be used to increase public awareness about the problems associated with alcohol.
Introduction: Adolescence is the time when most mental illness begins most of the time these problems are overlooked leading to increased morbidity and mortality. The study is undertaken to find out the prevalence of psychiatric disorders in adolescents attending psychiatry outpatient department in a tertiary hospital. Methods: A descriptive cross-sectional study was done from 1st December 2019 to 29th November 2020 at a tertiary care centre of Kathmandu. Ethical approval (Ref No.: 012-076/077) was taken from the Institution Review Committee. A semi-structured proforma was used for the socio-demographic profile of patients and International Classification of Diseases-10 was used to make the diagnosis. Data were analyzed using Statistical Package for the Social Sciences version 16. Results: A total of 174 adolescents were included in the study. Out of the total cases 141 (81.03%) (75.1-86.8 at 95% Confidence Interval) were diagnosed with psychiatric disorders, among them 73 (51.77%) were males and 68 (48.23%) were females. The common diagnoses were anxiety disorders 63 (36.20%), mood disorders 34 (19.54%), psychotic disorders 26 (14.94%), substance use disorders 8 (4.59%), non-organic sleep disorders 5 (2.87%), behavioral and emotional disorders 3 (1.72%) and mental retardation 2 (1.149%). Conclusions: Prevalence of psychiatric illnesses is high in the adolescent population compared to the similar studies.
Introduction: Women seeking foreign employment have been rising in Nepal. Changing scenarios, like: household structure and women's desire to work outside have provided opportunity for women from countries like Nepal to become independent and give financial support in family. For female migrant workers, it is not easy to adjust to new country because of difference in socio-cultural aspect, poor working and living condition. Many of them suffer from health issues including psychiatric morbidity. Objective: To estimate the prevalence of depression and the socio-demographic profiles of returnee female Nepalese migrant workers. Methods: A descriptive study was undertaken in Emergency Shelter House of an NGO, among returnee female migrant workers using semi-structured questionnaire, interview and Hamilton’s Depression Rating Scale (HAM-D). Ethical clearance and consent were taken. Results: The HAM-D score showed that 71.5% of the subjects were depressed which was analyzed with various socio-demographic profiles and the factors of foreign employment. A strong significance was seen with residential area (p= 0.004). The level of depression was not statistically significant with age, education, marital status, earning of husband and monthly household income. Conclusion: Depressive symptoms were common among returnee female migrant workers. Regular mental health assessment of returnee women migrant workers should be done. This will help to minimize the psychiatric morbidity among them.
The neuro-immuno-cutaneous endocrine model explains the mind-body connection. This model explains how many inflammatory dermatoses are triggered or exacerbated by stress factors. These conditions are called psychophysiological skin diseases. Psoriasis is a common psychophysiological skin disease. It affects 2-4% of the population worldwide and involves multiple systems in the body. The rates of psychiatric comorbidities are high in psoriasis, but still, they are not given due attention which leads to an increase in morbidity and mortality in the long run. This study intends to uncover the psychiatric comorbidities in psoriasis patients. In this study, the prevalence of psychiatric disorders was investigated among 104 patients with psoriasis. Following rating scales were used; Hamilton rating scales for depression and anxiety, Presumptive stressful life event scale, Beck scale for suicidal ideation, and Dermatology life quality index. The prevalence of psychiatric disorders in Psoriasis patients was found to be 66.35%. Among the psychiatric disorders, 29.8 % were dependent on substances, 18.27% were found to be suffering from depression,15.38 % with anxiety disorder and 2.88 % with psychotic disorders. Psoriasis has a high prevalence of psychiatric morbidity.
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