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Introduction: Sexual disorders are practically not addressed in community and primary care settings in India. Understanding the profile of patients visiting tertiary care centers’ psychosexual clinics (PSC) may be of value, to map some critical gaps in the service utilization. Aim: To understand the demographic profile and presenting complaints of patients with psychosexual disorders visiting a PSC. Methods: An audit of patients’ case records, diagnosis based on ICD-10 classification system, in a PSC over last 1 month was done, noting demographic factors and their frequency distributions. Results: Out of 55 patients visiting the clinic, most common age group was 21 to 30 years (49.09%) and only 2 were females. Maximum patients had education up to higher-secondary level (69.09%), were married (65.4%), and had a sexual partner during past 3 months (70.09%). Premature ejaculation (occurring singly or along with other sexual disorders) was diagnosed in 45.28% patients. Conclusion: Further exploration is needed into the services provided by the PSC. There is scope for sensitizing female patients, customizing psychoeducation suitable to the educational status and work holistically in the PSC.

Purpose: Perceived Stress Scale (PSS) and the Multi-dimensional Scale of Perceived Social Support (MSPSS) are widely used globally (and in India) to assess the perceived stress and perceived social support respectively. Local language versions of these tools have been validated in different parts of the world and some Indian languages, but these studies have been carried out in populations outside India. Translation and validation of these tools in Marathi language is not yet undertaken. Methods: We used the following steps to translate and adapt the PSS and the MSPSS into Marathi: forward translation, feedback from the bilingual committee, cognitive interviewing and pre-testing, backward translation, comparison of the original English versions with the back-translated English versions, and the assessment of conceptual and operational equivalence which was done using the Pearson’s correlation coefficients and the Bland-Altman approach. Results: There was a very high correlation between the English and the Marathi version of the PSS (0.97) and the MSPSS (0.98). For the self and interviewer administered versions, Pearson’s Correlation Coefficient was slightly lower for the PSS (0.76, p=0.01), but for MSPSS it was 0.97 (p<0.001). The agreement between the two language versions of both the scales and the self and interviewer-administered versions was also established using the Bland-Altman plots. Conclusion: The outputs of this study, i.e., the self and interviewer-administered Marathi language versions of the PSS and the MSPSS are based on a systematic approach of culturally sensitive translation, and these can now be further used for assessment of their psychometric validity.

Background/Objectives: Schizophrenia is a severe mental disorder requiring prolonged treatment, and adherence to the treatment is an important factor. The reasons for nonadherence vary according to disease severity, treatment, local perceived problems, environment, and sociocultural factors. It is necessary to understand the pattern and factors related to adherence. This study aims at understanding adherence to treatment in the patients of schizophrenia and associated psycho-social and disease-related factors. It also analyzes the change in adherence over a period of the last 35 years. Methods: A review of past psychiatry records and nonadherence to the treatment of patients of schizophrenia that followed up in outpatient department was done over the last 35 years. For the evaluation of psychotic symptoms, positive and negative syndrome scale (PANSS) and for attitude toward medicine, drug attitude inventory-10 (DAI-10), and clinician rating scale (CRS) were used. Statistical analysis was done using SPSS-20 software. Results: Sixty-five percent of the patients were adherent to the treatment. Sociodemographic factors such as age, gender, family type, marital status, education as well as factors related to accessibility to medicines were not significantly associated with adherence. Adherence had significant positive correlation with CRS scores and negative correlation with PANSS positive and general score. Adherence of ≥80% for current year was found to be associated with the cross-sectional positive DAI score. Patient perceived causes such as social, financial, unwillingness, and lack of insight, side-effect profile had a significant association. Conclusions: Attitude and willingness toward treatment, insight into illness, and side-effect profile play a pivotal role in adherence.