Background: Vitiligo is a common form of localized depigmentation of skin which draws unusual attention to the patient especially when it is in visible areas of the body. The appearance of visible skin lesions and its chronic progression may cause a significant burden on patients' health-related quality of life and psychiatric morbidity may arise as a complication. Aims: An endeavor has been made to find out how the disease influences the quality of life of affected persons. Methodology: This was a hospital based cross sectional study. Clinically diagnosed eighty vitiligo patients were selected from dermatology outpatient department with purposive sampling method and compared them with those of healthy control group. In selected cases Dermatology Life Quality Index (DLQI) questionnaire was used for the assessment of quality of life. Also International classification of mental and behavioral disorders research criteria along with 17-item Hamilton Rating scale of Depression were applied to diagnose the presence of depression. Data were collected and “Chi Square Test” or “Fisher Exact t Test” was used. All analysis were done using SPSS version 20.0. Results: In this study 92.5% of the patients had elevated DLQI scores. We found higher DLQI mean score in vitiligo patients (9.68+5.24) compared to (1.36+ 1.37) of control and depression was significantly associated with the impairment of quality of life. Conclusion: Vitiligo patients have significant impairment in their quality of life and more in those who develops depression.

Background: Unconscious defenses and dissociative experiences have always been related to stressful life events. A stressful life event has a role to play both in normative and pathological dissociation. These events can be desirable and undesirable and both acute and chronic events can lead to dissociative phenomena Aims: To assess the dissociative experiences and type of stressful life events and also to correlate the events with dissociative disorders. Methodology: A detailed history was obtained along with the application of Dissociative Experiences Scale (DES) and Presumptive Stressful Life Event Scale (PSLES) to know the type of dissociative experiences and the type of stressors. Their correlation was studied using SPSS-20 software. The scores of dissociative experiences and stressful life events were also calculated to find any relation between the scores and the type of dissociative presentation. Results: The majority of people diagnosed with dissociative disorders were females, although there is no gender difference in the DES scores. The mean age of presentation is 25.21±9.12 years. We found out that any subtype of patients can have any score on DES scale. The PSLES scores did not determine the type of dissociative presentation (subtype). Conclusion:Dissociative experiences are related to stressful events in last year, and it acts as a precipitating factor for people with poor coping mechanisms. The scores do not predict the subtype of dissociation.

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Aggression is a response by an individual that delivers something unpleasant to another person. Violence refers to extreme forms of aggression, such as physical assault and murder. Even if male preponderance is there aggression is also common in females. This review article provides a brief knowledge about the various factors responsible for aggression and violence. The main focus of the article is to intervene successfully in aggression and violent behaviour. Overall, it is concluded that there is sufficient evidence currently available to substantiate the claim that personal violence can be reduced by psychosocial interventions, but that much more research is required to delineate the parameters of effectiveness in this context. Prevention at family level, community level and in school level will reduce the occurrence of aggression and violence significantly.