Aims:To study the presence of personality disorder in cases of deliberate self harm (DSH) in young (15–24 years) and elderly (45–74 years) and compare.Materials and Methods:Deliberate self harm cases admitted in Medical and surgical departments and cases attending psychiatry department of R.G. Kar Medical College, Kolkata were studied. For diagnosis of personality disorder ICD 10 International Personality Disorder Examination (IPDE) questionnaire was used.Results:Percentage of elderly patients having personality disorder (64%) was higher compared to young DSH patients (58.5%). In young group, most common disorder was emotionally unstable personality disorder (28.6%) and in elderly group most common was anankastic type of personality disorder (36%). Schizoid, dissocial, histrionic, and anxious-avoidant personality disorders were found in small percentages of cases.Conclusion:Among DSH patients, the most common personality disorder found in young age was Emotionally unstable (Impulsive and Borderline) personality disorder, but most common personality disorder found in elderly patients was Anankastic personality disorder.
We cross-culturally replicated and extended findings reported by Kell, Motowidlo, Martin, Stotts, and Moreno that technical knowledge and prosocial knowledge have independent effects on performance. In a sample of 196 Indian medical students, we found that prosocial knowledge explains variance in students' clinical performance beyond the variance explained by technical knowledge and technical knowledge explains variance in clinical performance beyond the variance explained by prosocial knowledge. Contrary to findings that American medical students' prosocial inclinations, as reflected in measures of empathy, seem to decline over the course of their medical training (e.g., Hojat, Vergare, Maxwell, Brainard, Herrine, and Isenberg), we found that Indian medical students' prosocial knowledge steadily increased from their third to fifth years of medical study.The distinction made by Borman and Motowidlo (1993) between task performance and contextual performance argues the point that overall job effectiveness depends both on individuals' technical contributions to the products and services that an organization produces through its operational core and on individuals' nontechnical contributions to the social, psychological, and organizational context in which the technical core bs_bs_banner
Background: The diagnosis of the disease, major depressive disorder (MDD), entirely depends on the presence of some symptoms without any biochemical parameter to support it. Depletion of dopamine though is an established feature, is not the sole causative factor of MDD. Moreover, it has very little diagnostic value due to a short half-life. Other chemical messengers like hormones have also been found to get altered due to significant over activity of hypothalamo-pituitary axis. Literature review suggests that cortisol, thyroid-stimulating hormone (TSH), and prolactin (PRL) are mostly altered in MDD, which can be utilized to diagnose the condition. Materials and Methods: A total of 101 patients suffering from MDD along with 106 age- and sex-matched controls were included in this study. Cortisol, TSH, and PRL were assayed in all the study participants by enzyme immunoassay. Student's t -test and linear discriminant analysis were used for statistical analysis. Results: All the three hormones were found to be significantly high in cases with MDD. When applied for classification purpose, the errors in training group were found to be 15% and 15.74% from test set. None of the normal population was wrongly diagnosed as a patient of depression. Conclusion: To the best of our knowledge, this is the first attempt to evaluate multiple biochemical parameters as diagnostic marker of MDD. The study is in progress to find out a cutoff value of the responsible parameter so that they can be optimally used to diagnose a case of MDD.
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