Background: Hysterectomy is the most common gynecological operation in the world, secondary to caesarian section. However, women undergoing hysterectomy face a multitude of psychosocial problems both before and after hysterectomy. Aims: To study and compare psychiatric morbidity, quality of life in patients on admission and after about 6 weeks post hysterectomy. Methods and Methodology: A total number of 100 women undergoing hysterectomy were included after they satisfied the eligibility criteria. Written informed consent was taken from all the study participants. After being evaluated by the inpatient Department of Obstetrics and Gynecology, such cases along with records of hospitalization and treatment were evaluated for any psychiatric morbidity and quality of life was assessed. Instruments used for assessment include WHOQOL-BREF, M.I.N.I, and Semi structured proforma. Results: There was overall improvement in psychiatric morbidity (30% to 12%). There was improvement in all domains of quality of life (p<0.0001). Conclusion: Most patients undergo hysterectomy to relieve symptoms and to improve their quality of life. Further research should be done to assess long term impact of hysterectomy.
Context: The WHO estimates that 8-12% of couples around the world experience difficulty conceiving a child. The impact of infertility on the psychological well being of couples involved has been the object of increasing attention in recent years. Most of the studies which have been conducted to identify the psychopathologies of infertile women have focussed their attention on depression and anxiety. Aim: The aim of the present study was to identify the prevalence of psychiatric disturbances in women suffering from infertility. Settings and Design: A cross sectional study was conducted in the Outpatient departments of Psychiatry and Obstetrics & Gynaecology. Methods and Material: One hundred and twenty infertile women were selected. They were interviewed using a special proforma and screened using Mini -international Neuropsychiatry interview English Version 6.0.0 Statistical Analysis Used: The data was analysed using SPSS version 19 &s EPI INFO software. Results: Psychopathology was found in 39.16% of the study population. Depression was the most common psychiatric morbidity found followed by generalized anxiety disorder. Conclusion: Infertile women should be routinely evaluated for psychological disturbances and psychiatric morbidity to maximise their health.
Background: Acne vulgaris is a skin condition occurs mainly in adolescents and young adults. It can affect an appearance of a person adversely. The impact of acne on the psychological well being has been the object of increasing attention in recent years. Most of the studies which have been conducted to identify the psychopathologies in patients with acne vulgaris have focused their attention on depression and anxiety. Aim: The aim of the present study was to identify sociodemographic profile and the psychiatric morbidity in patients with acne vulgaris as well as coping mechanisms used by them. Setting and Design: A descriptive observational study was conducted in the department of dermatology and psychiatry at a tertiary health care institute. Material and Method: Hundred patients of acne vulgaris were selected. They were interviewed using a special proforma, screened using Mini –international Neuropsychiatry interview English Version 6.0.0 and mechanism of coping scale by Parikh et al. Statistical Analysis Used: The data was analysed using SPSS version 19 & EPI INFO software. Result: Psychiatric morbidity was found in 35% of the study population. Psychiatric morbidity was found more in females, patients from nuclear families, patients living in rural areas and acne with grade 3 & 4. It is also found that coping mechanisms problem solving & expressive action were used more by the patients without any psychiatric morbidity. On the other hand, coping mechanisms fatalism & passivity were used more by the patients with psychiatric morbidity. Conclusion: Patients with acne vulgaris in whom psychiatric morbidity is present, should be routinely evaluated and their psychiatric morbidity need to be treated for maximise their health.
Introduction: Several researches on HIV and other STDs often focused on vulnerable people like injection drug users, and commercial sex workers. A less but well-recognized risk group are men and women living with mental illnesses, such as substance abuse, schizophrenia, bipolar disorder, and other mood disorders. Methodology: Adults (N=107) newly detected as having infection of HIV were screened for the information regarding socio-demographic and psychiatric correlates. The patients were interviewed using Mini-international Neuropsychiatry interview English Version 6.0.0, and diagnosis was confirmed using a brief structured interview for the major Axis I psychiatric disorders in DSM-IV and ICD-10. Results: Among the 107 HIV infected individuals, 54 (50.47%) people were diagnosed to be suffering from axis I psychiatric disorder, substance abuse being the most common, followed by mood disorders, anxiety disorder and schizophrenia. Multiple sex partners, non-use of barrier method during sexual activity and, sex with commercial sex workers were associated risk factors with the psychiatric disorders in patients newly diagnosed with HIV infection. Conclusion: Psychiatric patients are a high risk group for HIV infection and must be screened regularly for the same.
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