ABSTRACT
Objectives: To analyze prevalence of anxiety and depression among doctors serving in a tertiary care hospital in Lahore, with a study of impact of relevant demographic features
Methods: A cross sectional study was conducted at Combined Military Hospital, Lahore, from February 2014 to Jan 2015. Participants were doctors serving in subject hospital for at least six months duration. Standardized Hospital Anxiety Depression Score [HADS] inventory was selected as inventory. Formal approval from hospital ethical committee and written informed consent from participants were obtained. Demographic characteristics of participants were recorded as independent variables; anxiety and depression scores being outcome variables. Data analysis was done via descriptive statistics [SPSS-20], qualitative data expressed as frequencies, percentages; quantitative as mean +/- standard deviation[SD]. Cross tabulation was done via chi-square, p-value < 0.05 considered as significant
Results: Out of 203 volunteers, 97[47.78%] responded. Score of anxiety was 7.04 +/- 4.470, maximum being 19, scores of depression was 4.94 +/- 3.605, maximum score being 15. Mild to moderate anxiety and depression were revealed in 33[34%] and 24[24.8%] respectively, while 7[7.2%] and 1[1.0%] had severe anxiety and depression respectively. There was strong positive relation between anxiety and depression[p<0.001]. There was significant impact of service years on depression[p-0.011] and gender on anxiety[p-0.002],9[17.31%] males and 24[53.33%] females had mild to moderate anxiety while 4[7.69%] males and 3[6.66%] females revealed severe anxiety and other variables did not reveal significant impact on HADS scores
Conclusion: Doctors showed high grades of anxiety and depression. They must be promptly screened and managed at all medical institutions
ABSTRACT
Objective: The present study aimed at finding out the personality factors that are associated with drug addiction
Methodology: It was a quantitative research design, descriptive study and was carried out at department of Psychiatry Military Hospital Lahore from June 2013 to March 2014. Sixty patients admitted in Psychiatry Department Lahore with diagnosis of mental and behavioural disorder due to psychoactive substance abuse were selected by purposive sampling technique. Patient's diagnosis was made on ICD-10 criteria. Assessment of personality factors were done by using The 16 Personality Factor Questionnaire. Data was analysed by using SPSS version 18 and descriptive statistics were used
Results: Results revealed that some sample scored high on two personality factors that were vigilance [61.66%] and apprehension [65%]. This sample scored low on reasoning [68.33 %] and emotional stability [71.66 %] as well
Conclusion: Low emotional stability, low reasoning, over vigilance and apprehension are significantly associated with psychoactive substance use. The findings have preventive and therapeutic implications
ABSTRACT
Objective: the study is aimed to identify the personality factors of patients admitted with the history of recent deliberate self-harm [DSH]
Methodology: descriptive study with purposive sampling was carried out at Department of Psychiatry Combined Military Hospital [CMH] Lahore, Pakistan from July 2013 to January 2014. Personality profile of total 50 inpatients with DSH admitted in psychiatry department, CMH Lahore were assessed by using The Sixteen Personality Factor Questionnaire. Respondents were informed and assured of the complete confidentiality of their responses. Quantitative research design was employed. The data was analyzed by using SPSS version 17
Result: results indicated that inpatients with the history of DSH scored high on three factors i.e. Dominance [58%], Apprehension [48%] and Tension [52%]. Individuals scored low on 3 factors that are reasoning [4%], Emotional stability [4%] and Liveliness [8%]
Conclusion: the findings revealed some personality factors that are more consistently prominent in DSH patients. These increase vulnerability while the later considered lowering the vulnerability to DSH. The findings have thera-peutic and preventive implications
ABSTRACT
To study the changes in physiological parameters ie PAO[2], pulse and blood pressure changes during ECT under GA. Quasi-experimental study. Department of Psychiatry and Department of Anaesthesiology, Combined Military Hospital Abbottabad from Sep 2009 to Feb 2010. A total of 50 patients with depression were given four separate ECT sessions each. All patients were anaesthetized using propofol 180-200 mg I/V and suxamethonium 50 mg ie 0.75-1 mg per kg I/V without atropine. They were stratified according to physiological changes including PAO[2], pulse and blood pressure at 1, 2 and 5 min after ECT. Oxygen saturation was measured using a pulse oximeter, which measures saturations in the range of 65-100%. Age range was 19-65 years; mean 46 years [SD +/- 13]. Mean diastolic BP before ECT was 84.72 that decreased post ECT ie 78.02 and 77.46 and 74.44 at interval of 1, 2 and 5 minute respectively. Post-ECT pulse and PAO[2] behaved similarly. Post ECT systolic BP decreased at land 5 minutes. Pulse rate decreased after ECT. ECT under propofol is one of the most effective and safe modality of treatment for psychiatric patients under the supervision of qualified psychiatrists and anaesthesiologists and it gives more stable hemodynamic changes
Subject(s)
Humans , Adult , Aged , Female , Male , Middle Aged , Blood Pressure , Pulse , Non-Randomized Controlled Trials as Topic , Anesthesia, General , OxygenABSTRACT
To compare the cerebral blood flow [CBF] changes in patients diagnosed to have Dissociative Disorder with healthy controls. Cross Sectional Comparative study. The study was done in the Department of Psychiatry Military Hospital Rawalpindi in collaboration with Nuclear Medical Centre [NMC] Armed Forces Institute of Pathology [AFIP], a tertiary care centre of Pakistan Armed Forces from Dec 2004 to May 2005. This cross sectional comparative study was done at Dept of Psychiatry Military Hospital Rawalpindi in collaboration with nuclear Medical Centre [NMC], at Armed Forces Institute of Pathology [AFIP] which is a tertiary referral center. A sample of 30 patients diagnosed as having Dissociative Disorder was compared with 10 controls for brain perfusion changes using TC-99m HMPAO [Hexamethyl-propylene-amine-oxime] Tc-99m. In group 1 perfusion changes were observed in 27 [90%] cases whereas unremarkable and insignificant changes were noted in 3 [10%] cases but no perfusion were noted in controls [P< 0.001] In patients who were suffering from different types of dissociative disorder marked cerebral hypoperfusion was observed in frontal, frontomotor, orbitofrontal and temporal regions whereas hyperperfusion was noted in frontal and orbitofrontal areas in few cases. Cerebral blood flow changes in the fronto parietal brain are associated with symptomotology in dissociative disorders