ABSTRACT
Background: Treatment outcome is very essential. Hence for successful treatment and management of alcohol dependent cases, it is essential to understand their personality. Methods:Present cross sectional hospital based study was conducted in the Department of Psychiatry, Pacific institute of Medical Sciences, Udaipur. Alcohol dependence syndrome and uncomplicated withdrawal state patients only were included in the present study. Age less than 18 and more than 60 years, patients with mental retardation, patients with personality disorders were excluded. Results: Majority of subjects belongs to upper low socioeconomic status (n=10), middle socioeconomic status (n=6), low socio economic status (n=2) and upper middle socioeconomic status (n=2). Maximum number of patients were from rural areas than urban areas. Majority of males in the high-risk level of severity of alcoholism has banging head against something, to the extent that caused a bruise to appear type of behavior. Conclusions: Majority alcoholics were from low social classes, were illiterate, were married, unskilled workers. Hence these group people should be paid proper attention to prevent the occurrence of alcoholism among them.
ABSTRACT
Background: Psychiatric problems in skin outpatient department are very common. This study evaluates various psychiatric manifestation in skin out patients and its impact on day to day living of patients. About 40% of skin out door patients had a minor psychiatric problem e.g. Depression, Anxiety, Adjustment disorder etc. Patients with psychiatric problems were more psychosocial problems like less socialization, avoidance, job and marital problems etc. Methods: This study was conducted at dermatology outpatient department at civil hospital Ahmadabad. 200 consecutive dermatology out patients above age 15 were studied. All patients were requested to fill in general health questionnaire Guajarati version. Patient has to tick mark one out of the four alternative response. Those who could not read, interviewer read out the questionnaire and recorded the patient’s responses. Results: Sleep disturbance was present in 83% of patients. More than quarter of patients reported marital problem after onset of skin lesion. Avoiding people, stopped going out, more time in grooming and stopped hobbies were less common. Work loss and job impairment were present in 16% and 8.5% patients respectively. Conclusion: Out of 200 dermatology out patients 81 (40.5%) had psychiatric morbidity on clinical interview. Adjustment disorder, depression, anxiety disorders were most common diagnosis. Psychotic disorders were found was found in 3 patients. Patients with psychiatric morbidity were older than patients without psychiatric morbidity.