ABSTRACT
Introduction: Sexual dysfunction is one of the leading causes of psychological distress in bipolar affective disorder patients. The current study aims to study the relationship between sexual dysfunction and quality of life in patients with Bipolar affective disorder in remission. Materials and methods: A cross-sectional study of purposively sampled bipolar patients in remission (N=60) was conducted in an OPD setting. After reinforcing confidentiality and privacy, data was collected and analyzed. Results: 73% with BD reported impaired sexual function. About 51.7% and 48.3% of male and female participants, respectively, had at least one form of sexual dysfunction. Better sexual function was associated with a higher degree of satisfaction with sexual life and higher QoL score. Conclusion: Sexual dysfunction is associated impaired quality of life, poor functioning and poor medication adherence. Hence, it should be made a routine practice to evaluate and address the problem of sexual dysfunction in patients with Bipolar affective disorder.
ABSTRACT
Background: Around 2/3rd of patients with schizophrenia do not receive long-term appropriate treatment and have 2-3 times higher risk of early death. There are several factors which affects medication adherence especially during covid period. Our aim was to estimate the prevalence and factors affecting medication non-adherence in patients with schizophrenia during the period of covid pandemic. Materials and methods: It was a cross-sectional observational study done in 82 patients with schizophrenia. Socio-demographic and clinical details were collected. Details pertaining to medication non-adherence during covid were collected using semi-structured proforma. Medication adherence was assessed using Morisky Medication Adherence Scale 4 (MMAS 4) and treatment compliance in last 6 months was collected from patient case records. Results: Our study showed 63% patients with medication non-adherence. Patients from semi-urban and rural background, with residence far from psychiatric facility and non-availability of transport were found to be at more risk of developing medication non-adherence, which were considered as economical factors related to non-adherence. Conclusion: 63% of patients had increased medication non-adherence during covid period. Our findings underline the fact that treatment non-adherence maybe further affected by economy related factors during covid period.
ABSTRACT
Background: Emotional regulation plays crucial part in overall psychological well-being of an individual as it impacts how he responds to stimuli. Evidences from past suggest that there are differences in emotional regulation strategies based on gender in patients suffering from different illnesses. However there is limited literature on emotional regulation strategies in general population. Material and methods: This was a cross sectional study conducted at a tertiary care centre on 60 subjects comprised of both genders, with no psychiatric or physical co-morbidity at present or in past. Emotional regulation among both genders was studied using Difficulties in Emotional Regulation Scale (DERS). Results: There was no significant difference in the socio-demographics of male and female participant groups. Among both gender, males had significantly higher difficulties in acceptance of emotions (P=0.035) and impulse dyscontrol (P=0.014) when compared to women. However, women had significantly lesser emotional clarity compared to men (P=0.003). Conclusion: These differences in emotional regulation strategies may be responsible for differences in clinical presentation and prevalence of various psychiatric illnesses among the gender group. Knowledge about emotional regulation strategies among both genders would help initiate gender specific interventions to avoid maladaptive behaviors and to prevent the onset or progression of illness.
ABSTRACT
Background: Psychiatric comorbidity and its effect have been increasingly recognized in various dermatological conditions. Multiple factors of dermatological and psychiatric illnesses interact dynamically influencing each other. We studied the prevalence and correlates of Depression and suicidal ideation in patients suffering from Psoriasis and Acne vulgaris. Materials and methods: Seventy one outpatients diagnosed with Psoriasis and Acne vulgaris were cross-sectionally studied for the prevalence and distribution of Depression and suicidal ideation. Correlation between the severity of Depression and the severity of dermatological illness was analyzed. Further, analysis of factors associated with Depression was done by regression analysis. Results: Prevalence of moderate and severe Depression was 29.6% in the study population. Prevalence of suicidal ideation in the study population was 15.5%. The number of patients with moderate and severe depression was significantly higher (X2 = 19.588; p value < 0.001) in the Psoriasis group compared to Acne vulgaris. Severity of dermatological illness correlated better with the severity of Depression in patients of Psoriasis (r = 0.66, p value < 0.001) as compared to Acne vulgaris (r = 0.46, p value < 0.001). Diagnosis of Psoriasis was associated with the occurrence of Depression in regression analysis. Conclusion: The high prevalence of depression in the study population emphasizes the importance of incorporating routine psychological screening in the evaluation of dermatological illnesses. Shyam Prashad K, Kailash Sureshkumar, Vidyendaran Rudhran, Murali Mohan Reddy, Shabeeba Z Kailash. Prevalence and correlates of Depression and Suicidal ideation in patients of Psoriasis and Acne vulgaris. IAIM, 2019; 6(1): 23-29. Page 24 Identification of factors associated with depression can help us to identify the high risk groups and provide appropriate management in improving their quality of life.