ABSTRACT
Background Adverse impact of child mental disorders on the mental health of mothers is reported from other parts of the world but data is not from South Asia. Objectives To study the prevalence of depression among mothers seeking help for mental disorders in their children and compare it with that of mothers whose children are receiving treatment for physical disorders. Method Depression in mothers was assessed using self-rating and observer-rating standardized scales. The opinions of mothers regarding sensitivity to child and sense of behaviour control were also assessed. Results Prevalence in both groups of mothers was twice that of adult women in the community with regard to moderate and severe depression. Proportionately more mothers with mentally disordered children felt less sensitive towards the child, less in control of behaviour, and less supported by others when compared to those with physically disordered children. Conclusions Mothers of mentally disordered children should be screened for depression, stress and poor coping.
ABSTRACT
Introduction Children are known to display their thoughts and emotions in drawings and storylines. This study attempts to evaluate their clinical usefulness. Objectives To study the correlation between psychological states assessed through drawings and storylines and that assessed medically, in inpatients with psychological problems. Method Drawings and storylines on selected themes produced by children were assessed by nurses on 6 clinical parameters, using guidelines provided to ensure consistency. This data was compared with the medical assessments on same parameters, which was used as the "gold standard". Results Good correlation was found in identification of mood states and emotional distress. Correlation regarding cognitive development and self esteem was less satisfactory. Conclusions Such methods are useful subsidiary tools to medical assessments but caution in interpretation is necessary in some parameters.