Predictors of Aggressive Behaviours in Drug De-Addiction Centre.

Aim: Associations have been reported between aggression and psychoactive substance use. This study aimed to assess the prevalence and nature of aggressive incidents and to examine the factors associated with aggression in patients in a drug de-addiction unit. Method: Forms of aggression and their severity were assessed based on questions of Overt Aggression Scale (OAS). Data were collected from inpatients about the nature of their aggressive incident during a 12-month period. The characteristics of those patients involved in aggressive incidents were compared with those of others who had not been aggressive. Results: Fifty out of 83 patients admitted during this period were involved in some form of aggressive behaviour. Pattern of aggressive behaviour exhibited by patients were in the form of verbal aggression 60.24% (N=50); Object aggression 28.9% (N=24); Aggression toward other 32.53% (N=27) and Aggression toward self 2.41% (N=2). There were high correlations of one form of aggression in presence of other forms. Most common diagnosis was alcohol dependence. On the whole aggression was found to be higher in the alcohol withdrawal with delirium group. While all other forms of violence showed increase with past histories, statistical significance was there only in aggression towards others (p=0.043). Aggressive behaviours generally reported less in voluntarily admitted patients. Comparison of aggressive behaviour in relation to family type, locality, religion, family history of violence did not yield any significant variation. Conclusion: Like weather forecasting, predictions of future violence will not always be correct. However, in order to prevent aggressive incidents, present study revealed that particular attention and increase support required in patients living in the nuclear family, unwilling for admission, past history of aggressive incidents and diagnoses of alcohol withdrawal. Verbal aggression could be considered as strong predictor for other type of assault.

Evaluation of EEG in Child Guidance Clinic.

Background: Electroencephalographic (EEG) abnormalities occur in patients with various idiopathic psychiatric disorders. Among the psychiatric patients, children have shown more EEG abnormalities as compared to the adult cases. The present study therefore examined the pattern of EEG abnormalities in children’s attending child guidance clinic of psychiatry department. Method: Electrodes were positioned according to the 10 – 20 system, using a common reference electrode. EEG recordings from 138 hospitalized psychiatric patients were graded blind to diagnosis and treatment for type of EEG abnormalities. Types of clinical diagnosis were evaluated for association with pattern EEG abnormalities. Results: EEG abnormalities occurred in 53.62% (N = 74) subjects, whereas 46.38% (N = 64) showed no abnormality in EEG record. Generalized abnormalities was observed in 37.84% (N = 28) subjects. EEG abnormality in clinically diagnosed epilepsy were commonest 64.62% (N = 42), followed by dissociative (conversion) vs. epilepsy 62.5% (N = 5), pervasive developmental disorder (PDD) 56.67% (N = 17), and mental retardation with epilepsy 28.57% (N = 10). Conclusions: EEG abnormality risk varied widely among children’s with different diagnoses referred/attending Child Guidance Clinic of psychiatry department. Risk was particularly high in clinically diagnosed epilepsy.

Non Cerebral Activity in Patients of Schizophrenia: EEG Study.

Non Cerebral Activities (NCA) can mimic almost any kind of cerebral electrical activity and lead to serious misinterpretation if artefact periods remain in the recording. We focused on NCA detection in EEG of Patients with Schizophrenia. Out of 35 schizophrenia patients the presence of muscle and eye blink artefacts were higher in there percentages i.e. 86% and 92%. Fifteen patients (42.8%) reported as EEG of doubtful significance, which is higher in psychiatric patient’s then general population of epileptics.

EEG Study in Excellent and Poor Achiever Students.

Objective: To assess the EEG amplitude and frequency of poor and excellent achievers. Method: The 15% highest achieving students and the 15% lowest achieving students from the three faculties were selected to be included in the study sample. EEG was carried out according to the 10–20 system, using a common reference electrode. The Bipolar recording of 10 minutes of two runs i.e. anterior, posterior and transverse has been taken into account for the analysis of data. Results: There are significant differences in the amplitudes of certain lobes of both hemispheres of poor and excellent achievers. Particularly, poor achievers have higher amplitudes. The frequency of excellent achievers of certain lobes is found to be significantly higher than those of the poor achievers. Conclusion: The relationship of amplitude and frequency with academic achievement are inconclusive, nothing can be said with confidence about the role played by the amplitude in determining the academic achievement of poor achievers. It is difficult to understand the specific roles played by the frequencies of the different lobes in determining the academic achievement of excellent achievers. Hence, further researches should be undertaken to study the cause and effect relationship between amplitude and frequency of the different lobes and academic achievements of’ students.

Geriatric Mental Health in a Tertiary Care Centre: Socio-Demographic and Clinical variables.

Background: Nearly 50% of the aged have some physical ailment and are in need of active health care. Geriatric psychiatry is a sub-specialty of psychiatry, which deals with psychopathology occurring in the elderly and the various aetiological factors which cause the mental disorders in old age. Method: This is a descriptive study with sampling in a tertiary centre where the diagnoses were made based on the tenth edition of the International Statistical Classification of Diseases and Related Health Problems (ICD- 10) and were evaluated for sociodemographic and clinical variables as well as general medical conditions. Results: Mean age of the patients was 69.81 years, male constituted 73.58% and female 26.42%, Hindu were 56.60% and Islam 43.40%. Mean duration of stay in psychiatry ward was 5.7 days. 77.36% of patients were discharged on advice, 15.09% were transferred to another department, 1.89% absconded, 1.89% referred to another hospital and 3.77% referred to another department. 9.62% patients had general medical conditions alone and 40.38% had psychiatric disorders alone while 50% had combined psychiatric disorders with general medical conditions. 42.31% patients had organic, including symptomatic, mental disorders; 3.85% had mental and behavioural disorders due to psychoactive substance use; 26.92% had schizophrenia, schizotypal and delusional disorders; 28.85% had mood [affective] disorders; 5.77% patients had neurotic, stress-related and somatoform disorders. Conclusion: Within the limitations of nongeneralizability of findings, present study throws light in important areas of geriatric mental health including general medical conditions.

Problems in Disposal of Long Staying Criminal Psychiatric Patients in Mental Hospital, Varanasi.

Aim – The purpose of the study was to assess, the problems in disposal of long stay criminal mental patients, from mental hospital Varanasi, despite of their improvements and types of crime. Method – In this study 202 criminal mental patients taken from the mental hospital Varanasi. Those patients were admitted between years of 1948-2002. Out of 202, 193 were male criminal patients and 9 were female. Patients were divided into two groups, convicted and nonconvicted. The patients were analysed on the basis, of duration of stay in hospital, despites of their fitness, types of crime, time of discharges and types of mental disorders. Results –The incidence of crime committed were significantly higher in male patient in the age group of (18-40) years 75%, nearly 53%, patients committed crime below 30 years and, 5% crime committed above the age of 50 years. Similar finding reported as (Gluecks 1943, Baldev et al 1970). 75% patients were suffering from Schizophrenia. 67% patients stayed in the mental hospital less than 5 years but remaining patient stayed more than 6 years. 2% patient stayed more than 45 years. Conclusion – A part of criminal patient stayed in the mental hospital because of legal, administrative, medical, and communication problems with respective jails.