ABSTRACT
Depression is a common psychiatric illness and since majority of patients suffering from depression are first seen and treated by general practitioners, it is important for them to identify and treat depressive illness more effectively. Fortunately, depression is a treatable condition. Identifying the optimal antidepressant agent requires careful consideration of the patient's age, health status, and history of response to antidepressants. Other considerations include adverse effect profile, cost of drug therapy and convenient dosage schedule. Selective serotonin reuptake inhibitors are well tolerated and are considered by many to be the agents of choice in primary care treatment of depression because of their favourable adverse effect profile. Heterocyclic antidepressants are preferred in elderly patients and patients with medical problems. Tricyclic antidepressants can also be of great help specially to younger group of patients and patients who have failed to respond to other antidepressants.
Subject(s)
Antidepressive Agents/administration & dosage , Depressive Disorder/drug therapy , Patient Care Team , Antidepressive Agents/adverse effects , Depressive Disorder/diagnosis , Depressive Disorder/psychology , Family Practice , Humans , Referral and ConsultationABSTRACT
The present report compares Thiopentone sodium and Althesin as intravenous anaesthetic agents in modified electro-convulsive therapy. The induction time with althesin and thiopentone was more or less similar. There was significantly shorter recovery period with althesin as compared to thiopentone. Early and uneventful recovery with althesin was distinct advantage over thiopentone sodium.
ABSTRACT
Of the 85 psychiatric patients taken for the study 45 (52.9%) had physical illnesses. Results showed that 84.4 % physically ill patients remained unrecognised at the time of psychiatric consultation. A significantly higher percentage of physically ill patients were drawn from larger families of lower socio-economic status. Significantly higher number of physically ill patients had psychiatric problems of longer duration. Severe types of physical illnesses were mainly found in schizophrenics. Respiratory system was most frequently involved.
ABSTRACT
The study was undertaken to assess the value of etomidate in modifed E.C.T. and compare the results with thiopentone sodium. Fifty patients of schizophrenia, depressive illness and manic depressive psychosis requiring E.C.T. were studied with thiopentone and etomidate in two subsequent sittings. The results indicate that induction time is approximately same with both the drugs. The shorter recovery time with etomidate in comparison to thiopentone proved to be of definite advantage specially to psychiatric out patients who rapidly have to regain consciousness and soon become alert enough to go back to their homes alter treatment.
ABSTRACT
Diagnostic characteristics, personality pattern and certain psychosocial variables of 30 married couples where both partners were mentally ill (group A) were compared with the findings with another group of 30 couples where only one partner was psychiatric patient (Group B). Results revealed that couples in the Group A had significantly longer duration of marriage as compared to Group B. Significantly higher number of pairs in the Group A were from the higher socio-economic status. Nearly two third of the secondary partners (those developing illness later) in the Group A were wives. Primary partners of Group A (those developing illness earlier) had a significantly longer duration of illness than the sick spouses of Group B.
ABSTRACT
The study is aimed at investigating the occurrence of writers cramp in office workers, drawn from ten major offices of Kanpur to determine the nature and relationship of various emotional factors in the development of this disability. The observations on writers cramp cases were compared with a group of normal and diseased controls. Out of a surveyed population of 3,325 office workers, there were 18 cases of writers cramp. Cramp cases scored significantly higher on all the subscales of Middlesex hospital questionnaire than the diseased and normal controls. Emotional stress of sufficient intensity was recorded in an increased percentage (66.70%) of writers cramp cases as compared to diseased and normal controls (53.3% and 46.7% respectively). The most frequent area of disturbance was severe maladjustment found in 38.9% of writers cramp cases, while in diseased and normal controls the type of stresses were of a different nature.
