Subject(s)
Crime Victims/psychology , Rape/psychology , Cognitive Behavioral Therapy , Crime Victims/legislation & jurisprudence , Female , Humans , Mental Disorders/etiology , Mental Disorders/therapy , Rape/prevention & control , Stress Disorders, Post-Traumatic/etiology , Stress Disorders, Post-Traumatic/therapy , Women's HealthABSTRACT
Two male patients with diabetes mellitus and alcohol dependence syndrome are presented. Both were married and in middle age. MI stayed alone in the city while his spouse and two children lived in the rural home. He showed no obvious underlying psychiatric morbidity. FWK was living with his family in the city. He was an alcoholic receiving psychiatric care for alcoholism. They both presented separately at different hospitals with decompensated diabetes following heavy alcohol consumption. The history and clinico-laboratory picture of both patients are presented and brief management programme and outcome are also given. Review of literature on alcoholism and its potential impact on the course and management of diabetes is presented.
Subject(s)
Alcoholism/therapy , Diabetes Mellitus/therapy , Adult , Alcoholism/blood , Alcoholism/epidemiology , Comorbidity , Diabetes Mellitus/blood , Diabetes Mellitus/epidemiology , Fatal Outcome , Humans , Life Style , Male , Middle Aged , Patient ComplianceABSTRACT
One hundred psychiatric outpatients discharged from mental hospital in Kenya were studied to estimate the treatment compliance after 3 months. The relatives and patients were interviewed separately to assess treatment adherence; 55 percent of them had defaulted in their treatment. Various factors were responsible for failure of compliance which included amongst many: unavailability of drugs which appears to be a common factor in Third World countries. Suggestions for better compliance included easily available injectable depot preparations or simple generic psychotropic drugs.
