Aim: To examine the association between psychopathology in children whose parents/parent is HIV positive injecting drug user (IDU).Methods: HIV seropositive parents (N = 48) of mean age 37.6 years (SD 6.2, range 26–55) were drawn from De-addiction OPD of the department of Psychiatry and the ART centre of excellence of Sir Sunderlal Hospital, Institute of Medical Sciences, Banaras Hindu University who were registered from July 2019 to July 2021. Their socio-demographic details, current drug use status and activities of daily living were assessed using Instrumental Activities of Daily Living Scales (IADLs). In a single cross-sectional interview children were screened using Child Behavior Check List (CBCL). This scale gives scores for the symptoms which are internalized and those that are externalized.Results: All seropositive parents were taken at the time of study out of which 48% had CD4 count below 200 cells/mL and 52% had above it. 43.8% parents reported to abuse illicit drug mostly heroin and sedatives. Parental CD4 counts and health status variables, medical illness were significantly co-relating with internalized symptoms in the offspring of the parenteral drug users (OR 4.67, p < 0.025). Total no. of children included were 52 boys and 35 girls. Their mean age was 12.5 years (SD 2.0, range 6–16). Child CBCL scores indicates that 23.5%, 31.0%, and 25.5% fell in the at-risk range for symptoms which are internalized, externalized, and the total CBCL scores respectively.Conclusion: Parental HIV seropositivity status does not have much impact on child’s health but it does have apparent risk of developing psychopathological and behavioral problems in children which can pose future challenges for this group of children.
目的:探讨HIV阳性注射吸毒者(IDU)患儿精神病理的关系。方法:选取2019年7月至2021年7月在巴纳拉斯印度教大学医学研究所Sir Sunderlal医院精神科戒毒门诊和ART卓越中心登记的HIV血清阳性父母48例，平均年龄37.6岁(SD 6.2，范围26-55岁)。使用日常生活工具活动量表(Instrumental activities of daily living Scales, IADLs)评估其社会人口统计学细节、当前药物使用状况和日常生活活动。在单横断面访谈中，使用儿童行为检查表(CBCL)对儿童进行筛选。这个量表给内化症状和外化症状打分。结果:所有血清阳性父母在研究时，CD4计数低于200细胞/mL的占48%，高于200细胞/mL的占52%。43.8%的家长报告滥用非法药物，主要是海洛因和镇静剂。父母CD4计数、健康状况变量、内科疾病与肠道外用药后代内化症状显著相关(OR 4.67, p < 0.025)。总没有。包括52名男孩和35名女孩。平均年龄12.5岁(SD 2.0，范围6-16)。儿童CBCL评分显示，在内化、外化和总CBCL评分方面，分别有23.5%、31.0%和25.5%的儿童处于危险范围。结论:父母HIV血清阳性状况对儿童健康影响不大，但存在儿童出现精神病理和行为问题的明显风险，对这类儿童的未来发展构成挑战。
{"title":"Children of HIV Positive Injectable Drug Users (IDUs): A Study into their Psychopathology","authors":"S. Ansari, M. Srivastava","doi":"10.55229/ijbs2022.0303","DOIUrl":"https://doi.org/10.55229/ijbs2022.0303","url":null,"abstract":"Aim: To examine the association between psychopathology in children whose parents/parent is HIV positive injecting drug user (IDU).Methods: HIV seropositive parents (N = 48) of mean age 37.6 years (SD 6.2, range 26–55) were drawn from De-addiction OPD of the department of Psychiatry and the ART centre of excellence of Sir Sunderlal Hospital, Institute of Medical Sciences, Banaras Hindu University who were registered from July 2019 to July 2021. Their socio-demographic details, current drug use status and activities of daily living were assessed using Instrumental Activities of Daily Living Scales (IADLs). In a single cross-sectional interview children were screened using Child Behavior Check List (CBCL). This scale gives scores for the symptoms which are internalized and those that are externalized.Results: All seropositive parents were taken at the time of study out of which 48% had CD4 count below 200 cells/mL and 52% had above it. 43.8% parents reported to abuse illicit drug mostly heroin and sedatives. Parental CD4 counts and health status variables, medical illness were significantly co-relating with internalized symptoms in the offspring of the parenteral drug users (OR 4.67, p < 0.025). Total no. of children included were 52 boys and 35 girls. Their mean age was 12.5 years (SD 2.0, range 6–16). Child CBCL scores indicates that 23.5%, 31.0%, and 25.5% fell in the at-risk range for symptoms which are internalized, externalized, and the total CBCL scores respectively.Conclusion: Parental HIV seropositivity status does not have much impact on child’s health but it does have apparent risk of developing psychopathological and behavioral problems in children which can pose future challenges for this group of children.","PeriodicalId":253024,"journal":{"name":"Indian Journal of Behavioural Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127589175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Context: Homeless persons lack socioeconomic support which is instrumental in affecting both their physical as well as psychological health. A number of destitute persons are often brought to specialized psychiatric centres in view of their dilapidating physical and psychological health.Aim: To study the prevalence and clinical presentation among the destitute persons admitted to a specialized psychiatric care centre.Materials & Methods: A total of 100 destitute persons admitted to a specialized psychiatric care centre were included in the study as a retrospective chart review. Demographic profile and clinical presentations were noted. The classification of psychiatric illnesses was done as per international classification of diseases (ICD)-10 classification. Data has been represented in frequencies (number) and percentages.Results: Age of patients ranged from 15 to 75 years. Mean age of patients was 40.70 ± 13.99 years. Majority (62%) were males and Hindus (57%). Poor personal hygiene (79%), abnormal behavior (52%) and self-muttering (44%) were the most common presenting complaints. On mental status examination, irrelevant speech (85%), restricted/perplexed affect (93%), impaired judgement (98.8%), impaired attention and concentration (90.7%) and impaired memory (80%) were the major findings. CNS and GI abnormalities were seen in 9% and 2% patients. Almost all (99%) had non-cooperative attitude, inadequate skin/nail care (94%). Majority (56%) had thin to very thin built and psychomotor agitation (55%). Unspecified nonorganic psychosis (44%) was the most common psychiatric illness followed by paranoid schizophrenia (10%) and organic delirium (6%). In 28% cases, the psychiatric illness could not be established clearly, and were kept under observation.Conclusion: Destitute persons have a huge burden of psychiatric illness that had affected their physical health too.
{"title":"Prevalence of Homeless Mentally Ill Patient along with their Clinical Presentation at Government Setup in Western Uttar Pradesh State of India","authors":"Swati Singh, T. Pal, G. Kumar","doi":"10.55229/ijbs2022.0304","DOIUrl":"https://doi.org/10.55229/ijbs2022.0304","url":null,"abstract":"Context: Homeless persons lack socioeconomic support which is instrumental in affecting both their physical as well as psychological health. A number of destitute persons are often brought to specialized psychiatric centres in view of their dilapidating physical and psychological health.Aim: To study the prevalence and clinical presentation among the destitute persons admitted to a specialized psychiatric care centre.Materials & Methods: A total of 100 destitute persons admitted to a specialized psychiatric care centre were included in the study as a retrospective chart review. Demographic profile and clinical presentations were noted. The classification of psychiatric illnesses was done as per international classification of diseases (ICD)-10 classification. Data has been represented in frequencies (number) and percentages.Results: Age of patients ranged from 15 to 75 years. Mean age of patients was 40.70 ± 13.99 years. Majority (62%) were males and Hindus (57%). Poor personal hygiene (79%), abnormal behavior (52%) and self-muttering (44%) were the most common presenting complaints. On mental status examination, irrelevant speech (85%), restricted/perplexed affect (93%), impaired judgement (98.8%), impaired attention and concentration (90.7%) and impaired memory (80%) were the major findings. CNS and GI abnormalities were seen in 9% and 2% patients. Almost all (99%) had non-cooperative attitude, inadequate skin/nail care (94%). Majority (56%) had thin to very thin built and psychomotor agitation (55%). Unspecified nonorganic psychosis (44%) was the most common psychiatric illness followed by paranoid schizophrenia (10%) and organic delirium (6%). In 28% cases, the psychiatric illness could not be established clearly, and were kept under observation.Conclusion: Destitute persons have a huge burden of psychiatric illness that had affected their physical health too.","PeriodicalId":253024,"journal":{"name":"Indian Journal of Behavioural Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133068374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Kumar, S. A. Azmi, M. Reyazuddin, P. Naik, F. Shaan
COVID-19 has impacted sleep-health in various ways. There has been a substantial increase in the number of patients or subjects with sleep issues, with majority reporting delayed onset, fragmented and/or poor-quality sleep. Sleep is a restorative process; is very crucial to body’s response to anything that’s foreign and serves as a repairing phase of our system. Sleep is generated by our brain; it is of the brain and most importantly for the brain. The universal lockdown due to COVID-19 pandemic has created many sleep related mental issues.
{"title":"Sleep Disorder in COVID-19 Pandemic","authors":"J. Kumar, S. A. Azmi, M. Reyazuddin, P. Naik, F. Shaan","doi":"10.55229/ijbs2022.0309","DOIUrl":"https://doi.org/10.55229/ijbs2022.0309","url":null,"abstract":"COVID-19 has impacted sleep-health in various ways. There has been a substantial increase in the number of patients or subjects with sleep issues, with majority reporting delayed onset, fragmented and/or poor-quality sleep. Sleep is a restorative process; is very crucial to body’s response to anything that’s foreign and serves as a repairing phase of our system. Sleep is generated by our brain; it is of the brain and most importantly for the brain. The universal lockdown due to COVID-19 pandemic has created many sleep related mental issues.","PeriodicalId":253024,"journal":{"name":"Indian Journal of Behavioural Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132635340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：