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":"34 1","pages":"0"},"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}
Sexual medicine is a rapidly developing subspecialty of modern medicine. Yet, there are several uncertainties over its place in contemporary medicine. As of now, this is an interdisciplinary field. Several medical disciplines contribute to the evaluation, management of clients with sexual dysfunctions, research, innovation, and generation of further knowledge and skills. Psychiatry has played an essential role in the historical development of sexual medicine. The brain plays a vital role in sexual functioning during health and disease. Several conceptual understandings of the disorders, assessment strategies, and management techniques have psychological or neural science-related underpinnings.Additionally, sexual disorders have high comorbidity with several mental health conditions. Clients can be the best mange if a biopsychosocial perspective on sexual medicines is utilized in diagnosis and management. A host of newer development and progress is happening in this field, so keeping track and consistent updating is imperative for clinicians desirous of competently practicing sexual medicine
{"title":"Sexual Medicine and Psychiatry: Promises, Potentials, and Pitfalls: Global and Local Perspectives","authors":"A. Tripathi","doi":"10.55229/ijbs2022.0302","DOIUrl":"https://doi.org/10.55229/ijbs2022.0302","url":null,"abstract":"Sexual medicine is a rapidly developing subspecialty of modern medicine. Yet, there are several uncertainties over its place in contemporary medicine. As of now, this is an interdisciplinary field. Several medical disciplines contribute to the evaluation, management of clients with sexual dysfunctions, research, innovation, and generation of further knowledge and skills. Psychiatry has played an essential role in the historical development of sexual medicine. The brain plays a vital role in sexual functioning during health and disease. Several conceptual understandings of the disorders, assessment strategies, and management techniques have psychological or neural science-related underpinnings.Additionally, sexual disorders have high comorbidity with several mental health conditions. Clients can be the best mange if a biopsychosocial perspective on sexual medicines is utilized in diagnosis and management. A host of newer development and progress is happening in this field, so keeping track and consistent updating is imperative for clinicians desirous of competently practicing sexual medicine","PeriodicalId":253024,"journal":{"name":"Indian Journal of Behavioural Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130080411","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":"22 1","pages":"0"},"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}
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