Pub Date : 2021-03-21DOI: 10.30834/KJP.34.1.2021.232
T. Babu, T. Saleem, Kanaparthi Ramesh
Background: Delirium is a common neuropsychiatric condition in older adults in medical and surgical settings. It is important to identify cognitive impairment in the elderly population early in their stay at the hospital to reduce morbidity and mortality. The literature on the prevalence of delirium in the elderly population shows that the occurrence of delirium is associated with patient factors and clinical settings. Delirium may affect the outcome of the primary medical condition in addition to the occurrence of poor compliance to treatment and long-term psychological sequela. Aim: The study aims to identify the prevalence of clinical delirium among patients at the age of 60 years or above, admitted in medical and surgical units of Government Medical College Hospital, Kozhikode, Kerala. The study also looked into the related factors and management aspects of the condition. Methods: A cross-sectional observational method was used in a sample of 300 older adult patients who were selected using a census approach from medical and surgical inpatient units of the hospital. Clinical and personal details were collected in addition to the assessment of the participants with the Confusion Assessment Method (CAM) and Nursing Delirium Screening Scale(Nu-DESC). Results: Findings of the study revealed the prevalence of delirium in older adult patients at 16%. The study also shows a significant association between the prevalence of delirium and selected clinical variables and area of admission. Conclusion: Early identification and prompt medical and psychiatric care, and environmental manipulation will reduce the development of complications in older adults.
{"title":"Prevalence of delirium among older adults in a tertiary care referral hospital in Kerala","authors":"T. Babu, T. Saleem, Kanaparthi Ramesh","doi":"10.30834/KJP.34.1.2021.232","DOIUrl":"https://doi.org/10.30834/KJP.34.1.2021.232","url":null,"abstract":"Background: Delirium is a common neuropsychiatric condition in older adults in medical and surgical settings. It is important to identify cognitive impairment in the elderly population early in their stay at the hospital to reduce morbidity and mortality. The literature on the prevalence of delirium in the elderly population shows that the occurrence of delirium is associated with patient factors and clinical settings. Delirium may affect the outcome of the primary medical condition in addition to the occurrence of poor compliance to treatment and long-term psychological sequela. Aim: The study aims to identify the prevalence of clinical delirium among patients at the age of 60 years or above, admitted in medical and surgical units of Government Medical College Hospital, Kozhikode, Kerala. The study also looked into the related factors and management aspects of the condition. Methods: A cross-sectional observational method was used in a sample of 300 older adult patients who were selected using a census approach from medical and surgical inpatient units of the hospital. Clinical and personal details were collected in addition to the assessment of the participants with the Confusion Assessment Method (CAM) and Nursing Delirium Screening Scale(Nu-DESC). Results: Findings of the study revealed the prevalence of delirium in older adult patients at 16%. The study also shows a significant association between the prevalence of delirium and selected clinical variables and area of admission. Conclusion: Early identification and prompt medical and psychiatric care, and environmental manipulation will reduce the development of complications in older adults.","PeriodicalId":31047,"journal":{"name":"Kerala Journal of Psychiatry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48979799","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}
Pub Date : 2021-03-15DOI: 10.30834/KJP.34.1.2021.249
M. Bhat, A. Kakunje, Rajesh Mithur, M. Shenoy, K. A. Mashood, Sowmya Puthran, A. Joy
Stevens-Johnson syndrome is a severe immune-mediated cutaneous reaction occurring due to exposure to certain drugs. Lamotrigine is an FDA approved drug used in the treatment of bipolar depression. When it is given concomitantly with sodium valproate, the risk of developing Stevens-Johnson syndrome increases. Here we present the report of a patient with bipolar depression who developed serious skin rashes while on lamotrigine and NSAID prescribed by a local doctor, who recovered after timely management. This case highlights the importance of following proper dosing, drug escalation regimen and managing drug interactions during lamotrigine therapy.
{"title":"Stevens-Johnson Syndrome while on lamotrigine and NSAID:A case report","authors":"M. Bhat, A. Kakunje, Rajesh Mithur, M. Shenoy, K. A. Mashood, Sowmya Puthran, A. Joy","doi":"10.30834/KJP.34.1.2021.249","DOIUrl":"https://doi.org/10.30834/KJP.34.1.2021.249","url":null,"abstract":"Stevens-Johnson syndrome is a severe immune-mediated cutaneous reaction occurring due to exposure to certain drugs. Lamotrigine is an FDA approved drug used in the treatment of bipolar depression. When it is given concomitantly with sodium valproate, the risk of developing Stevens-Johnson syndrome increases. Here we present the report of a patient with bipolar depression who developed serious skin rashes while on lamotrigine and NSAID prescribed by a local doctor, who recovered after timely management. This case highlights the importance of following proper dosing, drug escalation regimen and managing drug interactions during lamotrigine therapy.","PeriodicalId":31047,"journal":{"name":"Kerala Journal of Psychiatry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46502017","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}
Pub Date : 2021-02-15DOI: 10.30834/KJP.34.1.2021.224
S. Parvathy, A. Vincent, Ashok Antony
Background: Psychiatric disorders are usually found to be associated with thyroid dysfunction. Although thyroid dysfunction's relevance to psychiatric disorders is recognized, few studies have estimated the prevalence of subclinical hypothyroidism in subjects with the premenstrual dysphoric disorder in the Indian population. Method: A hospital-based cross-sectional study conducted in a tertiary care centre in central Kerala, enrolled 70 subjects diagnosed with Premenstrual Dysphoric Disorder (PMDD) who presented to the psychiatry and gynaecology Out Patient Departments (OPD). Sociodemographic and clinical data were collected followed by administration of PMDD rating scale. Mini International Psychiatric Interview was done to rule out other psychiatric disorders. TSH was done for all subjects after two months during follow up. Results: 63.33 % of subjects with PMDD were found to have thyroid dysfunction. A significant association was established between PMDD score and subclinical hypothyroidism. Conclusion: Subclinical hypothyroidism is common in premenstrual disorder and is closely associated with the same.
{"title":"The profile of subclinical hypothyroidism in subjects with premenstrual dysphoric disorder – A pilot study","authors":"S. Parvathy, A. Vincent, Ashok Antony","doi":"10.30834/KJP.34.1.2021.224","DOIUrl":"https://doi.org/10.30834/KJP.34.1.2021.224","url":null,"abstract":"Background: Psychiatric disorders are usually found to be associated with thyroid dysfunction. Although thyroid dysfunction's relevance to psychiatric disorders is recognized, few studies have estimated the prevalence of subclinical hypothyroidism in subjects with the premenstrual dysphoric disorder in the Indian population. Method: A hospital-based cross-sectional study conducted in a tertiary care centre in central Kerala, enrolled 70 subjects diagnosed with Premenstrual Dysphoric Disorder (PMDD) who presented to the psychiatry and gynaecology Out Patient Departments (OPD). Sociodemographic and clinical data were collected followed by administration of PMDD rating scale. Mini International Psychiatric Interview was done to rule out other psychiatric disorders. TSH was done for all subjects after two months during follow up. Results: 63.33 % of subjects with PMDD were found to have thyroid dysfunction. A significant association was established between PMDD score and subclinical hypothyroidism. Conclusion: Subclinical hypothyroidism is common in premenstrual disorder and is closely associated with the same.","PeriodicalId":31047,"journal":{"name":"Kerala Journal of Psychiatry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43054246","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}
Pub Date : 2021-01-30DOI: 10.30834/KJP.34.1.2021.230
G. G. Kaimal, K. Vidhukumar, M. Padmam
Background: Delinquent behaviour represents a wide variety of law and norm violating behaviours by children. In India, statistics show that there is an increase in the rates of crimes committed by children. Methods: The sample of the study consisted of 100 adolescents from juvenile homes. Personal data sheet, Delinquent behaviour checklist, and Mangal Emotional Intelligence Inventory were the study tools. Mann-Whitney U test was carried out to find the association between delinquent behaviour and emotional intelligence among the inmates of juvenile homes. Results: Delinquent behaviour is found in 38% of children living in Juvenile homes. No significant difference is found between boys and girls in delinquent behaviour and emotional intelligence. A negative association is found between delinquent behaviour and emotional intelligence in the inmates of juvenile homes. Conclusion: Delinquent behaviour is found to be high among inmates of juvenile homes. A significant association was found between delinquent behaviour and emotional intelligence. Both nature and nurture are important in the development of emotional intelligence. Opportunities and training for the development and improvement of psychological faculties like emotional intelligence may impact the prevention and management of delinquent behaviour among children.
{"title":"Delinquent behaviour and emotional intelligence among inmates of juvenile homes in Kerala, India","authors":"G. G. Kaimal, K. Vidhukumar, M. Padmam","doi":"10.30834/KJP.34.1.2021.230","DOIUrl":"https://doi.org/10.30834/KJP.34.1.2021.230","url":null,"abstract":"Background: Delinquent behaviour represents a wide variety of law and norm violating behaviours by children. In India, statistics show that there is an increase in the rates of crimes committed by children. Methods: The sample of the study consisted of 100 adolescents from juvenile homes. Personal data sheet, Delinquent behaviour checklist, and Mangal Emotional Intelligence Inventory were the study tools. Mann-Whitney U test was carried out to find the association between delinquent behaviour and emotional intelligence among the inmates of juvenile homes. Results: Delinquent behaviour is found in 38% of children living in Juvenile homes. No significant difference is found between boys and girls in delinquent behaviour and emotional intelligence. A negative association is found between delinquent behaviour and emotional intelligence in the inmates of juvenile homes. Conclusion: Delinquent behaviour is found to be high among inmates of juvenile homes. A significant association was found between delinquent behaviour and emotional intelligence. Both nature and nurture are important in the development of emotional intelligence. Opportunities and training for the development and improvement of psychological faculties like emotional intelligence may impact the prevention and management of delinquent behaviour among children.","PeriodicalId":31047,"journal":{"name":"Kerala Journal of Psychiatry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42499398","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}
Pub Date : 2021-01-06DOI: 10.30834/kjp.34.1.2021.233
Jith Arya, D. Narayanan, V. Neelima
We report a case of hypermotor seizure activity. The patient presented behavioural changes with previous reports of normal electroencephalogram (EEG). A prolonged video EEG of this patient showed rare epileptic abnormalities over the left frontocentral region, which ruled out a conversion disorder diagnosis. Management using Antiepileptics proved beneficial in this case.
{"title":"Hypermotor seizure presenting with unusual psychiatric symptoms - a case report","authors":"Jith Arya, D. Narayanan, V. Neelima","doi":"10.30834/kjp.34.1.2021.233","DOIUrl":"https://doi.org/10.30834/kjp.34.1.2021.233","url":null,"abstract":"We report a case of hypermotor seizure activity. The patient presented behavioural changes with previous reports of normal electroencephalogram (EEG). A prolonged video EEG of this patient showed rare epileptic abnormalities over the left frontocentral region, which ruled out a conversion disorder diagnosis. Management using Antiepileptics proved beneficial in this case.","PeriodicalId":31047,"journal":{"name":"Kerala Journal of Psychiatry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44177577","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}
Pub Date : 2021-01-05DOI: 10.30834/kjp.34.1.2021.261
Anina Elizabeth Selvin, S. Sreekumar, P. JosephVarghese
Background and Objectives: Bipolar Affective Disorder is the sixth leading cause of disability-adjusted life years in individuals aged 15-44 years. Among the patients with Bipolar Disorder, about 60% are at least partially non-adherent to medications. This study attempted to study attitude towards drug adherence in inpatients with bipolar affective disorder. Materials and Methods: Consecutive patients, between 18 to 60 years of age, diagnosed with Bipolar Affective Disorder, undergoing inpatient treatment over a two-month period, were recruited. Their attitude towards drug adherence was assessed using a 30-item version of the Drug Attitude Inventory (DAI). Results: Subjects in this study had good medication adherence (DAI= 3.12± 7.09), indicating these patients tended to report favourable views towards their psychiatric medications. Conclusion: Assessment of attitude towards non-adherence in this population showed good medication adherence and a positive response to treatment.
{"title":"Attitude towards drug adherence in inpatients with bipolar affective disorder: a cross-sectional study","authors":"Anina Elizabeth Selvin, S. Sreekumar, P. JosephVarghese","doi":"10.30834/kjp.34.1.2021.261","DOIUrl":"https://doi.org/10.30834/kjp.34.1.2021.261","url":null,"abstract":"Background and Objectives: Bipolar Affective Disorder is the sixth leading cause of disability-adjusted life years in individuals aged 15-44 years. Among the patients with Bipolar Disorder, about 60% are at least partially non-adherent to medications. This study attempted to study attitude towards drug adherence in inpatients with bipolar affective disorder. Materials and Methods: Consecutive patients, between 18 to 60 years of age, diagnosed with Bipolar Affective Disorder, undergoing inpatient treatment over a two-month period, were recruited. Their attitude towards drug adherence was assessed using a 30-item version of the Drug Attitude Inventory (DAI). Results: Subjects in this study had good medication adherence (DAI= 3.12± 7.09), indicating these patients tended to report favourable views towards their psychiatric medications. Conclusion: Assessment of attitude towards non-adherence in this population showed good medication adherence and a positive response to treatment.","PeriodicalId":31047,"journal":{"name":"Kerala Journal of Psychiatry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48802668","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}
Pub Date : 2020-12-27DOI: 10.30834/kjp.33.2.2020.225
P. Merin, K. Hareesh
Pseudocyesis is common, whereas delusion of pregnancy is a rare psychopathology. The shared delusion of pregnancy is even rarer. We present a case from a tribal community where a wife shares her husband's delusion. It highlights the role of biopsychosocial determinants in forming psychopathology. It also reflects the need for strengthening community psychiatry approach.
{"title":"A case report of Folie à deux with delusion of pregnancy","authors":"P. Merin, K. Hareesh","doi":"10.30834/kjp.33.2.2020.225","DOIUrl":"https://doi.org/10.30834/kjp.33.2.2020.225","url":null,"abstract":"Pseudocyesis is common, whereas delusion of pregnancy is a rare psychopathology. The shared delusion of pregnancy is even rarer. We present a case from a tribal community where a wife shares her husband's delusion. It highlights the role of biopsychosocial determinants in forming psychopathology. It also reflects the need for strengthening community psychiatry approach.","PeriodicalId":31047,"journal":{"name":"Kerala Journal of Psychiatry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41766634","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}
Pub Date : 2020-12-24DOI: 10.30834/kjp.33.2.2020.223
Sivin P. Sam, Joice Geo, G. Lekshmi, R. Kallivayalil
Introduction: Depression is seen in about 40% of patients with stroke and is a common neuropsychiatric consequence. Post-stroke depression (PSD) can be related to the site and side of infarct and psychological stressors. There are conflicting results in this area of research and dearth of studies from India. Thus the study aims to assess the prevalence of PSD in stroke patients and the relation between site and side of stroke with PSD. Methodology: A cross-sectional study was done among 40 stroke patients recruited by consecutive non-random sampling in Pushpagiri Institute of Medical Sciences and Research Centre, Thiruvalla. A semi-structured proforma was used to collect the socio-demographic, illness-related and neuroimaging details. Hamilton depression rating scale was used to assess the severity of depression. SPSS 20.0 was used for statistical analysis. Results: 64% of the patients with left-sided lesion had PSD, whereas only 20% had PSD among the right-sided group which was significant with a p-value of 0.005.PSD was seen in 64% (N=9) of patients with subcortical lesions which were significantly high (p=0.006) when compared to 14% (N=2) of the patients with PSD among the cortical group. Conclusion: This study showed a high prevalence of PSD and its correlation with left-sided cortical and subcortical lesions. Eliciting the relationship between the lesion and depressive symptoms may help shed light on the neurobiology of depressive disorders.
{"title":"Post Stroke Depression and Lesion Location: A Hospital based cross sectional study","authors":"Sivin P. Sam, Joice Geo, G. Lekshmi, R. Kallivayalil","doi":"10.30834/kjp.33.2.2020.223","DOIUrl":"https://doi.org/10.30834/kjp.33.2.2020.223","url":null,"abstract":"Introduction: Depression is seen in about 40% of patients with stroke and is a common neuropsychiatric consequence. Post-stroke depression (PSD) can be related to the site and side of infarct and psychological stressors. There are conflicting results in this area of research and dearth of studies from India. Thus the study aims to assess the prevalence of PSD in stroke patients and the relation between site and side of stroke with PSD. Methodology: A cross-sectional study was done among 40 stroke patients recruited by consecutive non-random sampling in Pushpagiri Institute of Medical Sciences and Research Centre, Thiruvalla. A semi-structured proforma was used to collect the socio-demographic, illness-related and neuroimaging details. Hamilton depression rating scale was used to assess the severity of depression. SPSS 20.0 was used for statistical analysis. Results: 64% of the patients with left-sided lesion had PSD, whereas only 20% had PSD among the right-sided group which was significant with a p-value of 0.005.PSD was seen in 64% (N=9) of patients with subcortical lesions which were significantly high (p=0.006) when compared to 14% (N=2) of the patients with PSD among the cortical group. Conclusion: This study showed a high prevalence of PSD and its correlation with left-sided cortical and subcortical lesions. Eliciting the relationship between the lesion and depressive symptoms may help shed light on the neurobiology of depressive disorders.","PeriodicalId":31047,"journal":{"name":"Kerala Journal of Psychiatry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44854704","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}
Pub Date : 2020-12-12DOI: 10.30834/kjp.33.2.2020.221
Vinuprasad Venugopalan, Sharadha Naveen, M. Eşkin
Background: Teachers in the field of psychiatry has the responsibility to impart changes in students' attitude towards important areas of the subject. Suicide is the psychiatric emergency that a primary care practitioner is most likely to encounter in day to day practice. In this cross-sectional study, we looked into the change in the attitude of an undergraduate student towards suicide with his/her training in psychiatry with the present undergraduate curriculum. Materials and Methods: We recruited undergraduate medical students doing their MBBS course from a medical college of South India. Their responses to Eskin's Attitudes towards Suicide Scale (E-ATSS) and Eskin's Social Reactions to Suicidal Persons Scale (E-SRSPS) were collected. The students were divided into groups of students completed undergraduate training in Psychiatry and those who are yet to get exposed to it. Responses in E-ATSS and E-SRSPS from both groups were compared. Results: The overall attitude of students towards suicide and suicidal person were favourable compared to many previous studies. There was a significant difference in the factor ' suicide as a sign of mental illness' when responses from both groups were compared. 2.72±1.11 in the exposed group compared to 3.16±1.11 of unexposed group. p-value<0.001). Also, there was a significant difference in responses to the disapproval of suicidal disclosure. 2.83±0.65 in the exposed group and 2.67±0.67 in the unexposed group. (p-value - 0.01). Conclusion: The current undergraduate medical curriculum by Medical Council of India is successful in bringing attitude change in some important domains of the subject of suicide. Domains remain under-covered by the curriculum should be looked into in the future curriculum revisions.
{"title":"Change in attitude towards suicide with current undergraduate training in psychiatry: a cross-sectional study","authors":"Vinuprasad Venugopalan, Sharadha Naveen, M. Eşkin","doi":"10.30834/kjp.33.2.2020.221","DOIUrl":"https://doi.org/10.30834/kjp.33.2.2020.221","url":null,"abstract":"Background: Teachers in the field of psychiatry has the responsibility to impart changes in students' attitude towards important areas of the subject. Suicide is the psychiatric emergency that a primary care practitioner is most likely to encounter in day to day practice. In this cross-sectional study, we looked into the change in the attitude of an undergraduate student towards suicide with his/her training in psychiatry with the present undergraduate curriculum. Materials and Methods: We recruited undergraduate medical students doing their MBBS course from a medical college of South India. Their responses to Eskin's Attitudes towards Suicide Scale (E-ATSS) and Eskin's Social Reactions to Suicidal Persons Scale (E-SRSPS) were collected. The students were divided into groups of students completed undergraduate training in Psychiatry and those who are yet to get exposed to it. Responses in E-ATSS and E-SRSPS from both groups were compared. Results: The overall attitude of students towards suicide and suicidal person were favourable compared to many previous studies. There was a significant difference in the factor ' suicide as a sign of mental illness' when responses from both groups were compared. 2.72±1.11 in the exposed group compared to 3.16±1.11 of unexposed group. p-value<0.001). Also, there was a significant difference in responses to the disapproval of suicidal disclosure. 2.83±0.65 in the exposed group and 2.67±0.67 in the unexposed group. (p-value - 0.01). Conclusion: The current undergraduate medical curriculum by Medical Council of India is successful in bringing attitude change in some important domains of the subject of suicide. Domains remain under-covered by the curriculum should be looked into in the future curriculum revisions.","PeriodicalId":31047,"journal":{"name":"Kerala Journal of Psychiatry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47263757","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}
Pub Date : 2020-12-06DOI: 10.30834/kjp.33.2.2020.222
Vinu K. Cherian, J. Philip, Alexander John
Floods affected the state of Kerala following unusually heavy rainfall during the monsoon season in August 2018. Post-Traumatic Stress Disorder (PTSD) is the most common and debilitating psychological disorder among victims of floods or any other massive disaster. This study aimed to determine the prevalence and the factors associated with Post-Traumatic Stress Disorder (PTSD) among flood-affected adults in a panchayat in Kerala. In light of the looming threat of climate change, and with Kerala being especially prone to recurring floods due to its geographical location, there is an urgent need to assess the impact of floods on the psychological wellbeing of the residents of the state. To the best of our knowledge, this is the first study to investigate the occurrence of PTSD among the residents of Kerala following exposure to floods. Methods: This was a cross-sectional study undertaken in 100 households in a flood-affected community in Kerala. The PTSD Checklist for DSM-5 (PCL-5) was administered to diagnose PTSD. The intensity of flood exposure was measured using a checklist of ten factors. Results: The prevalence of PTSD was 22%. Loss of a relative, physical injury, and affliction with a physical illness were significantly associated with PTSD. A higher intensity of flood exposure was associated with a greater prevalence of PTSD. Conclusion: Our study demonstrates the high prevalence of PTSD following floods in Kerala and the need to conduct post-disaster mental health screening. It highlights those factors that may predict the occurrence of PTSD in the affected population. Recommendations are also put forward to mitigate the psychological impact of floods on the inhabitants of the state in the coming years.
{"title":"Prevalence and factors associated with post-traumatic stress disorder among flood-affected adults in a panchayat in Ernakulam district in Kerala","authors":"Vinu K. Cherian, J. Philip, Alexander John","doi":"10.30834/kjp.33.2.2020.222","DOIUrl":"https://doi.org/10.30834/kjp.33.2.2020.222","url":null,"abstract":"Floods affected the state of Kerala following unusually heavy rainfall during the monsoon season in August 2018. Post-Traumatic Stress Disorder (PTSD) is the most common and debilitating psychological disorder among victims of floods or any other massive disaster. This study aimed to determine the prevalence and the factors associated with Post-Traumatic Stress Disorder (PTSD) among flood-affected adults in a panchayat in Kerala. In light of the looming threat of climate change, and with Kerala being especially prone to recurring floods due to its geographical location, there is an urgent need to assess the impact of floods on the psychological wellbeing of the residents of the state. To the best of our knowledge, this is the first study to investigate the occurrence of PTSD among the residents of Kerala following exposure to floods. Methods: This was a cross-sectional study undertaken in 100 households in a flood-affected community in Kerala. The PTSD Checklist for DSM-5 (PCL-5) was administered to diagnose PTSD. The intensity of flood exposure was measured using a checklist of ten factors.\u0000Results: The prevalence of PTSD was 22%. Loss of a relative, physical injury, and affliction with a physical illness were significantly associated with PTSD. A higher intensity of flood exposure was associated with a greater prevalence of PTSD. Conclusion: Our study demonstrates the high prevalence of PTSD following floods in Kerala and the need to conduct post-disaster mental health screening. It highlights those factors that may predict the occurrence of PTSD in the affected population. Recommendations are also put forward to mitigate the psychological impact of floods on the inhabitants of the state in the coming years.","PeriodicalId":31047,"journal":{"name":"Kerala Journal of Psychiatry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47478036","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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