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Psychiatric Social Work Consultations for Persons with Neurological disorders in a Tertiary Care Hospital during COVID-19 Lockdown: A Retrospective Observational Study. 一家三甲医院在 COVID-19 封锁期间为神经系统疾病患者提供的精神科社工咨询:回顾性观察研究。
Pub Date : 2022-01-01 Epub Date: 2022-02-23
Chithiraivalli Kuppusamy, Muhammed Noorudin, Damadahalli Papanna Harishkumar, Krishna Jayanthi Puthanthottam Mohanan, Sinu Ezhumalai

Background: Worldwide, COVID-19 pandemic lockdown lead to disruptions of general health services and neurological services in particular. Hence, it is essential to report to the scientific community regarding the nature and range of psychiatric social work services provided for neurology patients during the pandemic lockdown.

Aim: To study the profile of patients availed psychiatric social work (PSW) consultation during pandemic lockdown at neurology in-patient setting.

Materials and methods: The study was retrospective in nature. Data were analysed from an in-patient referral registry. For the study purpose, neurological patients referred from April 2020 - June 2020 were considered. All patients referred for psychiatric social work consultations were included in the study. The study was carried out in tertiary care teaching hospital. Frequency and percentages were used to analyse the data.

Results: The diagnostic profile revealed Stroke (40%), Guillain-Barré syndrome (10%), meningitis (10%), autoimmune encephalitis (4%), and demyelination (4%), other chronic neurological disorders (30%). Common psychiatric social work services provided were casework with caregivers and patients regarding education about the illness, breaking the bad news, grief interventions, supportive therapy, addressing child care issues, ensuring medication compliance and follow-up services, pre-discharge counselling, assessing socio-economic condition to facilitate financial assistance towards concession in hospital charges, facilitating social welfare benefits, and tracing the family members.

Conclusion: Stroke, Guillain-Barré syndrome, neuro-infections were the most common neurological disorders required psychiatric social work consultations. Educating the patient and their family about the illness, facilitating welfare benefits and financial assistance were the most common psychiatric social work services provided during the covid-19 pandemic lockdown.

背景:在世界范围内,COVID-19 大流行的封锁导致了一般医疗服务的中断,尤其是神经病学服务。因此,有必要向科学界报告在大流行封锁期间为神经科患者提供的精神科社工服务的性质和范围。目的:研究神经科住院病人在大流行封锁期间接受精神科社工(PSW)咨询的患者概况:研究为回顾性研究。研究数据来自住院病人转诊登记表。研究对象为 2020 年 4 月至 2020 年 6 月期间转诊的神经科患者。所有因精神科社工咨询而转诊的患者均被纳入研究范围。研究在三级医疗教学医院进行。研究采用频率和百分比对数据进行分析:诊断结果显示:中风(40%)、格林-巴利综合征(10%)、脑膜炎(10%)、自身免疫性脑炎(4%)、脱髓鞘(4%)、其他慢性神经系统疾病(30%)。所提供的常见精神科社工服务包括与护理人员和患者共同开展个案工作,内容涉及疾病教育、告知噩耗、悲伤干预、支持性治疗、解决儿童护理问题、确保遵医嘱用药和后续服务、出院前咨询、评估社会经济状况以促进住院费用优惠方面的经济援助、促进社会福利以及寻找家庭成员:结论:中风、吉兰-巴雷综合征、神经感染是最常见的需要精神科社工咨询的神经系统疾病。对病人及其家属进行疾病教育、协助提供福利和经济援助是在 19 型流感大流行封锁期间最常见的精神科社工服务。
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引用次数: 0
Resilience among Abstinent Individuals with Substance Use Disorder. 物质使用障碍戒断个体的恢复力。
Bharath Rathinam, Sinu Ezhumalai

Background: Understanding resilience among abstinent individuals with substance use disorder would help in enhancing recovery.

Aim: To examine the resilience among abstinent individuals with substance use disorder.

Methods: The study used a cross-sectional research design. Sample size: 60 samples were selected using a consecutive sampling procedure. Using interview schedule, data was collected from abstinent individuals receiving follow-up services at the out-patient department, government-run de-addiction centre, tertiary care teaching hospital, Bangalore. Persons with SUDs aged between 18-60 years with a minimum abstinence period of three months and above were included. Those who were refused consent for the study were excluded. Statistical test: Descriptive statistics, Spearmen correlation and logistic regression analysis were used to analyze the data.

Results: Mean age of the abstinent individuals was 39.6 (S.D ±9.5) years. Majority (75%) were married, employed (98%), having diagnosis of alcohol dependence (60%). Majority (80%) had past history of abstinence, 40% were maintaining abstinence more than three months. Most (60%) were treated on out-patient basis and they never hospitalized. Mean score of resilience among abstinent individuals was 75 (±9.94) which indicates high resilience in them.

Conclusion: Social work interventions focusing on enhancing resilience among person with substance use disorder would help in maintaining long-term abstinence.

背景:了解戒断个体与物质使用障碍之间的恢复力将有助于加强康复。目的:探讨戒断性物质使用障碍患者的心理弹性。方法:采用横断面研究设计。样本量:采用连续抽样程序选取60个样本。采用访谈时间表,从在班加罗尔三级保健教学医院门诊部、政府开办的戒瘾中心接受随访服务的戒断者中收集数据。年龄介乎18至60岁、最少戒断期为三个月或以上的sud患者也包括在内。那些被拒绝参与研究的人被排除在外。统计检验:采用描述性统计、Spearmen相关及logistic回归分析对数据进行分析。结果:患者平均年龄为39.6 (S.D±9.5)岁。大多数人(75%)已婚,有工作(98%),被诊断为酒精依赖(60%)。大多数(80%)有过禁欲史,40%的人保持禁欲3个月以上。大多数(60%)在门诊接受治疗,从未住院。戒断者心理弹性平均得分为75分(±9.94分),表明戒断者心理弹性较高。结论:社会工作干预重点是提高物质使用障碍患者的恢复力,有助于维持长期戒断。
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引用次数: 0
Violence Exposure and Self-esteem of School Going Adolescents in a Metropolitan City: A Preliminary Study 大都市在校青少年的暴力暴露与自尊:初步研究
Pub Date : 2019-10-14 DOI: 10.29120/IJPSW.2019.V10.I2.125
Aiysha Umar, A. Singh
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引用次数: 2
Distressed Lonely Siblings’ Struggle with Obsessive Compulsive Disorder 孤独痛苦的兄妹与强迫症抗争
Pub Date : 2019-10-13 DOI: 10.29120/ijpsw.2019.v10.i2.134
D. Nehra, J. Bathla, P. Kumar
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引用次数: 0
Traumatized Experiences of Children by Multiple Emergency Stressors: An Analysis of Data from the 2004 Tsunami in Sri Lanka 多重紧急压力源对儿童的创伤经历:2004年斯里兰卡海啸数据分析
Pub Date : 2019-07-05 DOI: 10.29120/IJPSW.2019.V10.I2.131
R. Deonandan, Rachael Braund, Tanya Suvendrini Lena
Background: In 2004, in the midst of civil war, Sri Lanka was struck by a large tsunami, devastating coastal communities. Methods: In the immediate aftermath of the 2004 Asian tsunami, while providing emergency aid, a Canadian NGO interviewed children living in both a refugee camp and an affected village in Sri Lanka. Results: Complete data were available for 63 respondents, aged 3 to 17 years. There were significant reports of sleeping problems, crying, and somatic symptoms consistent with psychological trauma, which were more likely among the village residents than the camp residents. If a respondent had been affected by the war, via family death or injury, then they were more likely to have been similarly affected by the tsunami, as well. Conclusion: These findings are useful for developing strategies to address current emergency situations, such as the Syrian refugee crisis, in which children are likely to be similarly doubly traumatized. Keywords: Stressors, tsunami, children, Sri Lanka
背景:2004年,在内战期间,斯里兰卡遭受了一场大海啸的袭击,摧毁了沿海社区。方法:2004年亚洲海啸刚发生时,一家加拿大非政府组织在提供紧急援助的同时,采访了生活在斯里兰卡一个难民营和一个受灾村庄的儿童。结果:63名3 ~ 17岁的调查对象资料完整。有大量报告称,有睡眠问题、哭泣和与心理创伤相符的躯体症状,这些症状在村庄居民中比在营地居民中更可能出现。如果被调查者因家庭死亡或受伤而受到战争的影响,那么他们也更有可能受到海啸的类似影响。结论:这些发现有助于制定应对当前紧急情况的战略,例如叙利亚难民危机,在这种情况下,儿童可能同样受到双重创伤。关键词:压力源,海啸,儿童,斯里兰卡
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引用次数: 0
Biopsychosocial Facets of Women Undergoing Infertility Treatment in Pondicherry: A Preliminary Study 本地治里妇女接受不孕症治疗的生物心理社会方面:初步研究
Pub Date : 2019-07-03 DOI: 10.29120/IJPSW.2019.V10.I2.136
Grace Antonysamy, M. Maria
Background: Physical and mental health are interrelated and influenced by various factors. Infertility is a physical condition that impacts the mental health of individuals experiencing it. It is a well-established fact that all over the world millions of couples are affected by infertility. In India many couples are infertile. Discovering that one is infertile is more than just another stressful event in one’s life. Being confronted by failure and helplessness, one feels increasingly anxious and immobilized. Aim: To understand the psychosocial problems faced by women due to infertility. Methodology: A Descriptive research design was adopted for the study. Women attending the clinic for treatment of infertility were the respondents. A semi-structured interview schedule was used to obtain the data. Results: Majority of the educated women married at a young age and sought treatment within five years of the marriage. They had menstrual problems and were referred by their families for treatment. Most of them had identified the problems and were into treatment. They were anxious, yet hopeful of success. They experienced problems of stigmatization in their own families and society and desired acceptance. Conclusion: This study highlighted the situation of couples facing infertility and the need for awareness of the condition of infertility. Support for couples by the multidisciplinary team inclusive of the Social Worker through the process of diagnosis and treatment, to maintain their health and mental health as they overcome the challenge of infertility is the need of the hour. Keywords: Infertility, psychosocial problems, stigma
背景:身心健康是相互关联的,受到多种因素的影响。不孕症是一种影响个体心理健康的身体状况。这是一个公认的事实,全世界数以百万计的夫妇受到不孕不育的影响。在印度,许多夫妇不孕。发现自己不孕不仅仅是oneâ生活中的另一个压力事件。面对失败和无助,一个人感到越来越焦虑和麻木。目的:了解不孕妇女所面临的社会心理问题。方法:本研究采用描述性研究设计。到诊所治疗不孕症的妇女是调查对象。采用半结构化访谈时间表获取数据。结果:大多数受过良好教育的妇女在年轻时结婚,并在结婚后五年内寻求治疗。她们都有月经问题,由家人转介治疗。他们中的大多数人已经发现了问题,并开始接受治疗。他们焦急,但对成功充满希望。他们在自己的家庭和社会中经历了被污名化的问题,并渴望被接受。结论:本研究突出了面临不孕症的夫妇的情况和对不孕症的认识的必要性。包括社会工作者在内的多学科团队在诊断和治疗过程中为夫妇提供支持,在他们克服不孕症的挑战时保持他们的健康和精神健康,这是当前的需要。关键词:不孕症,社会心理问题,耻辱感
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引用次数: 0
Transactional Analysis of Married and Unmarried Nurses 已婚与未婚护士的交易分析
Pub Date : 2019-05-23 DOI: 10.29120/IJPSW.2019.V10.I2.110
R. Thapar, Navneet Nancy
Background: Transactional analysis is a theory of human personality and social behaviour. It is a comprehensive system of psychotherapy founded in the late 1950s by Eric Berne. Lately, organisational psychologists are waking up to the value of transactional analysis as a valuable Human Resources tool, giving them an insight into various interpersonal transactional styles in various professions. Nursing as a profession has always been characterised as a nurturing, caregiving and comfort providing job, which can emerge as a very taxing and stressful profession in return. The myriad role that nurses play requires certain interpersonal tactics and styles which are very typical demands of their job role. But their personalities and dispositions cannot be ignored. Hence, an attempt is being made in the present study to analyse different transactional styles being adopted by female nursing professionals, along with their back up styles and also the role of their marital status on how they deal with their patients. Methodology: For this purpose, a sample of 120 female nurses, 60 married and 60 unmarrieds, falling in the age range of 25-40 years, working in various private and government hospitals of Chandigarh was taken. The data was collected with the help of Transactional Styles Inventory-Nurses. Results: Results revealed significant differences between married and unmarried nurses. Married nurses were more nurturing while the unmarried nurses emerged to be more regulated in their interpersonal transactions. Conclusion: The overall interpersonal efficacy of nurses needs to be improved so that they can attain the position best suited to help them meet the demands of various roles that they have to play. Keywords: Transactional analysis, transactional functions, nurse-patient interaction
背景:交易分析是一种关于人类人格和社会行为的理论。它是由埃里克·伯尔尼在20世纪50年代末创立的一个综合的心理治疗系统。最近,组织心理学家开始意识到交易分析作为一种宝贵的人力资源工具的价值,这让他们对不同职业中各种人际交易风格有了深入的了解。护理作为一种职业,一直被认为是一种养育、照顾和提供舒适的工作,反过来,这可能会成为一种非常繁重和有压力的职业。护士扮演的各种角色需要一定的人际交往策略和风格,这是护士工作角色的典型要求。但他们的个性和性情不容忽视。因此,本研究试图分析女性护理专业人员所采用的不同交易风格,以及她们的备用风格,以及她们的婚姻状况对她们如何对待病人的影响。方法:为此,对在昌迪加尔各私立和公立医院工作的120名女护士进行了抽样调查,其中60名已婚,60名未婚,年龄在25-40岁之间。数据是在交易风格量表护士的帮助下收集的。结果:已婚护士与未婚护士之间存在显著差异。已婚护士更有教养,而未婚护士在人际交往中表现得更规范。结论:护士的整体人际效能有待提高,才能达到最适合自己的位置,以满足其所扮演的各种角色的需求。关键词:交易分析,交易功能,护患互动
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引用次数: 0
Anxiety Depression and Quality of Life among Working Married and Unmarried Women: A Comparative Study 已婚与未婚职业女性焦虑、抑郁与生活质量的比较研究
Pub Date : 2019-02-09 DOI: 10.29120/IJPSW.2019.V10.I2.115
Deoshree Akhouri, M. Madiha, Mahboobul Hasan Ansari
Background: Anxiety and depression are the most common problems that we face in our daily life and both affect our quality of life. So, the present study was done to assess and compare anxiety, depression and quality of life among working married and unmarried women. Methods and Materials: Purposive sampling technique was used for recruiting 100 working women (an equal number of married and unmarried), with their informed consent. The tools used for the present study were Hamilton Anxiety Rating Scale, Beck Depression Inventory-II and WHO Quality of Life-Bref for anxiety, depression and quality of life assessment respectively. Results: Result shows significant differences in the levels of anxiety, depression and quality of life of working married and unmarried women. Conclusion: The present study also concludes that married working women do experience a higher level of anxiety and depression as well as a lower quality of life in comparison to unmarried working women. Keywords:  Anxiety, depression, quality of life, working women
背景:焦虑和抑郁是我们日常生活中最常见的问题,它们都会影响我们的生活质量。因此,本研究的目的是评估和比较已婚和未婚职业女性的焦虑、抑郁和生活质量。Â方法与材料:在知情同意的情况下,采用有目的抽样的方法,招募了100名职业女性(已婚和未婚人数相等)。本研究使用的工具分别是汉密尔顿焦虑评定量表、贝克抑郁量表ii和世卫组织生活质量量表,用于焦虑、抑郁和生活质量的评估。Â结果:在职已婚女性与未婚女性在焦虑、抑郁水平和生活质量上存在显著差异。结论:本研究还得出结论,已婚职业女性确实比未婚职业女性焦虑和抑郁程度更高,生活质量也较低。关键词:Â焦虑,抑郁,生活质量,职业女性
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引用次数: 2
A Study on School Adjustment and Aggression among Adolescents with and without Hearing Impairment 听力障碍青少年与非听力障碍青少年的学校适应与攻击行为研究
Pub Date : 2019-01-31 DOI: 10.29120/IJPSW.2019.V10.I1.141
H. Kaur
Background: Adolescence is a stage with tremendous pressure and stress. The ones with disability, especially hearing impaired may feel discouraged from exposing themselves to socially challenging situations, thus producing isolation that leads to depression, irritability and feelings of inferiority. Adolescents as such are under constant pressure to perform at every front, the main one being academics. School adjustment is a procedure that brings a person's behaviour in compliance with the norms of the school. It comprises of educational, social and emotional adjustment. Aim: The present study aims to examine the level of school adjustment and aggression among the adolescent with and without hearing impairment. The gender differences were also examined. Methods and Materials: A total of 60 adolescent (girls and boys) aged 14-18 years were selected for the study. Out of which 30 adolescents had hearing impairment and they were selected from school for deaf and blind and a controlled group of 30 adolescents without hearing impairment were selected from a government school in the same area. They were matched on age and gender. A self-constructed interview schedule was used to collect the socio demographic profile of the respondents. Scale on aggression by Mathur G.P. and Bhatnagar Rajkumari and Adjustment Inventory for school students by Sinha and Singh were used. Results: The results showed that there were no significant difference in school adjustment among adolescents with and without hearing impairment and also no significant gender differences were found. Adolescent children with hearing impairment were more aggressive in compared to the same age group adolescents without hearing impairment. Boys were more aggressive as compared to girls in both groups. Conclusion: There is a need to address the issues related to aggression among adolescents with hearing impairment specifically adolescent boys through psychosocial interventions to channelize their energy in a positive direction. Keywords: Aggression, school adjustment, adolescents, hearing impairment
背景:青春期是一个充满巨大压力的阶段。残疾人,特别是听力受损的人可能不愿接触具有社会挑战性的情况,从而产生孤立感,导致抑郁、易怒和自卑感。青少年在各个方面都面临着持续的压力,其中最主要的是学业压力。学校适应是使一个人的行为符合学校规范的过程。它包括教育、社会和情感的调整。目的:探讨听力障碍青少年和非听力障碍青少年的学校适应和攻击水平。性别差异也被检查。方法与材料:选取年龄在14-18岁的青少年(男女各60名)进行研究。其中30名有听力障碍的青少年从聋哑学校和盲人学校中选出,另一组30名没有听力障碍的青少年从同一地区的一所政府学校中选出。他们的年龄和性别相匹配。采用自编访谈表收集被调查者的社会人口统计资料。采用Mathur G.P.和Bhatnagar Rajkumari编制的攻击性量表和Sinha和Singh编制的在校学生调整量表。结果:听力障碍青少年与非听力障碍青少年在学校适应方面无显著差异,性别差异不显著。有听力障碍的青少年儿童比同年龄组没有听力障碍的青少年更具攻击性。在两组中,男孩都比女孩更具攻击性。结论:需要通过社会心理干预来解决听力障碍青少年特别是男孩的攻击行为问题,引导他们的能量向积极的方向发展。关键词:攻击行为,学校适应,青少年,听力障碍
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引用次数: 1
Identification of Adjustment Issues among Adolescent Girls Studying in Pre-university 识别大学预科少女的适应问题
Pub Date : 2019-01-27 DOI: 10.29120/IJPSW.2019.V10.I1.66
N. Khan, G. Laxman, A. Kanchan
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引用次数: 0
期刊
Indian journal of psychiatric social work
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