To study prevalence of adult ADHD among patients with intentional self harm

Author(s):  
Baskaran V ◽  
Kalaichandar M ◽  
Kirubakaran K ◽  
Kokila K ◽  
Jeevitha M ◽  
...  

In Adult life, the symptoms like hyperactivity/impulsivity manifest less frequently, the hyperactivity symptoms tend to turn into “inner restlessness ”on adulthood which are exhibited as symptoms including impulsivity, inattention, executive dys regulation such as high distractible, poor time management ,impulsive decision making, sudden burst of energy leading to excessive speed while driving, memory disturbances especially working memory, difficulty standing in a single posture or place. Among the 112 patients who attended psychiatric OPD,45 of them were recruited for the study with History of intentional self harm, Mean age group of the study was 28.27 and the study subjects were divided into two groups Intentional self Harm with ADHD and Intentional self harm without ADHD ,two groups were compared with each other , majority of them were between the Age group 21-30 yrs in both the groups(P=2.113), preponderance of female was seen in intentional self harm without ADHD groups (p=4.544), subjects in this study came from semi urban background, from both the groups (P=1.784), nuclear family (P=0.675) and middle socio economic status(6.585). The main method used by subjects in both group (P=2.742)was multiple tablets with medium suicidal intent (p=1.044). When comparing the both groups no statistical significance could be found between them.Very few patients were refereed to psychiatric department as patients and their attenders were reluctant for referral due to the fear of stigma. This Study showed no statistical significant between Adult ADHD and Intentional Self Harm suggesting ADHD could be a co factor and not the probable cause for intentional self harm.

Author(s):  
Antarvedi Moshe ◽  
Kondepogu Ramesh Babu ◽  
Bathula Kalyan Rao

Attention deficit hyperactive disorder is previously known to be diagnosed in only childhood, recently many research has been done on ADHD, proving that ADHD can persist even in Adults. ADHD in adults is said to be one of the causes of suicide. The main aim of this Study is to identify the patients with intentional self-harm with their sociodemographic and clinical characteristics of the above patients and finally to determine the prevalence of Adult ADHD among high patients. It is a cross-sectional study of Patients who are above the age of 18 years, with intentional self-harm, who are willing to give consent for the Study, without any comorbid medical conditions and who came in contact with the outpatient department of psychiatry from other departments in a tertiary hospital between the timeline of 1 year (i.e. between 1st May 2015-30th April 2016). The subjects were recruited for Study, their sociodemographic details were collected, and SCID-I and SCID-II were applied along with Adult ADHD self-reporting scale. They were diagnosed according to DSM5 by two qualified Psychiatrist.Among the 112 patients who attended psychiatric OPD,45 of them were recruited for the Study with History of intentional self-harm, Mean age group of the Study was 28.27, and the study subjects were divided into two groups Intentional self Harm with ADHD and Intentional selfharm without ADHD, two groups were compared with each other, majority of them were between the Age group 21-30 yrs in both the groups(P=2.113), the preponderance of Female was seen in intentional self-harm without ADHD groups (p=4.544), subjects in this Study came from a semi-urban background, from both the groups (P=1.784), nuclear family (P=0.675) and middle socioeconomic status(6.585). The primary method used by subjects in both group (P=2.742)was multiple tablets with medium suicidal intent (p=1.044). When comparing both groups, no statistical significance could be found between them. This Study showed no statistically significant between Adult ADHD and Intentional Self Harm.


Author(s):  
Sunil Kumar Ahuja ◽  
Nimisha Mishra ◽  
Pradeep Kumar

Background: Better knowledge of socio-demographic profile and obstetric features may help in early identification and treatment of patients with post-partum psychosis. The aim of present research is to study the age, parity, socio-demographic and obstetric and menstrual profile of patients suffering from post-partum psychosis. Setting and Design: A cross-sectional study at in-patient department of psychiatry, SS Medical College and associated SGMH Rewa.Methods: The study was conducted on sixty patients of post-partum psychosis admitted in psychiatry ward. Detailed socio-demographic characteristics, obstetric and menstrual profile along with psychiatric assessment were recorded in proforma specially designed for the study.Results: Bulk of our post partum psychotic subjects (60%) were in the age range of 18-25 years with 83.33% of women were residing at rural areas. Most of subjects (76.67%) of post partum psychosis were illiterate. 73.33% patient were belonging to low socio-economic status and remaining to middle and high socioeconomic status. Majority of subjects (13.33%) were house wife (86.67%) followed by laborer class. Family jointness reveal 80% and 20% of subjects trailed from joint and nuclear family respectively. the maximum number of subjects (60%) were primipara with only 13.33% of subjects had history of obstetric complication in form of prolonged labour and post-partum heamorrhage. 25% subjects had cesarean delivery. 40% patients of puerperal psychosis were having menstrual irregularity and 60% had regular menstruation.Conclusions: Screening of vulnerable groups i.e. younger age, primipara, history of irregular menstruation in post partum period for psychiatric sign and symptoms is requisite for early diagnosis and prompt and adequate management. As most of the patients were from rural areas it is necessary to establish psychiatric services in rural areas as well so that this group of population can be provided holistic care along with already existing medical services.


2005 ◽  
Vol 186 (6) ◽  
pp. 538-539 ◽  
Author(s):  
Michael Dennis ◽  
Penny Wakefield ◽  
Caroline Molloy ◽  
Harry Andrews ◽  
Trevor Friedman

SummaryStudying non-fatal self-harm in older adults may provide insight into suicidal behaviour in this age group. The objectives of the study were to determine clinical factors that might help to differentiate those older adults with depression who are most at risk of self-harm and suicide. We examined social factors, life events, hopelessness and other depression symptoms in a group of 48 older people with depression referred following an episode of self-harm compared with 50 similarly aged people with depression who had no history of self-harm. The groups were similar in many respects, although those in the self-harm group were more likely to have a poorly integrated social network and were more hopeless.


2020 ◽  
Author(s):  
Alem Kebede Ejigu ◽  
Zahra Reshid Seraj ◽  
Mahlet Wolday Gebre Libanos ◽  
Tolesa Fanta Jelcha ◽  
Yodit Habtamu Bezabih

Abstract Background: Housemaids are part of women with low socioeconomic status and most of them are migrant from rural to central part of Ethiopia, less educated, either with poor, separated, single or divorced family and/or dead parents. Housemaid may experience problems like depression and anxiety more than other groups of women. Therefore, the aim of this study was to assess the magnitude and determinants of those problems among housemaids. Objective: to assess the magnitude and determinants of depression & anxiety among housemaids in Addis Ababa; Ethiopia; 2018.Methods: community based cross-sectional study was conducted from May 1 to August 30, 2018 among housemaids working in Addis Ababa, Ethiopia. Multistage sampling technique was applied with a total of 826 samples. Quantitative data was employed by using structured questionnaires. The collected data was coded, entered in to Epi-Info version 7 and analyzed by using SPSS version 20. Descriptive, analytical statistical procedures; bivariate and multivariate binary logistic regressions with odds ratios and 95% confidence interval was employed. The statistical significance was declared at p value < 0.05.Results: This study enrolled 862 participants with response rate 99.5%, 99.5% refers to the number of people who actually completed the interview. The result showed prevalence of depression and anxiety among housemaids 27.5% and 32.3% respectively. Among all participants 44.6% (95% CI= 41.0 – 47.9) have mild, 18.5% (95% CI= 15.7 – 21.2) have moderate and 6.1% (95% CI= 4.5 – 7.8) have severe form of comorbid anxiety with depression. Depression (44.9%) and anxiety (41.9%) found more prevalent among the age group 16 to 20. In this study history of parental divorce, divorce, physical violence and sexual violence are positively associated. Other factors; being less educated and living with relatives; were associated negatively. Conclusion: The prevalence of Depression and Anxiety is found high among housemaid; its prevalence is more among age group 16 to 20 than other age groups. Violence, divorce, history of parental divorce and contraceptive use has positively associated with depression and anxiety.


2019 ◽  
Author(s):  
Alem Kebede Ejigu ◽  
Zahra Reshid Seraj ◽  
Mahlet Wolday Gebre Libanos ◽  
Tolosa Fanta Jelcha ◽  
Yodit Habtamu Bezabih

Abstract Background: Housemaids are part of women’s with low socioeconomic status and most of them are migrant from rural to central part of Ethiopia, less educated, either with poor, separated, single or divorced family and/or dead parents. Housemaid may experience problems like depression and anxiety more than other groups of women. Therefore, the aim of this study was to assess the magnitude and determinants of those problems among housemaids. Objective: to assess the magnitude and determinants of depression & anxiety among housemaids in Addis Ababa; Ethiopia; 2018. Methods: community based cross-sectional study was conduct from January 2018 – August 2018 housemaid working in Addis Ababa, Ethiopia. Multistage sampling technique was applied with a total of 826 samples. Quantitative data was employed by using structured questionnaires. The collected data was coded, entered in to Epi-Info version 7 and analyzed by using SPSS version 20. Descriptive, analytical statistical procedures; bivariate and multivariate binary logistic regressions with odds ratios and 95% confidence interval was employed. The statistical significance was declared at p value < 0.05. Results: This study enrolled 862 participants with response rate 99.5%. The result showed that prevalence of depression and anxiety found 27.5% (95% CI= 24.3 – 30.40) and 32.3% (95% CI= 29.3 - 35.4) respectively. Among all participants 44.6% (95% CI= 41.0 – 47.9) have mild, 18.5% (95% CI= 15.7 – 21.2) have moderate and 6.1% (95% CI= 4.5 – 7.8) have severe form of comorbid anxiety with depression. Both depression and anxiety found more (44.9% & 41.9% respectively) prevalent among age group 16 to 20. In this study history of parental divorce, divorce, physical violence and sexual violence are positively associated. Other factors; being less educated (not educated, 1 ry & 2 ry level of education) and living with relatives; were associated negatively. Conclusion: The prevalence of Depression and Anxiety is found high among housemaid; its prevalence is more among age group 16 to 20 than other age groups. Violence, divorce, history of parental divorce and no contraceptive use have positively associated with depression and anxiety.


Author(s):  
Shubham Jain ◽  
Atul Luhadia ◽  
Shanti K. Luhadia ◽  
Gaurav Chhabra ◽  
Rishi Kumar Sharma ◽  
...  

Background: Asthma is a chronic and common inflammatory disease involving mainly large airways of lungs. Childhood asthma is common chronic illness among school going children and is usually underdiagnosed and undertreated. The aim of the present study was to find out of the prevalence of Bronchial asthma in school going children of age group 6-12 years in southern part of Rajasthan (India), and its relation with gender, socio-economic status and heredity.Methods: A questionnaire-based study has been carried out in 1500 children of 6 to 12 years age group in four schools of Udaipur city (Rajasthan, India) with a response rate of 60.23% (904/1500).Results: The overall prevalence of asthma observed is 4.75% (43/904). The prevalence is higher among boys (5.55%) as compared to girls (3.75%). Further the prevalence is higher in upper (7.18%) and upper middle class (7.14%) children as compared to lower middle (4.84%) and upper lower class (2.01%) socioeconomic status. The children with positive family history of asthma also have higher prevalence (26.31%) of asthma.Conclusions: The prevalence of childhood asthma in Udaipur city is relatively lower and supports the already reported relation with gender, socioeconomic status and heredity. 


2020 ◽  
Vol 18 (2) ◽  
pp. 68-74
Author(s):  
Adnan Khan ◽  
Abdul Rauf ◽  
Saqib Malik ◽  
Imran Ullah ◽  
Abdul Majid Khan ◽  
...  

Background: Deliberate self-poisoning is important cause of deaths in younger population. The objectives of this study were to determine the distribution of deliberate self-poisoning by 12 socio-demographic factors, precipitating events, type of substance and mortality in population of Hazara Division, Pakistan. Materials & Methods: This cross-sectional study was conducted in the Department of Medicine, Ayub Medical College, Abbottabad, Pakistan from October 9, 2017 to December 28, 2018. 102 deliberate self-poisoning patients were selected consecutively from population at risk. Variables were 12 socio-demographic factors, precipitating events, type of substance and mortality. All variables being categorical were described by count and percentage for sample and by confidence intervals for proportion for population at 95% confidence level. RESULTS: Deliberate self-poisoning cases (n=102) were higher in women 80.39%, in age group 18-25 years 54.90%, similar in urban 49.02% and rural 50.98%, higher in non-Pathan 74.51%, in married 57.84%, in joint family 79.41%, in up to matric education 85.29% and in housewives 52.94%, 4.90% with previous history of self-harm, 1.96% with family history of self-harm and higher in lower socioeconomic group 81.37%. The most common precipitating event was interpersonal difficulties with spouse, family members or friends 56.86%, while the most common type of substance was organophosphate 62.75%. Mortality was 3.92%. Conclusion: Deliberate self-poisoning was more prevalent in women, younger age group, married, joint family, educated up to matric, housewives and lower socioeconomic status. Family conflict was most common precipitating factor. Organophosphate was most common type of substance and mortality was high 3.92%.


Author(s):  
Ananya M. Balakrishna ◽  
Usha Rani S. Padmanabha ◽  
Rajappa Maheswaran

Background: Anaemia affects 1.62 billion people globally which corresponds to 24.8% of the population and the prevalence of anaemia in pregnant women is 56 million. In India 16% of maternal deaths are attributed to anaemia with prevalence of 50.3%. Hence, this study was done to assess the prevalence of anemia and its associated factors among the pregnant women attending the maternity hospital.Methods: A hospital based cross section study was done among pregnant women receiving antenatal care over a period of 2 months. Based on the prevalence rate of anaemia; 39.6%, the estimated sample size was 368. Haemoglobin was estimated by cyanmethaemoglobin method. All pregnant women who voluntarily agreed to participate were selected by systematic sampling method.Results: Majority of subjects were in the age group of 15 to 24 years, 60.6%. Nearly 90% were Hindus, 83.2% were homemakers and 62% belonged to nuclear family. The prevalence of anaemia was 56% in which 46.6% had mild anaemia, 51.9% had moderate and 1.5% were severely anaemic. Univariate analysis showed religion, occupation, gestational age and history of abortion being associated with anaemia. In multivariate analysis women in first trimester of pregnancy and history of abortion were significant factors for anaemia.Conclusions: In developing nations like India anaemia is a major public health problem contributing to maternal and infant mortality and morbidities; henceforth there is a need for an effective intervention in the form of health education modules to the community and nutritional counseling for women in the reproductive age group about the importance of Iron supplementation during antenatal period.


Author(s):  
Sheloj Joshi ◽  
Dineshkumar M. Saxena ◽  
Mahesh Kumar Joshi

Background: Paediatric tuberculosis (TB) indicates presence in the community of sputum -positive pulmonary tuberculosis, presence of childhood risk factors for disease and stage of epidemic. This "orphan disease" exists in the shadow of adult TB and is a significant child health problem, but is neglected. As a result both research and surveillance data in the field of childhood TB has been greatly limited. Objective of the study was to find out the socio-demographic profile of paediatric TB patients registered under RNTCP in Bhopal city.Methods: A study was conducted in all tuberculosis treatment units (TU) of Bhopal city. All paediatric patients in the age group of 0 to 14 years diagnosed as TB and registered under RNTCP and fulfilling inclusion criteria during January to June 2013 (six months) were included in the study. The data was analysed on statistical software SPSS VS.20.Results: The maximum numbers of patients (66.06%) were in the age group of 1-10 years. More than half of the mothers and fathers of paediatric patients are either illiterate or having low educational status. In our study 92.72% of patients belonged to low socio economic status and also 69.09% of paediatric patients lived in overcrowded households and were malnourished.Conclusions: The study concluded that tuberculosis in children affects mainly the age group of 1-10 years and is more common in females. Poor housing conditions contribute to tuberculosis incidence as majority of the paediatric patients lives in semi Pucca and Kaccha house and gave a history of dwelling in overcrowded houses. Majority of children were malnourished.


PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0241975
Author(s):  
Melaku Yalew ◽  
Bezawit Adane ◽  
Yitayish Damtie ◽  
Bereket Kefale ◽  
Mastewal Arefaynie ◽  
...  

Background Even though anemia was highly targeted in different global strategies, many pregnant and/or lactating women and children were suffering from it and its complications. Besides this, prior trend analysis has not been conducted among pregnant and/or lactating women in Ethiopia. Therefore, this study aimed to assess the trend and determinants of anemia change among pregnant and/or lactating women in Ethiopia. Methods The study utilized two consecutive Ethiopia Demographic and Health Survey (EDHS) datasets. A total of 6,106 and 5,641 pregnant and/or lactating women in 2011 and 2016 survey respectively were included in the analysis. The data were analyzed by using Stata version 14.0. Logit based decomposition analysis was done to identify contributing factors for anemia change and statistical significance was determined by using P-value. Results The trend of anemia was increased from 19% in 2011 to 29% in 2016 EDHS. The analysis revealed that, 8% of the overall change in anemia was because of the change in women’s composition. Changes in the composition of pregnant and/or lactating women according to region, economic status and tobacco and/or cigarette use were the major sources of the change. Greater than 90% of the increase in anemia was due to differences in the coefficient. Mostly, the change in behaviors of the Amhara population, those who had a history of terminated pregnancy and use tobacco and/or cigarette were the sources of the change. Conclusions Anemia among pregnant and/or lactating women was increased against government interventions over the last half-decade in Ethiopia. Programmatic interventions targeting Somali and Dire Dawa regions are still needed to decrease anemia.


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