scholarly journals Dissociative disorders: A study of clinico-demographic profile and associated stressors

2015 ◽  
Vol 3 (2) ◽  
pp. 25-30
Author(s):  
R Thapa
Keyword(s):  
Life Events ◽  
Stressful Life Events ◽  
Age Of Onset ◽  
Dissociative Disorders ◽  
Stressful Life ◽  
Psychosocial Stressors ◽  
Motor Disorder ◽  
Demographic Profile ◽  
Co Morbidity ◽  
One Year

Objectives: To study relevant clinico-demographic profile and stressors of dissociative disorders.  Methods: this is a case control study of 39 cases of dissociative disorders and compared with 39 controls using a self designed questionnaire and G. Singh’s Presumptive Stressful Life Events Scale (PSLE). Results: The mean age of the cases was 21.23 years. Cases of Dissociative motor disorders had significantly higher age (26.4 yrs) as compared to dissociative convulsion (18.8 yrs) and dissociative stupor (20.6 yrs). (38.5%).Two thirds of the cases had comorbid neuro-psychiatric illness, the commonest one being depression (35.9%). The cases had more stressful life events in the past one year as well as whole life when compared to controls. Family conflict was seen to be the commonest precipitating stress.Conclusions: Dissociative disorder mainly affects young people. Dissociative motor disorder is a distinct subtype with a higher age of onset. Presence of neuro-psychiatric co-morbidity is the rule rather than exception. Psychosocial stressors play an important role in disease production.J Psychiatric Association of Nepal Vol .3, No.2, 2014, pp: 25-30DOI: http://dx.doi.org/10.3126/jpan.v3i2.12386 

scholarly journals PATIENTS WITH CONVERSION DISORDER

2010 ◽  
Vol 17 (04) ◽  
pp. 715-720
Author(s):  
NIAZ MAQSOOD ◽  
BUSHRA AKRAM ◽  
WAJID ALI
Keyword(s):  
Life Events ◽  
Stressful Life Events ◽  
Case Series ◽  
Strong Relationship ◽  
Conversion Disorder ◽  
Stressful Life ◽  
Psychosocial Stressors ◽  
Medical College ◽  
Case Series Study ◽  
Series Study

Objectives: To assess the frequency of the various psychosocial stressors and stressful life events in patients presenting with conversion disorder. Study Design: Case series study. Place & Duration of Study: The study was conducted in the Department of Psychiatry & Behavioural Sciences, Bahawal Victoria Hospital & Quaid-e-Azam Medical College, Bahawalpur from January, 2009 to March, 2009. Subjects & Methods: The sample consisted of 100 in-patients (89 Female, 11 Male) with Conversion Disorder. They were interviewed andresults were analysed from the entries in a Performa. Results: Stressors were clearly identified in 100 patients. In all patients, we found more than one stressor. Among patients, there were (24%) In-laws problems, (23%) Love problems, (21%) Relationship problems with family, (20%) exam/study stress, (15%) marriage against will, (13%) demanding and pampered child, (11%) Issue less, (10%) sexual abuse, (8%) demand of marriage, (6%) overage in wait of marriage, (4%) death of partner, (3%) husband abroad and (3%) patient’s engagement break. Conclusions: We concluded that stressors and life events were present in all conversion disorder’s patients and these stressful life events are important causal factors for Conversion Disorder. Conversion Disorder has strong relationship with psychosocial stressors. 

scholarly journals Assessment of Gender Differences in Depression- A Cross-Sectional study

2021 ◽  
pp. 28-33
Author(s):  
Tushar Agravat
Keyword(s):  
Gender Differences ◽  
Statistical Analysis ◽  
Major Depression ◽  
Life Events ◽  
Stressful Life Events ◽  
Nuclear Family ◽  
Demographic Characteristics ◽  
Stressful Life ◽  
Significant Difference ◽  
One Year

Background and Aim: Major depression in both women and men is a debilitating disorder that disrupts relationship and daily lives and affects nearly 10% of general populations. The aims and objectives of this study were to determine the gender differences in major depression with respect to following: Demographic characteristics, Clinical manifestations, Stressful life events, Risk factors. Materials and Methods: Total of 100 patients was included in the study. All the included patients meet the criteria for DSM-IV (Diagnostic and Statistical Manual of Mental Disorders) diagnosis of major depression. The included patients were interviewed at the department of Psychiatry, B. J. Medical College & civil hospital Ahmedabad. Based on the Life Events Scale by Holmes and Rahe (1967), its Indian adaptation PSLE (Presumptive stressful life events scale) was done by Gurmeet Singh (1983). The statistical analysis was done by using SPSS IX version. Results: Their ages range from 18 to 70 years. Most of the patients were married, were from urban background, and nuclear family. On Hamilton Depression rating scale when the statistical analysis was done, there was no significant difference between males and females. Men had higher mean life events score than women but this was not statistically significant. In female, there was significant positive correlation between number of life events in one year and severity of depression as well as impact score during one year prior to onset of depression and Hamilton rating scores. Conclusion: Male and female major depression patients did not differ as regards demographic characteristics, except that most women were homemakers and men were employed. Number of stressful life events experienced during 1 year prior to onset of MDD was similar. Early insomnia, middle insomnia and somatic symptoms general were more severely present in female patients.

Dhaka Stress Scale-Adult: A scale for assessing psychosocial stressors among adults

2019 ◽  
Vol 12 (3) ◽  
pp. 119-127
Author(s):  
Mohammad S. I. Mullick ◽  
Sultana Algin ◽  
Monirul Islam ◽  
Adrian Phillipson ◽  
Jhunu S. Nahar ◽  
...  
Keyword(s):  
Qualitative Research ◽  
Life Events ◽  
Stressful Life Events ◽  
Factor Model ◽  
Daily Life ◽  
Stressful Life ◽  
Psychosocial Stressors ◽  
Life Change ◽  
Validation Process ◽  
Stress Scale

Stress is an integral part of daily life and inevitable. This study was aimed to produce a culturally validated scale for measuring stressful life events of adults in Bangladesh and formulate the relative life change units of each event. The study used qualitative research, including a focus group and questionnaire, as well as quantitative statistical analysis in the validation process. Researchers first developed a provisional scale with 62 items that were translated in Bangla through a translation exercise. Using an open-ended question along with this provisional scale on 518 (260 rated on imagination and 258 on experience) subjects, researchers developed Dhaka Stress Scale-Adult with 58 items and the predictive interpretation of the overall score was made. Content validity was found excellent as I-CVI was 1 except 3 items and S-CVI was 0.91. In factor analysis on the two-factor model, no item had salient loading on more than one factor and there were 3 items failed to load on either factor. The correlation coefficient was 0.84 between this scale and the Presumptive Stressful Life Events Scale. In term of reliability, Cronbach’s alpha values were ranging from 0.53-0.88. The scale is simple to administer to assess stress and usable for both clinical and research purpose.

Stressful life events predict one-year change of leukocyte composition in peripheral blood

2018 ◽  
Vol 94 ◽  
pp. 17-24 ◽  
Author(s):  
Marlene Penz ◽  
Clemens Kirschbaum ◽  
Angelika Buske-Kirschbaum ◽  
Magdalena K. Wekenborg ◽  
Robert Miller
Keyword(s):  
Life Events ◽  
Peripheral Blood ◽  
Stressful Life Events ◽  
Stressful Life ◽  
One Year

Psychosocial Correlates of Dissociative Motor Disorder of Impairment or Loss of Speech

2018 ◽  
pp. 27-38
Author(s):  
Shyam Hanumanapura Rajanna ◽  
Raju Heggadadevanakote Hanumanthaiah
Keyword(s):  
Life Events ◽  
Stressful Life Events ◽  
Stressful Life ◽  
Voice Disorder ◽  
Motor Disorder ◽  
Adjustment Difficulties ◽  
Lower Socioeconomic ◽  
The Individual ◽  
Adjustment Issues

The present chapter is intended to elucidate the role of psychosocial factors such as stressful life events, adjustment issues in family, social, occupational, and academic setup, personality, and socioeconomic correlates in the individual suffering from functional aphonia/dissociative motor disorder of impairment or loss of speech which is also called as functional voice disorder (FVD). This chapter explores a study carried out by purposively selected (N=32) case files reviews of individuals with FVD who were treated with functional voice therapy. The study results indicated various stressful life events such as marital discord, adjustment difficulties with social, occupational, family, and academic stipulation, and rapidly changing personal and health conditions were significantly associated with FVD. Majority of the cases were belonging to lower socioeconomic status and depressive symptoms were observed. Presence of the persistent role of life events, adjustment issues, and depression influencing development and maintenance along with diagnosis and management techniques are discussed.

scholarly journals CONVERSION DISORDER;

2014 ◽  
Vol 21 (03) ◽  
pp. 489-494
Author(s):  
Niaz Maqsood ◽  
Bushra Akram ◽  
Naima Luqman ◽  
Rizwana Amin
Keyword(s):  
Life Events ◽  
Stressful Life Events ◽  
Peer Group ◽  
Conversion Disorder ◽  
Stressful Life ◽  
Psychosocial Stressors ◽  
Emotional Involvement ◽  
Major Life Events ◽  
Major Life ◽  
Medical College

Objective: Frequency of the psychosocial stressors and stressful life events inchildren presenting with conversion disorder. Study design: A descriptive study. Place &duration of study: The study was conducted in the Department of Psychiatry & BehaviouralSciences, Bahawal Victoria Hospital & Quaid-e-Azam Medical College, Bahawalpur fromJanuary, 2010 to October, 2010. Subjects & methods: The sample consisted of 100 in-patients(62 Female, 38 Male) with Conversion Disorder. They were interviewed and results were analysedfrom the entries in a Performa. The Presumptive Stressful life Events Scale (PSLES) wasadministered by an open ended interview to elicit major life events in the past 10 months.Results: Stressors were clearly identified in 100 patients. In all patients, we found more than onestressor. Among patients, there were (29%) Educational and study stressors, (20%) Parent’sdeath / Separation, (20%) Sexual Abuse, (14%) Sibling Rivalry, (13%) Pampered / DemandingChild, (10%) Attention Seeking, (8%) Peer Group Problems, (8%) Improper Parenting, (8%)Learned behaviour, (7%) Emotional Involvement Issues, (5%) Habit of stealing and (4%) AdoptedChild. Conclusions: We concluded that stressors and life events were present in all conversiondisorder’s patients and these stressful life events are important causal factors for ConversionDisorder. Severe and sudden emotional stress serves to precipitate conversion reaction inpredisposed children. The symptom serves to solve the conflict and the gain obtained served toperpetuate the illness.

Influence of anxiety and reported stressful life events on relapses in multiple sclerosis: a prospective study

2008 ◽  
Vol 14 (9) ◽  
pp. 1262-1268 ◽  
Author(s):  
C Potagas ◽  
C Mitsonis ◽  
L Watier ◽  
G Dellatolas ◽  
A Retziou ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Prospective Study ◽  
Life Events ◽  
Recurrent Events ◽  
Stressful Life Events ◽  
Rating Scale ◽  
Stressful Events ◽  
Stressful Life ◽  
Analysis Model ◽  
One Year

Objective Self-reported stressful life events and infections have been associated with relapses in multiple sclerosis. Also, anxiety has been reported to influence other diseases of unpredictable course. To study relation of self-reported stressful life events, levels of anxiety, and episodes of infection, with relapses of the disease in women with multiple sclerosis. Methods This is a one-year prospective study. Thirty seven women with multiple sclerosis were regularly seen every four weeks, for one year. They were keeping diaries of events they considered stressful. These events were ranked according to the Holmes and Rahe Social Readjustment Rating Scale. Their anxiety levels were assessed with the Hamilton rating scale for anxiety. Relapses and episodes of infection were verified at additional visits. Results were studied using a survival analysis model adapted for several recurrent events. Results A total of 291 stressful events, 37 episodes of infection, and 48 relapses, were registered. High level of anxiety were stongly related to the number and the severity of reported stressful events during the preceding period and with the advent of a relapse in the following period (Hamilton score greater than 18 is associated with 4.2 times the rate of relapsing and three or more reported stressful events with 5.7 times the rate of relapsing). Conclusions Anxiety and self-reported stressful events may in fact be two measures of the same underlying emotional factor, which plays an important role on the course of the disease, in addition to episodes of infection.

scholarly journals ACNE VULGARIS;

2013 ◽  
Vol 20 (03) ◽  
pp. 403-408
Author(s):  
NAEEM-ULLAH LEGHARI ◽  
BUSHRA AKRAM ◽  
NAIMA LUQMAN
Keyword(s):  
Life Events ◽  
Stressful Life Events ◽  
Social Withdrawal ◽  
Acne Vulgaris ◽  
Psychosocial Stressors ◽  
Major Life Events ◽  
Major Life ◽  
Psychological Reactions ◽  
One Year ◽  
Suicidal Ideas

Objective: To find out the frequency and pattern of psychosocial stressors and adverse life events in patients presentingwith Acne vulgaris. Study design: A descriptive study. Place & duration of study: The study was conducted in the Department ofPsychiatry & Behavioural Sciences, in collaboration with Dermatological Department, Nishtar Hospital, Multan from September, 2012 toNovember, 2012. Subjects & Methods: The sample consisted of 50 consecutive out-patients (Female-42, Male-8) with acne. They wereinterviewed and The Presumptive Stressful life Events Scale (PSLES) was administered to elicit major life events and psychosocialstressors they had to face. Results were analysed from the entries in a semi structured Performa. Results: Out of 50 patients, 94%subjects reported more than one stress & 6% reported no stress. 15(30%) were suffering from the disease 6 months to one year. Wefound more than one stressor. Results showed 46% of the participants reported Social Withdrawal, 40% had Academic Problems, 38%showed Frustration and Anger, 32% had to face Critical Remarks / Stigmatization, 30% had Low self esteem & Negative thoughts aboutself, 12% presented with Suicidal Ideas / Attempts, about 22% reported disturbed Relationship with Spouse while 14% reported theRelationship problems with other family members. Conclusions: We concluded that psychosocial stressors and life events were presentin significant majority of patients with acne and these emotional, social, behavioural and psychological reactions have strong associationin patients suffering from acne vulgaris.

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