scholarly journals Psychiatric Comorbidities in Patients with Migraine in a Tertiary Hospital

2020 ◽  
Vol 18 (1) ◽  
pp. 82-87
Author(s):  
Jai Bahadur Khattri ◽  
Anil Subedi
Keyword(s):  
High Risk ◽  
Psychiatric Disorders ◽  
Migraine With Aura ◽  
Migraine Headache ◽  
Psychiatric Symptoms ◽  
Female Gender ◽  
P Value ◽  
Cross Sectional ◽  
Psychiatric Comorbidities ◽  
Common Diagnosis

Background: Psychiatric disorders are common in the migraine patients and affect the quality of the life of the individual. The objective of the study was to study the different psychiatric comorbidities and its relationship in migraine patients. Methods: This was hospital based cross-sectional study. Seventy patients attending psychiatric outpatient department of Manipal Teaching Hospital, Pokhara with a diagnosis of migraine headache were included. The proforma was used to record socio-demographic variables. The patients were administered Mini International Neuropsychiatric Interview to find out the comorbid psychiatric disorder. Results: The migraine was found more in the age group between 26 to 35 years, female gender and in the Brahmin caste. The migraine was also noticed to be higher in the homemakers, higher secondary educated and middle class patients and the patients living in the urban area. The comorbid psychiatric illness was found in 38 cases (54.3%) among which mild depressive disorder was the most common diagnosis (14.3%). The patients of migraine with aura had high risk of developing the psychiatric comorbidities as compared to the patients without aura (Odds Ratio = 1.22), although this relationship was insignificant (p value = 0.7688).Conclusions: Mild depressive episode was the most common comorbid psychiatric condition. Migraine with aura have high risk of developing psychiatric comorbidities.Keywords: Anxiety; comorbidities; depression; migraine headache; psychiatric disorders; psychiatric symptoms

scholarly journals Tobacco Use, Dependence and Psychiatric Co-Morbidities Among Patients Admitted in Psychiatry Ward

2018 ◽  
Vol 6 (2) ◽  
pp. 54-59
Author(s):  
S Limbu ◽  
DR Shakya ◽  
N Sapkota ◽  
R Gautam ◽  
L Paudel
Keyword(s):  
Psychiatric Disorders ◽  
Nicotine Dependence ◽  
Tobacco Use ◽  
Psychotic Disorders ◽  
Psychiatric Patients ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Holistic Management ◽  
Common Diagnosis

Introduction: Nicotine dependent individuals among the tobacco users are in greater risk of having tobacco related disease and psychiatric co-morbidities. There is little information about the tobacco use and nicotine dependence among psychiatric patients in developing countries including Nepal. This study was done to estimate the prevalence of tobacco use, the level of nicotine dependence among the users and the psychiatric disorder specific prevalence among tobacco users admitted in psychiatry ward.Material And Method: A cross-sectional study was conducted in In-patient setting of Department of Psychiatry, BPKIHS. Ninety cases (size) were enrolled. The Fagerström Test for Nicotine Dependence (FTND) was applied to assess the level of nicotine dependence and the Mini International Neuropsychiatric Interview (M.I.N.I.) for diagnosis of Psychiatric disorders.Results: The prevalence of tobacco use was 62.2%. Tobacco use was more common among males (p value< 0.05).Smokeless form was the commonest form of tobacco. Majority of tobacco users had moderate nicotine dependence and had started the use in adolescence and in their 20s. Psychotic disorders were the most common diagnosis among the admitted patients.Conclusion: Tobacco use is common in patients with psychiatric disorders. Nicotine dependence should be looked into for holistic management. Treatment approaches should be tailored in tobacco users with comorbid psychiatric disorders, as this specific population has high prevalence of tobacco use and higher nicotine dependence. J Psychiatrists’ Association of Nepal Vol. 6, No. 2, 2017, Page: 54-59

scholarly journals Minor psychiatric disorders and their associations in family caregivers of people with mental disorders

2017 ◽  
Vol 22 (11) ◽  
pp. 3567-3578 ◽  
Author(s):  
Carlos Alberto dos Santos Treichel ◽  
Vanda Maria da Rosa Jardim ◽  
Luciane Prado Kantorski ◽  
Aline dos Santos Neutzling ◽  
Michele Mandagará de Oliveira ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Psychiatric Disorders ◽  
Family Caregivers ◽  
Linear Trend ◽  
Trend Test ◽  
P Value ◽  
Test Statistic ◽  
Cross Sectional ◽  
Self Reporting Questionnaire ◽  
Minor Psychiatric Disorders

Abstract This study aims to analyze the occurrence of minor psychiatric disorder and their associations in relatives of people with mental disorders. This is a cross-sectional study of 1164 relatives. For the tracking of minor psychiatric disorders the Self-Reporting Questionnaire Scale (SRQ20) was used, adopting 6/8 as cut-off point. Bivariate analyzes were conducted using Chi-squared test. Trends among strata of independent variables were investigated in relation to the outcome using nonparametric linear trend test. Statistic significance was defined as p-value < 0.05. Crude and adjusted binary logistic regressions were conducted using as a basis the hierarchical model developed through a systematic literature review. It was observed in the population a prevalence of 46.9% for minor psychiatric disorders. Higher prevalence of minor psychiatric disorders were strongly associated with the female gender, older age, first degree family ties, not having a paid work, lower education level, lower income, health problems, lower quality of life and feeling of burden. Many factors are related to the emotional and mental illness of family caregivers, demanding health services to be prepared to recognize and intervene in these situations.

scholarly journals FREQUENCY OF FUNCTIONAL DISABILITY AND COGNITIVE IMPAIRMENTS IN SUB-ACUTE STROKE PATIENTS

2021 ◽  
Vol 10 (2) ◽  
pp. 69-74
Author(s):  
Aisha Sarfaraz ◽  
Dr Abdul Azeem ◽  
Mehwish Butt ◽  
Muhammad Umar
Keyword(s):  
Acute Stroke ◽  
Functional Disability ◽  
Cognitive Impairments ◽  
Age Groups ◽  
Female Gender ◽  
Primary Objective ◽  
P Value ◽  
Stroke Patients ◽  
Cross Sectional Survey ◽  
Cross Sectional

BACKGROUND & OBJECTIVE Stroke is a very common neurological condition affects various aspects of health. The primary objective of this study was to find out the frequency of functional disability and cognitive impairments in Sub-acute Stroke patients. MATERIAL AND METHODS A cross-sectional survey was conducted on 112 Sub-acute Stroke patients in Karachi, Pakistan. Using Barthel Index (BI) and Mini-Mental State Examination (MMSE) test was used to find out the frequency of functional disability and cognitive impairments of Sub-acute Stroke patients. RESULTS The correlation of BI scores with MMSE scores for the Male gender was 0.576 whilst the correlation of BI scores with MMSE scores for the Female gender was 0.440. The severity of functional disability concerning age groups assessed P-value was 0.026 using Chi-Square Test. The severity of functional disability (BI severity) concerning gender, P-value was found 0.097 using the same test. CONCLUSION Functional Disability is directly linked with age. However, there was no linkage established between Cognitive Impairment and age as well as gender. On close inspection, there was a trend between Functional disability and gender but not statistically significant.

scholarly journals Hubungan Antara Paritas Dan Partus Lama Dengan Kejadian Asfiksia Neonatorum Pada Bayi Baru Lahir Di Rumah Sakit Umum Daerah Kota Prabumulih Tahun 2019

2020 ◽  
Vol 5 (2) ◽  
pp. 101-106
Author(s):  
Dwi Saputri Mayang Sari
Keyword(s):  
High Risk ◽  
General Hospital ◽  
Significant Relationship ◽  
Univariate Analysis ◽  
Bivariate Analysis ◽  
P Value ◽  
Cross Sectional ◽  
Asphyxia Neonatorum ◽  
Prolonged Labor ◽  
The Relationship

Asphyxia Neonatorum is a failure to start and continue breathing spontaneously and regularly when a new baby is born or some time after birth. Babies may be born in asphyxia or may be able to breathe but then experience asphyxia some time after birth. The purpose of this study was to determine the relationship between parity and old parturition with the incidence of asphyxia neonatorum in the pre-Sumatran city general hospital in 2019. This study uses an Analytical Survey using a Cross Sectional approach. The population of this research is the babies born in the prehumulih city general hospital in 2019 amounted to 1763 people. The number of samples in this study were 326 respondents. In the univariate analysis it was found that from 326 respondents it was found that parity of high risk mothers was 168 respondents (51.5%) while parity of low risk mothers was 158 respondents (48.5%) and mothers who were diagnosed with prolonged labor were 149 respondents (45.7 %) while mothers who were not diagnosed with prolonged labor were 177 respondents (54.3%). Bivariate analysis shows parity has a significant relationship with the incidence of asphyxia neonatorum (p value 0,000) and old parturition has a significant relationship with the incidence of asphyxia neonatorum (p value 0,000). The conclusion of this study is that there is a relationship between parity and old parturition with the incidence of asphyxia neonatorum.

scholarly journals The Correlation between Covid-19 Knowledge and Anxiety of Pregnant Women During Covid-19 Pandemic

2021 ◽  
Vol 4 (2) ◽  
pp. 71-74
Author(s):  
Ratih Mega Septiasari ◽  
Nurya Viandika
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Pregnant Women ◽  
Vulnerable Populations ◽  
Health Workers ◽  
P Value ◽  
Design Study ◽  
Cross Sectional ◽  
Special Groups ◽  
Cross Sectional Design

AbstrakWanita hamil adalah salah satu kelompok khusus yang berisiko tinggi tertular virus Covid-19.Faktor risiko terbesar untuk mengalami berbagai tekanan psikologis adalah perempuan dan tenaga kesehatan serta populasi rentan seperti ibu hamil. Ketakutan dan kekhawatiran muncul dari bahaya yang memang ada, tetapi banyak juga yang muncul dari kurangnya pengetahuan dan informasi yang salah. Tujuan penelitian ini adalah untuk mengetahui hubungan pengetahuan Covid-19 dengan kecemasan ibu hamil pada saat pandemi Covid-19 di Malang Jawa Timur Indonesia. Penelitian dilakukan pada bulan November hingga Desember 2020 dan merupakan penelitian desain cross-sectional dengan menggunakan kuesioner  yang diberikan kepada 52 ibu hamil. Berdasarkan tabel 4 didapatkan p-value 0,029 (sig<0,05) yang menunjukkan bahwa ada hubungan yang signifikan antara pengetahuan dengan kecemasan ibu hamil selama pandemi Covid-19. Sehingga dapat disimpulkan bahwa pengetahuan merupakan factor penting bagi ibu hamil karena dapat mempengaruhi perilaku ibu selama hamil. Sehingga diharapkan edukasi yang optimal dari petugas kesehatan bagi para ibu agar dapat menjalani kehamilan sejahtera serta ibu dan janin tetap sehat selama pandemi Covid-19. Kata kunci: pengetahuan, kecemasan, kehamilan, pandemi covid-19  AbstractPregnant women are one of the special groups that are at high risk for the Covid-19 virus. The biggest risk factors for experiencing various psychological distresses are women and health workers as well as vulnerable populations such as pregnant women. Fear and worry arise from dangers that do exist, but many also arise from lack of knowledge and misinformation. The purpose of this study was to determine the correlation between Covid-19 knowledge and anxiety of pregnant women during the Covid-19 pandemic at Malang, East Java Indonesia. The study was conducted from November to December 2020 and is a cross-sectional design study using a questionnaire given to 52 of pregnant women. Based on the table 4, the p-value is 0.029 (sig <0.05), which indicates that there is a significant correlation between the knowledge and the anxiety of pregnant women during the Covid-19 pandemic. So it can be concluded that knowledge is an important factor for pregnant women because it can affect the behavior of the mother during pregnancy. So it is hoped that optimal education from health workers for mothers to be able to undergo a prosperous pregnancy so that mothers and fetuses remain healthy during the Covid-19 pandemic. Keywords: knowledge, anxiety, pregnancy, covid-19 pandemic

Association Between Structural Determinants of Health and Posttraumatic Stress Symptoms during the COVID-19 Pandemic

2021 ◽  
Vol 17 ◽  
Author(s):  
Zohreh Mahmoodi ◽  
Kian Javadi Koshesh ◽  
Ghaffar Almasi ◽  
Safura Pournajaf ◽  
Hadith Rastad ◽  
...  
Keyword(s):  
Traumatic Stress ◽  
Female Gender ◽  
Underlying Disease ◽  
Determinants Of Health ◽  
P Value ◽  
Post Traumatic Stress ◽  
Structural Determinants ◽  
Cross Sectional ◽  
Stress Symptoms ◽  
Post Traumatic

Background: Psychological problems, such as post-traumatic stress symptoms (PTSS), are among the most important complications associated with the COVID-19 pandemic in people. Studying the social determinants of health (SDH) and its impact on the populations during the crisis will help governments deal better with health emergencies so that every person can have an equal opportunity to stay healthy. Objective: To determine what factors affect PTSS, we conducted a study to investigate the association between structural determinants of health and PTSS during the COVID-19 pandemic. Methods: We conducted a cross-sectional study on 370 people referred to a selected laboratory between June and July 2020 in Karaj province, Iran. Post-traumatic stress disorder (PTSD) 8-item inventory was used to evaluate the PTSS and its subscales, including intrusion, avoidance, and hypervigilance in the participants. Results: Overall, 51.2% of participants were male, and 17.3% were positive for the IgM or IgG COVID-19 test. The most common symptoms in these patients were weakness, myalgia, cough, anosmia, and fever. The prevalence of total PTSS, intrusion, avoidance, and hypervigilance symptoms were 7.1%, 25.7%, 41.6%, and 16.2%, respectively. In univariable regression analysis, female gender (p-value=0.01, 95%CI (2.25-0.31)), un-employment (p-value=0.011, 95%CI (0.37-2.81)), having symptoms of COVID-19 disease (p-value=0.000, 95%CI (.82-2.75)), underlying chronic disease, were directly associated with PTSS. Conclusion: Results showed that sex and occupation as structural determinants of health could affect PTSS in the COVID-19 pandemic. However, in the multivariable model, having symptoms of the COVID-19 disease and underlying disease affected PTSS.

Faktor yang Berhubungan Pelaksanaan Pendokumentasian Asuhan Keperawatan Di Ruang Rawat Inap Rumah Sakit Ernaldi Bahar Provinsi Sumatera Selatan

2021 ◽  
Vol 10 (1) ◽  
pp. 7
Author(s):  
Raden Surahmat ◽  
Meilisa Dwiyanti ◽  
Mareta Akhriansyah ◽  
Amalia Amalia
Keyword(s):  
Nursing Care ◽  
Professional Education ◽  
Quantitative Methods ◽  
Early Adulthood ◽  
Female Gender ◽  
Good Knowledge ◽  
Bivariate Analysis ◽  
P Value ◽  
Cross Sectional ◽  
High Level

Background: Not maximally documenting nursing care will have an impact on the quality of nursing services. Methods: This study aims to determine what factors are associated with the implementation of nursing care documentation using quantitative methods, using a cross sectional approach, with a sample of 71 respondents. Results: From the results of this study obtained from 71 respondents whose early adulthood were 38 people (53.5%), female gender were 41 people (57.7%), professional education 36 people (50.7%), work period ≥2 years totaling 51 people (71.8%), good knowledge 50 people (70.4%), light workload 43 people (60.6%), implementation of good nursing documentation 46 people (64.8%), the results of bivariate analysis obtained age p value 0.003, gender ρ value = 0.041, education ρ value = 0.057, tenure ρ value = 0.012, knowledge ρ value = 0.001, workload ρ value = 0.018. Conclusion: Based on the results of the study it can be concluded that the age with early and late adulthood has a different mindset in work, while the implementation of documenting nursing care between men and women has its own way of differences in roles and responsibilities, with a high level of education with experience. good knowledge is obtained

scholarly journals 0967 Clinical Characteristics of Children With Sleep Problems and Comorbid Psychiatric Disorders

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A367-A367
Author(s):  
E McIntyre ◽  
S K Oles ◽  
K Walsh ◽  
A Bandyopadhyay
Keyword(s):  
Psychiatric Disorders ◽  
Clinical Characteristics ◽  
Sleep Problems ◽  
Retrospective Chart Review ◽  
P Value ◽  
Psychiatric Comorbidities ◽  
Children With Adhd ◽  
Comorbid Psychiatric Disorders ◽  
Presenting Symptoms ◽  
Icd 10

Abstract Introduction Anxiety and Attention Deficit Hyperactive Disorder (ADHD) are common psychiatric comorbidities in children with sleep disorders. It is known that comorbid psychiatric disorders increase the risk of sleep problems. However, no study has compared the clinical characteristics of children presenting with sleep problems and various common psychiatric disorders. Methods Retrospective chart review of all children presenting to the sleep clinic for sleep problems between March 2016 to June 2017 was performed. Demographics, sleep intake patient questionnaires, polysomnograms and ICD-9/10 codes for comorbidities and sleep diagnoses were collected. In children with diagnoses of anxiety (ICD-9 300/ICD-10 F41) and ADHD (ICD-9 314/ICD-10 F90), demographics, presenting symptoms, Epworth sleepiness scores and prevalence of sleep comorbidities were compared. T-test (continuous) and Chi Square (categorical) were used. Unadjusted odds ratio was calculated for presenting symptoms and sleep comorbidities. P value of &lt;0.05 was considered significant. Results 250 (F=145, 58%) children were evaluated. 71.2% children were diagnosed with anxiety and 28.8% diagnosed with ADHD. Mean age at presentation was 8.53 ± 4.2 years. Age, gender and race of children presenting with sleep problems and comorbid anxiety/ADHD were statistically similar. Children with anxiety spent less time in stage N3 sleep (25.2% ± 9.1 versus 28.6% ± 9.2) and had lower arousal indices (7.19 ± 3.8 versus 8.86 ± 5.5) compared to children with ADHD. Children with anxiety were more likely to present with chief complaint of “feeling tired or sleepy during the day” (OR:2.38, 1.32-4.37) and were more likely to have a diagnosis of hypersomnia (OR: 11.67, 3.19-42.75) versus children with ADHD. Conclusion Children with psychiatric comorbidities have distinct polysomnographic characteristics. Children with anxiety are more likely to present with daytime sleepiness and have a significantly higher prevalence of hypersomnia compared to children with ADHD. Support None

scholarly journals Psychosocial factors associated with symptoms of generalized anxiety disorder in general practitioners during the COVID-19 pandemic

2020 ◽  
Vol 68 (7) ◽  
pp. 1228-1234 ◽  
Author(s):  
Alvaro Monterrosa-Castro ◽  
Velia Redondo-Mendoza ◽  
María Mercado-Lara
Keyword(s):  
Anxiety Disorder ◽  
General Practitioners ◽  
Generalized Anxiety Disorder ◽  
Healthcare Providers ◽  
Demographic Factors ◽  
Female Gender ◽  
P Value ◽  
Generalized Anxiety ◽  
Health Providers ◽  
Cross Sectional

Healthcare providers commonly experience symptoms of anxiety during public health crises and pandemics. The objective of the study was to identify the frequency of symptoms of generalized anxiety disorder (GAD) in general practitioners and to estimate the association with particular psychosocial and demographic factors. This is a cross-sectional study, where a total of 531 general practitioners completed an online form that contained sociodemographic variables, questions about fear and perceptions concerning medical work during the COVID-19 pandemic, 7-Item Generalized Anxiety Disorder Scale (GAD-7), questionnaire on psychosomatic problems and Fear of COVID-19 Scale. The presence of symptoms of GAD was defined by a GAD-7 score of 10 or more points. Voluntary and anonymous participation, acceptance of terms, and informed consent were requested. A p value of <0.05 was considered statistically significant. Symptoms of GAD were identified in 4 out of 10 Colombian general practitioners; the following psychosocial and demographic factors were associated with a greater presence of these symptoms: female gender, social discrimination, anguish, job disappointment, nightmares, stress and other symptoms of fear regarding the pandemic. Conversely, feeling protected by the state or employer, being satisfied with their job as a physician, and trusting government measures and information were associated with a lower presence of symptoms of GAD. These findings highlight the importance of timely psychotherapeutic and psychopharmacological interventions in these individuals. The authors suggest mental health providers should be deployed during times of crisis to decrease the risk of developing mental illness.

Euthanasia and assisted suicide of persons with psychiatric disorders: the challenge of personality disorders

2019 ◽  
Vol 50 (4) ◽  
pp. 575-582 ◽  
Author(s):  
Marie E. Nicolini ◽  
John R. Peteet ◽  
G. Kevin Donovan ◽  
Scott Y. H. Kim
Keyword(s):  
Content Analysis ◽  
Personality Disorders ◽  
Psychiatric Disorders ◽  
Assisted Suicide ◽  
Suicide Attempts ◽  
Cross Sectional ◽  
Psychiatric Comorbidities ◽  
Directed Content Analysis ◽  
Complex Patient ◽  
History Of

AbstractBackgroundEuthanasia or assisted suicide (EAS) for psychiatric disorders, legal in some countries, remains controversial. Personality disorders are common in psychiatric EAS. They often cause a sense of irremediable suffering and engender complex patient–clinician interactions, both of which could complicate EAS evaluations.MethodsWe conducted a directed-content analysis of all psychiatric EAS cases involving personality and related disorders published by the Dutch regional euthanasia review committees (N = 74, from 2011 to October 2017).ResultsMost patients were women (76%, n = 52), often with long, complex clinical histories: 62% had physical comorbidities, 97% had at least one, and 70% had two or more psychiatric comorbidities. They often had a history of suicide attempts (47%), self-harming behavior (27%), and trauma (36%). In 46%, a previous EAS request had been refused. Past psychiatric treatments varied: e.g. hospitalization and psychotherapy were not tried in 27% and 28%, respectively. In 50%, the physician managing their EAS were new to them, a third (36%) did not have a treating psychiatrist at the time of EAS request, and most physicians performing EAS were non-psychiatrists (70%) relying on cross-sectional psychiatric evaluations focusing on EAS eligibility, not treatment. Physicians evaluating such patients appear to be especially emotionally affected compared with when personality disorders are not present.ConclusionsThe EAS evaluation of persons with personality disorders may be challenging and emotionally complex for their evaluators who are often non-psychiatrists. These factors could influence the interpretation of EAS requirements of irremediability, raising issues that merit further discussion and research.

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