scholarly journals Sexual dysfunction: prevalence and associated factors in patients with mental illness receiving psychotropic medication in Nigeria

1970 ◽  
Vol 19 (4) ◽  
pp. 2973-2984 ◽  
Author(s):  
Samuel Obateru Osasona ◽  
Mary Ehimigbai
Keyword(s):  
Sexual Dysfunction ◽  
Psychotropic Medication ◽  
Medication Compliance ◽  
Psychiatric Patients ◽  
Tertiary Care ◽  
Self Esteem ◽  
Psychiatric Medication ◽  
Duration Of Treatment ◽  
Cross Sectional ◽  
Sexual Symptoms

Objectives: The objectives were to determine the prevalence of total and specific sexual dysfunction among psychiatric out-patients taking psychotropic medication, assess its relationship with some demographic and clinical variables, determine the effect of sexual dysfunction on subject’s self- esteem and compliance with medication.Methods: This descriptive, cross-sectional study was conducted in the psychiatric out-patient clinic of a Tertiary Care Teaching Hospital in Benin City. The International Index of Erectile Functioning (IIEF), Rosenberg’s self esteem scale and a socio-demographic and clinical data questionnaire were administered to 300 participants; 150 (50%) psychiatric male patients and 150 (50%) controls.Results: The prevalence of total sexual dysfunction was 48.7%, while that of the specific SDs ranged from 20.0% to 39.3%, with erectile dysfunction having the highest proportion. Age, marital status, class, dose of psychotropic medication, poly-pharmacy and duration of treatment were significantly associated with SD. Majority of patient with SD reported poor compliance with medication. Self-esteem scores had significant inverse relationship with total SD scores.Conclusion: Sexual dysfunction is prevalent amongst psychiatric patients taking psychiatric medication and has negative implications for self-esteem and medication compliance. Routine enquiry about sexual symptoms by physicians and prompt treatment of SD might enhance overall treatment success.Keywords: Sexual dysfunction, psychiatric patients, psychotropic medication, Nigeria.

scholarly journals Psychosexual Problem in Remitted Psychiatric Patients

2021 ◽  
pp. 263183182110440
Author(s):  
Dhana Ratna Shakya ◽  
Tapan Kumar Dhali ◽  
Sabeena Bhattarai ◽  
Nidesh Sapkota ◽  
Arun Kumar Pandey
Keyword(s):  
Psychotropic Medication ◽  
Psychiatric Patients ◽  
Sexual Experience ◽  
Bipolar Affective Disorder ◽  
Skin Lesions ◽  
Cross Sectional ◽  
Sexual Side Effects ◽  
Allergic Skin ◽  
Pertinent Information ◽  
Psychosexual Dysfunction

Background: Many patients and health literature, in general, allege that psychotropic agents cause sexual side effects. Objective: We intended to investigate this issue in a Nepalese clinical setting by estimating the prevalence of psychosexual problems among remitted psychiatric outpatients (on psychotropic medication) and by comparing it with that of a nonpsychiatric patient group (on nonpsychotropic medication). Methodology: In this hospital-based cross-sectional comparison study with purposive sampling, we collected the responses to a self-response questionnaire called “Arizona Sexual Experience Scale” from a total of 400 subjects: 100 male and 100 female consecutive consenting remitted psychiatric and dermatological outpatients, each with sex and marital status matching. We recorded pertinent information in the proforma and screened psychosexual problems with the Arizona Sexual Experience Scale after informed written consent. The problems in psychiatric and dermatological groups were compared. Results: We have more subjects of reproductive ages in both the psychiatric and dermatological groups. Depression, anxiety, and bipolar affective disorder were the most common diagnoses in the psychiatric patients, whereas eczema, fungal, immunologic, and allergic skin lesions/diseases were common in the dermatological patients. Both groups had comparable sexual dysfunction rates, both by overall and the criteria of ≥3 items with scores ≥4, whereas dermatological patients had more problems with criteria of ≥1 item with a score ≥5. Conclusions: Psychosexual dysfunction was more or less similar in frequency among both the psychiatric patients on psychotropic medication and dermatological patients on topical agents.

scholarly journals Medication Adherence among Mentally Ill Patients with comorbid- Substance Use Disorder

KYAMC Journal ◽  
2017 ◽  
Vol 6 (2) ◽  
pp. 602-609
Author(s):  
Nasim Jahan ◽  
Mohammad Muntasir Maruf ◽  
Md Faruk Hossain ◽  
Md Waziul Alam Chowdhury ◽  
Anwara Begum
Keyword(s):  
Substance Use ◽  
Medication Adherence ◽  
Mentally Ill ◽  
Substance Misuse ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Psychiatric Medication ◽  
Cross Sectional ◽  
Care Givers

Substance misuse is usually associated with poorer psychiatric medication adherence among mentally ill patients. Identifying proportion & predictors of medication adherence among patients with dual psychiatric and substance misuse problems is important because poor adherence is associated with relapse and re-hospitalization. This study was a descriptive cross sectional study conducted among the patients dually diagnosed with psychiatric and substance use disorders attending OPD in a tertiary care hospital of Dhaka city, during the period from May 2013 to November 2013. The main objective of the study was to explore the proportion of psychotropic medication adherence among the respondents who were on such medication for at least last 6 months (N=151). Respondents were selected purposefully. An informed consent was taken from the patients or care givers and data were collected using the questionnaire designed by the researcher based on Factors Influencing Neuroleptic Medication Taking Scale (FNIMTS). Diagnoses were done previously according to DSM-IV TR by psychiatrist appointed in inpatient and outpatient department. Questionnaire was filled up by the researcher by interviewing the patients and attending care givers as needed. Over half of the respondents (57.0%) admitted they had missed taking their medications on more than one occasion in the week prior to the interview. Thus this study found the proportion of medication adherence to be 43% among the respondents.KYAMC Journal Vol. 6, No.-2, Jan 2016, Page 602-609

scholarly journals Sexual Dysfunction among Females Receiving Psychotropic Medication: A Hospital-based Cross-sectional Study

2016 ◽  
Vol 38 (5) ◽  
pp. 447-454 ◽  
Author(s):  
Veda N. Shetageri ◽  
Govind S. Bhogale ◽  
N. M. Patil ◽  
R. B. Nayak ◽  
S. S. Chate
Keyword(s):  
Sexual Dysfunction ◽  
Psychotropic Medication ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Pattern of prescribing psychotropics in the outpatient department of a tertiary psychiatric hospital

2017 ◽  
Vol 29 (1) ◽  
pp. 10-13
Author(s):  
Mohammad Tariqul Alam ◽  
Mohammad Muntasir Maruf ◽  
Mekhala Sarkar ◽  
Helal Uddin Ahmed ◽  
Mahfuza Akhter
Keyword(s):  
Psychotropic Drugs ◽  
Psychiatric Patients ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Brand Names ◽  
Mood Stabilizers ◽  
Outpatient Department ◽  
Care Hospital ◽  
Cross Sectional ◽  
Study Population

Pattern of prescriptions for psychiatric patients varies which is influenced by patient variation, types of disorders, cultural and environmental influences, socioeconomic status, availability of drugs and psychiatrists own preference. The aim of this study was to determine the patterns of prescribing psychotropic drugs in psychiatry Outpatient Department (OPD) in a tertiary care hospital. The cross-sectional study was conducted in the OPD of National Institute of Mental Health (NIMH), Dhaka from January to June, 2016. In the study, the prescriptions prescribed by psychiatrists were considered as study population. Using convenient sampling method, data were collected by observation using checklist from selected 604 latest prescriptions prescribed by psychiatrists in OPD of NIMH for the patients coming there for treatment. The data on the psychotropic drugs collected for the study were antipsychotics, antidepressants, mood stabilizers and sedative-hypnotics. Results showed that a total of 1802 psychotropic drugs were prescribed with an average of 2.98 psychotropics per prescription. The most common drug group prescribed was antipsychotics (44.8%). Majority (49.7%) of the prescriptions contained 3 psychotropics simultaneously. Most common (27.8%) combination was that of antipsychotics and sedativehypnotics. Dosage regimen was twice/day for the majority (55.6%). There was a combination of oral and parenteral drugs in 48.3% of prescriptions. All the drugs were prescribed by brand names. There was no diagnosis written in 60.9% of the prescriptions. The prescription pattern was not rational and this should be intervened by educating prescribers about rational prescribing in psychiatry.Bang J Psychiatry June 2015; 29(1): 10-13

scholarly journals Resurgence of leprosy in post elimination era

2019 ◽  
Vol 5 (4) ◽  
pp. 743
Author(s):  
Swapna Subhash Khatu ◽  
Nachiket Madhukarrao Palaskar ◽  
Garima Laxminarayan Balpande ◽  
Nitin Dinkar Chaudhari
Keyword(s):  
Statistical Significance ◽  
Tertiary Care ◽  
National Level ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Duration Of Treatment ◽  
Cross Sectional ◽  
Leprosy Case ◽  
Leprosy Patients

<p class="abstract"><strong>Background:</strong> Leprosy is a slowly progressive mildly infectious disease caused by <em>Mycobacterium leprae</em> primarily affecting skin and peripheral nerves. After introduction of multidrug therapy in the country recorded leprosy case load has come down. In December 2005, India announced elimination of leprosy as public health problem at national level under the NLEP but new cases are still being registered.</p><p class="abstract"><strong>Methods:</strong> It was a hospital based cross sectional study conducted on over 109 leprosy patients attending a tertiary care hospital in Narhe, Pune during the period from 1<sup>st</sup> January 2018 to 31<sup>st </sup>December 2018. The statistical package for Social Sciences (SPSS) for Windows version (16.0) was used to analyze the data (SPSS Inc., Chicago, IL). Statistical significance was declared at p&lt;0.05 or mentioned otherwise.<strong></strong></p><p class="abstract"><strong>Results:</strong> Out of 109 patients, 57 were new and 52 were old. Maximum patients belong to age group 40-49 years, 25 patients had type 1 reaction and 18 had type 2 reaction. Out of which 83 were on treatment and 12 are defaulter, 9 were in relapse, 6 patients released from treatment.</p><p class="abstract"><strong>Conclusions:</strong> In post elimination era of leprosy still new cases have been registered and hence the burden and morbidity of the disease is still high in the community. It strongly suggests that by early detection, increasing the duration of treatment and by increasing the community awareness, utilizing information, education and communication at all levels, we can hope to reduce the burden of disease in the community and to achieve the dream of leprosy free India.</p><p class="abstract"> </p>

scholarly journals Prevalence of impostor phenomenon and its association with self-esteem among medical interns in Goa, India

2018 ◽  
Vol 6 (1) ◽  
pp. 355 ◽  
Author(s):  
Von R. Mascarenhas ◽  
Delia D’Souza ◽  
Abhishek Bicholkar
Keyword(s):  
Medical Students ◽  
Online Survey ◽  
Tertiary Care ◽  
Significant Negative Correlation ◽  
Self Esteem ◽  
Cross Sectional Study ◽  
P Value ◽  
Impostor Phenomenon ◽  
Cross Sectional ◽  
Medical Interns

Background: Imposter phenomenon (IP) is an internal experience of intellectual phoniness that those who feel fraudulence and worthlessness have in spite of outstanding academic or professional accomplishment. It is desirable for Medical students and interns to have high self-esteem and low impostor characteristics in order to become successful medical practitioners. This study was carried out among the medical interns of a tertiary care medical college, to determine the prevalence of Impostor Phenomenon and its association with self-esteem.Methods: The present cross-sectional study was conducted among 150 medical interns. Clance’s impostor phenomenon scale and Rosenberg self-esteem scale were used to assess Impostor characteristics and self-esteem respectively. Data was collected using online survey method.Results: The majority (44.7%) of study participants had moderate IP characteristics, followed by 41.3% with high IP characteristics. Hours of sleep was found to be significantly associated with IP characteristics (p value<0.001). Self-esteem was found to be significantly and inversely correlated with age (r=-0.222), and positively correlated with hours of sleep (r=0.225). Impostor phenomenon and self-esteem were found to be moderately and inversely correlated (r=-0.519).Conclusions: A large number of medical interns were found to have high impostor phenomenon characteristics and low self-esteem. Impostor characteristics were found to be significantly associated with sleep, suggesting a relationship between feelings of fraudulence and skewed sleep patterns. A significant negative correlation between self-esteem and impostor phenomenon suggests that individuals with stronger IP characteristics had lower self-esteem, and vice versa. Low impostor phenomenon characteristics and high self-esteem are favourable for efficient medical practice. Measures to increase level of confidence and self-esteem among medical students and interns should be implemented. 

scholarly journals Violence against health care workforce in COVID and non COVID times: Analysis of predisposing factors

2020 ◽  
Vol 32 (4) ◽  
pp. 659-664
Author(s):  
Neeraj Garg ◽  
Ruchi Garg ◽  
Devender Kumar Sharma ◽  
Shakti Kumar Gupta ◽  
Puja DUDEJA
Keyword(s):  
Health Care ◽  
Psychiatric Patients ◽  
Tertiary Care ◽  
Healthcare Services ◽  
Disabled Persons ◽  
Care Hospital ◽  
Cross Sectional ◽  
Quality Healthcare ◽  
Media Reports ◽  
Healthcare Administrators

Background: The prevalence of violence against Health Care Workers (HCW) is showing a rising trend. Various studies have been done in the recent past shows that the prevalence of violence against HCW s ranged from 27.4% to 67%. The present study was done to compare and analyze the underlying causes of violence against HCW in a Non COVID and COVID situation to identify the commonality if any, and to suggest any remedial measures. Methodology: This was cross-sectional analytical design and was carried out in inpatient care areas of a tertiary care hospital. The study subjects comprised of Doctors, Nurses, Group C employees. Data was collected using direct interview method on a standard questionnaire. In addition, various media reports were collected and analyzed through internet. Results: Maximum incidents were experienced in emergency and OPD, where staff patient’s ratio is less. 39.4% incidents were experienced by the staff who were providing care to the Terminally ill patients, Mentally and Physically disabled persons & Psychiatric patients. Suggestion which emerged to reduce WPV are, triage in casualty, availability of trained security guards, CCTV, restricted visiting hours and limited attendants with the patients, improvement in patient amenities etc. Whereas in COVID situation the major reason is the religious and social belief, poor dietary services and lack of hygiene and sanitation. Conclusion: There is an urgent and inescapable requirement that the healthcare administrators should address the underlying precipitating factors of violence, for delivery of quality healthcare services to the patients in a safe environment.

Psychosexual Dysfunctions Among Alcohol-Dependent Individuals: A Cross-Sectional Study from a Tertiary Care Center of Southern India

2019 ◽  
Vol 1 (3-4) ◽  
pp. 257-261
Author(s):  
Priya R. Nair ◽  
Sivin P. Sam ◽  
Roy Abraham Kallivayalil
Keyword(s):  
Erectile Dysfunction ◽  
Sexual Dysfunction ◽  
Alcohol Dependence ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center ◽  
Cross Sectional ◽  
Male Patients ◽  
Psychosexual Dysfunction ◽  
Alcohol Dependent

Background: Chronic alcohol dependence is known to cause psychosexual dysfunction, which leads to marked psychiatric morbidity. There is a dearth of studies from India in this area. Aim: To estimate the frequency of psychosexual dysfunction in individuals with alcohol dependence and to explore the association between psychosexual dysfunction and various socio-demographic and alcohol-related variables. Materials and Methods: This is a cross-sectional descriptive study conducted on 50 male patients in a tertiary care center. The evaluation was conducted using a specially designed intake pro forma and tools such as the severity of alcohol dependence questionnaire, checklist for sexual dysfunction and International Classification of Disease, Tenth Revision, and diagnostic criteria for research. Results: Sexual dysfunction was present in 66% of alcohol-dependent individuals. The most common among them was found to be aversion to sex (32%) followed by erectile dysfunction (24%). In most of the cases, patients having erectile dysfunction were also found to have aversion to sex. Conclusion: Sexual dysfunction is highly prevalent in male patients with alcohol dependence. The study highlights the detrimental effects of alcohol on sexual function apart from other etiological factors.

scholarly journals An observational and cross-sectional study on drug utilization pattern in the ophthalmology out-patient department of a tertiary care center of Bihar

2021 ◽  
Vol 6 (4) ◽  
pp. 194-196
Author(s):  
Mrityunjay Kumar Pandit ◽  
Kumar Gaurav ◽  
Jeetendra Kumar
Keyword(s):  
Drug Utilization ◽  
Care Center ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Prescribing Practices ◽  
Duration Of Treatment ◽  
Prescribing Pattern ◽  
Cross Sectional ◽  
Institutional Ethics

Making affordable drugs accessible to all strata of society is an inevitable part of health care. This situation makes Drug Utilization Study inevitable. With this background, the current study was planned to obtain knowledge on the prescribing pattern and drug utilization trend in ophthalmology department at a tertiary care teaching hospital with ultimate goal to promote rational use of drugs among prescribers. An observational cross-sectional study was conducted in the Department of Pharmacology, Jawahar Lal Nehru Medical College and Hospital, Bhagalpur, Bihar. Prior to the initiation of the study, clearance was obtained from the Institutional Ethics Committee. Study period was between March 2021 and August 2021. Prescriptions of 550 patients who were treated during the course of the study were surveyed prospectively by using a specially designed form. The WHO drug use indicators like prescribing indicators and patient care indicators were determinedThe average number of drugs per prescription was 2.6, ranging from 0-7 drugs. The dosage forms, the frequency of administration and duration of treatment of the drugs were recorded for 99.9% of the prescriptions given. This analysis of the prescriptions showed that 93.8% of the prescriptions were written in the form of various trade names. Antibiotics were prescribed in 52.5% of the prescriptions. The present study revealed certain lacunae in the prescribing practices of the Ophthalmologists at the selected institute and this is evident by the low generic prescribing in many prescriptions.

scholarly journals Drug Prescription Pattern of Psychotropic Drugs Used for the Management of Schizophrenia in a Tertiary Care Speciality Hospital in South Kerala

2021 ◽  
pp. 64-77
Author(s):  
Dhanya Dharman ◽  
S. Parimala Krishnan ◽  
K. G. Ravikumar
Keyword(s):  
Mental Health ◽  
Psychiatric Patients ◽  
Drug Prescription ◽  
Health Centre ◽  
Tertiary Care ◽  
Antipsychotic Agent ◽  
Well Being ◽  
Study Data ◽  
Prescribing Pattern ◽  
Cross Sectional

An individual affected by psychotic illness is usually a burden to both the society as well as their family in terms of non-productivity. The WHO recognized the significance of mental health and defined it as “a state of complete physical, mental and social well-being”.A psychiatric or psychotropic medication refers to a psychoactive substance administered to exert an effect on the chemical makeup of the brain and nervous system. A hospital based cross sectional observational study was undertaken in the Mental Health Centre, Trivandrum. All psychiatric drugs prescribed was collected with the help of data collection form and anaysed with Excel and SPSS. The study data indicated that highest percentage of drugs used was coming under the classification antipsychotice agents (63.25%), followed by antianxietic agents (21.25%), antiepileptic agents (9.34%), antimania agents (3.07%) and antidepressants (3.07%). Highly prescribed antipsychotic agent was Risperidone (12.93%) followed by haloperidol (11.40%), Promethazine (10.50%).This study was conducted in a govt hospital, so all medicine was free of cost. Due to the poor financial quality of life of psychiatric patients , prescribers were forced to write the hospital avilable medicine to the patients. The main limitation of this study was, it is only a single centered sudy so the result was very limited. So multicentered study is recommended to get a better result to find out the prescribing pattern and pattern of schizophrenia in kerala.

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