Motion is Emotion: Why We should Listen to Patient's Abdominal Symptoms
[Year:2014] [Month:July-December] [Volume:17] [Number:2] [Pages:1] [Pages No:1 - 1]
DOI: 10.5005/EJP-17-2-1 | Open Access | How to cite |
Attentional Impairment and Minor Physical Anomalies in Early Onset Schizophrenia
[Year:2014] [Month:July-December] [Volume:17] [Number:2] [Pages:10] [Pages No:2 - 11]
Keywords: Schizophrenia, Neurodevelopment, Neuropsychology, Minor physical anomalies, attention
DOI: 10.5005/EJP-17-2-2 | Open Access | How to cite |
Background: Minor physical anomalies (MPAs) are established markers of abnormal neurodevelopment that also has been postulated to lead to attentional impairments. Both these variables are studied and found in schizophrenia. We aimed to compare the neuropsychological domain of attention in patients with schizophrenia and healthy controls and correlated the findings with number of MPAs. Methods: Thirty patients with early onset schizophrenia (in remission) and thirty healthy controls were recruited. While attention was assessed using the Digit span, the Digit vigilance and the Trail Making Tests, MPAs were comprehensively assessed using the 55 item Extended Waldrop Scale. Study variables were analysed using non-parametric measures. Results: Schizophrenia patients were found to have significantly higher cranio facial and total MPAs. Attentional impairment in patients was significantly impaired as compared to controls. There was no significant correlation between MPA scores and attentional measures. Conclusions: This study supports the finding that total and specific cranio-facial MPA scores and, impaired attention are indeed illness markers in schizophrenia patients. No distinguishable association, however, was found between MPAs and attentional measures. We suggest heterogeneity in brain morphogenesis, disease and treatment influences as possible hindrances.
MMPI Profile of Individuals with Migraine
[Year:2014] [Month:July-December] [Volume:17] [Number:2] [Pages:8] [Pages No:12 - 19]
Keywords: Migraine, psychopathology, conversion profile, psychotic scales, MMPI-2
DOI: 10.5005/EJP-17-2-12 | Open Access | How to cite |
Introduction: Migraine is a neurological syndrome characterized by altered bodily perceptions, severe headaches, and nausea, more common to women than to men. Various psychiatric disorders like panic disorder and depression have been associated with migraine, leading to further disability of migraine sufferers in all aspects of their daily lives. The aim of study was to assess the personality pattern of individuals with migraine as compared to normal. Method: Individuals, both normal controls and migraine sufferers were assessed on Minnesota Multiphasic Personality Inventory (MMPI-2). Result: Elevations were found in the scales on hypochondriasis, depression, hysteria, psychasthenia and schizophrenia. Females were more to have reported headaches. Individuals with migraine showed lower level of education along with positive family history. Conclusion: Migraine sufferers display a conversion profile with depression being common. Although some psychotic scales may be elevated but they do not qualify for an independent identity.
Prevalence and Nature of Sexual Dysfunctions in OCD in a Tertiary Medical College
[Year:2014] [Month:July-December] [Volume:17] [Number:2] [Pages:11] [Pages No:20 - 30]
Keywords: OCD, Sexual Dysfunction
DOI: 10.5005/EJP-17-2-20 | Open Access | How to cite |
Normal sexual behavior brings pleasure to oneself and one's partner involves stimulation of the primary sex organs including coitus; it is devoid of inappropriate feelings of guilt or anxiety and is not compulsive. Sexual functioning is influenced by a number of factors, mental illness being one of them. Sexual dysfunction in patients with OCD has mostly been studied independently or in gender-specific studies. These studies have reported significant dysfunction in different areas of sexual functioning. The aim of this study is an attempt to assess & compare the presence, prevalence & types of sexual dysfunctions (SD) in OCD mostly coming from rural background in a Tertiary Government Hospital in West Bengal. Our study revealed Sexual dysfunction was in 53.33% of the subjects. Orgasmic dysfunction was the most frequent dysfunction 20.51% in females (N=8), followed by problems in desire15.38%. However since the data were collected from a specific population, the degree to which they represent the general population cannot be commented upon.
Quality of Life of the Homeless and Restored Women with Psychosis
[Year:2014] [Month:July-December] [Volume:17] [Number:2] [Pages:9] [Pages No:31 - 39]
Keywords: QOL- Quality of Life, SZ- Schizophrenia
DOI: 10.5005/EJP-17-2-31 | Open Access | How to cite |
The present study endeavoured to evaluate the quality of life of the homeless and restored women with psychosis. The influence of their living conditions in three different psycho-social milieus and the disability levels on their Quality of Life was also examined. This study was carried out on women clients with psychosis who received medical and psycho-social care under three different programs of Iswar Sankalpa (a Kolkata - based NGO), India. Methods: A matched group design using mixed method technique was adopted for the study. The sample of 50 clients with psychosis was comprised of 16 homeless clients under the Out-reach program, 18 homeless clients under the Shelter home program and 16 previously homeless clients under the Restoration program. The sample was evaluated using the IDEAS and WHOQOL-BREF. After collection of data, statistical analysis was done using the SPSS- version 22. Results: The results mirrored that a statistically significant negative correlation exists between the clients’ disability and two domains of QOL, these are- social relationships and environment. Regarding the psychological health and environment domains of QOL, the Shelter home and the Restoration groups significantly differed from the Outreach group. The mildly disabled clients differed significantly from the severely disabled clients in respect to the social relationships domain of the QOL. Conclusion: The knowledge of specific areas of dissatisfaction in QOL of the women with psychosis may haveimplications for the service providers and service planners for more improved medico and psychosocial intervention.
Psychiatric Aspects of Epilepsy: A Review
[Year:2014] [Month:July-December] [Volume:17] [Number:2] [Pages:6] [Pages No:40 - 45]
DOI: 10.5005/EJP-17-2-40 | Open Access | How to cite |
Comorbid psychiatric disorders are common in epilepsy patients. Patients with epilepsy are prone to psychosis, depression, personality disorders, hyposexuality, and other behavioral disorders. Comorbid psychiatric disorders are particularly common in temporal lobe epilepsy or complex partial seizure. Though psychiatric comorbidity is common in epilepsy, it is under-recognized and under-treated, both in adult and pediatric patients in specialty health care centers as well as in community based health care centers. Early recognition and management of psychiatric disorders in patients with epilepsy is extremely important, because it improves the quality of life and aids in better seizure control.
Zolpidem Dependence: A Case Report
[Year:2014] [Month:July-December] [Volume:17] [Number:2] [Pages:3] [Pages No:46 - 48]
Keywords: Zolpidem, Dependence
DOI: 10.5005/EJP-17-2-46 | Open Access | How to cite |
Zolpidem, a nonbenzodiazepine hypnotic, binds to the benzodiazepine binding site on the gammaaminobutyric acid type A (GABA-A) receptors. Many studies have reported efficacy and safety of zolpidem in treatment of insomnia, low abuse, and dependence capability. We present a case of zolpidem dependence in a 33-year-old male to emphasize that clinicians should pay close attention to the potential of zolpidem tolerance, abuse and dependence.