Eastern Journal of Psychiatry

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2015 | January-June | Volume 18 | Issue 1

EDITORIAL

Om Prakash Singh

Dignity and Death: Psychological well being in Death

[Year:2015] [Month:January-June] [Volume:18] [Number:1] [Pages:1] [Pages No:1 - 1]

   DOI: 10.5005/EJP-18-1-1  |  Open Access |  How to cite  | 

Original Article

A Datta, D Bhagabati, NK Bera, N Kalita

A Study of Socio-Demographic Variables of Patients Admitted with Dissociative Symptoms in a Tertiary Care Hospital

[Year:2015] [Month:January-June] [Volume:18] [Number:1] [Pages:4] [Pages No:2 - 5]

   DOI: 10.5005/EJP-18-1-2  |  Open Access |  How to cite  | 

Abstract

Aims: To study the socio-demographic variables of the patients who were admitted in the department of psychiatry with an initial diagnosis of dissociative disorder. Methods: Patients who were initially admitted with a diagnosis of dissociative symptoms were taken into the study sample and the various sociodemographic variables such as age, sex, religion, educational status, marital status were studied. ICD-10 diagnostic criteria for dissociative disorders was used to diagnose dissociative disorders. The patients who were not initially diagnosed with dissociative disorders were excluded from the study. Results: The results show that most of the patients (n=38) were young female (84.21%) patients belonging to 10-20 year age group (39.47%), currently married (44.26%), educated (84.21%) and Hindu by religion (84.21%). In the majority of the patients the initial diagnosis at the time of admission was not changed at the time of discharge (84.21%). Conclusion: The findings of the study concur with the findings of other studies that dissociative disorders is more common in females of the 10-30 year age group and that the initial diagnosis remained unchanged in the majority of the patients. Most of the patients were educated though the level of education was not very high. The prognosis was good in the majority of the patients.

Original Article

Manish Kumar, A. Mondal

Experience of Subjective Symptoms in Euthymic Bipolar Disorder and Remitted Schizophrenia Patients and its Relation with Quality of Life and Social Functioning

[Year:2015] [Month:January-June] [Volume:18] [Number:1] [Pages:9] [Pages No:6 - 14]

Keywords: subjective symptoms, euthymic bipolar disorder, remitted schizophrenia

   DOI: 10.5005/EJP-18-1-6  |  Open Access |  How to cite  | 

Abstract

Introduction: Subjective experience means subtle, not yet psychotic abnormalities of experience that might be present during remitted phase and also in prodromal phase of schizophrenia and might be accurately efficient in identifying individual at risk of eminent psychosis. Most studies on the subjective experiences have been conducted in schizophrenia and to a lesser extent in affective disorders. Only few studies have compared subjective experience of patients with bipolar disorder with the patients with schizophrenia, and the results were inconsistent. These subjective experiences may be related to distorted cognitive functions in these patients. Cognitive deficits are a major contributor to the functional and social impairment suffered by these patients and have been noted to have more of an impact on the daily lifeand overall quality of life of these patients. Objective: The current study aims at comparing the subjective experience in schizophrenia and bipolar patients, in order to elucidate the difference between the two groups and this study was further extended to measure the effect of subjective experiences on one's occupational and social functioning. Method: The study was conducted on 30 euthymic bipolar patients and 30 remitted schizophrenic patients diagnosed as per ICD-10. The patients were rated for on Frankfurt Complaint Questionnaire (FCQ-24) and Symptoms check list 90 revised (SCL90-R) to assess subjective symptoms. Work and social adjustment scale, functional status questionnaire and WHO-QOL BREF were administered one by one on the patient. Results: Diagnosis of schizophrenia was associated with elevated score on FCQ as compared to bipolar disorders mainly in the areas of perception, thought, language and motility as well as total FCQ scores. FCQ scores correlated negatively with scores on functional status questionnaire, positively with work and social adjustment scale and negatively with all the domains of WHO-QOL BREF except environment/financial resources. Conclusion: These findings, in conjunction with those from other, methodologically similar studies, suggest that certain anomalies of subjective experience aggregate significantly in schizophrenia when compared with bipolar disorders and adversely affected their functioning and quality of life

Original Article

A Study of Personality Structure of Schizophrenia Patients on Rorschach Psychodiagnostic Test

[Year:2015] [Month:January-June] [Volume:18] [Number:1] [Pages:8] [Pages No:15 - 22]

Keywords: Rorschach profile, schizophrenia, personality

   DOI: 10.5005/EJP-18-1-15  |  Open Access |  How to cite  | 

Abstract

Background: The Rorschach test is a most widely used psycho-diagnostic tool by researchers and clinicians in the field of mental health. It is a very useful projective test to assess the structure of personality with particular emphasis on how individuals construct their experiences and meaning assigned to their perception. Schizophrenia is a psychiatric disorder in which thought and perceptual disturbances are quite common. A sudden change in personality and behaviour occurs when patients with schizophrenia lose touch with reality Aim: This study was designed with the aim to asses and compare Rorschach response pattern in the cases with schizophrenia and normal controls. Method: The sample consisted of 30patients with schizophrenia and 30 normal subjects selected by using purposive sampling technique. Rorschach Inkblot Test was administered on patients and normal subjects to assess the structure of the personality. General Health Questionnaire-12 (GHQ) was administered as a screening tool in the group of normal control subjects. Results: Results showed that there is a significant difference between patients with schizophrenia and normal control subjects in terms of variables of Reaction Time, Location, Developmental Quality, Determinants, Contents, Form Quality, Popular Responses and Special Scores. Conclusion: In comparison to normal control subjects, patients with schizophrenia exhibited significant poor performance on Rorschach Psycho-diagnostic Test and on the basis of this poor performance, patients with the schizophrenia could be differentiated from the normal control subjects.

REVIEW ARTICLE

Dr Ranjan Bhattacharyya, Dr Rajarshi Bhadra, Dr Utpal Roy, Dr Sumita Bhattacharyya, Dr Jayanta Pal, Dr Siddhartha Shankar Saha

Resurgence of Penfluridol: Merits and Demerits

[Year:2015] [Month:January-June] [Volume:18] [Number:1] [Pages:7] [Pages No:23 - 29]

Keywords: penfluridol oral depot, extrapyramidal symptoms, resurgence, adverse effects, Cochrane review

   DOI: 10.5005/EJP-18-1-23  |  Open Access |  How to cite  | 

Abstract

Background: Penfluridol is oral long acting depot antipsychotic introduced in 1970s. The re-emergence of the molecule in the practicing field draws attention of clinicians. Objectives: The systematic search and review of literature done in order to find current perspectives of use of Penfluridol. Methods: Systematic search of prospective clinical research studies has been done. Cochrane Database review of twenty-seven studies done with a total of 1024 patients revealed that penfluridol was superior to placebo in improvement in clinical global impression and reduces the need of additional antipsychotic. Results: Indications of penfluridol include acute psychosis, chronic schizophrenia and Tourette's syndrome. The notable adverse effects include orthostatic hypotension, osteoporosis leading to fracture in elderly, extrapyramidal side effects and QT prolongations with arrhythmia. Conclusions: Most of the studies were done in 1970s and 1980s when the proper conduct of clinical trials were not established.

REVIEW ARTICLE

Nandha Kumara Pujam, Geo. A. Joseph, Deyashini Lahiri, Amrit Pattojoshi

Psychological Outlook of Cinema

[Year:2015] [Month:January-June] [Volume:18] [Number:1] [Pages:9] [Pages No:30 - 38]

   DOI: 10.5005/EJP-18-1-30  |  Open Access |  How to cite  | 

View Point

Dr. Devashish Konar

Why Psychotherapy never Picked up in India: Could there be a Solution?

[Year:2015] [Month:January-June] [Volume:18] [Number:1] [Pages:3] [Pages No:39 - 41]

   DOI: 10.5005/EJP-18-1-39  |  Open Access |  How to cite  | 

View Point

Dr Ranjan Bhattacharyya

Dignity in Mental Health: Theme of World Mental Health Day (10th October) 2015

[Year:2015] [Month:January-June] [Volume:18] [Number:1] [Pages:6] [Pages No:42 - 47]

   DOI: 10.5005/EJP-18-1-42  |  Open Access |  How to cite  | 

CASE REPORT

Priyajyoti Chakma, Punya Dhar Das, Bhubaneswar Roy, Prabhat Kumar Agrawal

Kleine - Levine Syndrome (A Rare Case Report)

[Year:2015] [Month:January-June] [Volume:18] [Number:1] [Pages:3] [Pages No:48 - 50]

Keywords: Hyper phagia, Kleine–Levin syndrome, hyper somnolence, Lithium

   DOI: 10.5005/EJP-18-1-48  |  Open Access |  How to cite  | 

Abstract

Kleine–Levin syndrome (KLS) also called sleeping beauty syndrome, is a rare sleep disorder with onset in early adolescence. Common symptoms are episodes of hyper somnolence, behavioral and cognitive disturbances (including specific feelings of derealization), hyperphagia and hypersexuality. The cause is not known and neither there are any definitive management guidelines. It remains a diagnosis of exclusion after ruling out other psychiatric and neurological disorders. Our case, a 15 year old boy with duration of illness of 3 years, episodic presented with hypersomnia, increased appetite, irritability, hyper sexuality and behavior abnormality mainly fearfulness and suspiciousness. Patient responded well to lithium therapy. The priority of this report is to add the existing clinical knowledge of psychiatrists, neurologists and physicians.

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