Indian Journal of PsychiatryIndian Journal of Psychiatry
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   1995| July-Sept  | Volume 37 | Issue 3  
    Online since May 15, 2010

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Comparison of the Extent and Pattern of Family Burden in Affective Disorders and Schizophrenia
Subho Chakrabarti, Lok Raj, Parmanand Kulhara, Ajit Avasthi, Santhosh K Verma
July-Sept 1995, 37(3):105-112
This study sought to compare the extent and pattern of burden experienced by relatives of two different patient groups, one with affective disorders and the other with schizophrenia. Cross-sectional assessment of family burden using the Pai and Kapur 's Interview Schedule was done in 78 patients with either bipolar disorder or recurrent major depression and 60 patients with schizophrenia diagnosed according to DSM-III. The inter-rater reliability of the interview schedule for burden was also undertaken prior to the assessment of burden in the main study sample. Doth groups were similar with regard to sociodemographic variables, duration of illness and dysfunction of patient except for lower mean age and greater number of single patients in schizophrenia group. The extent of both objective and subjective burden was significantly more in relatives of schizophrenics. The pattern of burden was, however, almost similar in both the groups. Burden was principally fell in the areas of family routine, family leisure, family interaction and finances. The emotional health of the family was relatively untouched and the impact on physical health of the caring relatives due to burden of care was almost negligible. Various sociodemographic and clinical variables related to burden as well as the implication of the findings of the study are discussed.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  619 147 -
Social Support and Psychosocial Dysfunction in Depression
RK Chadda
July-Sept 1995, 37(3):119-123
Influence of social support on psychosocial dysfunction was studied in fifty newly diagnosed patients with major depression, using Social Support Scale (SSS) and Dysfunctional Analysis Questionnaire (DAQ) to measure social support and psychosocial dysfunction respectively. Total score on SSS did not affect the dysfunction. A positive relationship was observed between items of SSS relating to care, concern and expectations from others and negative relationship observed between SSS items referring to socialization and dysfunction in social and familial areas. The relationship of social support and psychosocial dysfunction appears quite complex with certain elements of social support having a healthy and others having an unhealthy relationship. Since measurement of social support itself is accompanied by a number of methodological problems such as distorted perceptions of psychiatric patients about social support, this makes the relationship more complex.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  581 101 -
Behavior Therapy for Transsexualism
A Chitra Andrade, V Kumaraiah, H Mishra, S Chatterji, Chittaranjan Andrade
July-Sept 1995, 37(3):148-150
Transsexualism is a rare disorder, and there is little literature available on its treatment. A case is presented of transsexualism with homosexual orientation in a 24 year old male. Since the disorder appeared to have behavioral antecedents, it was treated with a behavior therapy package comprising relaxation, aversion therapy with aversion relief, modelling, hypnosis, orgasmic reconditioning, behavioral counselling and sex education. Therapy resulted in normalization of gender identity, but the homosexual orientation persisted.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  511 101 -
The Relationship of Insight to Psychopathology in Schizophrenia : A Cross-Sectional Study
Vimal M Aga, AK Agarwal, Sc Gupta
July-Sept 1995, 37(3):129-135
Insight plays an important rote in the management of Schizophrenia. The study was undertaken to assess the cross-sectional relationship of clinical variables and psychopathology to insight, using the BPRS and the Insight Schedule. The study sample consisted of 59ICD-10 Schizophrenics with a mean duration of illness of 41.88 months. Insight was found to have significant positive association with number of previous episodes of illness and treatment taken in the past. The correlation matrix of BPRS total score with Insight Schedule item scores revealed non significant negative correlations. On multiple regression analysis, psychopathology was found to explain significantly about a third of the variability in insight, thus demonstrating only partial dependence of insight on psychopathology. Construct analysis of the Insight Schedule was undertaken in parallel to th.* main study and revealed a component structure similar to that espoused by its author, ensuring comparability between the present and previous studies.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  487 112 -
Gender Differnces in Symptoms and Course of Schizophrenia
R Thara, A Albert Joseph
July-Sept 1995, 37(3):124-128
This paper deals with gender differences in symptom pattern, course and (Usability in a cohort of 76 patients who were completely and prospectively followed up for a period often years. Both at inclusion and follow up, males had more of nuclear syndrome, but largely the differences were not statistically significant. Disability was more in the males, especially in the area of occupational functioning. The paper discusses gender based research in the Indian context.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  508 70 -
Carbamazepine in Interictal Hyperreligiosity : Three Case Reports
K.E. Sadanandan Unni, KS Anand
July-Sept 1995, 37(3):136-138
Three patients with manifestations of hyperreligiosity during the post ictal period are presented- The compute clearance of these manifestations on carbamazepine monotherapy is highlighted.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  466 41 -
Abuse of Monoamine Oxidase Inhibitors
Jambur Ananth, J Randolph Swartz, Rangaswamy Gadasally, Karl Burgoyne
July-Sept 1995, 37(3):145-147
Abuse of monoamine oxidase inhibitors is not common but there are a few cases of addiction in the literature. Most of these patients had an additional diagnosis, either history of past drug abuse or personality disorder and MAOI withdrawal symptoms have been reported. We encountered three patients who received MAOI under psychiatric care. They were all self medicated by increasing the doses on their own, experienced euphoria and visited various physicians to obtain MAOI prescriptions and manifested toxic states. One of our patients had a normal, another a schizoid and the third, an addictive personality. Two were addicted in the past to amphetamine. Therefore, it is important not to prescribe MAOI's to patients who have a history of amphetamine and other addictions.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  458 39 -
Issues in the use of Manintenance Electroconvulsive Therapy
TN Srinivasan, TR Suresh, Vasantha Jayaram
July-Sept 1995, 37(3):139-142
This case report on the use of Maintenance Electroconvulsive Therapy (ECT-M) presents certain observations and raises some issues in the use of the method. The report offers wider indication for ECT-M, including schizophrenia and bipolar disorders and younger patients. It raises the issues that die duration of use of ECT-M can be short rather than indefinite and that in the post ECT-M period, drug maintenance using the same drugs which were ineffective pre-ECT-M can be used effectively. The report presents those observations for further systematic study. The cost benefit advantage of the method and its relevance to the need for more frequent use in developing countries is illustrated.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  427 67 -
Incidence of Adverse Reactions to Commonly Prescribed Psychopharmacological Agents During Early Phase of Therapy
A Kuruvilla, K Kuruvilla
July-Sept 1995, 37(3):113-118
Five hundred and ninety two patients attending a psychiatric department as outpatients or as inpatient were included in this study. Details regarding age, sex, diagnosis and drugs prescribed were entered in a proforma. The information regarding drugs prescribed, dosage and the types of reactions were noted. All patients were followed up for a period of 3 to 4 weeks. Incidence of adverse reactions was calculated as percentage of the total number of prescriptions of the same group of drugs. The incidence of reactions to antipsychotic and antidepressants ranged from 35 to 46.9%. The incidence of reactions to haloperidol was higher than the reactions to other drugs. Antianxiety drugs were found to produce only minimal reactions. Two or more drugs prescribed together was associated with a higher incidence of reactions. Among the 193 patients who were reported to have reactions, 65.8% had extrapyramidal symptoms. The frequency of these reactions were highest with antipsychotic drugs haloperidol, chlorpromazine, trifluoperazine and thioridazine in that order. Dystonic reactions were reported within one to two days after the initiation of therapy in a large group of patients. Anticholinergic side effects were associated with prescription of tricyclic antidepressants andphenothiazines. Drowsiness, giddiness and postural hypotension were the other reactions associated with tricyclics.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  441 47 -
Mania Following Typhoid : A Case Report
Arunava Das, P John Alexander, Vyjayantyhi Bonanthaya
July-Sept 1995, 37(3):143-144
Mania following or associated with medical and pharmacological conditions is well known. However there are not too many reports of mania following typhoid fever. This paper describes a mania syndrome following successfully treated typhoid fever in a young male without any past or family history of psychiatric illness or associated psychosocial stressors.
[ABSTRACT]   Full text not available  [PDF]  [PubMed]
  430 52 -
Easing their Burden is our Responsibility as well
K Kuruvilla
July-Sept 1995, 37(3):103-104
Full text not available  [PDF]  [PubMed]
  199 38 -
Organic Gastrointestinal Illness and the Irritable Bowel Syndrome
Mani Rajagopalan
July-Sept 1995, 37(3):151-151
Full text not available  [PDF]  [PubMed]
  184 38 -
News & Notes

July-Sept 1995, 37(3):152-152
Full text not available  [PDF]
  183 37 -
Index - Subject & Authors

July-Sept 1995, 37(3):195-199
Full text not available  [PDF]
  191 22 -