Indian Journal of Health and Wellbeing

Arif Ali ¹, Suman Borah ¹

Affiliations
1 Department of Psychiatric Social Work, LGB Regional Institute of Mental Health, Tezpur, Assam, IN

Abstract

Somatic symptoms are commonly reported among young children. Research indicates that somatic symptoms could inflict limitations on daily living, social function and participation in school life. The aim of the study is to assess somatic symptoms among school going children. The cross sectional study was conducted in two schools from Tezpur, Assam. The school was selected using purposive sampling method keeping in view of operational and feasibility to collect the sample. Socio -demographic sheet, Children's Somatization Inventory (CSI) and The Duke Health Profile (DUKE) was administered to the subject's. On children's somatization inventory 10.8% respondent reported some headaches and 4.1% children's reported a lot headaches, feeling low in energy or slowed down (some 11.7% and 7.5% a lot ), Pains in your lower back(some 11.7% and 5% a lot ), Hot or cold spells(suddenly feeling hot or cold for no reason) reported by 9.2% (some) and 2.5 % (a lot ),Weakness(feeling weak)in parts of your body (some 13.3% and 4.2% a lot ), Heavy feelings in your arms or legs(when they feel too heavy to move) some 10.8% and 1.6% a lot ), Pain in your stomach or abdomen(stomach aches) (some 11.7% and 3.3% a lot ), Pain in your knees, elbows or other joints (some 15.0% and 7.5% a lot ) and Pain in your arms or legs (some 17.5% and 11.7% a lot). Significant positive correlation was found between the children somatic symptoms and anxiety ((p=348, p≤ 0.01 level).), depression (p=.364, p≤ 0.01 level), anxiety-depression (p=.387 p≤ 0.01 level)), pain (p=.337, p≤ 0.01 level)). The study shows that somatic symptoms are present among school children and it has a significant relationship with depression, anxiety, and pain .Thus early diagnosis and treatment will lead to improved clinical outcome and psycho social functioning among children.

Keywords

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Sonia Pereira Deuri ¹, Arif Ali ¹, H. Sobhana ¹

Affiliations
1 Department of Psychiatric Social Work, LGB Regional Institute of Mental Health, Tezpur, Assam, IN

Abstract

Psychiatric rehabilitation programs have sought to develop strategies to enhance and support the community integration of people with psychiatric disabilities. Assessment of psychosocial determinants and need prioritisation is necessary for planning any effective rehabilitation programme. This could enable integration of persons with psychiatric disabilities to be individualized and meaningful. This community based study conducted in the North-East Region of India, at LGB Regional Institute of Mental Health, Tezpur, Assam attempted to assess psycho social determinants and the subjective rehabilitation needs of persons with major psychiatric disorders (Schizophrenia and Bipolar Affective Disorders). Fifty home visits were made in municipality areas of Tezpur. Respondents were interviewed using a semi structured interview schedule to assess the socio demographic profile and psychosocial problems. Rehabilitation Needs Assessment Schedule (Nagaswami et al., 1985) was administered to assess respondents' needs regarding rehabilitation. Results indicate that majority of the patients had "inadequate finances, insufficient welfare support, minimal social support and family care burden". Persons with psychiatric disorders and caregivers expressed multiple needs; thereby emphasizing that psycho social problem impacted the rehabilitation needs. Psychiatric patients need comprehensive after-care packages and support is required for both persons with major psychiatric disorders and their caregivers.

Keywords

Rehabilitation Needs, Schizophrenia, Bipolar Affective Disorder, Home Visit

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Lavinia A. M. Lyngdoh ¹, Arif Ali ¹, Buli Nag Daimari ¹, Sonia P. Deuri ¹, Aitalin Lyngdoh ¹, U. Harikrishnan ¹

Affiliations
1 Department of Psychiatric Social Work, LGB Regional Institute of Mental Health, Tezpur, Assam, IN

Abstract

The assessment of the needs for persons with schizophrenia has been an important concern for providing adequate psycho social care. The present study aim to assess the need in persons with schizophrenia. There search setting was at the Outpatient Department, LGB Regional Institute of Mental Health, Tezpur, Assam. Based on convenience sampling technique, samples of 60 subjects with diagnosis of schizophrenia were selected. Patients attending Outpatient Department for follow up in the age range between 18 to 60 years of both the gender were included. Patients with any organic involvement, who have any significant physical illness and with co morbid disorder were excluded. Socio-demographic and Clinical Datasheet, Positive and Negative Syndrome Scale (PANSS) and The Camber well Assessment of Need were administered.: In the need assessment of person with schizophrenia it was found that 6.7% have unmet need in accommodation, 11.7% have unmet need m physical health, 15.0%have unmet need in psychological distress, 33.3% have unmet need in intimate relationship, 20.0% have unmet need in baste education, 11.7% have unmet need in looking after home, 11.7% have unmet need in self-care, 20.0% have unmet need in day time activity, 31.7% have unmet need in company,30.0% have unmet need in sexual expression, 26.7% have unmet need in child care, 10.0% have unmet need in telephone, 23.3%unmet need in transport, 21.7% have unmet need in budgeting money, 26.7% have unmet need in getting all the money that they are entitled to. Schizophrenia required a diverse range of interventions. Beside pharmacological intervention there is an equally vital psychosocial intervention are required in promoting independence, decreasing disability and enhancing quality of life in person with schizophrenia.

Keywords

Need Assessment, Schizophrenia, Positive and Negative Symptoms.

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