Indian Journal of Health and Wellbeing

Kapil S. Kulkarni ¹, Swapna R. Joshi ², J. P. Rawat ¹, Charles Pinto ³, Malay Dave ⁴

Affiliations
1 Jagjivan Ram Hospital, Western Railways, Mumbai Central, IN
2 Pune, IN
3 Jagjivan Ram Hospital, Western Railways, Mumbai Central, BYL Nair Hospital and TN Medical College, Mumbai, IN
4 Jagjivan Ram Hospital, Western Railways, Mumbai Central, BYL Nari Hospital and TN Medical College, Mumbai, IN

Abstract

Early onset dementia (EOD) is the dementia occurring before 65 years of age. Major causes of EOD are Alzheimer's disease (AD), vascular dementia (VaD) and fronto temporal dementia (FTD) along with some reversible causes. We aimed to know 1) Clinical characteristics of EOD 2) Pattern of first presentation 3) Role head injury, smoking and alcohol abuse 4) Impact on activities of daily living (ADL) 5) Complications like delirium and psychosis. We collected data after evaluation of cognitively impaired patients during 2011 to 2013. Interpretation was done by using frequency distribution. Out of 280 patients 50 were diagnosed as EOD (18%). Males were 43/50 (86%) and females were 7/50 (14%). AD was main cause of EOD (38%) followed by VaD (34%) and FTD (14%). About 42% presented with behavioral and 38% with memory symptoms as first presentation while 20% had both. Alcohol abuse and smoking was seen in 46% and 42% respectively. 14% patients showed positive family history of EOD and history of head injury. Psychosis was seen in 34% and delirium in 14 % in the course of illness. VaD (76%) most commonly affected ADL followed by FTD (71%) and AD (68%). We concluded that 1) EOD was more prevalent in male.2) FTD commonly presented with behavioral while AD with memory problems as first presentation. 3) Alcohol abuse and head injury predisposed to MxD while smoking to VaD. 4) VaD most severely affected ADL followed by FTD and AD. 5) Delirium was frequent VaD while psychosis in AD.

Keywords

Early Onset Dementia in India, Types of Early Onset Dementia, Early Onset Dementia Clinical Presentation.

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Kapil S. Kulkarni ¹, Charles Pinto ², Malay Dave ², J. P. Rawat ²

Affiliations
1 Department of Psychiatry, Jagjivan Ram Hospital, Western Railways, Mumbai Central, Mumbai, IN
2 Department of Psychiatry, Jagjivan Ram Railway Hospital, Mumbai, IN

Abstract

Psychological well being and satisfaction with life are two important component of well being concept and Health Related Quality of Life. There are studies regarding psychological well being, job satisfaction, predictors of well being etc. among doctors. This study is done in tertiary care railway hospital in India. Total seventy five doctors were included in study. They were stratified according to age, sex, marital status and experience in years. Data was collected after distributing “Psychological General Well Being Index” and “Satisfaction with Life Scale.” As the age and years of experience in practice increases the vitality component of psychological general well being increases.(p=0.013 for age)(p=0.014 for experience). Marital status affects both total psychological general well being (p=0.042) and satisfaction with life (p=0.017). Positive well being (p=0.038) and vitality (p=0.012) are two components of psychological well being which are predominantly affected by marital status. There is significant relation between psychological general well being and satisfaction with life. Total psychological well being (p=0.006) with its three important components impacting satisfaction with life are anxiety (p=0.001), positive well being (p=0.01) and self control (0.045). Senior and experienced doctors are more active, energetic and fresh feeling than junior or less experienced doctors. Married doctors have better psychological well being than singles; they are more happy, interested and active. Psychological general well being and life satisfaction are interrelated. Doctors who are relaxed, cheerful, interested and have good control over their emotions, thoughts and behavior are better satisfied than others.

Keywords

Psychological Well Being, Life Satisfaction, Doctors.

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