Indian Journal of Health and Wellbeing

Sadananda Reddy ¹, K. Prasad ², Nidhi Mehta ³

Affiliations
1 Department of Social Work, Don Bosco Academy Degree and P.G College, Nalgonda, Telangana, IN
2 Department of Psychiatric Social Work, NIMHANS, Bangalore, IN
3 Department of Clinical Psychology, RINPAS, Kanke, Ranchi, IN

Abstract

Mental disorders are highly prevalent and have been associated with considerable suffering and impacts on emotional and physical health, functioning, and costs. Worldwide, epidemiological surveys have estimated rates of lifetime prevalence of mental disorders among adults and children ranging from 12.2 to 48.6%, and 12-month prevalence rates ranging from 8.4 to 29.1%. Recognizing barriers and their individual contributions to delaying or preventing access to mental health services is a key step to overcome obstacles. To assess barriers to access psychiatric care in children and adolescents with first episode psychosis. This study is cross sectional, hospital based, single contact, time bound study from June to December, 2012. Purposive sampling technique is used to select the samples of the study. This study is conducted at Out-Patient Department of Centre for Child and Adolescent Psychiatry (CCAP) of Central Institute of Psychiatry (CIP), Kanke, Ranchi. Respondents of present study were the primary caregivers of the patient. The tools were assessed on Socio Demographic and Clinical Data Sheet and the Barriers to Access to Care Evaluation (BACE) scale was developed in the Health Services and Population Research Department of the Institute of Psychiatry, King's College, in London. The present study findings indicates that children and adolescents with first episode psychosis had moderate level of barriers having to access psychiatric care, children and adolescents had experienced more instrumental barriers, the reasons why people with mental ill health sometimes avoid or delay seeking help from health services are numerous and include instrumental barriers. Present study findings indicate that early recognition and treatment is crucial to improve illness course and prognosis and to reduce treatment complexity and costs for children and adolescents with first episode psychosis. Barriers to access, children and adolescents, first episode & psychiatric care.

Keywords

Episode Psychosis, Psychiatric Care, Children, Adolescents.

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K. Prasad ¹, D. Ram ², D. Bhattacharjee ³, Sadananda Reddy ¹

Affiliations
1 Department of Psychiatric Social Work, NIMHANS, Bangalore, IN
2 Psychiatry Central Institute of Psychiatry, Ranchi, IN
3 Department of Psychiatric Social Work, Central Institute of Psychiatry, Ranchi, IN

Abstract

Depressive symptoms and styles of conflict resolution displayed by males (husbands) and females (wives) in marital conflict, including angry, depressive, and constructive patterns of expression. Depression is not only affects the patient but also the spouses to the maximum extent. Depression and marital conflict can influence bidirectional. Present study objective was to compare the conflict resolutions styles in depression and normal controls. This study was a cross - sectional, hospital based, single contact, time bound study. Purposive sampling technique was used to select the samples for the study. The study group comprised of 30 married individuals with depression whereas the control group consisted of 30 married normal individuals. Both the groups were assessed on a Socio-demographic data sheet, Hamilton rating scale for anxiety, Hamilton rating scale for depression and Conflict resolution styles inventory. It was found that there were significant differences in the conflict resolution styles of persons with depression compare to normal individuals and there were no significant difference between males and females of people with depression in conflict resolution styles. There were significant differences found in conflict resolution styles domains of conflict engagement, positive problem solving, withdrawal and compliance in people with depression in comparison with normal controls.

Keywords

Depression, Marriage, Conflict Resolution Styles.

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K. Prasad ¹, Ameer Hamza ¹, Basavaraj Shrinivasa ¹, Manoj Kumar Sharma ², Sadananda Reddy ¹

Affiliations
1 Department of Psychiatric Social Work, NIMHANS, Bengaluru, IN
2 Department of Clinical Psychology, NIMHANS, Bengaluru, IN

Abstract

Internet has become part of our lives and there has been a manifold increase in internet users over the years in India and globally. It has made our life easy and comfortable through providing better opportunities for communication, information and social interaction. However, excessive usage of the internet has led to many negative consequences on human life. Despite excessive internet use has led to the emergence of the concept of internet addiction, the conceptual clarity is still missing to understand the underlying mechanism. Due to this lack of the conceptual clarity, there has not been a formal consensus on diagnostic criteria for Internet Addiction which has hindered the development of proper assessment tools and epidemiological research on the topic and the concept of Internet addiction as a distinct psychiatric disorder is still in its infancy. But most of the studies conducted previously in the field of internet addiction looked into the risk factors for developing or associated with internet addiction rather than conceptualizing the underlying phenomenon of problematic internet use and testing out the same with further research. This leaves the question about calling the internet addiction as a separate disorder or considering it as a comorbid condition for other psychiatric condition unanswered. So the focus of the current review is to understand the conceptual issues pertaining to problematic internet use through the available literature and to draw the attention of readers on the existing theories explaining the etiology of the problematic internet use and to provide future direction for research in this important and yet controversial area.

Keywords

Problematic Internet Use, Psychiatric Disorder, Youth.

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