Indian Journal of Health and Wellbeing

Bhupendra Singh ¹, A. N. Verma ², Amool R. Singh ³

Affiliations
1 Department of Psychiatry, PGIMS, Rohtak, IN
2 Department of Psychiatric, RINPAS, Kanke, Ranchi, IN
3 Department of Clinical Psychology, RINPAS, Kanke, Ranchi, IN

Abstract

Bipolar affective disorder tends to occur in episodes lasting 3-4 months, followed by complete clinical recovery. Future episode can be manic, depressive or mixed. Relapse is very common in bipolar affective disorder, level of social support reduces with the frequent relapses and expressed emotion took place in the negative form and become hurdle in readjustment of patients. 100 bipolar affective disorders with at least one hospitalization and their primary care givers were recruited from RINPAS OPD. People with more than one hospitalization get poor support from caregivers and they face high negative expressed emotion. Frequent relapse reduce the level of social support and increased the expressed emotion.

Keywords

Bipolar Affective Disorder, Re-Hospitalization, Patients.

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Smita Pandey ¹, S. Haque Nizamie ², Amool R. Singh ³

Affiliations
1 Institute of Behavioural Sciences, Gujarat Forensic Sciences University, Gandhinagar, Gujarat, IN
2 Central Institute of Psychiatry, Patratoli, Ranchi, Jharkhand, IN
3 Ranchi Institute of Neuropsychiatry and Allied Sciences, Kanke, Ranchi, Jharkhand, IN

Abstract

Several studies have emphasized on the role rehabilitation, but there are very few studies that have focused on a comprehensive rehabilitation as compared to vocational training. This study described the effect of a comprehensive intervention of cognitive retraining and vocational training when compared to the vocational training alone in the patients of chronic schizophrenia. A group of 12 patients diagnosed as schizophrenia as per ICD 10 for a minimum of 5 years (chronic cases) between the age range of 30 and 45 years were taken who were on the maintenance dozes of antipsychotic medication, staying in the hospital (Central Institute of Psychiatry, Ranchi) for 6 months, having significant cognitive deficits and compliant to intervention. Six of them were assigned to comprehensive training group, and six were for the vocational training group. The results indicated that though there were no significant differences between the comprehensive group and the vocational group, but there had been significant improvement within the each group from baseline through final assessment. The vocational training was as effective as comprehensive training program. However, the comprehensive group was somewhat better than the vocational group.

Keywords

Chronic Schizophrenia, Cognitive Deficits, Cognitive Retraining and Vocational Rehabilitation, Comprehensive Rehabilitation.

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