Indian Journal of Health and Wellbeing

Raj Kumar ¹, Rajeev Dogra ¹, Chitvan Singh ¹, Krishan Kumar ¹, Dharmender Kumar Nehra ²

Affiliations
1 Department of Clinical Psychology, PGIMS Rohtak, Haryana, IN
2 State Institute of Mental Health, Post Graduate Institute of Medical Sciences (PGIMS) Campus, Rohtak, Haryana, IN

Abstract

The extent to which advances of sexual dysfunction have harmful consequences for positive mental health is well-known since long.World literature have proven that psychological constructs play an important role not only in developing and maintaining sexual problems but also in treatment seeking behavior and outcome.This study was done on patients with erectile dysfunctionwhich are not well studied in Indian context. It was a cross sectional study, in which Fifty (50) Patients with erectile dysfunction, diagnosed as per ICD-10 criteria were selected. Fifty (50) healthy matched subjects constituted the control group. Assessment was done by using Toronto Alexithymia Scale-Hindi, Rosenberg Self Esteem Scale and General Health Questionnaire. The statistical analysis was carried out by using the SPSS Windows 16.0 software package. Significant differences were seen in alexithymia and Self Esteem scores between erectile dysfunction group and normal control group. Erectile dysfunction group scored significantly higher on alexithymia in comparison with control group. However,erectile dysfunction group scored significantly lower on score of Self Esteem than the normal control group. Significant negative relationship was found between alexithymia and Self Esteem scores. These findings should be considered as a breakthrough and can be taken seriously that presence of high alexithymia and low Self Esteem(that are highly prevalent) in patient with erectile dysfunction may negatively affect the treatment outcome. So authors strongly recommended that treatment of this vulnerable population should also focus on credible and potentially effective means of helping themcope with low self-esteem.

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Raj Kumar ¹, Deepak Malik ¹

Affiliations
1 Clinical Psychology, Post Graduate Institute of Medical Sciences (PGIMS) Rohtak, Haryana, IN

Abstract

Erectile Dysfunction is a challenging problem that negatively affects the quality of lives of those affected. Sufferers and their partners face a lot of difficulties in various areas of life including relationship problems. Emergence of ED may be attributed to either organic or psychogenic factors but irrespective of causal factors it often lead to emotional and adjustment problems.The present study was carried out to study perceived stress and emotional intelligence and their interaction in individuals diagnosed with Erectile Dysfunction and their healthy counterparts. This cross-sectional study examined 200 male out of which 100 individuals with erectile dysfunction and 100 healthy controls. Perceived Stress Scale (PSS) and Emotional Intelligence Scale (EIS) were administered on study group; whereas, in addition to above mentioned scales General Health Questionnaire (GHQ-28) was also administered on control group. The data obtained for the variables under study have been subjected to different statistical analysis. Significant difference was found in perceived stress and EI scores between study and control group. The findings also indicated significant negative correlation between perceived stress and EI. Overall findings suggest that individual with ED are significantly more stressed and having low emotional intelligence than their healthy counterparts. Thus present study highlights the facts that it is equally important to treat stress in order to achieve better treatment compliance and management. We advocated the need for holistic management including adequate mental health screening and interventions with the persons suffering from ED.

Keywords

Erectile dysfunction, perceived stress, emotional intelligence, psychological problems, risk factors

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Ramesh Verma ¹, Neelam Kumar ², Raj Kumar ³, Varun Arora ⁴, Sat Pal ⁵

Affiliations
1 Medical Officer I/C Rural Health Training Centre CHC CHIR, IN
2 Department of Community Medicine PGIMS, Rohtak, IN
3 Department of IMSAR Maharishi Dayanand University, Rohtak, IN
4 Department of Community Medicine, PGIMS, Rohtak, Meenakshi Kharb BAMS, MBA, Rohtak, IN
5 Department of Physiology, PGIMS, Rohtak, IN

Abstract

To evaluate the utilization of health care services provided under ESI scheme. Cross-sectional, descriptive. ESI dispensary, Shivaji colony Rohtak. Percentage, simple proportion, chi square test, linear regression model. 500 Insured Persons. Out of total 500 participants, 418(83.6%) subjects were utilizing and rest 82(16.4%) were not utilizing ESI health care services. Among utilizing 418 (83.5%) participants, 391 (93.5%) insured persons were males and 27(6.5%) were females while among non-utilizing, 82 (6.5%), 78 (95.1%) insured were males and 4(4.9%) were females. The R value is 0.804 and adjusted R square is 0.630 meaning thereby 63% utilization of health care services at ESI dispensary is due to variables age, caste, literacy status, income, marital status, family members of study participants, knowledge about location of ESI, duration of insurance under ESI scheme, contribution deducted under ESI scheme, OPD timings, health care facility at ESI, distance of ESI-HCF from their residence, behavior of doctor, waiting time for registration and getting treatment, average time spent in ESI dispensary during treatment, satisfied with doctor's treatment and overall satisfaction with ESI services. The value of Durbin-Watson test is <2 which proves that there is no co-linearity among independent variables. Utilization of health care services is determined to a large extent by their availability and accessibility. Distance from the health care facility plays significant role in service utilization. Patients' satisfaction is not necessarily the main criterion by which primary care services should be judged, but the attitudes of the consumers of health care play important role which must be considered in evaluating services.

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Ramesh Verma ¹, Neelam Kumar ², Raj Kumar ³, Varun Arora ², Meenakshi Kharb ⁴, Suman Sharma ⁵

Affiliations
1 Medical Officer I/C Rural Health Training Centre, CHC CHIRI Rural Health Training Centre CHC CHIRI, Rohtak, IN
2 Department of Community Medicine, PGIMS, Rohtak, IN
3 Department of Institute of Management Studies And Research (IMSAR), Maharishi Dayanand University, Rohtak, IN
4 BAMS, MBA, Rohtak, IN
5 Department of Medicine, PGIMER, Dr. RML Hospital, New Delhi, IN

Abstract

What are the Effects of quality attributes of ESI Health Care Services on patient's satisfaction. To determine effects of quality attributes of ESI Health Care Services on patient's satisfaction. Cross-sectional, descriptive ESI dispensary, Shivaji colony Rohtak Percentage, simple proportion, chi square test, linear regression model. 500 Study participants The study population comprised of 500 persons [66.8% males and 33.2%females]. Maximum number of study participants (37.4%) were in the 30-39 years age group followed by 30.6% were in the age group of 20-29 years. Around one third (27%) study participants were dissatisfied with quality of health care services provided under ESI scheme. The study also revealed the reasons for dissatisfaction and most common reasons were found not good quality medicines (52.59%) and complete medicines (41.48%). There is need to strengthen the quality of health care service at ESI dispensary.

Keywords

ESI Health Care Services,patient's Satisfaction

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Raj kumar ¹, Deepak Malik ¹, Dharmender Kumar Nehra ², Amit Kumar Soni ², Rajiv Gupta ³

Affiliations
1 Clinical Psychology, Post Graduate Institute of Medical Sciences (PGIMS) Rohtak, Haryana, IN
2 State Institute of Mental Health Post Graduate Institute of Medical Sciences (PGIMS) campus, Rohtak, Haryana, IN
3 State Institute of Mental Health Post Graduate Institute of Medical Sciences (PGIMS) Campus, Rohtak, Haryana, IN
4 Department of Psychiatry, & Chief Executive Officer, State Institute of Mental Health Post Graduate Institute of Medical Sciences (PGIMS) campus, Rohtak, Haryana, IN

Abstract

Erectile Dysfunction is a challenging problem that negatively affects the quality of lives of those affected. Sufferers and their partners face a lot of difficulties in various areas of life including relationship problems. Emergence of ED may be attributed to either organic or psychogenic factors but irrespective of causal factors it often lead to emotional and adjustment problems. The present study was carried out to study perceived stress and emotional intelligence and their interaction in individuals diagnosed with Erectile Dysfunction and their healthy counterparts. This cross-sectional study examined 200 male out of which 100 individuals with erectile dysfunction and 100 healthy controls. Perceived Stress Scale (PSS) and Emotional Intelligence Scale (EIS) were administered on study group; whereas, in addition to above mentioned scales General Health Questionnaire (GHQ-28) was also administered on control group. The data obtained for the variables under study have been subjected to different statistical analysis. Significant difference was found in perceived stress and EI scores between study and control group. The findings also indicated significant negative correlation between perceived stress and EI. Overall findings suggest that individual with ED are significantly more stressed and having low emotional intelligence than their healthy counterparts. Thus present study highlights the facts that it is equally important to treat stress in order to achieve better treatment compliance and management. We advocated the need for holistic management including adequate mental health screening and interventions with the persons suffering from ED.

Keywords

No Keywords

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Deepak Malik ¹, Raj kumar ¹, Dharmender Kumar Nehra ², Sidharth Arya ¹

Affiliations
1 Post Graduate Institute of Medical Sciences (PGIMS), Rohtak, Haryana, IN
2 State Institute of Mental Health, Post Graduate Institute of Medical Sciences (PGIMS) campus, Rohtak, Haryana, IN

Abstract

The medical science has undergone a tremendous evolution in the past century, now medical professionals are able to cure the disorders that were earlier taken a toll of millions' life. Stress and its negative consequence on health professionals have received relatively little attention in the literature in past. Although, the potential detriment of hectic life style for health professional has been raised recently and irony is that health professionals who help patients to get rid of stress are also burdened with stress. The aims of this study is twofold: (1) to provide awareness regarding the prevalence of stress in medical students and (2) to assess the association between stress and Emotional intelligence that is generally considered as a buffer against stress. This cross-sectional study examined 100 medical students out of which 50 were female and 50 were male. Perceived Stress Scale (PSS) and Emotional Intelligence Scale (EIS) were administered. The data obtained for the variables under study have been subjected to different statistical analysis. Out of the total sample (hundred) of medical students, approximately 71% of them found to have high level of perceived stress. In addition, significant difference was found in EIS scores between female and males students. The findings also indicated significant negative correlation between perceived stress and EI. This study suggested that the prevalence of perceived stress in medical students is high irrespective of their gender. In view of the fact that in present study too occurrence of perceived stress is almost similar that found in the other societies. Hence, authors recommended appropriate interventions (stress management) for them so that they will capable to learn complex vocational skills for making them self-sufficient and independent professionals.

Keywords

No Keywords

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Raj Kumar ¹, Rajeev Dogra ¹, Chitvan Singh ¹, Krishan Kumar ¹, Dharmender Kumar Nehra ¹

Affiliations
1 Post Graduate Institute of Medical Sciences (PGIMS), Rohtak, Haryana, IN

Abstract

The extent to which advances of sexual dysfunction have harmful consequences for positive mental health is wellknown since long. World literature have proven that psychological constructs play an important role not only in developing and maintaining sexual problems but also in treatment seeking behavior and outcome. This study was done on patients with erectile dysfunction which are not well studied in Indian context. Material and methods: It was a cross sectional study, in which Fifty (50) Patients with erectile dysfunction, diagnosed as per ICD-10 criteria were selected. Fifty (50) healthy matched subjects constituted the control group. Assessment was done by using Toronto Alexithymia Scale-Hindi, Rosenberg Self Esteem Scale and General Health Questionnaire. The statistical analysis was carried out by using the SPSS Windows 16.0 software package. Results: Significant differences were seen in alexithymia and Self Esteem scores between erectile dysfunction group and normal control group. Erectile dysfunction group scored significantly higher on alexithymia in comparison with control group. However, erectile dysfunction group scored significantly lower on score of Self Esteem than the normal control group. Significant negative relationship was found between alexithymia and Self Esteem scores. Conclusion: These findings should be considered as a breakthrough and can be taken seriously that presence of high alexithymia and low Self Esteem(that are highly prevalent) in patient with erectile dysfunction may negatively affect the treatment outcome. So authors strongly recommended that treatment of this vulnerable population should also focus on credible and potentially effective means of helping them cope with low self-esteem.

Keywords

Sexual Dysfunction, Erectile Dysfunction, Alexithymia, Self Esteem, Treatment Seeking

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Anita Moral ¹, Raj Kumar ², Manisha Sharma ³

Affiliations
1 Department of Psychology, S.V. Degree College, Aligarh, U.P., IN
2 Department of Physiology, NRI Medical College, Vishakhapatnam, A.P, IN
3 Department of in Psychology, C.C.S. University, Meerut, IN

Abstract

Meditation is the state of skillful awareness. Now a days, immense effects are studied by researcher about this state, which have various psychological, neurological and physiological effects. Rob Nairn (1989) explains meditation as a highly alert and skillful state of mind. The present study attempts to assess the effect of meditation and gender on well being on 80 subjects who were divided into two groups, one was Experimental and second was Control. Each group consists of 40 subjects (20 male and 20 female). To measure the status of well being the P.G.I. general well being measure (PGIG, WBM, Verma&Verma, 1989) was used. The results of study clearly define significant difference(f-value 83.70) on the status of well being between meditators and non-meditators. Results also indicate the significant difference of gender(f-value 17.66) on well being. Concluding results highlight the significant effect of meditation and gender on well being.

Keywords

Meditators, Non-Meditators and Well-Being.

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Preeti ¹, Raj Kumar ², Rakesh Behmani ³, Kuldeep Singh ⁴

Affiliations
1 Department of Psychiatry, PGIMS, Rohtak, Haryana, IN
2 Department of Psychology, Manpur, Palwal, Haryana, IN
3 Department of Psychology, GJUS&T, Hisar,Haryana, IN
4 SHKM Medical College, Nalhar, NUH, Mewat, Haryana, IN

Abstract

This study examined the impact of self-esteem and Adjustment on the academic Performance of students of a rural area in Public schools setting. Adjustment has an important role in behaviour of adolescents in dealing with people, controlling aggressiveness and to deal with various situations. Academic performance in secondary school is very important for adolescents as students who have high or average grades may have to access to higher education; thus an advantage for society and adolescents. Children and adolescents spend a lot of time and energy on academic performance, thus it is necessary for them to have high self esteem and better adjustment. Aim: The aim of the present study was to identify the relation between self esteem, adjustment and the academic performance of students. The sample of this study consisted of 200 adolescents from 3 schools in rural area of Palwal District of Haryana. Thus Present study was carried out to check the self-esteem and adjustment in early adolescents. It s a cross sectional study, in which Two hundred (200) adolescents; out of which one hundred were male and one hundred were female; selected by purposive sampling. Assessment was done by using, Adjustment inventory for school students and Rosenberg Self Esteem Scale. Academic performance was represented by self-reported result of previous passed out semester. The statistical analysis was carried out using the SPSS Windows 16.0 software package. A significant positive inter-correlation was existed between self esteem, adjustment and academic performance. A significant difference was found on adjustment and academic performance of male and female adolescents. Female adolescent scored lower than male adolescent on adjustment scale indicating female adolescents have good adjustment than male adolescents. Female students scored higher than male adolescents on academic performance. There was no significant difference was found on self esteem of male and female adolescents. The findings show that high or average level of self esteem and good adjustment affects the academic performance in a positive way. There is a suggestion for the school teachers to facilitate effective interpersonal relationships among students to encourage self esteem and to increase the level of publicity of guidance and counselling services in schools.

Keywords

Academic Performance, Self- Esteem, Adjustment, Adolescents.

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