Indian Journal of Health and Wellbeing

Roshan Lal Dewangan ¹, K. Roy Prasanta ²

Affiliations
1 PGBIMS, Raipur, Chhatisgarh, IN
2 IOP Kolkata, WestBangal, IN

Abstract

Much success has not been achieved to treat Tourette Syndrome (TS) by conventional psychotherapies. Early success was observed using 'massive- practices' as explained by Yates (1958), but latter the method was not used widely or found variably unsuccessful. Azrin and Nunn (1973) reported higher rate of success for treating tics by 'habit rehearsal'. Taking account of theoretical model behind both techniques we made an attempt to treat a 17 years old boy suffering from this syndrome. Treatment result shows significant reduction of both motor and vocal tics within six weeks.

Keywords

Tourette's Syndrome, Massive Practice, Habit Rehearsal, Case Study.

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Roshan Lal Dewangan ¹, Promila Singh ¹, Tanmay Mahapatra ², Sanchita Mahapatra ³

Affiliations
1 Department of SoS Psychology, Pt.RavishankarShukla University, Raipur,Chhatisgarh, IN
2 Mission Arogya Health and Information Technology Research Foundation, Kolkata, IN
3 Fielding School of Public Health, University of California, Los Angeles, US

Abstract

Improvement of the quality of life among schizophrenia patients is an important public health requirement in the developing world and India is no exception. To support this cause the need for the detailed understanding of the role of social cognition in disease onset, severity and recurrences had long been emphasized. Dearth of relevant information in Indian context, called for a cross-sectional study to determine the role of social cognition and its socio-behavioral correlates in the onset, severity and recurrence of symptoms among schizophrenics. One hundred consenting adult schizophrenics were recruited from two psychiatric hospitals in the Chhattisgarh district, interviewed with Attribution Style Questionnaire, Facial Expression and Picture Arrangement tests for evaluating the social cognitive performance along with the Scales for Assessing Positive and Negative Symptoms. Socio-demographic and clinical information (onset and recurrence) were also collected. Descriptive and regression analyses using SAS-9.3.2 revealed statistically significant association between living in nuclear families and having less severe negative and positive symptoms. Patients with insidious onset were likely to have more severe negative symptoms. Higher age was associated with insidious onset and recurrences. Higher age of onset and college level education on the other hand were positively correlated with the chances of recurrences. Better picture adjustment and wrong identification of the facial expression for sadness were negatively associated with higher severity of positive symptoms. Higher mean score for the global attribution of negative events, internal, stable, global and composite attribution of positive events were all found to be associated with higher odds of having recurrences. Family level intervention aiming at cognitive restructuring and education of social context interpretation are probably required for better schizophrenia management in Indian context.

Keywords

Schizophrenia, Social Cognition.

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