Indian Journal of Health and Wellbeing

Deepika Srivastav ¹, Vibha Sharma ¹, T. B. Singh ¹

Affiliations
1 Department of Clinical Psychology, Institute of Human Behaviour and Allied Sciences (IHBAS), University of Delhi, Delhi, IN

Abstract

Head injury may result in a confusing array of physical and psychological changes. It leads subtle and temporary lapses in ability and behavior. We evaluated a case of head injury with the help of neuropsychological battery and treated with cognitive retraining. A 53-year-old male working as a stenographer with well-adjusted premorbid personality without family history of any psychiatric illness was brought with the complaints of forgetfulness, unable to concentrate on one thing, for last 3 years. On detailed history patient reported that he had been a victim of road traffic accident around seven years back and had a head injury at that time, for which neurosurgery was also performed. To assess his current level of cognitive functioning, and to assess the cognitive impairments in various lobe functions, NIMHANS Neuropsychological Battery was administered. His attention, concentration, comprehension, visual and verbal memory was found to be moderately impaired on test findings, which were affecting his day-to-day functioning. Mild impairment was also found on visual spatial perception. Result demonstrated mild to moderate level of impairments in the functioning of temporal lobe, parietal lobe and in frontal lobe functioning. Cognitive retraining was done for the required cognitive functions and improvement found in follow up sessions.

Keywords

Head Injury, Neuropsychological Assessment, Cognitive Retraining.

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Vijander Singh ¹, C. R. Darolia ¹, T. B. Singh ²

Affiliations
1 Department of Psychology Kurukshetra University, Kurukshetra, IN
2 Department of Clinical Psychology Institute of Human Behaviour and Allied Sciences, Delhi, IN

Abstract

Neurological disease may leave the patients in a permanent vegetative state. The caregivers of the patients waiting outside of the ICU remained burdened regarding the outcome chances, whether the patients will come out fully functional or in a vegetative state. Sometimes there perceptions are changed as a result of their knowledge and closeness to the patients. To explore the knowledge, attitude and perception regarding ICU care a semi-structured interview was conducted on the 200 caregivers of ICU patients. Demographic details and responses to a questionnaire assessing the knowledge, attitude and perceptions were recorded. Results of the study shows that majority of the caregivers reported that waiting room was comfortable (78%), and desirous to participate in ICU care (60.5%) and wish the family presence should be mandatory protocol (58%). Almost the whole sample (91.5%) agreed that it was necessary to wash hands before going to ICU. The caregivers reported that they had no knowledge of brain death (44%), lack of knowledge regarding permanent vegetative state (41.5%), high treatment cost is not justified (73.5%) and had negative treatment outcome perception (95%).

Keywords

No Keywords

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Simran Bedi ¹, T. B. Singh ²

Affiliations
1 Clinical Psychologist Maisna Hospital, Mumbai, IN
2 Institute of Behavioral Science, Gujrat Forensic University, Gandhinagar, Gujrat, IN

Abstract

The present study is an exploratory research which aims to assess the Depression, Anxiety, Well-Being and Quality of Life in Stroke patients with Hemiplegia. The sample consisted of 30 stroke patients collected from the Neurology Department. Beck Depression inventory (BDI), Beck Anxiety inventory (BAI), Subjective well-being questionnaire and WHO-QOL questionnaire were administered on the sample. Hindi standardized translated scales were administered to the sample. Frequency, percentages and correlation coefficient were the statistical tools used for analyzing the obtained data. Majority of the participants were suffering from Moderate Depression and Anxiety. Participants were found to have low QOL in "psychological" domain and average QOL in "physical, environment" domain, but high QOL in Social domain. Participants scored low on Confidence in coping factor of Subjective well-being scale and high score on perceived ill-health. Correlation coefficient shows positive correlation between Depression and Anxiety. There was positive correlation between various domains of QOL "Physical, psychological, social and environment" domain. Negative correlation was found between Depression and domains of QOL, also negative correlation was found between Anxiety and QOL domains. Findings show that QOL has inverse relationship with Depression and Anxiety. However subjective well-being was found to have no significant correlation with Depression, Anxiety and Quality of life.

Keywords

Stroke, Hemiplegia, Depression, Anxiety, Quality of Life, Well-being

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