Fatima Zohra, F. Alam, M. Sarkar, S. Faruque, M. Sajib
{"title":"Perinatal factors among children with neurodevelopmental disorders attending tertiary care hospitals in Dhaka city","authors":"Fatima Zohra, F. Alam, M. Sarkar, S. Faruque, M. Sajib","doi":"10.3329/bjpsy.v32i2.55126","DOIUrl":"https://doi.org/10.3329/bjpsy.v32i2.55126","url":null,"abstract":"Neurodevelopmental disorders (NDD) are public health burden worldwide. NDD causes disabilities and reduces the quality of life. Perinatal factors like maternal age, stress, maternal physical illnesses, birth complications, preterm birth, low birth weight and neonatal infections are the important risk factors for NDD. The objectives of the study were to determine the proportion of perinatal factors among children with neurodevelopmental disorders attending tertiary care hospitals in Dhaka city. This was a cross-sectional study conducted in outpatient department of National Institute of Mental Health (NIMH), Dhaka and Institute of Paediatric Neurodisorder and Autism (IPNA), Bangabandhu Sheikh Mujib Medical University (BSMMU) from January 2017 to July 2018. Among 115 children with NDD aged 0-17 years satisfying inclusion and exclusion criteria who were conveniently selected as sample. After diagnosing NDD using DSM- 5 criteria by psychiatrists and paediatric neurologists, a semi structured questionnaire was applied by researcher herself that included socio-demographic and perinatal factors as well. Results showed that majority of the respondents (29.6%) were 5-8 years with male predominance (78.3%). The most common perinatal factors were maternal factors like maternal stress (68.7%), maternal physical illness (66.1 %), inadequate food/rest intake (53.9%) and inadequate weight gain during pregnancy (50.4%). Fetal and neonatal factors like birth complication (82.6%), preterm birth (80%), low birth weight (75.6%), neonatal illness (69.6%) and birth asphyxia (61.7%). Most common neonatal illness were pneumonia (30.0 %) followed by neonatal Jaundice (20%). Early identification of possible perinatal factors and providing safe perinatal period can give a positive impact in prevention of NDD in children. \u0000Bang J Psychiatry 2018;32(2): 26-31","PeriodicalId":243407,"journal":{"name":"Bangladesh Journal of Psychiatry","volume":"93 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129051415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A case report of schizophrenia with an atypical presentation of body dysmorphic disorder","authors":"Nayem Akhter Abbassi, Syed Reazur Rahman, M. Alam","doi":"10.3329/bjpsy.v32i2.55129","DOIUrl":"https://doi.org/10.3329/bjpsy.v32i2.55129","url":null,"abstract":"Although body dysmorphic disorder is a psychiatric disorder. Sometimes, it can be a variant of a variety of psychiatric syndromes like schizophrenia, mood disorders, OCD etc. Here is an atypical case report of a 28 years old male patient who presented with body dysmorphic disorder later on diagnosed as having schizophrenia. The difficult part in this diagnosis is to make the difference between the psychotic and the non-psychotic form of the disorder. Finally, its successful treatment with antipsychotic drugs, thus contributing to what has been documented on the subject. \u0000Bang J Psychiatry 2018;32(2): 40-43","PeriodicalId":243407,"journal":{"name":"Bangladesh Journal of Psychiatry","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114258877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An assessment of mental health status of physicians working in medical college hospitals of Dhaka city","authors":"Kazi Mahbubul Haque, Shafiqul Islam, S. Sharmin","doi":"10.3329/bjpsy.v32i2.55128","DOIUrl":"https://doi.org/10.3329/bjpsy.v32i2.55128","url":null,"abstract":"Mental health status is often ignored in our country. Even many health care professionals commonly ignore the impact of mental illness on both daily and professional lives, which may lead to dire consequences. The purpose of this study was to find the mental health status of physicians working in medical college hospitals of Dhaka city. A cross sectional study was conducted from January to December 2015 for this purpose among 215 number of respondents selected conveniently. Data were collected from 210 physicians by face-to face interview using a semi structured questionnaire containing 4DSQ (Four-Dimensional Symptom Questionnaire), socio economic and other variables. The prevalence of mental illness was calculated according to the scoring system of the scale. Mental illness prevalence was as follows: distress 20%, Anxiety 15.7%, Depression 15.2% and Somatization 8.6%. Majority of the respondents were interns and below 30 years of age. However, in light of current pandemic situation, regular assessment of health personnel’s mental health is needed more than ever. \u0000Bang J Psychiatry 2018;32(2): 37-39","PeriodicalId":243407,"journal":{"name":"Bangladesh Journal of Psychiatry","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131182947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Recent changes in MBBS curriculum in psychiatry in Bangladesh: a call for attention","authors":"S. Roy, S. Arafat","doi":"10.3329/bjpsy.v32i2.55125","DOIUrl":"https://doi.org/10.3329/bjpsy.v32i2.55125","url":null,"abstract":"Abstract not available \u0000Bang J Psychiatry 2018;32(2): 24-25","PeriodicalId":243407,"journal":{"name":"Bangladesh Journal of Psychiatry","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132910048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anupam Das, M. Salam, S. Algin, M. Mullick, F. Alam, A. Raihan, C. K. Ghosh
{"title":"Psychiatric morbidity among patients with irritable bowel syndrome","authors":"Anupam Das, M. Salam, S. Algin, M. Mullick, F. Alam, A. Raihan, C. K. Ghosh","doi":"10.3329/bjpsy.v32i2.55127","DOIUrl":"https://doi.org/10.3329/bjpsy.v32i2.55127","url":null,"abstract":"Irritable Bowel Syndrome (IBS) is a functional disorder characterized by a set of gastrointestinal symptoms often associated with extra-digestive symptoms with unknown organic basis. It is a prototypic functional bowel disorder in terms of its heterogeneous nature with multifactor pathogenesis. Invariably it is co-morbid with psychiatric disorders. This study was done to determine the frequency and types of psychiatric disorders with irritable bowel syndrome and to find out association of socio-demographic and relevant variables. It was cross-sectional study carried out in the Department of Gastroenterology, Bangabandhu Sheikh Mujib Medical University (BSMMU) from January 2014 to December 2014. Total 250 sample were included by convenient sampling technique in this study diagnosed as IBS. Diagnosis was done according to Rome III criteria and SCID-CV was used for psychiatric assessment. Respondents were above 18 years of age of either sex. Data was analyzed using SPSS 20. Results showed 86.4% patients have psychiatric disorders. The most common disorder was generalized anxiety disorder (44.9%) followed by major depressive disorder (37.5%). Maximum (35.2%) were IBS-D type followed by 32.8% IBS-C type and 32% IBS-M type. So, it is seen that significant proportion of psychiatric disorders was found in patients with irritable bowel syndrome. Among them, generalized anxiety disorder was leading psychiatric disorder. \u0000Bang J Psychiatry 2018;32(2): 32-36","PeriodicalId":243407,"journal":{"name":"Bangladesh Journal of Psychiatry","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126806360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A case of factitious disorder presenting with hematohidrosis: a rare case report","authors":"R. Hossain, Nadia Afroz, M. Sarkar, M. Alam","doi":"10.3329/BJPSY.V32I1.53046","DOIUrl":"https://doi.org/10.3329/BJPSY.V32I1.53046","url":null,"abstract":"Factitious disorder is described as the patient’s intention to produce fake symptoms to play a sick role and gain medical attention.1 The symptoms could be physical, psychological or mixed. The wide spectrum of symptoms makes the diagnosis and management challenging. This is a case report of a 17 year old girl who was referred to us with history of recurrent bleeding from left side of her forehead. Detailed hematological investigations revealed no abnormal causes of bleeding but on clinical examination, we found multiple scar marks on the affected site. The history was suggestive of hematohidrosis but the patient had scar marks on the affected area which indicated that the bleeding was self-inflicted. This was the most important diagnostic and differentiating point in this patient. Pharmacotherapy and psychotherapy were followed by complete remission. \u0000Bang J Psychiatry June 2018; 32(1): 19-21","PeriodicalId":243407,"journal":{"name":"Bangladesh Journal of Psychiatry","volume":"624 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131690666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Psychiatric co-morbidity among patients with primary headache","authors":"S. Syed, M. Mullick, Hannan Ma","doi":"10.3329/bjpsy.v30i2.45362","DOIUrl":"https://doi.org/10.3329/bjpsy.v30i2.45362","url":null,"abstract":"Headache is the commonest complaint in neurology outpatient departments (OPD) and the co- existence of psychiatric disorders with headache is an established fact. This study was aimed to estimate the proportion of adult headache patients suffering from psychiatric co-morbidity and to see the possible association between headache pattern and psychiatric disorders.This cross sectional study was done among 51 sample of neurology OPD of BSMMU. International Classification of Headache Disorders (ICHD-3) was used to determine the types of headache and Mini International Neuropsychiatric Interview (MINI) was used to diagnose psychiatric disorder. Purposive sampling technique was used and data was collected using face-to-face interview from January, 2015 to June, 2015. New and old cases of primary headache of both sexes who were 15-65 years old were taken as samples. The results found that tension type headache was the commonest type of headache and total 62.7% of headache patients suffered from psychiatric disorder. Among them, 39.2% had depressive disorder and 17.6% had anxiety disorders. Logistic regression revealed that higher duration and frequency of headache was a predictor of having psychiatric comorbidity (OR= 1.7). This small study shows the need of larger research in this issue and also points out the importance of psychiatric intervention for headache patients. \u0000Bang J Psychiatry December 2016; 30(2): 32-35","PeriodicalId":243407,"journal":{"name":"Bangladesh Journal of Psychiatry","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127073712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Trauma focused cognitive behavior therapy in a traumatized female child","authors":"Mahjareen Binta Gaffar, Z. Uddin","doi":"10.3329/bjpsy.v30i1.37858","DOIUrl":"https://doi.org/10.3329/bjpsy.v30i1.37858","url":null,"abstract":"Children and adolescents of this era are experiencing more traumatic events than earlier, resulting in more diagnosed cases of post traumatic stress disorder. One such case is discussed here following exposure to molestation. After assessment and case formulation, an extensive psychological management (Trauma Focused Cognitive Behavior Therapy) was done which is presented through the report. Mentionable improvement was acknowledged by client who paves the way for future evidence-based work.Bang J Psychiatry June 2016; 30(1): 20-22","PeriodicalId":243407,"journal":{"name":"Bangladesh Journal of Psychiatry","volume":"356 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123105378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Parveen, M. Akteruzzaman, M. M. Maruf, S. Akhter, Sadya Tarannum
{"title":"Factors of psychiatric morbidity during perinatal period","authors":"S. Parveen, M. Akteruzzaman, M. M. Maruf, S. Akhter, Sadya Tarannum","doi":"10.3329/BJPSY.V29I2.37850","DOIUrl":"https://doi.org/10.3329/BJPSY.V29I2.37850","url":null,"abstract":"The presence of psychiatric disorders during perinatal period imposes negative and long-term effect on maternal health and child development as well as normal family environment. The purpose of our study was to investigate the socio-demographic factors associated with psychiatric morbidity during perinatal period. It was a descriptive cross-sectional study conducted among purposively selected 197 perinatal women attending the Obstetrics & Gynaecology Outpatient Department (OPD) of Bangabandhu Sheikh Mujib Medical University and Dhaka Medical College Hospital, Dhaka from August 2012 to July 2013. Data were collected through face-to-face interview by administering a semistructured questionnaire, containing socio-demographic and other variables and translated Bangla version of Structured Clinical Interview for DSM-IV Axis-I Disorders – Clinician Version (SCID-CV). Majority (79.7%) of the women were included in the age group of 20-34 years. The mean (±SD) age of the respondents were calculated as 24.60 (±4.88) years. Rural habitat was predominant (53.6%). A good number (5.1%) of respondents with psychiatric disorders had positive family history of psychiatric illness which was found statistically significant. Majority (7.6%) of the respondents with psychiatric disorders had previous history of psychiatric illness. Women in perinatal period with the risk factors for developing psychiatric disorders need proper psychiatric evaluation to prevent and treat perinatal mental illness.Bang J Psychiatry December 2015; 29(2): 53-58","PeriodicalId":243407,"journal":{"name":"Bangladesh Journal of Psychiatry","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116933571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Socio-environmental factors and depression among secondary school children in Dhaka city","authors":"M. Sarkar, S. Roy, M. M. Maruf, G. Rabbani","doi":"10.3329/bjpsy.v29i2.37849","DOIUrl":"https://doi.org/10.3329/bjpsy.v29i2.37849","url":null,"abstract":"Depression among children and adolescents has been increasingly recognized as a major public health problem. The objective of the study was to find out socio-environmental factors associated with the presence of depression among secondary school children in Dhaka city. It was a cross-sectional study conducted from November 2008 to October 2009 in two purposively selected schools (one boys’ and one girls’) of Dhaka city. Simple random sampling was used to collect 144 samples from class VI to class IX. A semi-structured self-administered questionnaire including the translated Bangla version of the Center for Epidemiologic Studies Depression Scale for Children (CES-DC) was used to assess depression. The results showed that, majority of the respondents lived in nuclear family whereas 79.2% boys and 51.4% girls had only 1-2 siblings. The mean number of siblings (2.19+0.588) was higher among the respondents with depression than among the respondents without depression which was statistically significant. In boys’ school, emotional bullying by peer group was complained mostly by the students of class VIII (22.2%) whereas in girls’ school, students of class VI (44.4%) complained of being bullied emotionally mostly. In this study, those boys (45.5%) who complained of emotional bullying by their peer group were found as significantly depressed than those who had no such complaints. Proportion of depression was higher among those respondents who had any history of physical or psychiatric illness in their family. The findings of the study emphasized on the importance of the school mental health services.Bang J Psychiatry December 2015; 29(2): 48-52","PeriodicalId":243407,"journal":{"name":"Bangladesh Journal of Psychiatry","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132841113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}