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 Table of Contents    
BOMBAY PSYCHIATRIC SOCIETY SILVER JUBILEE AWARD  
Year : 2018  |  Volume : 60  |  Issue : 5  |  Page : 14
Bombay Psychiatric Society Silver Jubilee Award



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Date of Web Publication1-Feb-2018
 

How to cite this article:
. Bombay Psychiatric Society Silver Jubilee Award. Indian J Psychiatry 2018;60, Suppl S4:14

How to cite this URL:
. Bombay Psychiatric Society Silver Jubilee Award. Indian J Psychiatry [serial online] 2018 [cited 2021 May 18];60, Suppl S4:14. Available from: https://www.indianjpsychiatry.org/text.asp?2018/60/5/14/224504




Challenges in taking sexual history- A qualitative study of Indian postgraduate psychiatry trainees

Context: The psychiatrist in India are often one of the primary points of help seeking for various sexual complaints and problems. Literature shows many Psychiatrists often do not take detailed sexual histories from their patients unless there is a primary sexual complaint.

Aims: To study the difficulties experienced by postgraduate psychiatry trainees while taking sexual history as part of routine mental health evaluation in India.

Settings: In an Indian medical college general hospital psychiatry setting.

Methods and Materials: A qualitative study using focus group discussions and in-depth interviews with postgraduate psychiatry residents.

Statistical analysis: Content analysis was used to identify direct and latent themes

Results: Thematic saturation was achieved with seventeen subjects. Major themes of difficulties that emerged included trainee related factors like gender and socio-cultural background of trainee, patient related factors like age, gender and sexual orientation, setting related factors and language related difficulties.

Conclusions: Specific and regular training in taking a sexual history is essential in addressing the difficulties faced by postgraduate psychiatry trainees in India.

Keywords: post-graduate, psychiatry, medical education, medical graduates, sexual history.

Understanding OCD; Experience from A Tertiary Care Center

Narveer Yadav, Vishal Sinha, Zeeshan Anwar, Ramashankar Maddeshiya, Rohit Singhal

Department of Psychiatry, SN Medical College Agra, India.

Background: OCD is a chronic and potentially disabling psychiatric disorder with prevalence of 3.3%. Discrepancy in different demographics regarding mean age of onset, average duration of illness, socio-demographic pattern, co-morbidities and treatment response has been seen. So here, we make an effort in understanding epidemiology of OCD in North India.

Method: All patients enrolled with working diagnosis of OCD (ICD-10) in special clinic criteria selected, data required gathered and evaluated using appropriate statistical tests.

Result: Prevalence found higher in married females belongs to urban area. Mean age of patients, onset of disease,1st diagnosis and untreated illness was 30.50 ± 11.61 years, 26.80 ± 10.65 years, 29.79 ±10.85 years, 29.13 ± 5.2 months. (48.07%) directly came to our OPD. (40.38%) were maintain on monotherapy, (55.76%) on two and (3.84%) on three drugs. (5.76%) aided with low dose antipsychotics. (63.46%) of cases shows significant improvement with a mean duration for onset of improvement of 4±0.5 months.

Key words: OCD, YBOCS

Efficacy of adjunctive low frequency 0.3 rTMS over vertex in localization related epilepsy in children and adolescents: A randomized double blinded sham controlled study

Dr. Nirmalya Mukherjee

Objectives: Low-frequency (<1Hz) rTMS decreases the excitability of the cortical areas. Mixed results noted in reducing seizure using <1Hz rTMS in adults. We evaluate the efficacy of adjunctive vertex 0.3 Hz rTMS in focal epilepsy in children and adolescents.

Methods: 30 patients, of either sex, aged eight to eighteen years, with ≥4 paroxysms of localization related seizures in last month on continuous anti-epileptics were included and divided randomly in to active or sham group. Active group received two daily sessions (30 seconds apart) of 300 stimuli/train of rTMS (100% MT) at 0.3 Hz, over vertex for 5 days. Sham group received stimulation with same protocol except the coil being placed vertical to scalp. Seizure frequency were compared pre- vs. up to 3 months post-stimulation. EEG was recorded baseline and after last rTMS session.

Result: No significant difference noted between two groups in seizure frequency change over time. No significant change in interictal epileptiform discharges between pre and post stimulation found.

Conclusion: Adjunctive 0.3 Hz rTMS over vertex has no significant effect in epilepsy treatment in children and adolescent but medication interaction effect can’t be ignored. In future, localised stimulation on the affected lobe can be tried with more homogeneous sample.

Keywords: Capitalise first letter of each word



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