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Biomedical subjects

K G Bender

Publications and source records attributed to K G Bender.

5 recordsLinked to original sources

Social problems in Pakistani psychiatric patients.

The paper presents a case register-based descriptive survey of social problems of general hospital psychiatric patients in Pakistan. 47.2% of psychiatric patients had a social problem. Problems with primary support group occurred in 33.4%, 14.2% had relational problems and 7.8% had problems relating to bereavement or death. Social problems were more common in females and patients who had adjustment disorder or depression. Psychiatric patients had more social problems than those who were diagnosed as having a physical problem only. Female depressed patients experienced problems with their in-laws more frequently than other types of social problem. The implications are that: i) some DSMIV categories require changing to make them more internationally applicable; ii) specific psycho-social inquiry during psychiatric diagnostic interviews is essential; iii) grief counselling and family therapy are important psychotherapeutic needs of Pakistani psychiatric patients; iv) these, in turn, indicate priorities in mental health professional training curricula.

Adolescent↗

Schizophrenia and birth order in Pakistan.

The paper describes a two stage study. In Stage I the birth orders of 453 adult patients with different diagnoses, seen in the routine work of a general hospital psychiatry department, were compared. Patients with schizophrenia had significantly higher average birth positions than patients with other diagnoses, even after controlling for sibship size.In Stage II, the birth positions of 64 patients with schizophrenia (DSMIIIR) were subjected to a goodness-of-fit chi-square test. Over-representation of eldest siblings was highly significant for both sexes. When patients aged 30 and above were analysed separately, there was still a significant excess of first-born. These findings are in contrast to birth order studies of schizophrenia in western populations. In the authors' opinion, they can not be accounted for by the biases to which birth order studies are prone. They indicate a need for further community-based studies.

Adolescent↗

Returning for follow up: attendance compliance in an Indian psychiatric clinic.

Attendance compliance was studied in first time outpatient attenders at an Indian psychiatric clinic. Compliance was positively associated with the patient's willingness to attend the initial consultation, being given an early appointment time for the first follow up appointment, good work prognosis and informing the patient's accompanying relative of this good work prognosis. Factors associated with decreased compliance were telling the patient the expected duration of treatment and an illness duration of less than six months at the time of presentation. The results have implications for timing of the subsequent appointment, developing rapport with the patient and being circumspect about what the patient is told.

Activities of Daily Living↗