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Biomedical subjects

R K Chadda

Publications and source records attributed to R K Chadda.

At least 19 recordsLinked to original sources
PubMed2001

Effect of electroconvulsive therapy on hematological parameters.

Although a complete blood count is part of the evaluation before the use of electroconvulsive therapy (ECT), there are no known hematological contraindications for the procedure. A preliminary study was done on 31 randomly selected psychiatric patients (chronic schizophrenia, n=10; acute depression, n=8; acute mania, n=6; acute psychosis, n=6; delusional disorder, n=1) receiving ECT to study its hematological effects. Blood samples were drawn just before and 0, 1 and 2 h after ECT. Hemoglobin (Hb%), total and differential leukocyte count (TLC and DLC), red blood cell (RBC) count, mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC) and platelet count were measured on a fully automated hematology analyzer (Sysmex K-1000). Significant changes were found in TLC, percentage of polymorphs and lymphocytes, and Hb%. Changes in other parameters were not statistically significant. More such studies are needed to substantiate these observations and to understand the mechanism and implication of these effects.

Adolescent↗
PubMed2001

Neurocysticercosis presenting as psychiatric illness.

Neurocysticercosis is a common neuroparasitosis. Presentation with psychiatric symptoms is uncommon in neurocysticercosis. The present paper describes a patient who presented with mutism, neglect of personal care and incontinence in a psychiatric setting and investigations revealed diagnosis of neurocysticercosis. The case report highlights the possible misdiagnoses of a case of neurocysticercosis as psychiatric illness and mutism as an uncommon presentation of neurocysticercosis.

Adolescent↗
PubMed2001

Help seeking behaviour of psychiatric patients before seeking care at a mental hospital.

BACKGROUND: A wide range of professionals including psychiatrists, psychologists, general physicians, faith-healers and religious healers cater to the needs of mentally ill patients. Psychiatric facilities are available at general hospitals, office based practice and mental hospitals. Psychiatrists are preferred the least due to stigma. The present work reports on treatment options used by a group of psychiatric patients before visiting a mental hospital. AIM: To study the help seeking behaviour of patients visiting a mental hospital. METHOD: Patients attending psychiatric outpatient service at a mental hospital were asked specifically about various treatment facilities utilized by them before coming to the hospital and the reasons thereof. RESULTS: A wide range of services was used by the subjects varying from professional care to faith healers. Trust, easy availability and accessibility, recommendations by the significant others and belief in supernatural causation of illness were the important reasons for choosing a particular facility. Thus sociocultural factors appeared to influence the help seeking behaviour. CONCLUSION: A substantial number of patients suffering from severe mental disorders seek non-professional care. There is a need of studies in community to assess the help seeking behaviour of psychiatric patients and factors associated with it.

Adolescent↗
PubMed2001

Psychiatry in non-psychiatric setting--a comparative study of physicians and surgeons.

The paper reports awareness of a group of physicians and surgeons about psychiatric disorders in clinical practice and their attitudes towards psychiatric referral. The study was carried out in a teaching general hospital. Sample consisted of 60 faculty members and senior residents belonging to various clinical disciplines. A 14-item structured questionnaire was used for assessment. The data were compared across the specialists from medical and surgical specialities. The main findings included underestimation of psychiatric morbidity by all the clinicians and a general reluctance to refer patients to a psychiatrist for varied reasons. However, most doctors considered psychiatric referral as useful. No major differences were noticed between surgeons and physicians regarding their attitudes and awareness about psychiatry. There is a need to increase the awareness of non-psychiatric clinicians about psychiatric disorders and to develop consultation-liaison psychiatric units and expand undergraduate medical education programmes in psychiatry in the developing countries.

Attitude of Health Personnel↗
PubMed1995

Dhat syndrome: is it a distinct clinical entity? A study of illness behaviour characteristics.

Dhat syndrome is a culture-bound neurotic disorder seen in the Indian subcontinent. The disorder has recently been included in ICD-10. In the present study, illness behaviour of 50 dhat syndrome patients was studied using a Hindi version of Illness Behaviour Questionnaire (IBQ) and was compared with 50 controls. Sixty-six percent of dhat syndrome patients received unspecified diagnoses on DSM-III-R. Patients with dhat syndrome showed a distinct illness behaviour profile consisting of higher scores on IBQ factors of general hypochondriasis and affective discomfort and lower scores on denial compared with controls, suggesting that the disorder may be a distinct entity.

Adolescent↗
PubMed1993

Psychosocial dysfunction in somatising patients.

Somatising patients present with a variety of psychosocial dysfunctions. Using the Dysfunctional Analysis Questionnaire and the Global Assessment of Functioning scale, we studied the nature and severity of psychosocial dysfunction in a group of somatising patients. Dysfunction was less marked in the cognitive area than in social, vocational, personal and familial areas. Patients with depressive disorders showed more dysfunction than those with somatoform disorders in all psychosocial areas except cognitive.

Adaptation, Psychological↗
PubMed1990

Dhat syndrome. A sex neurosis of the Indian subcontinent.

Dhat syndrome is a culture-bound sex neurosis of the Indian subcontinent. Fifty-two patients with a presenting complaint of passage of 'Dhat' in urine were studied. Diagnosis of neurotic depression, anxiety neurosis, hypochondriacal neurosis, and psychogenic impotence were made in 21, 19, 3, and 1 cases respectively. Seven patients received the diagnosis of pure Dhat syndrome, and one of gonorrhoea.

Adolescent↗
PubMedDate not supplied

Psychiatric morbidity in preschool children--a clinic based study.

Psychiatric morbidity patterns in preschool children attending a general hospital psychiatric clinic were studied. No psychiatric problem was detected in 48% of the sample, epilepsy being the diagnosis in more than half of these children. Common psychiatric problems were mental retardation (27%), breath-holding spells (11%) and hyperkinetic syndrome (7%). Emotional and behavioral problems, and habit disorders, which are quite common in this age group, were poorly represented in the clinic sample. It appears that mental retardation and epilepsy are the only two main disorders usually perceived by Indian parents as psychiatric problems in preschool age group.

Child, Preschool↗