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Saeed Farooq

Publications and source records attributed to Saeed Farooq.

11 recordsLinked to original sources
PubMed2006

Behavior therapy in dissociative convulsions disorder.

OBJECTIVE: To compare the remission in symptoms achieved with behavior therapy and routine clinical care to that with routine clinical care given alone to patients having dissociative disorder. DESIGN: A randomized controlled trial. PLACE AND DURATION OF STUDY: Psychiatry Unit, Lady Reading Hospital, Peshawar from April 2004 to September 2004. SUBJECTS AND METHODS: A total sample of 100 patients was recruited through Psychiatric OPD and Emergency unit. Patients were randomly allocated to the intervention or control group. The number of fits were recorded each day during admission. The patients were followed-up for four weeks after discharge. Hospital anxiety and depression scale and clinical global impression scales were applied. The two-sample Kolmogorov-Smirnov test was used to show the differences in relative frequencies of fits between the two groups. RESULTS: There were no statistically significant differences in sociodemographic and clinical variables in the intervention and control groups at baseline. There was a highly significant difference between the two groups in frequency of fits at discharge, on the first follow-up and on the fourth follow-up (p=0.000). Similarly, patients in the intervention group showed more improvement on hospital anxiety and depression scale compared to the control group, (p=0.000) at the end of four weeks. CONCLUSION: Behavioral intervention in the management of conversion disorder is more effective than the methods applied in our daily practice.

Adolescent↗
PubMed2005

The attitude and perception of hospital doctors about the management of psychiatric disorders.

OBJECTIVE: To determine perception and the attitude of non-psychiatric doctors about psychiatric problems working in a tertiary care hospital. DESIGN: Cross-sectional survey. PLACE AND DURATION OF STUDY: Postgraduate Medical Institute, Lady Reading Hospital, Peshawar. The questionnaires distributed were returned within one week duration. SUBJECT AND METHODS: All the doctors working in Lady Reading Hospital, Peshawar for more than one year except house officers and those working in Paediatrics, Radiology and Administration Block were given anonymous questionnaires. RESULTS: Two hundred and ten doctors returned the questionnaires. One hundred and eighty-three (87 %) of respondents were male. Ninty-eight percent of doctors agreed that psychological factors were important in the cause and outcome of physical disorders but only 26.7 % agreed that management of emotional issues is medical responsibility. There was no statistically significant difference between physicians and surgeons in their attitude towards importance of psychological factors in the physical disorders. CONCLUSION: Doctors working in tertiary care hospital have adequate awareness about the psychological and emotional factors in medical and surgical patients. However, some barriers against the provision of bio-psychosocial care seem to be present.

Attitude of Health Personnel↗
PubMed2003

Reasons for not acting on suicidal ideas.

OBJECTIVE: Suicide is a major health problem at present and depression is the most important cause of suicide. What does predispose a person to act on suicidal thoughts has reasonably been studied but little is explored about protective factors against suicidal acts. This study was aimed at finding important protective factors in depressed patients admitted in psychiatry unit of tertiary care hospital against suicide and their comparison with previous studies. DESIGN: Cross sectional descriptive study. PLACE AND DURATION OF STUDY: The study was carried out between 1st March 2002 to 15th August, 2002 in the psychiatry department of Lady Reading Hospital, Peshawar. SUBJECTS AND METHODS: All the patients admitted in psychiatry department of Lady Reading Hospital, Peshawar meeting the ICD -10 criteria for depressive illness and with score greater than 17 on Hamilton depression rating scale were included in the study. Beck hopelessness scale and a modified version of reasons for living Inventory were administered. The Hamilton depression rating scale was used to assess the severity of depression. The data collected was labeled and analyzed with the help of SPSS version 8. RESULTS: The mean score on Hamilton depression rating scale for the sample was 23.30 + 4.32. The responsibility towards family was highly scored subscale of reasons for living inventory (RLI) as a whole as well as separately by males and females while religious beliefs were the next significant subscale of reasons for living inventory (RLI). Moreover, females significantly scored higher than males on fear of social disapproval. CONCLUSION: Responsibility towards family was the strongest protective factor in both males and females against acting on suicidal ideas in our population. Besides this, females had greater fear of social disapproval as compared to males.

Adolescent↗
PubMed2003

Mentally-ill patients charged with homicide.

OBJECTIVE: To describe the clinical, social and demographic features of mentally ill patients charged with homicide. DESIGN: Retrospective study. PLACE AND DURATION OF STUDY: The study was based on the review of case notes of the patients who were charged with homicide and referred to the mental hospital, Peshawar, between 1988 and 1998 for psychiatric evaluation. PATIENTS AND METHODS: The case notes of all the patients referred for psychiatric assessment between 1988 and 1998 were retrieved. Fifty cases with complete essential information were selected for the study. The details of patients, demographic, clinical characteristics, diagnosis, events leading to the homicide, opinion of the medical board, details of the victim and possible provoking factors were recorded on a performa designed for this purpose. RESULTS: Out of 50 patients referred for psychiatric assessment with homicide, majority (49) were males, while only one was female. The mean age of the sample was 32.4 years and 30 patients (60%) were educated. Schizophrenia was the most frequent diagnosis (72%). Duration of illness in 96% of the patients was more than one year. Only 12 patients had received some form of treatment before the index crime. Thirty-eight (76%) patients were involved in single murder, while 12 patients were involved in multiple homicides. Majority of the victims (39 out of 64) were close relatives of the patients. CONCLUSION: Young male patients are mostly referred for psychiatric assessment after homicide. Close relatives are major victims. Lack of adequate psychiatric treatment is one of the contributing factors. Lack of adequate forensic psychiatric services are also highlighted by this study.

Adult↗
PubMedDate not supplied

Five year follow up of 100 heroin addicts in Peshawar.

BACKGROUND: Drug addiction has increased rapidly during the last 2 decades in Pakistan, however little has been done to explore and evaluate different treatments which are available locally. This paper describes five years follow up of heroin addicts from Peshawar, Pakistan, after an extended period of in patient detoxification. METHODS: This was a longitudinal cohort study of 100 clients who were followed up for 5 years. The main interventions included: an extended in patient detoxification for 30 days, Motivational Interview, and training in coping strategies. Patients participated in both in-patient, and then after discharge, community based group therapy, as well as indigenous self-help groups as an integral part of the treatment. A modified version of Addiction Severity Index (ASI) was used along with urine analysis, to assess substance misuse in clients. Improvement was defined as being drug and crime free and being in purposeful employment. RESULTS: At the end of the study period, out of a total of 70 clients, 16 (23%) had improved. 54 (77%) had relapsed, while 04 (5%) had dropped out of the programme. As far as abstinence from drugs and crimes was concerned, 28% were abstinent at the end of 5 years follow up. CONCLUSIONS: An integrated community based indigenous approach can had good effect on outcome of heroin addiction in a medium term follow up.

Adolescent↗