Jhunu Nahar | Bangabandhu Sheikh Mujib Medical University (original) (raw)
Papers by Jhunu Nahar
Research Square (Research Square), Dec 20, 2023
Background Self-harm is a global public health concern, particularly among university students. T... more Background Self-harm is a global public health concern, particularly among university students. This study explores the prevalence and correlates of self-harm among university students in Dhaka, Bangladesh, within the context of global, regional, and local trends. Methods A cross-sectional study was conducted among 200 students from the University of Dhaka and the Bangladesh University of Business and Technology. Data were collected through face-to-face interviews, and analyses were performed using SPSS version 26. Results The study revealed a notable prevalence of self-harm at 17%, with a signi cant gender disparity-females reported a fourfold higher prevalence than males. Bivariate analyses showed no signi cant differences based on institutions, academic disciplines, habitat, or socioeconomic status. However, logistic regression identi ed signi cant associations; females had a higher likelihood of self-harm, and middle and high socioeconomic status were protective factors. Discussion Our ndings contribute to the global discourse on self-harm among university students, aligning with regional trends while providing locally speci c insights. The gender disparity emphasizes the need for gender-speci c interventions, and the protective effect of socioeconomic status highlights the importance of addressing economic disparities. Conclusion This study underscores the urgency of tailored mental health initiatives for university students in Dhaka. The observed prevalence and associated factors guide future research and inform evidence-based interventions to mitigate the prevalence of self-harm and enhance mental well-being on university campuses.
European Psychiatry, 2007
Background: Patients presenting with multiple unexplained physical symptoms such as somatization ... more Background: Patients presenting with multiple unexplained physical symptoms such as somatization disorder (SD) and abridged somatization (AS) pose significant challenges in mental health and primary care settings. Until recently, no intervention had been found to produce meaningful improvement in these patients. We present here results of two studies one on SD the other on AS. Methods: Study 1 included 84 patients with SD seen in a mental health setting and Study 2, 172 patients with AS seen in primary care. In both studies, patients were randomly assigned to either a ''standard care'' or an ''experimental treatment'' consisting of a 10 session CBT designed for patients with unexplained symptoms. The Clinical Global Scale (CGI) for Somatic Symptoms was the key outcome measure. Results: In Study 1, CBT-treated SD patients were significantly more likely to be rated as ''much/very much improved'' than ''control'' patients (39.5% vs. 4.9%). CBT also led to a decrease in health care costs. In Study 2, CBT-treated AS patients were significantly more likely to be rated more ''much/very much improved'' in the CGI than those in the control group (60% vs. 25.8%). Depressive symptoms also improved more under CBT but the effect on physical symptoms was independent from that on depression. Conclusion: For patients diagnosed with SD and AS in primary and specialty care, CBT produced clinical benefits beyond those that result from current state of the art treatments. CBT may be the treatment of choice for most of these patients.
Mymensingh medical journal : MMJ, 2007
A cross-sectional descriptive study conducted on 250 sexually transmitted disease patients was ca... more A cross-sectional descriptive study conducted on 250 sexually transmitted disease patients was carried out in two teaching institutes and their tertiary hospitals. These subjects constitute a special group of population for psychiatric diagnosis by using Structured Clinical Interview for Diagnostic and Statistical Manual IIIR. The study was done in the dermatology and venereology outpatient department of two tertiary hospitals of Dhaka, between January 1998 and January 1999. The findings show that 34% of total sexually transmitted disease patients had psychiatric disorders. Anxiety disorders (11.2%) were found to be the most common disorder among these psychiatric patients; this was followed by depressive disorder (8.4%), psychoactive substance use disorder (6.8%), sexual dysfunction (6.8%), bipolar mood disorder (0.4%), and schizophrenia (0.4%). Four percent of anxiety disorder was associated with psychoactive substance use disorder and sexual dysfunction. Similarly 3.6% of depress...
A consecutive series o f 61 male prisoners referred for sychiatric assessment over a twelve month... more A consecutive series o f 61 male prisoners referred for sychiatric assessment over a twelve month period in the calendar year o f 1996 was examined to delineate the pattern o f psychiatric disorder in relation to the nature o f o f fen ce and the compare the allied variables between convicted and under trial prisoners. In total 91% had psychiatric disorder according toICD-lOariteria. Of these 71.65%and 19.4% had a major and minor disorder respectively. Among them 83.58% and 16.42% charged with major and minor offences respectively. More serious crimes were comm itted by patients who had major psychiatric disorders. Schizophrenic patients (44.78%) committed major offences which indicates an association between violent o ffen c & and schizophrenia. Mean age o f the convicted prisoners were significantly higher than that o f under trial prisoners which was 35.98 (± 4.94) years and 26.94 (±8.90) years respectively. The findings point to the treatment need o f prisoners with psychiatric ...
Intellectual Disability (ID) is one of the important neuro developmental disorders. Recent resear... more Intellectual Disability (ID) is one of the important neuro developmental disorders. Recent research mention the prevalence is 0.05 to 1.55%. Psychometric evaluation is an important step of managing the morbidity and Wechsler Abbreviated Scale of Intelligence (WASI) is a shorter measure used in clinical setup. Up-to-date there is scarcity of local data regarding distribution of IQ among Intellectual Disability (ID) patients. This cross-sectional study reviewed 03 years Wechsler Abbreviated Scale of Intelligence (WASI) assessment conducted in the Department of Psychiatry, Bangabandhu Sheikh Mujib Medical University (BSMMU). The IQ evaluation was done by social worker and the Clinical psychologist. The assessment report contains the age, sex, address, IQ score of the patient and the research team reviewed these variables thoroughly. It was found that, among 565 referred patients 80.9% (457) were of child adolescent age group and 19.1% (108) were referred in adult aged. Among them male ...
The Malaysian Journal of Psychiatry, 2019
Introduction: The Young Mania Rating Scale (YMRS) is widely used clinician-rated instrument which... more Introduction: The Young Mania Rating Scale (YMRS) is widely used clinician-rated instrument which measures the symptom severity of mania and considered as ʺgold standardʺ. We aimed to assess the psychometric properties of Bangla YMRS. Methods: Current validation study was performed from January 2015 to September 2016 among patients of mania of department of psychiatry of Bangabandhu Sheikh Mujib Medical University, Dhaka. The adaptation of YMRS to Bangla was achieved according to the standard process of forward-backward translation. Data were collected from 51 manic patients and analyzed different forms of reliability and validity by Statistical Package for the Social Science version 16.0 software. Results: The Cronbach's alpha value was 0.89 and interrater reliability was measured by Cohen kappa coefficient and ranged from 0.80 to 0.98 those signifies an acceptable reliability statistic. Face validity and content validity were assessed systematically and construct validity was ...
Journal of Psychiatry and Psychiatric Disorders, 2020
Background: The quality of marital relationships has been demonstrated to be an important indicat... more Background: The quality of marital relationships has been demonstrated to be an important indicator of adult, couple, and child well-being. There is considerable evidence that low marital quality is a significant risk factor for developing psychiatric disorders. The gold standard Revised Dyadic Adjustment Scale (RDAS) is widely used to assess couple relationships and quality of marriage. Aim: The purpose of the study was to develop a culturally adapted and validated Bangla version of RDAS for Bangladeshi couples.
Bangabandhu Sheikh Mujib Medical University Journal, 2019
This study was aimed to produce a culturally validated scale to determine the presence of stressf... more This study was aimed to produce a culturally validated scale to determine the presence of stressful life events among adolescents in Bangladesh, and formulate the relative life change units for each event. The study used qualitative research, including a focus group and questionnaire, and quantitative analysis in the validation process. Researchers first developed a provisional stress scale that was translated in Bangla through a translation exercise. Using an open-ended question along with this provisional scale on a school sample of 449 (228 rated on imagination and 221 on actual experience) adolescents, researchers developed Dhaka stress scale– adolescent with 56 items and predictive interpretation of the overall score was made. Content validity was found excellent as item level content validity index was around 1 and the scale level validity index was 0.93. The correlation coefficient was 0.72 between this scale and adolescent life events stress scale. For reliability, Cronbach’...
Bangabandhu Sheikh Mujib Medical University Journal, 2019
Stress is an integral part of daily life and inevitable. This study was aimed to produce a cultur... more Stress is an integral part of daily life and inevitable. This study was aimed to produce a culturally validated scale for measuring stressful life events of adults in Bangladesh and formulate the relative life change units of each event. The study used qualitative research, including a focus group and questionnaire, as well as quantitative statistical analysis in the validation process. Researchers first developed a provisional scale with 62 items that were translated in Bangla through a translation exercise. Using an open-ended question along with this provisional scale on 518 (260 rated on imagination and 258 on experience) subjects, researchers developed Dhaka Stress Scale-Adult with 58 items and the predictive interpretation of the overall score was made. Content validity was found excellent as I-CVI was 1 except 3 items and S-CVI was 0.91. In factor analysis on the two-factor model, no item had salient loading on more than one factor and there were 3 items failed to load on eit...
Asian Journal of Psychiatry, 2018
Background: Obsessive-compulsive disorder (OCD) is a common and severe psychiatric illness which ... more Background: Obsessive-compulsive disorder (OCD) is a common and severe psychiatric illness which affects about 1-3% of the population across the globe. The Dimensional Obsessive-Compulsive Scale (DOCS) is a 20-item self-report instrument that assesses the severity of OCD in four dimensions. Objectives: We aimed to adapt and validate the DOCS in Bangla. Methods: This validation study was conducted from January 2016 to July 2017 using purposive sampling technique. A total of 100 OCD patients were recruited from OCD clinic of Bangabandhu Sheikh Mujib Medical University after considering the inclusion and exclusion criteria. We applied Bangla version of DOCS to collect data and assessed different forms of validity and reliability. Results: Cronbach's alpha of DOCS Bangla was 0.93 which signifies a good internal consistency. Cronbach's alpha of contamination domain was 0.92; responsibility domain 0.94, thought domain 0.91 and symmetry domain was found 0.
Bangabandhu Sheikh Mujib Medical University Journal, 2016
Considering the huge future mass of patients with dementia in Bangla speaking people it demands a... more Considering the huge future mass of patients with dementia in Bangla speaking people it demands a widely used, reliable, valid and responsive instrument in Bangla language to assess caregiver burden. Hence, the purpose of this study was to validate the Bangla version of the ZBI (ZBI-B) by examining its internal consistency, test-retest reliability, and concurrent validity in family caregivers of patients with dementia in Bangladesh. Materials and Methods Questionnaire A semi-structured questionnaire was prepared to study of adaptation, linguistic and clinimetric validation of the Bangla version of ZBI. It contained the socio-demographic variables like age, sex, habitat, religion, educational status, occupation, monthly family income, marital status, type of family, etc. It also contains some relevant caregiving related variables like relationship with the patients, whether he/she was the main caregiver, staying in the same residence, having previous experience of caregiving and the duration of caregiving.
Bangabandhu Sheikh Mujib Medical University Journal, 2016
Background: Psychiatric disorders are more prevalent among women than men worldwide. The lifetime... more Background: Psychiatric disorders are more prevalent among women than men worldwide. The lifetime risk of depression and dysthymia are twice as common in women as men. Rural women usually undergoes more stressful situations and also scores more on stress scale than that of urban and slum population. Objectives: The research objectives of this study are: 1) To find out the prevalence of psychiatric disorders among the study population. 2) To compare the disorders among the rural and slum female population. 3) To find out the influence of existing socio-demographic factors on psychiatric disorders. Method: This is a community-based study, which is also cross sectional and descriptive in nature. The sample for the main study constituted 366 randomly selected respondents. A two-staged screening procedure was carried in the study. First, the total population was studied by screening test-Self Reporting Questionnaire (SRQ) to divide the sample into 'screen positive' and 'scre...
Bangabandhu Sheikh Mujib Medical University Journal, 2016
Background: Natural disasters give raise a significant amount of physical and mental impairment i... more Background: Natural disasters give raise a significant amount of physical and mental impairment in human beings. Any sort of disaster acts as a causative and maintaining factor for any psychiatric morbidity. In November 15, 2007, the cyclone "SIDR" intensified to reach peak winds of 215 km/h (135 mph) according to the IMD, a peak of 250 km/h (155 mph) according to the JTWC. "SIDR" officially made landfall around 1700 UTC later that day, with sustained winds of 215 km/h (135 mph). As it intensified to a Category 4-equivalent cyclone and thus coastal districts of Bangladesh faced heavy rainfall as an early impact of the cyclone. The damage in Bangladesh was extensive, including tin shacks flattened, houses and schools blown away and enormous tree damage. The entire cities of Patuakhali, Barguna and Jhalokati District were hit hard by the storm surge of over 5 meters ( 16 ft). The head of the Red Crescent in Bangladesh expects the death toll to reach as high as 10,0...
Case Reports in Psychiatry, 2016
Bipolar mood disorder is a mental disorder with a lifetime prevalence rate of about 1% in the gen... more Bipolar mood disorder is a mental disorder with a lifetime prevalence rate of about 1% in the general population and there are still a proportion of individuals who suffer from bipolar mood disorders that are resistant to standard treatment. Reporting clozapine responsive mania that was not responding to two previous consecutive atypical antipsychotics and one typical antipsychotic was aimed at. A 17-year-old male manic patient was admitted into the psychiatry inpatient department and was nonresponsive to Risperidone 12 mg daily for 4 weeks, Olanzapine 30 mg daily for 3 weeks, and Haloperidol 30 mg daily for 3 weeks, along with valproate preparation 1500 mg daily. He was started on clozapine as he was nonresponsive to Lithium in previous episodes and did not consent to starting Electroconvulsive Therapy (ECT). He responded adequately to 100 mg clozapine and 1500 mg valproate preparation and remission happened within 2 weeks of starting clozapine. Clozapine can be a good option for r...
Mental Health, Religion & Culture, 2013
This article may be used for research, teaching, and private study purposes. Any substantial or s... more This article may be used for research, teaching, and private study purposes. Any substantial or systematic reproduction, redistribution, reselling, loan, sub-licensing, systematic supply, or distribution in any form to anyone is expressly forbidden. The publisher does not give any warranty express or implied or make any representation that the contents will be complete or accurate or up to date. The accuracy of any instructions, formulae, and drug doses should be independently verified with primary sources. The publisher shall not be liable for any loss, actions, claims, proceedings, demand, or costs or damages whatsoever or howsoever caused arising directly or indirectly in connection with or arising out of the use of this material.
International Journal of Social Psychiatry, 2020
Background: Recent reports revealed that the number of single mothers has been increasing day by ... more Background: Recent reports revealed that the number of single mothers has been increasing day by day in Dhaka city; however, their psychological problems have not been studied yet. Aim: We aimed to see the proportion of single mothers having depressive and anxiety disorders. Methods: This descriptive cross-sectional study was conducted under the supervision of the Department of Psychiatry, Bangabandhu Sheikh Mujib Medical University, Dhaka from August 2016 to July 2017. A total of 156 single mothers from three social strata, namely, lower-, middle- and upper-class group were included purposively. Data were collected through face-to-face interviews using a semi-structured questionnaire consisting of demography and structured clinical interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth edition, axis-I disorders, clinician version (SCID-I-CV) which were analyzed by Statistical Package for the Social Sciences (SPSS) version 17. Results: This study showed that the...
Pakistan journal of pharmaceutical sciences, 2013
A number of pharmacological approaches as well as psychological interventions are effective in th... more A number of pharmacological approaches as well as psychological interventions are effective in the treatment of obsessive-compulsive disorder (OCD). The present study was conducted to see the relative efficacy of treatment approaches. 30 diagnosed cases of OCD were taken and divided into two groups. Each group consisted of 15 patients. Group A (N=15) received capsule fluoxetine and Group B (N=15) received capsule fluoxetine and CBT (13 weekly sessions). Twenty six participants completed the study (13 in each group). Dhaka University Obsessive-compulsive Scale (DUOCS) was used to measure the symptom severity. Symptom scores were measured at weeks 1, 5, 9 and 13. After 13 weeks, analysis of the data was done and the means of initial DUOCS score and 13th week score were compared. In both the groups the mean score changes were highly significant (p=0.000). Intra group analysis revealed that both the treatment approaches were highly efficacious. Inter-group analysis revealed that the res...
Asian Journal of Psychiatry, 2012
JHPN, 2011
Juvenile idiopathic arthritis (JIA) is a chronic painful disorder conceivably with adverse psycho... more Juvenile idiopathic arthritis (JIA) is a chronic painful disorder conceivably with adverse psychological sequelae that might influence the outcome of the disease and its treatment. This study was designed to detect the presence of psychiatric disorders and associated abnormal psychosocial situations among children and adolescents with JIA and to evaluate their impact on and burden for their caregivers. Forty subjects with JIA suffering for at least one year were included in the study. Forty age- and sex-matched healthy subjects were included as controls. Clinical psychiatric assessment was carried out blindly, and psychiatric disorders and stressors on abnormal psychosocial situation were assigned on the basis of ICD-10 clinical diagnoses of multiaxial classification of child and adolescent psychiatric disorders. Chronicity, distress, social impairment, and burden for others were rated with the impact supplement of the strengths and difficulties questionnaire (SDQ). Of the 40 cases of JIA, 24 were boys and 16 were girls aged 10-18 years, with a mean age of 13.25 years. The frequency of psychiatric disorders was 35% in the JIA and 12.5% in the control group (p<0.001). The long duration of illness was associated with a higher proportion of cases with psychiatric disorders. In the JIA group, the diagnoses in decreasing order were depressive disorder (15%), somatoform disorder (12.5%), adjustment disorder (5%), and mixed anxiety and depressive disorder (2.5%). Significantly higher stressors, perceived difficulties, distress, social impairment, and burden for caregivers were reported in the JIA group with psychiatric morbidity. The presence of psychiatric disorders was associated with substantial impairment of learning, peer relationship, and leisure activities. Early psychiatric intervention might increase the likelihood of satisfactory outcome of treatment in JIA.
Research Square (Research Square), Dec 20, 2023
Background Self-harm is a global public health concern, particularly among university students. T... more Background Self-harm is a global public health concern, particularly among university students. This study explores the prevalence and correlates of self-harm among university students in Dhaka, Bangladesh, within the context of global, regional, and local trends. Methods A cross-sectional study was conducted among 200 students from the University of Dhaka and the Bangladesh University of Business and Technology. Data were collected through face-to-face interviews, and analyses were performed using SPSS version 26. Results The study revealed a notable prevalence of self-harm at 17%, with a signi cant gender disparity-females reported a fourfold higher prevalence than males. Bivariate analyses showed no signi cant differences based on institutions, academic disciplines, habitat, or socioeconomic status. However, logistic regression identi ed signi cant associations; females had a higher likelihood of self-harm, and middle and high socioeconomic status were protective factors. Discussion Our ndings contribute to the global discourse on self-harm among university students, aligning with regional trends while providing locally speci c insights. The gender disparity emphasizes the need for gender-speci c interventions, and the protective effect of socioeconomic status highlights the importance of addressing economic disparities. Conclusion This study underscores the urgency of tailored mental health initiatives for university students in Dhaka. The observed prevalence and associated factors guide future research and inform evidence-based interventions to mitigate the prevalence of self-harm and enhance mental well-being on university campuses.
European Psychiatry, 2007
Background: Patients presenting with multiple unexplained physical symptoms such as somatization ... more Background: Patients presenting with multiple unexplained physical symptoms such as somatization disorder (SD) and abridged somatization (AS) pose significant challenges in mental health and primary care settings. Until recently, no intervention had been found to produce meaningful improvement in these patients. We present here results of two studies one on SD the other on AS. Methods: Study 1 included 84 patients with SD seen in a mental health setting and Study 2, 172 patients with AS seen in primary care. In both studies, patients were randomly assigned to either a ''standard care'' or an ''experimental treatment'' consisting of a 10 session CBT designed for patients with unexplained symptoms. The Clinical Global Scale (CGI) for Somatic Symptoms was the key outcome measure. Results: In Study 1, CBT-treated SD patients were significantly more likely to be rated as ''much/very much improved'' than ''control'' patients (39.5% vs. 4.9%). CBT also led to a decrease in health care costs. In Study 2, CBT-treated AS patients were significantly more likely to be rated more ''much/very much improved'' in the CGI than those in the control group (60% vs. 25.8%). Depressive symptoms also improved more under CBT but the effect on physical symptoms was independent from that on depression. Conclusion: For patients diagnosed with SD and AS in primary and specialty care, CBT produced clinical benefits beyond those that result from current state of the art treatments. CBT may be the treatment of choice for most of these patients.
Mymensingh medical journal : MMJ, 2007
A cross-sectional descriptive study conducted on 250 sexually transmitted disease patients was ca... more A cross-sectional descriptive study conducted on 250 sexually transmitted disease patients was carried out in two teaching institutes and their tertiary hospitals. These subjects constitute a special group of population for psychiatric diagnosis by using Structured Clinical Interview for Diagnostic and Statistical Manual IIIR. The study was done in the dermatology and venereology outpatient department of two tertiary hospitals of Dhaka, between January 1998 and January 1999. The findings show that 34% of total sexually transmitted disease patients had psychiatric disorders. Anxiety disorders (11.2%) were found to be the most common disorder among these psychiatric patients; this was followed by depressive disorder (8.4%), psychoactive substance use disorder (6.8%), sexual dysfunction (6.8%), bipolar mood disorder (0.4%), and schizophrenia (0.4%). Four percent of anxiety disorder was associated with psychoactive substance use disorder and sexual dysfunction. Similarly 3.6% of depress...
A consecutive series o f 61 male prisoners referred for sychiatric assessment over a twelve month... more A consecutive series o f 61 male prisoners referred for sychiatric assessment over a twelve month period in the calendar year o f 1996 was examined to delineate the pattern o f psychiatric disorder in relation to the nature o f o f fen ce and the compare the allied variables between convicted and under trial prisoners. In total 91% had psychiatric disorder according toICD-lOariteria. Of these 71.65%and 19.4% had a major and minor disorder respectively. Among them 83.58% and 16.42% charged with major and minor offences respectively. More serious crimes were comm itted by patients who had major psychiatric disorders. Schizophrenic patients (44.78%) committed major offences which indicates an association between violent o ffen c & and schizophrenia. Mean age o f the convicted prisoners were significantly higher than that o f under trial prisoners which was 35.98 (± 4.94) years and 26.94 (±8.90) years respectively. The findings point to the treatment need o f prisoners with psychiatric ...
Intellectual Disability (ID) is one of the important neuro developmental disorders. Recent resear... more Intellectual Disability (ID) is one of the important neuro developmental disorders. Recent research mention the prevalence is 0.05 to 1.55%. Psychometric evaluation is an important step of managing the morbidity and Wechsler Abbreviated Scale of Intelligence (WASI) is a shorter measure used in clinical setup. Up-to-date there is scarcity of local data regarding distribution of IQ among Intellectual Disability (ID) patients. This cross-sectional study reviewed 03 years Wechsler Abbreviated Scale of Intelligence (WASI) assessment conducted in the Department of Psychiatry, Bangabandhu Sheikh Mujib Medical University (BSMMU). The IQ evaluation was done by social worker and the Clinical psychologist. The assessment report contains the age, sex, address, IQ score of the patient and the research team reviewed these variables thoroughly. It was found that, among 565 referred patients 80.9% (457) were of child adolescent age group and 19.1% (108) were referred in adult aged. Among them male ...
The Malaysian Journal of Psychiatry, 2019
Introduction: The Young Mania Rating Scale (YMRS) is widely used clinician-rated instrument which... more Introduction: The Young Mania Rating Scale (YMRS) is widely used clinician-rated instrument which measures the symptom severity of mania and considered as ʺgold standardʺ. We aimed to assess the psychometric properties of Bangla YMRS. Methods: Current validation study was performed from January 2015 to September 2016 among patients of mania of department of psychiatry of Bangabandhu Sheikh Mujib Medical University, Dhaka. The adaptation of YMRS to Bangla was achieved according to the standard process of forward-backward translation. Data were collected from 51 manic patients and analyzed different forms of reliability and validity by Statistical Package for the Social Science version 16.0 software. Results: The Cronbach's alpha value was 0.89 and interrater reliability was measured by Cohen kappa coefficient and ranged from 0.80 to 0.98 those signifies an acceptable reliability statistic. Face validity and content validity were assessed systematically and construct validity was ...
Journal of Psychiatry and Psychiatric Disorders, 2020
Background: The quality of marital relationships has been demonstrated to be an important indicat... more Background: The quality of marital relationships has been demonstrated to be an important indicator of adult, couple, and child well-being. There is considerable evidence that low marital quality is a significant risk factor for developing psychiatric disorders. The gold standard Revised Dyadic Adjustment Scale (RDAS) is widely used to assess couple relationships and quality of marriage. Aim: The purpose of the study was to develop a culturally adapted and validated Bangla version of RDAS for Bangladeshi couples.
Bangabandhu Sheikh Mujib Medical University Journal, 2019
This study was aimed to produce a culturally validated scale to determine the presence of stressf... more This study was aimed to produce a culturally validated scale to determine the presence of stressful life events among adolescents in Bangladesh, and formulate the relative life change units for each event. The study used qualitative research, including a focus group and questionnaire, and quantitative analysis in the validation process. Researchers first developed a provisional stress scale that was translated in Bangla through a translation exercise. Using an open-ended question along with this provisional scale on a school sample of 449 (228 rated on imagination and 221 on actual experience) adolescents, researchers developed Dhaka stress scale– adolescent with 56 items and predictive interpretation of the overall score was made. Content validity was found excellent as item level content validity index was around 1 and the scale level validity index was 0.93. The correlation coefficient was 0.72 between this scale and adolescent life events stress scale. For reliability, Cronbach’...
Bangabandhu Sheikh Mujib Medical University Journal, 2019
Stress is an integral part of daily life and inevitable. This study was aimed to produce a cultur... more Stress is an integral part of daily life and inevitable. This study was aimed to produce a culturally validated scale for measuring stressful life events of adults in Bangladesh and formulate the relative life change units of each event. The study used qualitative research, including a focus group and questionnaire, as well as quantitative statistical analysis in the validation process. Researchers first developed a provisional scale with 62 items that were translated in Bangla through a translation exercise. Using an open-ended question along with this provisional scale on 518 (260 rated on imagination and 258 on experience) subjects, researchers developed Dhaka Stress Scale-Adult with 58 items and the predictive interpretation of the overall score was made. Content validity was found excellent as I-CVI was 1 except 3 items and S-CVI was 0.91. In factor analysis on the two-factor model, no item had salient loading on more than one factor and there were 3 items failed to load on eit...
Asian Journal of Psychiatry, 2018
Background: Obsessive-compulsive disorder (OCD) is a common and severe psychiatric illness which ... more Background: Obsessive-compulsive disorder (OCD) is a common and severe psychiatric illness which affects about 1-3% of the population across the globe. The Dimensional Obsessive-Compulsive Scale (DOCS) is a 20-item self-report instrument that assesses the severity of OCD in four dimensions. Objectives: We aimed to adapt and validate the DOCS in Bangla. Methods: This validation study was conducted from January 2016 to July 2017 using purposive sampling technique. A total of 100 OCD patients were recruited from OCD clinic of Bangabandhu Sheikh Mujib Medical University after considering the inclusion and exclusion criteria. We applied Bangla version of DOCS to collect data and assessed different forms of validity and reliability. Results: Cronbach's alpha of DOCS Bangla was 0.93 which signifies a good internal consistency. Cronbach's alpha of contamination domain was 0.92; responsibility domain 0.94, thought domain 0.91 and symmetry domain was found 0.
Bangabandhu Sheikh Mujib Medical University Journal, 2016
Considering the huge future mass of patients with dementia in Bangla speaking people it demands a... more Considering the huge future mass of patients with dementia in Bangla speaking people it demands a widely used, reliable, valid and responsive instrument in Bangla language to assess caregiver burden. Hence, the purpose of this study was to validate the Bangla version of the ZBI (ZBI-B) by examining its internal consistency, test-retest reliability, and concurrent validity in family caregivers of patients with dementia in Bangladesh. Materials and Methods Questionnaire A semi-structured questionnaire was prepared to study of adaptation, linguistic and clinimetric validation of the Bangla version of ZBI. It contained the socio-demographic variables like age, sex, habitat, religion, educational status, occupation, monthly family income, marital status, type of family, etc. It also contains some relevant caregiving related variables like relationship with the patients, whether he/she was the main caregiver, staying in the same residence, having previous experience of caregiving and the duration of caregiving.
Bangabandhu Sheikh Mujib Medical University Journal, 2016
Background: Psychiatric disorders are more prevalent among women than men worldwide. The lifetime... more Background: Psychiatric disorders are more prevalent among women than men worldwide. The lifetime risk of depression and dysthymia are twice as common in women as men. Rural women usually undergoes more stressful situations and also scores more on stress scale than that of urban and slum population. Objectives: The research objectives of this study are: 1) To find out the prevalence of psychiatric disorders among the study population. 2) To compare the disorders among the rural and slum female population. 3) To find out the influence of existing socio-demographic factors on psychiatric disorders. Method: This is a community-based study, which is also cross sectional and descriptive in nature. The sample for the main study constituted 366 randomly selected respondents. A two-staged screening procedure was carried in the study. First, the total population was studied by screening test-Self Reporting Questionnaire (SRQ) to divide the sample into 'screen positive' and 'scre...
Bangabandhu Sheikh Mujib Medical University Journal, 2016
Background: Natural disasters give raise a significant amount of physical and mental impairment i... more Background: Natural disasters give raise a significant amount of physical and mental impairment in human beings. Any sort of disaster acts as a causative and maintaining factor for any psychiatric morbidity. In November 15, 2007, the cyclone "SIDR" intensified to reach peak winds of 215 km/h (135 mph) according to the IMD, a peak of 250 km/h (155 mph) according to the JTWC. "SIDR" officially made landfall around 1700 UTC later that day, with sustained winds of 215 km/h (135 mph). As it intensified to a Category 4-equivalent cyclone and thus coastal districts of Bangladesh faced heavy rainfall as an early impact of the cyclone. The damage in Bangladesh was extensive, including tin shacks flattened, houses and schools blown away and enormous tree damage. The entire cities of Patuakhali, Barguna and Jhalokati District were hit hard by the storm surge of over 5 meters ( 16 ft). The head of the Red Crescent in Bangladesh expects the death toll to reach as high as 10,0...
Case Reports in Psychiatry, 2016
Bipolar mood disorder is a mental disorder with a lifetime prevalence rate of about 1% in the gen... more Bipolar mood disorder is a mental disorder with a lifetime prevalence rate of about 1% in the general population and there are still a proportion of individuals who suffer from bipolar mood disorders that are resistant to standard treatment. Reporting clozapine responsive mania that was not responding to two previous consecutive atypical antipsychotics and one typical antipsychotic was aimed at. A 17-year-old male manic patient was admitted into the psychiatry inpatient department and was nonresponsive to Risperidone 12 mg daily for 4 weeks, Olanzapine 30 mg daily for 3 weeks, and Haloperidol 30 mg daily for 3 weeks, along with valproate preparation 1500 mg daily. He was started on clozapine as he was nonresponsive to Lithium in previous episodes and did not consent to starting Electroconvulsive Therapy (ECT). He responded adequately to 100 mg clozapine and 1500 mg valproate preparation and remission happened within 2 weeks of starting clozapine. Clozapine can be a good option for r...
Mental Health, Religion & Culture, 2013
This article may be used for research, teaching, and private study purposes. Any substantial or s... more This article may be used for research, teaching, and private study purposes. Any substantial or systematic reproduction, redistribution, reselling, loan, sub-licensing, systematic supply, or distribution in any form to anyone is expressly forbidden. The publisher does not give any warranty express or implied or make any representation that the contents will be complete or accurate or up to date. The accuracy of any instructions, formulae, and drug doses should be independently verified with primary sources. The publisher shall not be liable for any loss, actions, claims, proceedings, demand, or costs or damages whatsoever or howsoever caused arising directly or indirectly in connection with or arising out of the use of this material.
International Journal of Social Psychiatry, 2020
Background: Recent reports revealed that the number of single mothers has been increasing day by ... more Background: Recent reports revealed that the number of single mothers has been increasing day by day in Dhaka city; however, their psychological problems have not been studied yet. Aim: We aimed to see the proportion of single mothers having depressive and anxiety disorders. Methods: This descriptive cross-sectional study was conducted under the supervision of the Department of Psychiatry, Bangabandhu Sheikh Mujib Medical University, Dhaka from August 2016 to July 2017. A total of 156 single mothers from three social strata, namely, lower-, middle- and upper-class group were included purposively. Data were collected through face-to-face interviews using a semi-structured questionnaire consisting of demography and structured clinical interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth edition, axis-I disorders, clinician version (SCID-I-CV) which were analyzed by Statistical Package for the Social Sciences (SPSS) version 17. Results: This study showed that the...
Pakistan journal of pharmaceutical sciences, 2013
A number of pharmacological approaches as well as psychological interventions are effective in th... more A number of pharmacological approaches as well as psychological interventions are effective in the treatment of obsessive-compulsive disorder (OCD). The present study was conducted to see the relative efficacy of treatment approaches. 30 diagnosed cases of OCD were taken and divided into two groups. Each group consisted of 15 patients. Group A (N=15) received capsule fluoxetine and Group B (N=15) received capsule fluoxetine and CBT (13 weekly sessions). Twenty six participants completed the study (13 in each group). Dhaka University Obsessive-compulsive Scale (DUOCS) was used to measure the symptom severity. Symptom scores were measured at weeks 1, 5, 9 and 13. After 13 weeks, analysis of the data was done and the means of initial DUOCS score and 13th week score were compared. In both the groups the mean score changes were highly significant (p=0.000). Intra group analysis revealed that both the treatment approaches were highly efficacious. Inter-group analysis revealed that the res...
Asian Journal of Psychiatry, 2012
JHPN, 2011
Juvenile idiopathic arthritis (JIA) is a chronic painful disorder conceivably with adverse psycho... more Juvenile idiopathic arthritis (JIA) is a chronic painful disorder conceivably with adverse psychological sequelae that might influence the outcome of the disease and its treatment. This study was designed to detect the presence of psychiatric disorders and associated abnormal psychosocial situations among children and adolescents with JIA and to evaluate their impact on and burden for their caregivers. Forty subjects with JIA suffering for at least one year were included in the study. Forty age- and sex-matched healthy subjects were included as controls. Clinical psychiatric assessment was carried out blindly, and psychiatric disorders and stressors on abnormal psychosocial situation were assigned on the basis of ICD-10 clinical diagnoses of multiaxial classification of child and adolescent psychiatric disorders. Chronicity, distress, social impairment, and burden for others were rated with the impact supplement of the strengths and difficulties questionnaire (SDQ). Of the 40 cases of JIA, 24 were boys and 16 were girls aged 10-18 years, with a mean age of 13.25 years. The frequency of psychiatric disorders was 35% in the JIA and 12.5% in the control group (p<0.001). The long duration of illness was associated with a higher proportion of cases with psychiatric disorders. In the JIA group, the diagnoses in decreasing order were depressive disorder (15%), somatoform disorder (12.5%), adjustment disorder (5%), and mixed anxiety and depressive disorder (2.5%). Significantly higher stressors, perceived difficulties, distress, social impairment, and burden for caregivers were reported in the JIA group with psychiatric morbidity. The presence of psychiatric disorders was associated with substantial impairment of learning, peer relationship, and leisure activities. Early psychiatric intervention might increase the likelihood of satisfactory outcome of treatment in JIA.
Psychiatric disorders are more prevalent among women than men worldwide The life time risk of... more Psychiatric disorders are more prevalent among women than men worldwide The life time risk of depression and dysthymia are twice as common in women as men Asian women internalize feelings to a greater degree and blame themselves for incompetence and failure Passive ruminative style of coping with problems, conflicting and changing social expectations and high rates of sexual abuse are also considered as possible explanations for high rates of depression and dysthymia among women A nationwide study in Bangladesh showed that the general prevalence of psychiatric disorders among adult population is 16.2% with male female ratio 12.9: 19.0
Relaxation exercises can help break the cycle of tension and complaints. •By learning how to redu... more Relaxation exercises can help break the cycle of tension and complaints. •By learning how to reduce their tension, people can feel more relaxed and can rest better. •Stress arises from unpleasant experiences and harsh living conditions. •This can disturb body and mind. •A person"s behavior can also create or reduce stress.
