Sultana Algin | Bangabandhu Sheikh Mujib Medical University (original) (raw)

Papers by Sultana Algin

Journal of Psychiatry, 2017

Background: Depression is a common recurrent disorder linked to reduced quality of life, morbidit... more Background: Depression is a common recurrent disorder linked to reduced quality of life, morbidity, and mortality. Bangladesh is a densely populated developing country and literacy on depression of this huge population is a must need to cope with the depressive disorder burden. Objective: It was aimed to adapt and validate Bangla version of Depression Literacy Questionnaire (D -Lit Bangla) for the assessment of the status of knowledge regarding depression. Method: The validation study was conducted at the department of public health, ASA University Bangladesh. Data were collected from May 2016 to July 2016 from 194 students by self-reporting final Bangla version of D-Lit questionnaire obtained by standard adaptation procedure. Samples were selected by convenient sampling and data were analyzed by Statistical Package of Social Science (SPSS) 16.0 and Microsoft Excel 2010 version software. Result: The Cronbach's α was 0.77 which reflects the internal consistency of the reliability. After varimax rotation form of factor analysis-only one factor was extracted and factor analysis revealed significant commonalities between the items. Bangla is psychometrically valid and can be used for further researches as well as clinical settings.

Bangladesh Critical Care Journal

Objective: To assess the efficacy of vitamin C as an adjunct to Selective Serotonin Reuptake Inhi... more Objective: To assess the efficacy of vitamin C as an adjunct to Selective Serotonin Reuptake Inhibitors (SSRIs) intreating OCD patients. Design: Single-blind randomized controlled trial. Study eligibility: Randomly selected 96 OCD patients diagnosed by the psychiatric consultants following the DSM-5criteria of both sexes aged 18 years and above were initially enrolled; finally, 83completed the study. The study wasconducted at Bangabandhu Sheikh Mujib Medical University (BSMMU) in Dhaka, Bangladesh, from March 2018 toFebruary 2019. Interventions: After obtaining written informed consent, participants were randomly divided into group A (controlgroup) and group B (intervention group). A baseline recording of the body's endogenous antioxidant markers (plasmavitamin C and erythrocyte glutathione levels), oxidative stress marker (plasma malondialdehyde), and Yale-Brownscore of OCD by Yale-Brown Obsessive-Compulsive Scale(Y-BOCS) were measured in both groups. The control group(n=40) re...

Advances in Human Biology

Trichotillomania (TTM) is a less addressed cause of alopecia. Refusal to accept this condition as... more Trichotillomania (TTM) is a less addressed cause of alopecia. Refusal to accept this condition as a psychiatric illness causes marked delay in seeking help. This article aims to evaluate the treatment response of TTM patients. This is a case series study on 5 patients (4 females, 1 male) of TTM, of whom 3 patients took treatment on an outpatient basis (obsessive-compulsive and related disorders clinic) and 2 patients at indoor (orange unit) at the Department of Psychiatry, Bangabandhu Sheikh Mujib Medical University, from January 2022 to July 2023. Out of 7 cases, 2 patients did not come after the 1st follow-up. Pharmacological management was chosen according to established guidelines. All patients were given basic psychoeducation and relevant psychological intervention. A total of 5 cases were described. The median time to receive effective psychiatric treatment is 8.6 years (4–15 years). The median time to respond after starting therapy is 6 weeks. All patients responded well to s...

BIRDEM Medical Journal

Background: Most of the unmanageable patients of bipolar-1 disorder need hospital admission durin... more Background: Most of the unmanageable patients of bipolar-1 disorder need hospital admission during manic episode. Pharmacological management is challenging because of severity of condition, presence of co-morbidity, need for poly-pharmacy, side effects of medication etc. The purpose of this article is to evaluate the treatment pattern of hospitalized bipolar-1 manic patients and effectiveness of drug combinations in controlling manic symptoms and reducing hospital stay. Methods: This is a case series on 7 admitted bipolar-1 manic patients, who were treated within last 6 months at Department of Psychiatry, BSMMU. Young Mania Rating Scale (Y-MRS) was applied just after admission and before discharge. All patients were given psycho-education and follow up plan. Results: Average hospital stay was around 30 days (maximum 73 days and minimum 7 days). Based on Y-MRS score, 2 cases were found to have severe symptom, other 5 cases were categorized as having moderate symptoms on admission. Th...

Bangladesh Medical Research Council Bulletin, 2019

Background: Major Depressive Disorder (MDD) is associated with depressed lung function. Regular p... more Background: Major Depressive Disorder (MDD) is associated with depressed lung function. Regular practice of slow breathing exercise (SBE) significantly improved lung function in healthy adult subjects. This study aimed to observe the effect of SBE and anti-depressive medication on forced vital capacity (FVC), forced expiratory volume in 1st second (FEV1) and FEV1/FVC% in major depressive disorder Methods: This prospective intervention study was carried out in the Department of Physiology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka on 60 newly diagnosed MDD female patients aged 20 to 50 years. They were enrolled from the Department of Psychiatry of BSMMU. Age, body mass index (BMI), socioeconomic status and occupation matched 30 apparently healthy females were controls. MDD patients were subdivided into 2 groups. Thirty (30) patients were intervened with slow breathing exercise (SBE) along with anti-depressive medication whereas 30 patients were under antidepressive m...

KYAMC Journal, 2022

Background: Irritable Bowel Syndrome (IBS) is a functional disorder. Invariably it is co-morbid w... more Background: Irritable Bowel Syndrome (IBS) is a functional disorder. Invariably it is co-morbid with psychiatric disorder and is associated with psychosocial stressors. Objectives: To see the association of types of IBS with psychiatric disorders and to assess the association of psychosocial stressors. Materials and methods: It was descriptive, cross-sectional study carried out in the Department of Gastroenterology, Bangabandhu Sheikh Mujib Medical University, Dhaka from January 2014 to December 2014. Total 250 samples were included in this study those were diagnosed as IBS. Respondents were above 18 years of age of either sex. Sampling technique was consecutive. Results: The patients with psychiatric disorders among IBS patients were 86.4%. Maximum (35.2%) were IBS-D followed by 32.8% IBS-C and 32% IBS-M. Majority (93.2%) presented with stressful life events. Common stressful life events were changing eating habit (25.2%), change in sleeping habit (20.8%) and financial loss or prob...

Lipid disorder is well recognized risk factor for cardiovascular disease. The association of lipi... more Lipid disorder is well recognized risk factor for cardiovascular disease. The association of lipid derangement with depressive disorder has been a recent focus of research specially in female. The objective of this study was to investigate the serum lipids in female major depressive disorder patients(MDD). This case con trol study was done in the department of Physiology, Bangabandhu Sheikh Mujib Medical University, Dhaka during 2014. This study included 60 female MDD patients, diagnosed by psychiatrist according to the criteria of diagnostic and statistical manual (DSM IV) and 30 healthy females as control. Fasting blood glucose and Triglyceride (TG) Total cholesterol(TC) and High density lipoprotein cholesterol (HDL) was estimated by commercial diagnostic kit and auto analyser. Low density lipoprotein (LDL), TC/HDL and LDL/HDL was determined by calculation. For statistical analysis, independent sample t test and chi-square test was applied. Odds ratio and confidence interval for a...

International Journal of Social Psychiatry, 2020

Background:Recent reports revealed that the number of single mothers has been increasing day by d... 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 mean a...

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.

Journal of Reproductive and Infant Psychology, 2007

In developing countries, postnatal depression (PND) is estimated to affect a high proportion of w... more In developing countries, postnatal depression (PND) is estimated to affect a high proportion of women following childbirth. There are no reliable estimates for the magnitude of the problem in Bangladesh, a country of 140 million people. The lack of a validated Bangla version of screening scale such as the Edinburgh Postnatal Depression Scale (EPDS) has hindered attempts to quantify and address the problem in the country. This study was carried out among Bangladeshi women to validate the Bangla version of the EPDS with the help of a multidisciplinary research consultative group. A research assistant administered the Bangla EPDS to a convenience sample of 100 mothers at 6-8 weeks postpartum attending an urban childhood immunization clinic. A psychiatrist examined all women using the Structured Clinical Interview (SCID) for DSM-IV diagnosis of depression. Nine (9%) women were found to have depression. Internal consistency was tested using Cronbach's alpha coefficient (0.84). The optimal Receiver Operating Characteristic (ROC) cutoff score of Bangla EPDS was 10 with a sensitivity of 89%, specificity of 87 %, positive predictive value of 40%, and negative predictive value of 99%. The Bangla EPDS is thus a valid and reliable screening scale for identifying PND in Bangladesh.

Bangladesh Medical Research Council Bulletin, 2008

Standardized questionnaires for screening common health problems in the community often need to b... more Standardized questionnaires for screening common health problems in the community often need to be translated for use in non-English speaking countries. There is a lack of literature documenting the process of translation of such questionnaire/scale that would enable their application in cross-cultural settings and standardization of the procedure. This paper reports the process of translation into Bangla of the widely used Edinburgh Postnatal Depression Scale (EPDS) for use in Bangladesh. Three methods: forward translation, committee translation, and back translation were used to ensure the equivalence of the translated version. Both the English and Bangla versions were piloted among 10 social science graduates who were proficient in both the languages. The concurrence of each respondent between the two versions showed a correlation coefficient of 0.98 (p<0.01). The Bland-Altman test also showed a high degree of agreement. The piloted version was also tested with 15 women in the...

Bangladesh Journal of Psychiatry, 2020

Irritable Bowel Syndrome (IBS) is a functional disorder characterized by a set of gastrointestina... more Irritable Bowel Syndrome (IBS) is a functional disorder characterized by a set of gastrointestinal symptoms often associated with extra-digestive symptoms with unknown organic basis. It is a prototypic functional bowel disorder in terms of its heterogeneous nature with multifactor pathogenesis. Invariably it is co-morbid with psychiatric disorders. This study was done to determine the frequency and types of psychiatric disorders with irritable bowel syndrome and to find out association of socio-demographic and relevant variables. It was cross-sectional study carried out in the Department of Gastroenterology, Bangabandhu Sheikh Mujib Medical University (BSMMU) from January 2014 to December 2014. Total 250 sample were included by convenient sampling technique in this study diagnosed as IBS. Diagnosis was done according to Rome III criteria and SCID-CV was used for psychiatric assessment. Respondents were above 18 years of age of either sex. Data was analyzed using SPSS 20. Results sho...

Introduction: Significant change in demography with increased proportion of elderly people has br... more Introduction: Significant change in demography with increased proportion of elderly people has brought in the problem of physical, psychological and social issues of the older people.1 Depression is widespread among elderly persons, affecting one in six patients treated in general medical practice and an even higher percentage of those in hospitals and nursing homes.2 In an epidemiological survey on mental illness in Bangladesh, the prevalence of psychiatric disorder is 16.1% and depression is 6.4%.3 According to the Bangladesh census , the number of the elderly was about 6.1 million in 2000 but it is predicted to be doubled by the year 2025.The average life expectancy in Bangladesh was 56.1 in 1991 where as it will reach 70 in2025.4 Prevalence rates of depression in large samples of community-resident elderly of 13-18% had been found.5 This population comprises only 11.9% of the population but accounts for nearly one fourth of all suicides.6 Depression is the most prevalent psychia...

Bangabandhu Sheikh Mujib Medical University Journal, 2018

The complexity and diversity of clinical manifestations of obsessive-compulsive disorder have int... more The complexity and diversity of clinical manifestations of obsessive-compulsive disorder have intrigued psychiatrists for a long time. Various differences have been noted in the presentation of obsessive-compulsive disorder of different age group. It was aimed to assess the variations of presentation of symptoms in children and adults in a tertiary level hospital. This study was done in an outpatient department from May 2015 to April 2017. Four hundred patients were included in the study consecutively after considering the inclusion and exclusion criteria. Respondents were interviewed with a semi-structured questionnaire which includes demographic variables, psychiatric diagnoses (DSM-IV-TR) and Y-BOCS symptom checklist. Obsessive-compulsive disorder started before adulthood in 41.5% of patients and onset after 18 years was found to be 58.5%. In this study, cases of obsessions, dirt and contamination was seen to predominate in both early- and late-onset obsessive compulsive disorder...

Bangladesh Journal of Psychiatry, 2017

Elderly people are increasing day by day both in developing and developed country due to developm... more Elderly people are increasing day by day both in developing and developed country due to development of new treatment, increased awareness of people and improved health facilities. This present study was conducted with the aim to identify behavioral problems according to severity of dementia. This descriptive cross sectional study was conducted in the

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...

Journal of Armed Forces Medical College, Bangladesh, 2015

Schizophrenia is a major psychotic disorder in the field of psychiatry. One of the important sequ... more Schizophrenia is a major psychotic disorder in the field of psychiatry. One of the important sequelae of chronic schizophrenia is attempted suicide or suicide. The leading cause of death among schizophrenic patients is completed suicide.