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Papers by sireesha rao

International Journal of Innovative Research and Development, Aug 22, 2014

Background: Inmates of old age homes have received less attention in research than those residing... more Background: Inmates of old age homes have received less attention in research than those residing in community especially in India Objectives: This study assesses the sociodemographic factors, physical illnesses, psychiatric morbidity, coping strategies, stressful life events of inmates residing in old age home. Method: A cross-sectional study, elderly inmates of two branches of old age home in Saroor nagar in Hyderabad who fulfilled inclusion criteria, were given GHQ, MINI, MMSE, PSLES, CCL, and GDS and modified Kuppuswamy scale for socioeconomic status. The two groups were compared using appropriate statistical results. Results: The prevalence of depression in current study was 26%,GAD was found in 2%,Psychosis in 2%, Cognitive impairment was found in 10%.The risk factors for depression in our study are female sex, widowed status, urban back ground , nuclear family, low socioeconomic status, lesser education. All inmates were found to have physical illness(100%).Subjects with mental illness used emotion focused ,denial subtype coping strategy those without mental illness use d more religious subtype .subjects with mental illness used less of problem solving and problem and emotion solving coping than those with out mental illness. Stressful life events are more in those with mental illness than those with out mental illness. There was no association between medical and psychiatric morbidity. GDRS scores were significantly higher in depressed inmates rarely visited by family members. Conclusion: This study highlights the need for more epidemiological studies to improve mental health care among this growing set of population. Nuclear family appears to be risk factor for depression.

Objectives: To determine the prevalence, association of socio-demographic factors, medical comorb... more Objectives: To determine the prevalence, association of socio-demographic factors, medical comorbidities with delirium in alcohol dependence syndrome individuals hospitalized during the lockdown period. Design: 667 alcohol-dependent patients attending the institute of mental health, Hyderabad during the 1st phase of lockdown were studied retrospectively with the help of hospital records. Results: Out of 667 samples 266 individuals presented with delirium. There is no significance of sociodemographic factors on delirium except sex. There is a positive correlation between severity of dependence (r=0.26, p=0.000), number of drinks (r=0.271, p=0.000) per day, duration of intake of substance (r=0.137, p=0.000) with delirium. Individuals with medical comorbidity hypertension, both hypertension and diabetes have presented a greater number of delirium cases. Conclusion: Current lockdown scenario is the first time we had faced. We found a greater prevalence of delirium in alcohol dependence ...

Background: Prevalence of tobacco use is variable among psychiatric illness across the world. Tob... more Background: Prevalence of tobacco use is variable among psychiatric illness across the world. Tobacco consumption may predispose or worsen the psychiatric illnesses. Aims: To study the prevalence of tobacco use among psychiatric in-patients and to study the association between various sociodemographic variables and clinical variables with tobacco use. Materials and Methods: A cross sectional study was conducted among psychiatric in -patients (n=200) at a tertiary care psychiatric hospital. Consecutive sampling technique was applied. A semi-structured proforma was applied to capture the socio-demographic and clinical details of the participants. The Fagerstrom Test for Nicotine Dependence (FTND) was applied to assess for the tobacco dependence. Results: Prevalence of current tobacco use among the study population was 39.5%. Among the psychiatric illness, prevalence of tobacco use is significantly higher in substance use disorders when compared with mood disorders (?2=7.757, p=0.005) ...

The population of elderly is growing globally and so are the physical illness and cognitive impai... more The population of elderly is growing globally and so are the physical illness and cognitive impairment. This study was planned to assess the prevalence of cognitive impairment and pattern of physical morbidity and association between cognitive impairment and physical morbidity. The study was conducted in Gold-age old age home in Saroor nagar, Hyderabad in between Feb 2014-April-2014. The elderly subjects 50 were selected by simple random sampling technique and assessed on MMSE, MINI plus, GHQ, GDRS. The prevalence of cognitive impairment among inmates of old age home was found to be 38%. Cognitive impairment was associated with age (p value=0.024), female sex (p value=0.426), low socioeconomic status(p value=0.469), less education (p value=0.04), nuclear family (p value=0.06), widow, unmarried status (p value=0.627). Cognitive impairment was associated more with GDRS scores (p value=0.022), less with medical morbidities like diabetes (p value =0.40), hypertension (p value=0.236). Me...

Telangana Journal of Psychiatry, 2021

Background: Intimate partner violence (IPV) has an adverse effect on the mental health of women. ... more Background: Intimate partner violence (IPV) has an adverse effect on the mental health of women. Sparse literature is available on IPV in women with mental illness. Aims and Objectives: This study was carried out to assess the proportion of IPV, its correlation with sociodemographic factors, and its association with adverse childhood experiences. Materials and Methods: The study was cross-sectional. Convenient sampling technique was used to collect the sample. Remitted female patients were assessed on the Abuse Assessment screen and Adverse Childhood Experiences Scale. Semi-structured intake pro forma was used to enter sociodemographic details and diagnosis (as per International classification of diseases-10). Data were analyzed using SPSS V.22. Results: Proportion of IPV among female study subjects were found to be 67.14%. IPV was found to be more among subjects who were unmarried, single, divorced, those who had borderline, histrionic traits, and those whose partners were dependen...

Background: Persons with mental illness usually do not visit the mental health facility first. In... more Background: Persons with mental illness usually do not visit the mental health facility first. Instead they approach faith healers and other alternative systems. Only when the condition becomes worse, do they seek psychiatrist consultation leading to delay in treatment. Materials and Methods: A cross sectional study was conducted to understand the pathway of care adopted by persons with mental illness and its relationship with sociodemographic variables. In our study population, 250 patients visiting a psychiatric outpatient department of a tertiary care hospital were interviewed on a semi structured questionnaire for various services contacted by them for their mental health problems. Data was analysed using SPSS version 22. Results: The initial study sample included 258 patients, out of which 8 were excluded because of exclusion criteria. The final study sample was 250. The mean age of sample was 35.92yrs. There were 137 males and 113 females. Our study sample comprised of 66.8% a...

Background: With a rapidly ageing society geriatric mental health is emerging as an important pub... more Background: With a rapidly ageing society geriatric mental health is emerging as an important public health concern. Disorders such as depression, anxiety, cognitive disorders and psychotic disorders have a high prevalence among elderly .There is some preliminary evidence that life in old age homes is perceived by inmates as more supportive, other studies say contrary. Aim: To study and compare psychiatric morbidity ,medical morbidity, QOL, coping skills, stressful life events of elderly adults residing in old age home (OAH) and community. Method: It is a cross sectional, comparative study where the elderly adults , 50 each in both groups, were selected by random sampling and assessed on GHQ,MMSE, MINI,PSLES, CCL,SF-36 . Results: Psychiatric morbidity was more in OAH (30%) than community (16%). Cognitive impairment was found in 20% of OAH inmates, 18% of community. There were more of stressful life events in OAH (2.21) than community (1.1).Inmates of OAH used emotion focused coping ...

Introduction: Stigma is the negative stereotyping and bias a person with mental illness is subjec... more Introduction: Stigma is the negative stereotyping and bias a person with mental illness is subjected to. Internalized stigma is a part of personal stigma and occurs by internalizing the public stigma. There are a number of reported consequences of internalized stigma that play a role in recovery and rehabilitation. The commonly reported consequences are the loss of self-esteem and self-efficacy, disempowerment, demoralization, loss of income and non-adherence to medication Aims and Objectives:To study and compare the internalized stigma among patients with schizophrenia, bipolar and anxiety disorders in remission. To understand the clinical and sociodemographic correlates of the same. Materials and Methods:A total of 120 outpatients fulfilling criteria for the study were taken. Semi -structured proforma for sociodemographic and clinical variables and the internalized stigma of mental illness (ISMI) scale for internalized stigma were used. Results:60% showed stigma. 23% showed modera...

Indo American Journal of Pharmaceutical Research, 2014

Telangana Journal of Psychiatry

International Journal of Innovative Research and Development, Aug 22, 2014

Background: Inmates of old age homes have received less attention in research than those residing... more Background: Inmates of old age homes have received less attention in research than those residing in community especially in India Objectives: This study assesses the sociodemographic factors, physical illnesses, psychiatric morbidity, coping strategies, stressful life events of inmates residing in old age home. Method: A cross-sectional study, elderly inmates of two branches of old age home in Saroor nagar in Hyderabad who fulfilled inclusion criteria, were given GHQ, MINI, MMSE, PSLES, CCL, and GDS and modified Kuppuswamy scale for socioeconomic status. The two groups were compared using appropriate statistical results. Results: The prevalence of depression in current study was 26%,GAD was found in 2%,Psychosis in 2%, Cognitive impairment was found in 10%.The risk factors for depression in our study are female sex, widowed status, urban back ground , nuclear family, low socioeconomic status, lesser education. All inmates were found to have physical illness(100%).Subjects with mental illness used emotion focused ,denial subtype coping strategy those without mental illness use d more religious subtype .subjects with mental illness used less of problem solving and problem and emotion solving coping than those with out mental illness. Stressful life events are more in those with mental illness than those with out mental illness. There was no association between medical and psychiatric morbidity. GDRS scores were significantly higher in depressed inmates rarely visited by family members. Conclusion: This study highlights the need for more epidemiological studies to improve mental health care among this growing set of population. Nuclear family appears to be risk factor for depression.

Objectives: To determine the prevalence, association of socio-demographic factors, medical comorb... more Objectives: To determine the prevalence, association of socio-demographic factors, medical comorbidities with delirium in alcohol dependence syndrome individuals hospitalized during the lockdown period. Design: 667 alcohol-dependent patients attending the institute of mental health, Hyderabad during the 1st phase of lockdown were studied retrospectively with the help of hospital records. Results: Out of 667 samples 266 individuals presented with delirium. There is no significance of sociodemographic factors on delirium except sex. There is a positive correlation between severity of dependence (r=0.26, p=0.000), number of drinks (r=0.271, p=0.000) per day, duration of intake of substance (r=0.137, p=0.000) with delirium. Individuals with medical comorbidity hypertension, both hypertension and diabetes have presented a greater number of delirium cases. Conclusion: Current lockdown scenario is the first time we had faced. We found a greater prevalence of delirium in alcohol dependence ...

Background: Prevalence of tobacco use is variable among psychiatric illness across the world. Tob... more Background: Prevalence of tobacco use is variable among psychiatric illness across the world. Tobacco consumption may predispose or worsen the psychiatric illnesses. Aims: To study the prevalence of tobacco use among psychiatric in-patients and to study the association between various sociodemographic variables and clinical variables with tobacco use. Materials and Methods: A cross sectional study was conducted among psychiatric in -patients (n=200) at a tertiary care psychiatric hospital. Consecutive sampling technique was applied. A semi-structured proforma was applied to capture the socio-demographic and clinical details of the participants. The Fagerstrom Test for Nicotine Dependence (FTND) was applied to assess for the tobacco dependence. Results: Prevalence of current tobacco use among the study population was 39.5%. Among the psychiatric illness, prevalence of tobacco use is significantly higher in substance use disorders when compared with mood disorders (?2=7.757, p=0.005) ...

The population of elderly is growing globally and so are the physical illness and cognitive impai... more The population of elderly is growing globally and so are the physical illness and cognitive impairment. This study was planned to assess the prevalence of cognitive impairment and pattern of physical morbidity and association between cognitive impairment and physical morbidity. The study was conducted in Gold-age old age home in Saroor nagar, Hyderabad in between Feb 2014-April-2014. The elderly subjects 50 were selected by simple random sampling technique and assessed on MMSE, MINI plus, GHQ, GDRS. The prevalence of cognitive impairment among inmates of old age home was found to be 38%. Cognitive impairment was associated with age (p value=0.024), female sex (p value=0.426), low socioeconomic status(p value=0.469), less education (p value=0.04), nuclear family (p value=0.06), widow, unmarried status (p value=0.627). Cognitive impairment was associated more with GDRS scores (p value=0.022), less with medical morbidities like diabetes (p value =0.40), hypertension (p value=0.236). Me...

Telangana Journal of Psychiatry, 2021

Background: Intimate partner violence (IPV) has an adverse effect on the mental health of women. ... more Background: Intimate partner violence (IPV) has an adverse effect on the mental health of women. Sparse literature is available on IPV in women with mental illness. Aims and Objectives: This study was carried out to assess the proportion of IPV, its correlation with sociodemographic factors, and its association with adverse childhood experiences. Materials and Methods: The study was cross-sectional. Convenient sampling technique was used to collect the sample. Remitted female patients were assessed on the Abuse Assessment screen and Adverse Childhood Experiences Scale. Semi-structured intake pro forma was used to enter sociodemographic details and diagnosis (as per International classification of diseases-10). Data were analyzed using SPSS V.22. Results: Proportion of IPV among female study subjects were found to be 67.14%. IPV was found to be more among subjects who were unmarried, single, divorced, those who had borderline, histrionic traits, and those whose partners were dependen...

Background: Persons with mental illness usually do not visit the mental health facility first. In... more Background: Persons with mental illness usually do not visit the mental health facility first. Instead they approach faith healers and other alternative systems. Only when the condition becomes worse, do they seek psychiatrist consultation leading to delay in treatment. Materials and Methods: A cross sectional study was conducted to understand the pathway of care adopted by persons with mental illness and its relationship with sociodemographic variables. In our study population, 250 patients visiting a psychiatric outpatient department of a tertiary care hospital were interviewed on a semi structured questionnaire for various services contacted by them for their mental health problems. Data was analysed using SPSS version 22. Results: The initial study sample included 258 patients, out of which 8 were excluded because of exclusion criteria. The final study sample was 250. The mean age of sample was 35.92yrs. There were 137 males and 113 females. Our study sample comprised of 66.8% a...

Background: With a rapidly ageing society geriatric mental health is emerging as an important pub... more Background: With a rapidly ageing society geriatric mental health is emerging as an important public health concern. Disorders such as depression, anxiety, cognitive disorders and psychotic disorders have a high prevalence among elderly .There is some preliminary evidence that life in old age homes is perceived by inmates as more supportive, other studies say contrary. Aim: To study and compare psychiatric morbidity ,medical morbidity, QOL, coping skills, stressful life events of elderly adults residing in old age home (OAH) and community. Method: It is a cross sectional, comparative study where the elderly adults , 50 each in both groups, were selected by random sampling and assessed on GHQ,MMSE, MINI,PSLES, CCL,SF-36 . Results: Psychiatric morbidity was more in OAH (30%) than community (16%). Cognitive impairment was found in 20% of OAH inmates, 18% of community. There were more of stressful life events in OAH (2.21) than community (1.1).Inmates of OAH used emotion focused coping ...

Introduction: Stigma is the negative stereotyping and bias a person with mental illness is subjec... more Introduction: Stigma is the negative stereotyping and bias a person with mental illness is subjected to. Internalized stigma is a part of personal stigma and occurs by internalizing the public stigma. There are a number of reported consequences of internalized stigma that play a role in recovery and rehabilitation. The commonly reported consequences are the loss of self-esteem and self-efficacy, disempowerment, demoralization, loss of income and non-adherence to medication Aims and Objectives:To study and compare the internalized stigma among patients with schizophrenia, bipolar and anxiety disorders in remission. To understand the clinical and sociodemographic correlates of the same. Materials and Methods:A total of 120 outpatients fulfilling criteria for the study were taken. Semi -structured proforma for sociodemographic and clinical variables and the internalized stigma of mental illness (ISMI) scale for internalized stigma were used. Results:60% showed stigma. 23% showed modera...

Indo American Journal of Pharmaceutical Research, 2014

Telangana Journal of Psychiatry