Vivek Pratap Singh’s research while affiliated with Patna Medical College and other places

Background: In India, women are twice more likely to become caregivers than men. The quality of life (QOL) is the ability level to which an individual is healthy and able to enjoy life. Aims and Objective: To assess and compare QOL among homemaker women and working women giving care to patients suffering from psychiatric illnesses. Materials and Methods: This hospital-based, cross-sectional study was conducted on the caregivers who were recruited from out-door patient department of Psychiatry department of Patna Medical College and Hospital, Patna from January 1, 2021, to June 31, 2021. Women who were 30–55 years old, working or homemakers, and who were taking care of psychiatric patients diagnosed with Schizophrenia and Bipolar affective disorder of either sex. Caregivers were first degree relatives of patients. The estimated sample size was 140 (Group 1=70 homemaker women and Group 2=70 working women). Sociodemographic data were recorded using Sociodemographic Performa 1 and QOL was assessed using World Health Organization (WHO)-QoL-BREF. Results: WHO-QOL domain mean score for physical, psychological, social, and environmental of Group 1 was 12.42, 11.60, 12.24, 12.62 whereas 14.46, 13.28, 11.28, and 12.28 of Group 2 with statistically significant difference (P

Background: Mental health is a big problem throughout the world, and India is not far behind. When we look at progress in the field of mental health, it appears to be sluggish. Despite the fact that a newly created mental health literacy (MHL) scale revealed substantial score disparities between the general public and mental health professionals, there is currently no published scale to measure MHL among healthcare students. Aims and Objectives: The major part was comparing the knowledge, attitude and perception of 1st year medical students with final year medical students regarding psychiatric disorders and measuring there response on Likert scale. Materials and Methods: The participants were recruited from 1st year to final year undergraduate students, during the period April 2019 to January 2020 in Patna Medical College and Hospital, Patna. The sample consisted of 100 students (50 from 1st year MBBS Students and 50 from final year MBBS (Students) Non-random, non-stratified, and purposive sampling was done for the purpose of the study. Results: Among the groups, majority of the of the final year students (64%) agreed that the best described condition of the patient was Generalized Anxiety Disorder, but only 26% of the 1st years students agreed that the best described condition of the patient was Generalized Anxiety Disorder. There was significant difference between 1st years and final year students about the knowledge of the described condition with P

Background: Individuals with permanent orthopedic disability present with a number of physical and mental health issues. Psychiatric illnesses have been seen more frequently among people with disabilities as compared to normal population. Aim: To study psychiatric morbidity among people with permanent orthopedic disability. Materials and methods: This cross-sectional, observational, hospital-based study was conducted at the department of psychiatry of a tertiary care hospital attached to a medical college during January 01, 2018, to December 31, 2018. The study included subjects over the age of 18 years comprising two groups: Group A (n = 50) including consecutive subjects with orthopedic disability and Group B (n = 50) including normal age- and sex-matched controls. Permission was obtained from the institutional ethics committee before the start of the study. Prior informed consent was obtained from all subjects. Sociodemographic variables were recorded, and psychiatric morbidity was screened on Mini International Neuropsychiatric Interview. Results: 62% (n = 31) of subjects in Group A had psychiatric morbidity as compared to Group B (22%, n = 11). Maximum psychiatric morbidity noted among subjects with disability was generalized anxiety disorder (22%, n = 11), followed by major depressive disorder (20%, n = 10) and alcohol dependence (18%, n = 9). Substance dependence was more in Group A (34%, n = 17) as compared to Group B (18%, n = 9). The most common substance dependence was for alcohol (18%, n = 9), followed by opioids (8%, n = 4) and tobacco (6%, n = 3). Conclusion: Psychiatric morbidity including substance dependence is more common among people with orthopedic disability as compared to normal control subjects.

Background: Clinicians and patients now have a broad variety of antidepressants to choose from, due to an ever-growing pharmacopoeia. However, one of the most significant considerations preventing antidepressant use is their side effects, one of which is sexual dysfunction. This issue has a negative impact on the patient’s quality of life which can contribute to clinical non-adherence in long-term therapies. Aims and Objectives: The objective of this research was to look into the characteristics of sexual dysfunction in married female antidepressant patients and patterns of sexual dysfunctions in female patients receiving antidepressants. Materials and Methods: It was Cross-sectional observational study. The study was conducted in the department of Psychiatry, Patna Medical College and Hospital at Patna.The Departmental Research Committee accepted the report, and 50 patients were enrolled after receiving written informed consent. Purposive sampling was used to pick the sample for the analysis, which had a cross-sectional study. The women contacted were in the outpatient psychiatric care of the department of Psychiatry and had been diagnosed with depressive disorder during the study period June 2018 to February 2019. Results: Seventy percent of patients were taking selective serotonin reuptake inhibitors (SSRIs), 20 % were taking tricyclic antidepressants (TCAs), and 10 % were taking other medications such as mirtazapine or desvenlafexine. Within six months, 44 % of patients were on therapy, and 22.0 % had been on treatment for more than two years. Patients taking Escitalopram (80 %) have less sexual activity than those taking Sertraline (66.7 %) or Fluoxetine (77.8 %), Patients observed a change in sexual activity in 58 percent of cases, a decrease in sexual desire in 70 % of cases (p=0.0009*), a slight decrease in 14 percent of cases, and a slight decrease in only 8 % of cases (p=0.0009). 18 % of patients reported a delay in orgasm, with 66 percent reporting a major delay, 8 % reporting a moderate delay, and 8 % reporting a slight delay (p=0.0001). Conclusion: Our findings indicate that sexual dysfunction is common in married female patients taking antidepressants, and that antidepressants affect both aspects of sexual functioning.

Background: The link between hazardous types of illegal drug use and significant public health issues is a critical issue for national and international drug policy. There are several negative health effects connected with drug use, with the avoidance of both overdose fatalities and drug-related blood-borne diseases being of special importance. However, there has been an increasing understanding in recent decades that the existence of mental illnesses connected with drug use poses a significant barrier for public health interventions. Aims and Objectives: • To investigate the trend of drug misuse in North Bihar Patients. • To determine the co-morbid & psychiatric medical illnesses. Materials and Methods: It was a cross-sectional research conducted over a one-year period on 200 drug abusers from North Bihar and presenting at Patna Medical College in the Indian state of Bihar. Individuals from the sample were separated into two groups based on their age (25 years) and gender. The pattern of drug abuse, as well as the mental and medical co-morbidities that were linked with it, were investigated in relation to age and gender. Results: The sample size of the present study was 200 consisting of 183 males and 17 females. The total sample was analyzed separately with respect to age and sex. There were 55 patients below 25 years and 128 patients’ ≥ 25 years. The study found that 91.5% of substance abusers were males. Among the males, 48.6% were abusing alcohol and 19.1% were abusing polysubstance. 18.6% were intravenous drug abusers and 8.2% showed high risk behavior. Among the females, 29.4% of the female patients were abusing alcohol. The percentage of women abusing poly-substance was 35.3% and poly-substance and alcohol was 17.6%. The number of female patients involved in high-risk behavior was only 11.8%. Intravenous drug abuse and high-risk behavior was commoner in age group < 25 years than in the age group of >25 years. 17.5% received a psychiatric co-morbid diagnosis and 38.5% received a medical co-morbid diagnosis. The prevalence of schizophrenia and depression among male patients with mental co-morbidity was 63.3 % (n=19), with depression accounting for 6.7 % (n=2). On the other hand, only five female patients, were found to have mental co-morbidity. Conclusion: The large number of young individuals taking intravenous drugs in north Bihar reflects the high level of human-to-human contact with bordering North-Eastern states and Nepal. The situation is critical, and immediate action is required.