Indian Journal of Health and Wellbeing

Suman Hooda ¹, Promila Batra ², Sarvdeep Kohli ²

Affiliations
1 Clinical Psychologist, Rohtak, Haryana, IN
2 Department of Psychology, M. D. University, Rohtak, Haryana, IN

Abstract

Arthritis is a chronic disease which has a very high incidence in India. The prevalence of RA in India is quite similar to that reported from the developed countries. It is higher than that reported from China, Indonesia, Philippines and rural Africa (Malaviya, Kapoor, Singh, Kumar&Pande,1993).The chronic disease involves a variety of acute pain that has been shown to cripple everyday activities. The consequent perceived loss of control affects the routine psychological and social adjustment. The pain and daily hassles lead to a variety of emotional reactions e.g. anxiety and depression etc. Therefore, it is all the more important to learn about how to cope with this disease. Keeping this in mind it was planned to study the coping strategies amongst the patients of arthritis and compare these with control group. A convenient sample of 120 subjects, 60 suffering from arthritis and 60 healthy controls (30 males and 30 females in each category), in age range of 35-50 years (mean age 42.04 years) was selected from rural/ urban area of Haryana. A two group design was employed with n = 60. Coping Responses Inventory (Adult Form) by Moos (1993) was administered. The analysis was done by employing t-test. The results indicated that the patients of arthritis were significantly high on avoidance coping. In two types of avoidance coping i.e., cognitive avoidance and acceptance or resignation were being more significantly used by arthritis patients in their daily living conditions. However, they did not differ in their approach coping strategies from the control group. Regarding approach coping strategies there was a significant difference in logical analysis whereas no significant difference was observed in other three types of approach coping i.e., positive reappraisal, seeking guidance and support and problem solving between the two groups. The findings have been discussed in terms of implications in preparing the psycho-educative programs for arthritis patients.

Keywords

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Suman Hooda ¹, Poonam Gupta ²

Affiliations
1 Hope Psychiatric & Deaddiction Clinic, Rohtak, Haryana, IN
2 Department of Psychiatry PGIMS, Rohtak, Haryana, IN

Abstract

Obsessive-compulsive disorder (OCD) is characterized by the presence of obsessions and/or compulsions that consume time and significantly interfere with the individual's daily routines, work, family or social life, causing marked distress. Exposure and response prevention (ERP) is the psychological treatment of choice for OCD. Cognitive behavioral therapy (CBT) along with ERP is more effective to reduce or eliminate the person's maladaptive appraisals of the personal significance of the intrusive thoughts. A case study of a patient who came with chief complaints of low mood, excessive worry, anxiety excessive washing of hands&household articles with disturbed day to day activities. Who was brought by her family members for treatment and management in Deptt.of Psychiatry, PGIMS, Rohtak is reported here. For management of patient following assessment was done. A detail behavior Analysis was done to assess the frequency, duration, intensity and distress related to problem behavior. Yale Brown Obsessive compulsive Scale (YBOCS), Beck Depression inventory (BDI-II) and visual analogue scale (VAS) was also applied. After assessments 16 sessions of ERP and CBT was given to manage the patient. After therapy a post assessment of symptoms was also done. Finding reveal improvement in YBOC, BDI-II scores and distress on VAS. Psychological intervention play important role in management of OCD symptoms.

Keywords

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Suman Hooda ¹, Promila Batra ², Sarvdeep Kohli ²

Affiliations
1 Rohtak, Haryana, IN
2 Department of Psychology, M.D. University, Rohtak, Haryana, IN

Abstract

Arthritis is a chronic disease which has a very high incidence in India. The prevalence of RA in India is quite similar to that reported from the developed countries. It is higher than that reported from China, Indonesia, Philippines and rural Africa (Malaviva, Kapoor, Singh, Kumar & Pande, 1993). The chronic disease involves a variety of acute pain that has been shown to cripple everyday activities. The consequent perceived loss of control affects the routine psychological and social adjustment. The pain and daily hassles lead to a variety of emotional reactions e.g. anxiety and depression etc. Therefore, it is all the more important to learn about how to cope with this disease. Keeping this in mind it was planned to study the coping strategies amongst the patients of arthritis and compare these with control group. A convenient sample of 120 subjects, 60 suffering from arthritis and 60 healthy controls (30 males and 30 females in each category) in the age range of 35-50 years (mean age 42.04 years) was selected from rural/urban areas of Haryana. A two group design was employed with n=60. Coping Response Inventory (Adult Form) by Moos (1993) was administered. The analysis was done by employing t-test. The results indicated that the patients of arthritis were significantly high on avoidance coping. Two types of avoidance coping i.e., cognitive avoidance and acceptance or resignation were being more significantly used by the arthritis patients in their daily living conditions. However, they did not differ in the total approach coping strategies from the control group, although there was a significant difference in logical analysis. No significant difference was observed in other three types of approach coping i.e., positive reappraisal, seeking guidance and support and problem solving between the two groups. The findings have been discussed in terms of implications in preparing the psycho-educative programs for arthritis patients of arthritis.

Keywords

Coping Strategies, Arthritis Male and Female.

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Suman Hooda ¹, Arunima Gupta ¹

Affiliations
1 Department of Psychology, Maharshi Dayanand University, Rohtak, Haryana, IN

Abstract

Children with developmental disabilities put great impact not only on the lives of the children but also on the lives of their caregivers especially the family members. Fostering a child with intellectual disabilities resulted in increased risk of mental agony, frustration, stress, anxiety, depressive symptoms and other psychological problems among the primary caregivers. The worry about child's future, economic burden, lack of emotional or social support and excessive physical care put parents into psychological distress affecting their mental health. The present study is an attempt to assess and compare the mental health of primary caregivers having children with mild and moderate intellectual disability and parents having children with average intelligence. A multi group design was employed. A sample of 150 healthy parents (50 with mild intellectually disabled children, 50 with moderate intellectually disabled children & 50 having children with average intelligence), was administered Mental Health Inventory by Veit and Ware (1983). Data was analyzed by using one- way ANOVA followed by Tukey's post hoc test. Significant differences were evident on the domains of mental health i.e. on psychological distress and psychological well-being among primary caregivers having children with mild and moderate intellectual disability and parents having children with average intelligence.

Keywords

Intellectual Disability, Mental Health, Primary Caregivers, Well-Being.

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