Whether Delirium Acts as ECT?

Case Series	Open Access
Whether Delirium Acts as ECT? Department of Geriatric Mental Health, King George’s Medical University (KGMU), IndiaShailendra Mohan Tripathi, Department of Geriatric Mental Health, King George’s Medical University (KGMU), IndiaRakesh Kumar Tripathi*, Department of Geriatric Mental Health, King George’s Medical University (KGMU), IndiaIndrapal Singh, Department of Geriatric Mental Health, King George’s Medical University (KGMU), IndiaShrikant Srivastava and Department of Geriatric Mental Health, King George’s Medical University (KGMU), IndiaTiwari SC Corresponding Author : Rakesh Kumar Tripathi Department of Geriatric Mental Health King George’s Medical University (KGMU), India E-mail: rastripathi@yahoo.com Received March 18, 2013; Accepted July 15, 2013; Published July 24, 2013 Citation: Tripathi SM, Tripathi RK, Singh I, Srivastava S, Tiwari SC (2013) Whether Delirium Acts as ECT? Aging Sci 1:107. doi:10.4172/2329-8847.1000107 Copyright: © 2013 Tripathi SM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Related article at Pubmed Scholar Google Abstract   Full Text   PDF   References Abstract Delirium is defined by the acute onset of fluctuating cognitive impairment and a disturbance of consciousness with reduced ability to attend. It may occur at any age but is more common in older adults. By virtue of working in the psychogeriatric hospital (Department of Geriatric Mental Health, King George’s Medical University, Lucknow, India), authors experienced that many elderly patients with psychiatric illness develops delirium because of various reasons. Subsequently, we observed that psychiatric manifestations of the patients improved significantly following recovery from delirium. A series of such four cases (case 1- Depression with psychotic features, 2- Manic episode, 3- Bipolar affective disorder current episode mania and 4- Depressive episode) later developed delirium has been presented and discussed in this paper. ICD-10 criteria were used for the diagnosis of delirium and psychiatric illnesses. Average stay of these patients in the hospital was 10 days. We found that signs and symptoms of these psychiatric disorders disappeared almost completely following the recovery from delirium. Therefore, it can be assumed that delirium potentially acts similar to ECT. By reporting such case we open a new dimension of research for effective treatment of the psychiatric patients. Inducing delirium in a patient is unethical but understanding pathophysiology behind it will certainly open the door for better cure of the ailing psychiatric patients. This full paper is available on following link: http://www.esciencecentral.org/journals/whether-delirium-acts-as-ect-2329-8847.1000107.php?aid=17271 Best wishes on World Elder's Day- 1st October  Let us work for smile on their faces......

http://www.esciencecentral.org/journals/whether-delirium-acts-as-ect-2329-8847.1000107.pdf

Psychiatric morbidity and quality of life of inmates in old age homes

Authors : Shamsi Akbar¹, S.C. Tiwari², Nisha Mani Pandey³, Rakesh Kumar Tripathi⁴, Ambrish Kumar⁵

          1Ph.D. Scholor, 2Professor & Head, 3Senior Research Officer, 4Assistant Professor & Clinical Psychologist, 5Social Worker, Department of Geriatric Mental Health, King George’s Medical University  Lucknow, India.

The First Poster Award in GERON-2013

Introduction: The rapid growth in the proportion of older adults in the country has important consequences and implications. Some of the areas that would be affected include those related to health and health care, family composition, living arrangement, housing and migration. As a result of these socio-demographic evolutions and situations, older adults at times are forced to shift from their own homes to institutions/ old age homes. These and other factors make the older adults increasingly vulnerable to mental health problems. There is also some preliminary evidence that life in old age homes is perceived by inmates as more supportive, though the issue is not well studied.

Aim: To assess the psychiatric morbidity and quality of life of elderly people residing in old age homes.

Material and Methods: The present study was carried out in a specific population of in-mates of old age homes in District Bareily, Uttar Pradesh. Fourty elderly subjects from three old age homes, aged 60 yrs or above, were residing in those setting for one and half years or more, have given their informed consent to participate in the study, were recruited for the purpose. SPAS was used to screen the study population for psychotic and non-psychotic symptoms. The Psychiatric diagnosis was made according to International classification of diseases 10^th Revision Diagnostic criteria. WHOQOL –BREF were administered to assess quality of life. SPSS-16 was used for statistical analysis.

Results:  The most of the elderly were females, aged between 60-69 yrs, educated up to 8^th and were widow/widower. Prevalence of psychiatric illness among elderly in-mates was found to be significantly correlated   with their quality of life. The inmates who were suffering from psychiatric illness had good quality of life and those who were not suffering from psychiatric illness had very good quality of life.

Key words: Old age home, Psychiatric morbidity and quality of life.

Reference: Akbar S, Tiwari SC, Garg RK, Pandey NM, Tripathi RK, Kumar A.  Psychiatric morbidity and quality of life of inmates in old age homes.  Indian Journal of Geriatric Mental Health, vol.9 No.(1), supplement, 18,  May 2013.

The poster was presented by Miss S. Akabar in 9th National Annual Conference of Indian Association for Geriatric Mental Health at Lucknow on 19-20 August, 2013(GERON-2013)

Supernatural and Religious Beliefs among Rural and Urban Older Adults

 Prashant Srivastava*, Rakesh kumar Tripathi**, manisha kiran*, Amool ranjan Singh*

* Ranchi Institute of Neuro-psychiatry and Allied Sciences (RINPAS), Kanke Ranchi-834006.

** Department of Geriatric Mental Health, King George’s Medical University, U.P., Lucknow, India.

BACKGROUND: Supernatural and religious causes of events are common in Indian society. Some times older adults are more likely to turn to supernatural and religious explanations for difficult events in their lives, from aging to dying. As mental health involves finding a balance in all aspects of life physically, mentally, emotionally and spiritually but, this attribution disturbs their mental health and leads them to mental illness.  Therefore this study was planned to assess supernatural and religious beliefs among older adults.  AIM- The present study aimed to describe and compare the supernatural and religious belief among rural and urban older adults aged 60 years and more. METHOD- Sixty older adults giving written informed consent and fulfilling inclusion/exclusion criteria were included through purposive sampling from rural and urban background.  They were evaluated on Supernatural Attitude Questionnaire and Religiosity Scale. RESULTS- Statistically significant difference was found in supernatural and religiosity beliefs among both the study groups. The results revealed that supernatural and religious belief was found more in rural older adults in comparison to urban. Therefore, there is a more need for awareness programmes on the issue in rural areas.

Key words: Supernatural and Religious Belief, Older adults.

Note: The scientific paper is presented by Mr. Prashant Srivastava in GERON-2013 held at  Hotel Clarks Avadh, Lucknow on 19-20 August under supervision. 
 Reference:  Srivastava P, Tripathi RK, Kiran M, Singh AR.  Supernatural and religious beliefs among rural and urban older adults.  Indian Journal of Geriatric Mental Health, vol.9 No.(1), supplement, 23,  May 2013.