Bangladesh Journal of Psychiatry 2018-08-12T13:36:06+00:00 Mekhala Sarkar Open Journal Systems The Official journal of the Bangladesh Association of Psychiatrists. This is an open access journal which means that all contents are freely available in the website without charge to the user. Users are allowed to read, download, copy, distribute without asking prior permission from the publisher or the author. Personal factors and its association with depression among secondary school children 2018-08-12T13:35:31+00:00 Mekhala Sarkar Susmita Roy Mahfuza Akhter <p>Depression is one of the most significant mental health problems among children and adolescents. The objective of the study was to find out the personal factors and its association with depression among secondary school children in two selected schools of Dhaka, Bangladesh. It was a crosssectional study conducted from November 2008 to October 2009 among one boys’ and one girls’ school of Dhaka, Bangladesh. Purposive sampling technique was used to select 144 respondents from class VI to class IX. A self administered semi-structured questionnaire was used to assess the personal factors of children whereas the Center for Epidemiologic Studies Depression Scale for Children (CES-DC) was used to assess their depressive status. The results showed that 13 to 15 years age group constituted the highest proportion which was followed by the age group of 10 to 12 years. There was no significant difference of age of the respondents with or without depression (p&gt;0.05). It was found that girls were two times more likely to have depression than boys. Among all the respondents, 43 students (29.9%) were suffering from depression. Depression was found highest (36.1%) among the respondents of class VIII but no significant association was found between the presence of depression and educational status of the respondents (p&gt;0.05). Depression was found to be proportionately higher among occasional or regular smokers in comparison to those who never smoked. The overall result of the study indicates that possibility of depression is considerably present in school-going children. So, arrangement for the school mental health services is of utmost importance.</p><p>Bang J Psychiatry June 2016; 30(1): 1-6</p> 2018-08-12T13:35:31+00:00 ##submission.copyrightStatement## Psychiatric morbidity in children with epilepsy 2018-08-12T13:35:39+00:00 Fahmida Ferdous Md Faruq Alam Mohammad Muntasir Maruf Shoebur Reza Choudhury Md Mashukur Rahman Chisty Sayeda Afroza Hariprakash Chakravarty <p>Suffering from psychiatric illness is relatively common in epilepsy. There is now general agreement that incidence of neuro-behavioral disorders is higher in patients with epilepsy. The objective of the study was to find out the proportion of psychiatric disorders among the children suffering from epilepsy. It was a cross sectional study conducted during the period from July 2009 to June 2011 at the department of Paediatrics in Sir Salimullah Medical College and Mitford Hospital, Dhaka, Bangladesh. In the study 104 children, aged 5-16 years, having epilepsy were purposively included and patients with febrile seizure were excluded. Data were collected through face-to-face interview using a semistructured questionnaire and diagnosis of psychiatric disorders was assigned according to the Diagnostic and Statistical Manual of Mental Disorders, 4<sup>th</sup> edition, text-revision (DSM-IV-TR). The results showed that among all patients 56.7% were male and 43.3% were female. Most of them (80.8%) were within 5-10 years of age. Among them, 57.7% of the cases had associated psychiatric disorders, where 21.2% had intellectual disability, 10.6% communication disorder, 7.7% learning disorder, 6.7% major depressive disorder, 5.8% ADHD and 1.9% had autistic disorder. This study suggests that significant number of children with epilepsy has been suffering from psychiatric illnesses. So, during diagnosis of epilepsy, early psychological assessment should be done.</p><p>Bang J Psychiatry June 2016; 30(1): 7-9</p> 2018-08-12T13:35:39+00:00 ##submission.copyrightStatement## Pattern of psychiatric morbidity among patients attended at psychiatry outpatient department in a private medical college hospital 2018-08-12T13:35:47+00:00 Md Sultan E Monzur Mohammad Muntasir Maruf Susmita Roy Ramendra Kumar Singha Royle Md Shafiqur Rahman <p>Mental health problems are often unrecognized and neglected by patients, their relatives and by the society. The objective of the study was to find out the pattern of psychiatric morbidity of the patients attending at the psychiatry outpatient department. This was a cross sectional study carried out in the department of Psychiatry at North Bengal Medical College Hospital (NBMCH), Sirajganj from August, 2015 to July, 2017. For this purpose, 918 respondents attending in psychiatry outpatient department of NBMCH were enrolled in the study by using convenient sampling technique. The results showed that majority (26.3%) were from the age group of 31-40 years with female preponderance (58.7%). Among them 71.8% were married and 71.1% came from rural background. Maximum respondent’s (56.3%) monthly family income was in between 15,000-30,000 BDT. The most common psychiatric morbidity among the respondents was major depressive disorder (38.6%) followed by anxiety disorsers (25.8%). Most (85.1%) of the respondents were referred either by themselves or by their family members, friends or by relatives. The rest (14.9%) were referred by general physicians and specialists of different disciplines. The result of this study may help in the planning for better mental health service in private medical college hospitals.</p><p>Bang J Psychiatry June 2016; 30(1): 10-13</p> 2018-08-12T13:35:47+00:00 ##submission.copyrightStatement## Mass psychogenic illness: comparison on selected variables between cases and non-cases 2018-08-12T13:35:54+00:00 Abdullah Al Mamun Mohammad Muntasir Maruf Avra Das Bhowmik Khaleda Begum Zulfiquer Ahmed Amin <p>Mass psychogenic illness is not new in Bangladesh but in the year 2007, the sudden outbreak all over Bangladesh created a panic nationwide. The objective of the study was to investigate sociodemographic and other variables attributed to the disease. The first outbreak of this illness took place in Adiabad Islamia High School and College, Raipura, Narsinghdi. We rationally decided to conduct our research in this school in case-control design. Within 12 months’ study period, 125 students of class VI to X (45 cases and 80 controls) were interviewed face-to-face by structured questionnaire containing separate questionnaire for students and guardians. The result of the study showed that, all the cases came from lower socioeconomic class, majority (71.1%) from 14 to 16 years age group and most (77.8%) of the cases were female. Outbreak rapidly spread among the cases mostly by smelling foul odor (40%) and seeing index cases (33.3%). Majority (51.2%) of the cases and controls thought that the illness was due to both physical and psychological causes though most of them (93.6%) did not hear about the disease previously. It was evident that the role of socio-demographic variables for attributing the symptoms pattern of the disease was ambiguous. However early recognition of psychological stressors and prompt exclusion of physical illness can prevent the occurrence and rapid spread of the disease.</p><p>Bang J Psychiatry June 2016; 30(1): 14-19</p> 2018-08-12T13:35:54+00:00 ##submission.copyrightStatement## Trauma focused cognitive behavior therapy in a traumatized female child 2018-08-12T13:36:02+00:00 Mahjareen Binta Gaffar Md Zahir Uddin <p>Children and adolescents of this era are experiencing more traumatic events than earlier, resulting in more diagnosed cases of post traumatic stress disorder. One such case is discussed here following exposure to molestation. After assessment and case formulation, an extensive psychological management (Trauma Focused Cognitive Behavior Therapy) was done which is presented through the report. Mentionable improvement was acknowledged by client who paves the way for future evidence-based work.</p><p>Bang J Psychiatry June 2016; 30(1): 20-22</p> 2018-08-12T13:36:02+00:00 ##submission.copyrightStatement##