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Maternal perception of adequacy of mother's milk among mothers giving birth at a teaching hospital in Sri Lanka
(Sage Publications, 2019) Rodrigo, R.; Rodrigo, A.; Liyanage, N.; Hathagoda, W.; Hewavitharana, U.
BACKGROUND: Sri Lanka boasts high rates of early and exclusive breastfeeding. Perceived inadequacy of milk, a global problem, is the main cause for early cessation of breastfeeding. Research Aims: The aims of this study are to (a) determine the prevalence, (b) identify the risk factors, and (c) ascertain the association that maternal psychological distress has with perceived inadequacy of milk (PIM), among mothers during the early postpartum period. Identifying and addressing modifiable risk factors for PIM may improve mothers' satisfaction with breastfeeding. METHODS: A cross-sectional descriptive study of mothers ( n = 249) during the first week after birth was conducted at Colombo North Teaching Hospital (Ragama, Sri Lanka) from May 1, 2016, to June 10, 2016. Participants were recruited when the infant was more than 24 hours but less than 7 days old. A self-administered questionnaire, including the six-item Kessler Psychological Distress Scale, was used. RESULTS: The majority of mothers (78%) perceived their milk quantity to be adequate. A family member telling mothers that their milk supply was low had the most significant associations with perceived inadequacy. Other associations were antenatal maternal complications and birth by cesarean section. Kessler scores indicating psychological distressoccurred in 26% of all participating mothers, with a higher mean score in those with PIM. CONCLUSIONS: Sri Lankan family members should be educated further about normal patterns of milk production during the postpartum period. The authors recommend that PIM be included in screening tools for postpartum depression in Sri Lanka.
Internet gaming disorder among adolescents
(Dr. K. C. Chaudhuri Foundation, co-published by Springer India, 2017) Chandradasa, M.; Rodrigo, A.
Comparison of suicide rates in Sri Lanka during and after the civil war
(SAGE Publishing, 2013) Rodrigo, A.; Owada, K.; Wainer, J.; Baker, R.; Williams, S.
No Abstract Available
Recent trends in psychotherapy training among psychiatrists in the UK, Australia and New Zealand
(Sage Publishing, 2013) Rodrigo, A.; Majoor, J.; Minson, F.; Jayakody, K.
No Abstract Available
Have primary mental health teams lived up to their expectations?
(Sage Publishing, 2013) Rodrigo, A.; Foo, L.; Majoor, J.
OBJECTIVE: Primary Mental Health Teams (PMHTs) were established in Victoria in 2002 to integrate psychiatric services into primary care. This study aimed to evaluate the characteristics of patients referred to Eastern Health PMHT, the effectiveness of management plans and referrer satisfaction. METHOD: Retrospective case note review of referrals (116) made to the PMHT from January to August 2010 and analysis of returned satisfaction surveys (105) from referrers between January 2006 and August 2010. RESULTS: The mean age of patients was 40 years with 55% being female. The commonest primary diagnosis was depression (41%). The majority of patients (59%) had multiple psychiatric diagnoses. The response time for telephonic consultation was 1.4 days and 13.2 days for an initial patient consultation. Psychotherapy was the most frequently recommended treatment (85%). Average treatment period was 6.8 weeks and the majority of patients (93%) were discharged back to the primary referrer. Referrers were satisfied with PMHT services and average improvement of patients on the Health of the Nation Outcome Scales was 2.3. CONCLUSION: Our study suggests that PMHTs have embedded psychiatric services within primary care settings, with high levels of referrer satisfaction and patient improvement
Stamping the message: psychiatric themes in philately
(Sage Publishing, 2012) Rodrigo, A.; Majoor, J.
OBJECTIVE: The objective of this article is to examine the representation of psychiatric themes within medical philately (stamps) over a recent seven-year period. METHOD: Examination of all stamps issued from 1 January 2002 to 31 December 2009 worldwide took place using the World Association for the Development of Philately Numbering System (WNS) on the Universal Postal Union website. RESULTS: During the study period, 596 stamps with medical themes were issued around the world. Common psychiatric themes included: psychoactive substance use, recreational drug messages, 'anti-tobacco' and human emotions. Notable people, the World Psychiatry Congress and intellectual disability also featured prominently. CONCLUSIONS: Philately may have a role in anti-stigma campaigns within psychiatry. The highest number of medical stamps havepsychiatric themes, yet this potential resource may not be currently utilised to maximal benefit. Philately is being adapted to the electronic age of communication.
Imposing restrictions on pornography: its potential impact and effectiveness in Sri Lanka
(Sri Lanka College of Psychiatrists, 2011) Waduge, R.; Rodrigo, A.; Peiris, U.
The government of Sri Lanka recently introduced many measures to limit the accessibility and availability of pornography in the country including censorship of websites containing sexually explicit material and active prosecution of Sri Lankans who appeared on such websites Available evidence suggests that pornographic consumption among Sri Lankan adolescents is considerable and such exposure may influence sexual attitudes and activity including sexual aggression in youth. However the current evidence on the beneficial effects of censorship of pornography is less than convincing. The authors believe that warm, communicative parent-child relationship and open discussion about sexual matters at home and at school could be more effective than restrictive measures such as censorship and punitive legislation

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