Journal/Magazine Articles

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This collection contains original research articles, review articles and case reports published in local and international peer reviewed journals by the staff members of the Faculty of Medicine

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    Effects of hospitalization in children of parents working in foreign countries
    (SAARC Psychiatric Federation, 2013) Kuruppuarachchi, K.A.L.A.; Wijeratne, L.T.; Gunasekera, D.P.S.; Karunasekera, K.A.W.
    INTRODUCTION: Increasing number of females in Sri Lanka leave their families to work in the Middle East. This leads to disruption in the family structure and the attachment process. Effects of this can be long lasting and is likely to be seen at events that can be considered stressful in a child’s life. Admission to hospital has been shown to be a stressful experience for children. METHODOLOGY: Behavioural problems in hospitalized children who have one or more parent working in the Middle East were compared with hospitalized children who are not separated from their parents. The prevalence of deteriorating school performance and failure to gain weight were also compared in the two groups. RESULTS: Behaviours such as irritability, aggression, poor sleep and low mood were seen more in children who had one or more parent working in the Middle East. Deteriorating school performance and weight loss were also seen more in this group. CONCLUSION: Long term separation from a parent results in acute behavioural problems seen at times of stress as well as more long-term effects.
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    Validation of Kessler's psychological distress scale among the Sinhalese population in Sri Lanka
    (SAARC Psychiatric Federation, 2011) Wijeratne, L.T.; Williams, S.S.; Rodrigo, M.D.A.; Peiris, M.U.P.K.; Kawamura, N.; Wickremasinghe, A.R.
    OBJECTIVE: Kessler's psychological distress scales, KlO and K6 are short rating scales designed to screen psychiatric morbidity in the population. Despite being increasingly popular elsewhere, they have not been validated in Sri Lanka. We examined the validity of these scales among the Sinhala speaking population in the Gampaha district of Sri Lanka. DESIGN: The English language version of the KiD and K6 questionnaire were translated into Sinhala using standard methods. The KiD and K6 scores for 27 healthy and 37 psychiatrically ill individuals were compared with the Structured Clinical Interview for DSM disorders (SClD) outcome categories. RESULTS: The KiD and K6 were sensitive and specific in detecting mental illness, especially depression. Those with schizophrenia had scores similar to healthy individuals. We suggest cut offs of 12 for KiD and 7 for K6 having 9D% sensitivity and 81% specificity for both scales. INTERPRETATION: KiD and K6 are valid screening tools for non-psychotic psychiatric illness among the Sinhala speaking population in Sri Lanka. They can be used in psychiatric epidemiological studies.