Medicine
Permanent URI for this communityhttp://repository.kln.ac.lk/handle/123456789/12
This repository contains the published and unpublished research of the Faculty of Medicine by the staff members of the faculty
Browse
4 results
Search Results
Item A preliminary study of the psycho-social burden of bipolar disorder on siblings(Sri Lanka Medical Association, 2017) Fernando, P.S.; Ranaweera, H.P.A.L.; Karunarathna, K.A.S.T.; Kaushalya, N.I.; Samarasinghe, G.; Peiris, M.U.P.K.; Williams, S.S.INTRODUCTION & OBJECTIVES: Bipolar disorder (BD) is a recurrent mood disorder with a prevalence of 1-2% in the general population. Individuals with BD experience significant impacts on family and social relationships, suffer from occupational instability, and are at greater risk of self-harm and suicide. This research aims to examine experiences and concerns of siblings of individuals with BD. METHODS: Quantitative data was collected from siblings of persons with BD through the psychiatry clinics at North Colombo Teaching Hospital after informed consent. For data collection, the ‘Sibling Impact Questionnaire–Bipolar Disorder’ (SIQ-BD) was developed. The SIQ-BD measures the impact on a sibling of a person with BD, across three timeframes, the ‘past year’, ‘over the years’, and ’worst time’. RESULTS: Out of 48 siblings (14 males, 34 females; mean age 42.7 years), 44 (11 males, 33 females) act as care givers to their siblings. The highest burden was during the ‘worst time’; and during this ‘worst time’ 16.7% of siblings worried that their sibling may commit suicide ‘very much so’, followed by 12.5% and 6.2% during the ‘whole time’ and ‘past year’ respectively. On a positive note, stigma was reported as high by only one sibling during the ‘worst time’ and none during the ‘past year’ and ‘whole time’. The highest disruption to daily life was experienced during the ‘worst time’. Providing financial support during the past year was significantly associated with higher burden (p=0.002). CONCLUSION: Siblings of persons with BD experience a mixed burden with low perception of stigma in this preliminary study.Item A Study of intimate partner violence among females attending a Teaching Hospital out-patient department(Sri Lanka College of Psychiatrists, 2010) Kuruppuarachchi, K.A.L.A.; Wijeratne, L.T.; Weerasinghe, G.D.S.S.K.; Peiris, M.U.P.K.; Williams, S.S.BACKGROUND: Intimate partner violence (IPV) is considered a public health problem with physical and psychological consequences. AIMS: To describe the prevalence of IPV among married females attending the out-patient department of North Colombo Teaching Hospital and their attitude towards abuse. METHODS: A pre-tested self-administered questionnaire on physical, verbal, sexual and emotional abuse was given to the first 50 consenting married females attending the out-patient department on each day for five consecutive days. Confidentiality of responses was assured and adequate privacy was provided for the questionnaires to be completed. RESULTS: Of the 242 participants 98(40.5%) reported some form of abuse by their male partner. Prevalence of abuse reported was physical abuse 19%, verbal abuse 23%, emotional abuse 23% and sexual abuse 7%. A quarter (26.9%) of those inflicted physical violence sought medical treatment for the injuries but only two of them divulged the reason for the injury to medical staff. More than three quarters (79%) of those abused were in the relationship for more than ten years. The majority of the females surveyed believed that violence by the male partner should be tolerated. CONCLUSIONS: IPV is a common problem that is poorly divulged to medical personnel. Attitudes regarding IPV have to be changed in order to reduce abuse significantly.Item Trichotillomania(Sri Lanka Medical Association, 2004) Williams, S.S.; Peiris, M.U.P.K.No Abstract AvailableItem A Two-year follow-up study of alcohol dependent men rehabilitated at a special unit in a developing country(Churchill Livingstone, 1992) de Silva, H.J.; Peiris, M.U.P.K.; Samarasinghe, D.S.; Ellawala, N.S.Two hundred and thirty-four alcohol dependent men who had all failed to improve after previous hospital-based interventions were admitted to an intensive 6-week residential rehabilitation programme conducted at a special unit in Sri Lanka. Outcome was assessed at 2 years post-treatment, and 36% of dependent persons remained totally abstinent. During an extended period of follow-up (mean 39.2 months) a significant association was found between abstinence and having a life partner, stable family support, a higher income and regular employment. However, there was no significant association between abstinence and age, duration of alcohol dependence, level of education or type of employment. Although the majority of alcohol dependent persons did not benefit from the programme, our results compare favourably with those of similar studies done in developed countries.