Medicine

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Author: search.filters.author.Wijeratne, L.T.Has files: No

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    Eating attitudes and behaviours among adolescent girls in the Colombo District, Sri Lanka
    (Sri Lanka Medical Association, 2012) Wijeratne, L.T.; Kuruppuarachchi, K.A.L.A.; Pathmeswaran, A.; Williams, S.S.
    INTRODUCTION: Eating disorders are considered by some to be a culture bound phenomena confined to the west. Its prevalence among young adolescents in Sri Lanka is not known. AIMS: To describe the concerns and attitudes regarding weight and body shape among adolescent school girls in the Colombo district. METHODS: A descriptive cross sectional study was conducted in selected National, type 1AB, type 1C and type 2 schools in the Colombo district, using a self administered questionnaire that included demographic data and the Eating Attitude Questionnaire ( EAT26 ). The EAT 26 was translated to Sinhalese and validated using the Delphi technique. Results: The study population consisted of 1564 adolescent school girls from 18 schools. A high risk for developing an eating disorder in terms of the EAT 26 questionnaire was seen in 217 [ 14%) and a moderate risk in 554 ( 36%). 14% believed they were fatter than their peers. Of those who believed they were fatter than others, 25% had an EAT26.score indicating a high risk for developing an eating disorder. Dieting was undertaken by 34% to lose weight. CONCLUSIONS: Risk for eating disorders is present in adolescent girls in Sri Lanka. Clinicians need to consider this differential diagnosis in young females presenting with weight loss.
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    Prevalence of psychological morbidity in an urban population: Is it related to modifiable physical risk factors?
    (Sri Lanka Medical Association, 2013) Williams, S.S.; Pinidiyapathirage, M.J.; Wijeratne, L.T.; Kasturiratne, A.; Peris, M.U.P.K.; Williams, H.S.A.; Wickremasinghe, A.R.
    INTRODUCTION AND OBJECTIVES: To determine the prevalence of psychological morbidity and its relationship to diabetes mellitus, hypertension and alcohol use in an urban population in Sri Lanka. METHODS: This study was conducted in the Ragama Health Study cohort that consists of 2986 individuals, between 35-64 years of age, living in the Ragama Medical Officer of Health area in the district of Gampaha. Subjects were selected using age-stratified random sampling, from the electoral lists in 2007, and investigated using clinical, bio¬chemical and anthropometric examinations. Psychological morbidity was estimated using a pre-validated K10 questionnaire which has high sensitivity and specificity for non psychotic psychiatric disorders and a self administered GHQ 30 questionnaire. Baseline age-adjusted prevalence and three year incidence of hypertension and diabetes were estimated. Odds ratios for independent risk factors were calculated. RESULTS: The prevalence of psychological morbidity identified using the K10 questionnaire ranged from 18- 26% in a total population of 2919. Females had a higher prevalence of psychologrcal morbidity than males (28.6% vs 22.4%; p<0.001). Diabetic or hypertensive status and alcohol use did not predict psychological morbidity. A self report of overall low health status was predictive of psychological morbidity OR1.925 (95% CI 1.62 - 2.28). DISCUSSION: High prevalence of psychological morbidity was identified in this community study. Females are more at risk. In the initial analysis, psychological status was not associated with diabetes mellitus, hypertension or alcohol use.
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    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.
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    Health shop treatments for depressions
    (Royal College of Psychiatrists, 2007) Kuruppuarachchi, K.A.L.A.; Wijeratne, L.T.
    Comment on : Reed & Trigwell (Psychiatric Bulletin, October 2006, 30, 365-368). No Abstract Available
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    Prion disease in Sri Lanka
    (Royal College of Psychiatrists, 2007) Kuruppuarachchi, K.A.L.A.; Wijeratne, L.T.
    Comment on: Br J Psychiatry. 2006;189:295-6; No Abstract Available
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    Domestic violence and female mental health in developing countries
    (Royal College of Psychiatrists, 2005) Kuruppuarachchi, K.A.L.A.; Wijeratne, L.T.
    No Abstract Available
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    Post-traumatic stress in former Ugandan child soldiers
    (Lancet Publishing Group, 2004) Kuruppuarachchi, K.A.L.A.; Wijeratne, L.T.
    No Abstract Available.
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    ADHD in developing countries.
    (Royal College of Psychiatrists, 2004) Kuruppuarachchi, K.A.L.A.; Wijeratne, L.T.
    No Abstract Available.
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    Depression intervention in resource-poor regions
    (Royal College of Psychiatrists, 2004) Kuruppuarachchi, K.A.L.A.; Wijeratne, L.T.
    No Abstract Available
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    The Continuing story of dhat syndrome
    (Royal College of Psychiatrists, 2004) Kuruppuarachchi, K.A.L.A.; Wijeratne, L.T.
    Comment on : Culture-bound syndromes: the story of dhat syndrome. Sumathipala A, et al.(Br J Psychiatry. 2004 Mar;184:200-9.) No Abstract Available
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