Medicine
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This repository contains the published and unpublished research of the Faculty of Medicine by the staff members of the faculty
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Item Effect of Mindfulness Meditation on Symptoms of Stress and Depression in Cancer outpatients of Sri Lanka. (MeSADISC study)(Ibn Sina Medical College, 2025-01) Dayasiri, K.; Rajapakshe, D.; Goonewardane, N.D.V.; Jayarathne, COBJECTIVES This intervention study aimed to evaluate mindfulness meditation as a method of treatment for cancer outpatients for stress reduction and control of symptoms of depression and to find out effects of socio demographic differences.METHOD Cancer outpatients were randomly selected on separate clinic dates at the National Cancer Institute of Sri Lanka and were enrolled as cases (n=44) and controls (n=30). Volunteers followed training sessions once weekly in addition to home based mindfulness meditation. All participants were asked to complete the “Beck’s Depression” and “Symptoms of Stress” questionnaires prior to intervention and at each session. Controls were assessed based on the identical questionnaire at start and end of 9 weeks. Both groups were heterogeneous in age, sociodemographic characteristics and cancer types / stage.RESULT At the end of the intervention, patients in the intervention group had significantly lower scores of depressions and stress. Reduction in Beck’s depression score was from 33.21 to 24.56 (p<0.001) in the treatment group, compared to 34.5 to 32.34 (p>0.05) in the control group. Reduction in Symptoms of Stress Inventory from 21.21 to 10.76 (p<0.001) was seen in the intervention group, compared to 22.50 to 25.5 increase in controls. Significant changes (p<0.05) were seen in all age categories, gender, education, income and levels of social interactions.CONCLUSION Mindfulness meditation programme was effective in decreasing levels of depression and stress in people with cancer, irrespective of socio-demographic backgrounds and cancer types or stages.Item Prevalence of depression, anxiety, stress and their predictors in mothers of children with cerebral palsy in Sri Lanka, during first five years since diagnosis(Faculty of Medicine, University of Kelaniya, Sri Lanka, 2016) Peries, W.A.N.N.BACKGROUND: Provision of care to a child diagnosed with cerebral palsy (CP) with many disabilities is a challenge, leading to poor mental health among mothers as primary care givers. Psychological health in them would hinder productivity in and out the family, resulting poor quality of life, marital and family problems, issues at work place and negligence of care giving and ideal/ timely rehabilitation of the child. OBJECTIVE: To determine the prevalence of depression, anxiety and stress and associated factors among mothers of children with Cerebral Palsy. METHODS: A sample of 200 mothers attending the rehabilitation clinic at Lady Ridgeway Hospital, Colombo with their children were recruited by applying systematic sampling. Pretested, CES-D scale was used to measure depression and DASS-21 to measure anxiety and stress. Analyzed with binary logistic regression. RESULTS: Depression, anxiety and stress were found to be commonly prevailing while nearly three quarters of participants were clinically depressed. Depression was associated with anxiety, perceived social support, type of CP, gross motor functional level and time since diagnosis and anxiety with perceived social support, perceived seizure control and gross motor functional level. Perceived social support and time since diagnosis were the factors associated with stress. CONCLUSIONS: Emphasis should be made on early screening, intervening and minimizing mother’s psychological ill health while managing the child with CP, in the process of child rehabilitation in view of preventing secondary complications.