Drivers of Substance Use and Related Disorders Among Young People in a Peri-urban District of Ghana

Background: Substance use-related disorders have become a major psychiatric issue globally. The energetic youth who contribute meaningfully to national development are the most affected population by this social menace. This study aimed to examine the knowledge and perception of the youth on substance use-related disorders and the perceived effects on their lives.Methods: The study used a qualitative approach to explore the perceptions of substance use-related disorders in the Kwabre-East Municipality of the Ashanti Region of Ghana. The purposive technique was used to select 35 participants based on a set of inclusion and exclusion criteria. The data were gathered through focus group discussions and interviews in the Twi language and audio-recorded. Data were transcribed from Twi to English in a written form. The data were categorized into themes based on similarities and differences. Thematic analysis was used to analyze the data. The emerged themes have been presented as main findings, which are supported by quotations from the participants. Results: The study identified that substances commonly abused by the youth were alcohol, tramadol, gasoline product, glue, and marijuana. Again, it was found that peer influence, poor parental control, and loss of a job (poverty), perceived academic enhancement, and imitation of role models were factors that caused substance abuse among the youth. In addition, the following were identified in terms of the effects: mental illness, cardiovascular conditions, family exclusion, insecurity, and stigmatization.Conclusion: The initiation and implementation of drug preventive interventions by relevant stakeholders are crucial in preventing the commencement of any undesirable behaviour among the youth as far as substance abuse is concerned.

Postnatal Depression and Associated Factors among Puerperal Women in Lahore City, Pakistan: Analytical Cross-Sectional Study

Post-natal depression (PND) is an emerging psychiatric issue and a devastating public health problem due to associated morbidity, as it not only effects postnatal lady but her marital relationship, new-born, mother-infant bonding, making infant vulnerable to psychiatric issues in future.

Mephentermine dependence in a young Indian adult without psychosis

Mephentermine is a vasopressor drug closely related to amphetamine and methamphetamine. Cases of abuse and dependence to mephentermine have dotted medical literature for a long time. Till date, 11 cases of dependence to mephentermine have been published. In this report, a case of mephentermine dependence is being discussed. The patient was a young adult male who was dependent to mephentermine for nearly 3 years. He was an athlete and was introduced to mephentermine by his peer for enhancing performance. He did not develop any major physical or psychiatric issue due to the drug. He was managed on out patient basis. Though cases of mephentermine dependence are few and far in medical literature, reports from other sources indicate that the problem could be more common and could be on rise. High index of suspicion and holistic care is likely to help patients and treating clinicians.

Women’s demand for late-term abortion: A social or psychiatric issue?

Introduction/Aim. Induced termination of unwanted pregnancy after 12th gestational week (late-term abortion) is legally restricted in Serbia as well as in many other countries. On the other hand, unwanted pregnancy very often brings women into the state of personal crisis. Psychiatric indications for legally approved late-term abortion on women?s demand include only severe psychiatric disorders. The aim of this paper was to compare sociodemographic, psychological characteristics and claimed reasons for abortion in the two groups of women with late-term demand for abortion - the group of women satisfying legally prescribed mental health indications, and the group of women not satisfying these indications. The aim of the study was also to determine predictive validity of the abovementioned parameters for late-term abortion as the outcome of unwanted pregnancy. Methods. A total of 62 pregnant women with demand for late-term abortion were divided into two groups according to the criteria of satisfying or not satisfying legally proposed psychiatric indications for late-term abortion after psychiatric evaluation. For the assessment of sociodemographic and psychological parameters sociodemographic questionnaire and symptom checklist - 90 revised (SCL-90?) scale were used, respectively. The outcome of unwanted pregnancy was followed 6 months after the initial assessment. Results. The obtained results showed a statistically significant difference between the groups in educational level, satisfaction with financial situation, elevated anxiety and distress reactions. Unfavorable social circumstances were the main reason for an abortion in both groups and were predictive for an abortion. A 6-month follow-up showed that women had abortion despite legal restrictions. Conclusion. Pregnant women with psychiatric indication for late-term abortion belong to lower socioeconomic and educational level group compared to women without this indication who have more frequently elevated anxiety and distress reactions to unwanted pregnancy. It is necessary to have more accurate guidelines for mental health indications for legally approved late-term abortion, respecting social circumstances. Preventive measures are of great importance in order to lower the risk of illegally performed late-term abortions.

Italian social psychiatry research: What gets published in peer reviewed journals?

SummaryAims– To explore the current state of Italian social psychiatry research as evidenced by original papers published in peer-reviewed journals 2004-2006.Methods– Electronic databases and hand searches of leading peer-reviewed journals were used to identify original research papers published in 2004-2006, addressing a social psychiatric issue, having at least one Italian author, and reporting data from Italian samples.Results– A total of 174 papers were identified. A substantial proportion reported findings of international collaborative research. Quantitative methods dominated, with 86 papers on cross-sectional surveys. Only 18 papers showed results of intervention trials with pre and post measures. Most common target group were psychiatric patients in community mental health services which featured in 93 papers.Conclusions– There is a critical mass of Italian social psychiatry research, dominated by a few research centres and with considerable amount of international collaboration. The findings of this survey might reflect the relative shortage of national funding for social psychiatry research.Declaration of Interest: None.