Papers by Dharmender Nehra
Zenodo (CERN European Organization for Nuclear Research), Mar 31, 2019
Undoubtedly, 2017 is a watershed year for mental health professionals and sufferers; this year wi... more Undoubtedly, 2017 is a watershed year for mental health professionals and sufferers; this year witnessed the historic moment of the advance of Mental Health Care Act (MHCA). The importance of this Act cannot be underestimated as it has come as a ray of hope as few rights have been given to the persons with mental illness, first time, like the right to make advance directives. Hence, it can be said that its coming is a tremendous achievement and a beacon of hope for the millions of people. It is a pivotal Act in the battle against the mental illness that also directs the public's attention toward the ongoing pandemic. Efforts to implement it will cause many challenges as well as renewed optimism. Understanding of concepts related to ADs is essential for mental health professionals as they have an important role to play with severe, persistent, mental illnesses. The purpose of this article is to collect the blinding flashes of insight, as well as the mundane aspects of ADs to begin to understand its benefits and prediction of barriers in its implementation and their possible solution.
Study of Peer Pressure and Social Maturity Among Late Adolescents
Efficacy of Cognitive Behavior Therapy on Perceived Stress and Health Complaints in Coronary Heart Disease Patients
Indian journal of positive psychology, 2012
The intimate connection between poor mental and physical health have been documented for many dec... more The intimate connection between poor mental and physical health have been documented for many decades (Eysenck & Eysenck, 1989). Poor mental health is associated with an increased risk of diseases and individual with any chronic physical disease tend to feel more mental distress than do healthy individuals. Psychological factors co-occurring with physical condition or vice versa are highly prevalent and associated with a wide range of adverse outcomes including less effective self-care (De Hert, Correll, Cohen et al. 2011a). Likewise other chronic medical illnesses, the development of heart disease in a previously well individual is associated with a variety of psychological reactions including mental stress.Advances in CHD risk factors knowledge provide support to the view that mental health problems can predict the incidence of CHD in healthy population (Ferketich, Schwartzbaum, Frid, Moeschberger, 2000). Mental health problems in CHD patients can have far reaching effects on the ...
Alexithymia and Self-esteem in Patients with Erectile Dysfunction: A Comparative Study
Indian Journal of Health and Wellbeing, 2013
The extent to which advances of sexual dysfunction have harmful consequences for positive mental ... more The extent to which advances of sexual dysfunction have harmful consequences for positive mental health is wellknown since long. World literature have proven that psychological constructs play an important role not only in developing and maintaining sexual problems but also in treatment seeking behavior and outcome. This study was done on patients with erectile dysfunction which are not well studied in Indian context. Material and methods: It was a cross sectional study, in which Fifty (50) Patients with erectile dysfunction, diagnosed as per ICD-10 criteria were selected. Fifty (50) healthy matched subjects constituted the control group. Assessment was done by using Toronto Alexithymia Scale-Hindi, Rosenberg Self Esteem Scale and General Health Questionnaire. The statistical analysis was carried out by using the SPSS Windows 16.0 software package. Results: Significant differences were seen in alexithymia and Self Esteem scores between erectile dysfunction group and normal control g...
Alexithymia and Type “A” Behavior Pattern (TABP) in Coronary Heart Diseases: A preliminary study
Background: The number of patients with CHD is increasing and psychosocial factors are now recogn... more Background: The number of patients with CHD is increasing and psychosocial factors are now recognized as playing a significant and independent role in the development of CHD and its complications. Aims: The present study aimed at examining the association between alexithymia and Type A Behavior Pattern (TABP) in Coronary Heart Disease (CHD) patients. Methodology: The sample consisted of 150 participants, comprising 50 in the study group (drawn from the outpatient clinical services) and 50 in the control group (from the general population) from Kashmir. Further 50 controls from the general population of Haryana were included to study alexithymia in broader context. The tools used included Jenkins Activity Survey (JAS-C) and Toronto Alexithymia Scale (TAS-20). Statistical analysis was done using SPSS-12.0 and various descriptive and inferential statistics were applied. Results: The results revealed a high prevalence (40%) of alexithymia in our study group. However the association of a...
Since the twilight of human civilization, human beings have wondered about one of the biggest iss... more Since the twilight of human civilization, human beings have wondered about one of the biggest issues “what makes a good life”. It is a subject of universal interest and utility, and the scientists who are engaged in the study of human behaviour believe that an indispensable ingredient of the good life is that the person himself likes his life. Because of prevailing stress in day-to-day life, the need for subjective well-being is being increasingly recognized nowadays, more so because of the hectic lifestyle and intense work pressure under which we live today, everyone seeks peace and harmony. Experts have also pointed out the inner conflicts that appear when old ways of life are replaced by new ones, and the individual, denied his habitual security and value bases, feels lost in a changing world (Johannisson, 2006). From time to time almost every person experiences such agitation, irritation, disharmony. Once upon a time, curative healthcare used to be the major focus of health prof...
In Modern everyday life, human beings are constantly dealing with various stresses. It may be bec... more In Modern everyday life, human beings are constantly dealing with various stresses. It may be because of hectic lifestyle and intense work pressure, under which we live today. In addition, personal ambitions, social pressure, and individual orientation to sedentary mental work, with many other possible reasons, make everyone go through persistent stresses. Although the acuity of the stress response and its behavioral manifestations have been shown to vary greatly between individuals (Tyrka et al. 2006), it becomes a potential problem when it is persists or is intense. It threatens the homeostasis, which in turn is balanced through physical and psychological mechanism. Constantly stressful situation may disrupt the balance of health and the body’s ability to maintain wellness and lead to poor health. It is generally accepted that debilitating stress affects mental and physical well-being detrimentally (Evans, Huckelebridge, Clow, 2000). Because of its epidemiological transition stres...
Perceived stress and emotional intelligence in patients with erectile dysfunction: A preliminary study
Indian Journal of Health and Wellbeing, 2013
Erectile Dysfunction is a challenging problem that negatively affects the quality of lives of tho... more Erectile Dysfunction is a challenging problem that negatively affects the quality of lives of those affected. Sufferers and their partners face a lot of difficulties in various areas of life including relationship problems. Emergence of ED may be attributed to either organic or psychogenic factors but irrespective of causal factors it often lead to emotional and adjustment problems. The present study was carried out to study perceived stress and emotional intelligence and their interaction in individuals diagnosed with Erectile Dysfunction and their healthy counterparts. This cross–sectional study examined 200 male out of which 100 individuals with erectile dysfunction and 100 healthy controls. Perceived Stress Scale (PSS) and Emotional Intelligence Scale (EIS) were administered on study group; whereas, in addition to above mentioned scales General Health Questionnaire (GHQ-28) was also administered on control group. The data obtained for the variables under study have been subjecte...
Comparative Study of Prevalence of Psychological Distress Factors in Coronary Heart Disease Patients Living Under Disturbed Conditions and a normal place of North India
Background: The experience of heart disease seems to contribute to risk for numerous psychiatric ... more Background: The experience of heart disease seems to contribute to risk for numerous psychiatric problems, especially depression, anxiety, and stress. Although, these psychosocial factors appear to be outside the immediate realm of medicine, they have a profound impact on morbidity and mortality in cardiac patients. Aims: Purpose of the present study was to assess psychological distress (depression, anxiety, perceived stress) in Coronary Heart Disease (CHD) patients and compare the levels of these constructs among CHD patients living in disturbed condition (Kashmir) and a normal place (Haryana). Methods: Hospital Anxiety Depression Scale (HADS) and Perceived Stress Scale (PSS-4) were administered to a total of 200 male participants, 100 (50 CHD Patients and 50 healthy controls) from Kashmir and 100 (50 CHD Patients and 50 healthy controls) from Haryana. Statistical analysis was done using SPSS12.0. Results: The results revealed a high prevalence of depression, anxiety and stress in ...
Efficacy of MBSR Program in Treating Depression, Anxiety and Perceived Stress in Coronary Heart Disease Patients
Coronary heart disease (CHD) is a major public health concern being one of the leading causes of ... more Coronary heart disease (CHD) is a major public health concern being one of the leading causes of death world-wide (Mackay & Mensah, 2004). Moreover, CHD is forecasted to be the most common cause of death globally, including India, by 2020 (Yusuf, Reddy, Ounpuu, et al., 2001). Epidemiological studies suggest that there are more than 32 million patients with CHD in our country (Gupta, 2005); and Indians are more likely to have types of heart disease that lead to worse outcomes (Gupta et al., 2008). The average age of patients with heart disease is lower among Indian people; over 30% of patients are below 40 years of age (Joshi, Islam, Pais et al., 2007). CHD is believed to be attributable to a number of lifestyle factors including tobacco smoking, unhealthy diet, and physical inactivity (Sanderson, Waller, Jarvis, et al., 2009). Despite, research findings that recommended lifestyle changes for CHD patients, since years (Pischke, Weidner, Elliott-Eller, Ornish, 2007); health profession...
Perceived stress and emotional intelligence in medical students
Indian Journal of Health and Wellbeing, 2015
The medical science has undergone a tremendous evolution in the past century, now medical profess... more The medical science has undergone a tremendous evolution in the past century, now medical professionals are able to cure the disorders that were earlier taken a toll of millions' life. Stress and its negative consequence on health professionals have received relatively little attention in the literature in past. Although, the potential detriment of hectic life style for health professional has been raised recently and irony is that health professionals who help patients to get rid of stress are also burdened with stress. The aims of this study is twofold: (1) to provide awareness regarding the prevalence of stress in medical students and (2) to assess the association between stress and Emotional intelligence that is generally considered as a buffer against stress. This cross-sectional study examined 100 medical students out of which 50 were female and 50 were male. Perceived Stress Scale (PSS) and Emotional Intelligence Scale (EIS) were administered. The data obtained for the va...
Indian Journal of Psychiatric Social Work
Background: Obsessive Compulsive Disorder (OCD) disorder Earlier it was considered a difficult in... more Background: Obsessive Compulsive Disorder (OCD) disorder Earlier it was considered a difficult in the last three decades as cognitive behavioural therapy (exposure and response prevention therapy), has shown significant results for individuals suffering fr Obsessive Compulsive Disorder (OCD) being reported. In contrast to most other case reports reported here were living under a roof but couldn't talk for years. suffered badly through their illness; as both of them were having a distressing sexual obsession each other, along with other compulsions. lonely siblings' struggle with OCD. existing criteria for OCD in the tenth revision of the International Statistical Classification of Disease and Related Health Problems (ICD symptoms, pre-treatment and improvement cognitive behaviour therapy (CBT) 16 to 20 sessions. Outcome: This case report shows that symptomatic improvement in the patients discussed. cases, it is to claim for sure that for used.
Journal of Psychosexual Health
Introduction: The volcanic eruption of the #MeToo movement shows that the problem was there for l... more Introduction: The volcanic eruption of the #MeToo movement shows that the problem was there for long and was simmering on. The movement was initiated with the aim of knowing the magnitude of the problem and has now spread worldwide. The cases of the Me Too sexual wave are recent and have not yet attracted much scientific attention, though literature on sexual harassment is widely available and the psychological mechanisms implicated in this movement can be understood and examined through it. Objectives: This article aims to attract attention of the medical fraternity to update themselves of this issue which is essential for better understanding of the movement which has potentially good, bad, and ugly undercurrents. We will call attention to these aspects perusing the literature both at national and international levels. This would also be subjected to an analysis of the established concepts and principles of human psychology and behavior. Conclusion: It is amply clear that the time...
Open Journal of Psychiatry & Allied Sciences
Advance Directives (AD) are the legal right of every adult individual, who has the mental capacit... more Advance Directives (AD) are the legal right of every adult individual, who has the mental capacity to decide at the time of making AD, irrespective of one's previous mental illness. AD seem to be an answer for many concerns and make it possible for an individual to take or retain control over one's care by specifying treatment choices, well in advance and by naming someone as a Nominate Representative (NR) to make medical decisions once one is no longer able to do so. It can be expected that many barriers in the implementation of AD will be encountered that cannot be overlooked and active steps need to be taken to explore the possible barriers standing in the way of its effective implementation in our country. In short, it can be concluded that it is a challenging time for the mental health community as we live in a world of scarce workforce and millions of people need mental health services which demands urgent action. Despite the backing of the new law, we are well aware that we have a massive challenge on our hands. Hence, it is essential to accept the crucial role of country leadership in efforts to improve the mental health along with the critical part of civil society, media, and others to account for health outcomes. The purpose of this article is to collect the blinding flashes of insight to begin the prediction of barriers to AD's implementation and possible solutions.
Perceived Stress & Emotional Intelligence in Patients with Erectile Dysfunction: A preliminary Study
Emotional Intelligence and Self Esteem in Cannabis abusers
Trichotillomania a manifestation of sibling rivalry
Abstract : Trichotillomania is a disorder of compulsive hair pulling that often results in alopec... more Abstract : Trichotillomania is a disorder of compulsive hair pulling that often results in alopecia. The majority of sufferers who seek treatment are female with usual age of onset between 11 and 16 years. Trichotillomania can occur in a wide variety of psychiatric disorders and ...
Psychiatric illnesses in homeless (runaway or throwaway) girl inmates: a preliminary study
Prevalence and Pattern of Substance Abuse: A Study from De-Addiction Center
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Papers by Dharmender Nehra