Oral health related disorder among children with behavioral problems

Background: The best mouth function, the absence of disease, and oral health are achieved by maintaining the highest self-esteem possible. When someone has good dental health, they can communicate and connect with people without getting sick, feeling uncomfortable, or feeling embarrassed. This study aimed to evaluate the Oral health-related disorder specifically to assess dental caries and gingivitis among children with behavioral problems. Methods: This study was a prospective cross-sectional investigation carried out at Kalachandpur Government Primary School and Jashim Uddin Institute, Dhaka. The study was carried out between October 2021 and December 2022 and included 650 pediatric patients who were aged between 6 to 15 years. Results: Most 290 (44.62%) children were aged 6-9 years, 250 (38.46%) were 10-12 years, and the rest 110 (16.92%) were 13-15 years old. Patients with 11-15 years had lower dental caries. 310 (48%) were female, and 340 (52%) were male. Dental caries is associated with elevated risk. Children in the elevated caries risk group had a significantly higher mean value of conduct problems and Hyperactivity/inattention based on the SDQ compared to those with low caries risk. No statistically significant differences were found between the low caries risk group and the elevated caries group for the other subscales. Conclusions: There were statistically more children in the study group who had a high risk of getting caries. Behavior problems were observed while externalizing children who had a high risk of getting caries. Children with externalizing behavior also have more conduct problems and hyperactivity compared to children with reduced caries risk

Relationship Between Parental Rejection and Personality

Background: Parental rejection plays an important role in individual's life at different stages of their development. Some types of personality are the major predictors of mental illness and individuals' maladjustment. Objective: The purpose of the present study was to explore the possible relationship between parental rejection and personality of adults in the context of Bangladesh. Methods: A total 100 adults (39 male and 61 female) participated in this study. Their age range was 18 to 60 years. They were selected from Department of Psychiatry, Bangabandhu Sheikh Mujib Medical University, University of Dhaka and some residential areas of Dhaka city by purposive sampling. The instruments used in this study were a Demographic questionnaire, validated Bangla version of Eysenck Personality Questionnaire (EPQ), validated Bangla version of Adult version of Parental Acceptance-Rejection Questionnaire for Father (Adult PARQ: Father) and Adult version of Parental Acceptance-Rejection Questionnaire for Mother (Adult PARQ: Mother). Results: From this study, we found that paternal rejection is positively correlated with psychoticism but negatively correlated with extraversion at the 0.05 levels of significance. The result showed that there was no significant correlation between paternal rejection and neuroticism. Results also showed that maternal rejection is positively correlated with psychoticism and neuroticism at the 0.01 level of significance but negatively correlated with extraversion (at the 0.05 levels). Conclusion: These results suggest that there is an association between parental rejections and individual's personality. Key word: Parental rejection; Personality; Psychoticism; Neuroticism; Extraversion. DOI: 10.3329/bsmmuj.v2i2.4759 BSMMU J 2009; 2(2):61-6

Personality Traits of Substance Users in Bangladesh

Background: Drug taking behavior and drug dependence is a multi-factorial disorder. Personality is a very important determining factor of drug dependence. Objectives: To find out the possible relationship between personality traits and substance use disorders. Methods: This was a descriptive, cross-sectional and case-control study conducted in the department of Psychiatry of Bangabandhu Sheikh Mujib Medical University and Central Drug Addiction Treatment Center, Dhaka for a period of one year (January 2005 to December 2005). From five hundred respondents, 250 had the history of substance use disorders selected as case, and equal number were age, sex, habitat and economic background matched controls were taken. Personality traits of both cases and control were measured by applying Eysenck Personality Questionnaire. Results: Mean ± SD psychoticism (8.42±3 vs 4.33±1.8), Neuroticism (11.89±2.3 vs 9.83±2) were significantly higher (P<0.01) in cases than controls. It was found that psychoticism was 2.3 times and neurticism was 1.7 times higher in substance users than that of controls. There were no significant differences of mean distribution of extroversion and lie scales among the cases & controls. This study also revealed that, there was no significant relationship between personality traits and different variables related to substance use except that psychoticism was significantly higher in those substance users who had have positive history of troubles with law than those having no history of trouble with law (8.82±3.2 & 7.95±2.7 respectively). Conclusion: Personality traits may have an influence on persons with substance use disorder which detoriates quality of life. Key words: Drug dependence; Personality; Psychoticism; Neuroticism; Extraversion; Lie scale. DOI: 10.3329/bsmmuj.v3i2.7056BSMMU J 2010; 3(2): 76-8

Personality Traits of Substance Users in Bangladesh

Background: Drug taking behavior and drug dependence is a multi-factorial disorder. Personality is a very important determining factor of drug dependence. Objectives: To find out the possible relationship between personality traits and substance use disorders. Methods: This was a descriptive, cross-sectional and case-control study conducted in the department of Psychiatry of Bangabandhu Sheikh Mujib Medical University and Central Drug Addiction Treatment Center, Dhaka for a period of one year (January 2005 to December 2005). From five hundred respondents, 250 had the history of substance use disorders selected as case, and equal number were age, sex, habitat and economic background matched controls were taken. Personality traits of both cases and control were measured by applying Eysenck Personality Questionnaire. Results: Mean ± SD psychoticism (8.42±3 vs 4.33±1.8), Neuroticism (11.89±2.3 vs 9.83±2) were significantly higher (P<0.01) in cases than controls. It was found that psychoticism was 2.3 times and neurticism was 1.7 times higher in substance users than that of controls. There were no significant differences of mean distribution of extroversion and lie scales among the cases & controls. This study also revealed that, there was no significant relationship between personality traits and different variables related to substance use except that psychoticism was significantly higher in those substance users who had have positive history of troubles with law than those having no history of trouble with law (8.82±3.2 & 7.95±2.7 respectively). Conclusion: Personality traits may have an influence on persons with substance use disorder which detoriates quality of life. Key words: Drug dependence; Personality; Psychoticism; Neuroticism; Extraversion; Lie scale. DOI: 10.3329/bsmmuj.v3i2.7056BSMMU J 2010; 3(2): 76-8

Psychiatric Morbidity Among Suicide Attempters Who Needed ICU Intervention

Background: Suicide is a tragic and serious but preventable public health problem all over the world including Bangladesh. Committing suicide has become a burning issue and mortality rate increases especially in young females. Psychiatric evaluation is needed in suicide attempted patients for better management plan to reduce such unnatural mortality, as well as the impairment related to suicidal thought and psychiatric disorders. Objectives: To assess the psychiatric disorders and conditions that needed sufficient clinical attention among the suicide attempters who needed ICU intervention. Methods: This cross-sectional study was carried out in an Intensive Care Unit (ICU) of a private hospital of Dhaka City from July 2008 to December 2008. Total forty four subjects of attempted suicide were included in the study and psychiatric diagnosis was made by using Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV by psychiatrists after initial physical problems subsided. Results: The most common psychiatric diagnosis was Major Depressive Disorder. Female suffered more and among them attention-seeking behaviors were frequent. Thirty-four patients (77.3%) had previous history of psychiatric disorder. Chemicals (like; organophosphorous, kerosene, harpic and other medicine overdose) ingestion was the most frequently used method by the suicide attempters. Conclusion: This study may be helpful for further research regarding suicide attempters and its' association with mental problems. In primary health care setting, the physicians may get a clue to design a system for preventing, early recognition and managing suicidal ideas, thoughts and attempts. Psychiatric consultation should be made mandatory for all patients admitted following attempted suicide. DOI: 10.3329/bsmmuj.v2i2.4761 BSMMU J 2009; 2(2): 73-7

Relationship Between Parental Rejection and Personality

Background: Parental rejection plays an important role in individual’s life at different stages of their development. Some types of personality are the major predictors of mental illness and individuals ’ maladjustment. Objective: The purpose of the present study was to explore the possible relationship between parental rejection and personality of adults in the context of Bangladesh. Methods: A total 100 adults (39 male and 61 female) participated in this study. Their age range was 18 to 60 years. They were selected from Department of Psychiatry, Bangabandhu Sheikh Mujib Medical University, University of Dhaka and some residential areas of Dhaka city by purposive sampling. The instruments used in this stud

Elevated serum levels of malondialdehyde and cortisol are associated with major depressive disorder: A case-control study

Objectives: Major depressive disorder is diagnosed on the basis of patient’s self-reported experiences, behavior reported by relatives, and a mental status examination, and yet we do not have any reliable biomarker for this. Mood-regulating pathways are affected by oxidative injury to lipids and cortisol is released into the blood due to stimulation of corticotrophin receptors in the adrenal cortex. Here, we aimed to determine serum levels of malondialdehyde and cortisol in major depressive disorder patients and controls. Methods: We collected blood samples from 247 major depressive disorder patients and 248 controls. Serum levels of malondialdehyde and cortisol were measured by ultraviolet spectrophotometry and enzyme-linked immunosorbent assay kit, respectively. Results: We found malondialdehyde levels were significantly higher in patients than controls, with mean ± standard deviation at 4.49 ± 1.37 and 2.87 ± 0.82 µmol/L, respectively, p  < 0.001. Cortisol levels were also found significantly higher in patients than controls, with mean ± SD at 19.22 ± 1.64 and 17.37 ± 1.34 µg/dL, respectively, p  < 0.001. Significant negative correlation was observed between serum levels of malondialdehyde and cortisol in patients ( r  =−0.170, p  = 0.021). Receiver operating characteristic analysis showed good diagnostic value for malondialdehyde and cortisol, with the area under the curve at 0.853 and 0.819, respectively. Conclusion: The present study suggests that increased serum levels of malondialdehyde and cortisol are strongly associated with major depressive disorder. We believe elevations of malondialdehyde and cortisol in serum level arise independently and they could serve as biomarkers for major depressive disorder