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Congenital Heart Disease Often Lead To Mental Illness

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WORLD HEART DAY

More than 1.5 lac infants are born in India annually with congenital heart disease. Around 78,000 infants die of congenital heart disease in India every year.

So What Is Congenital Heart Disease?

Congenital Heart Disease (CHD) is when a child is born with an abnormality in his/her heart. It could be abnormal in the way it’s structured (have parts of the organ missing, have functional problems and/or holes in the chambers. Doctors are often able to diagnose CHD while the child is still in the womb of the mother. CHD is considered to be a life threatening illness and hence can cause emotional turmoil in parents of the child, which in turn affects the psychological development of the unborn child.

Additional alterations immediately after birth for a child can prove to be traumatic, and cause PTSD like symptoms later on in life. For example, a child is often separated from the child’s mother and placed in intensive care immediately after birth, and then they are subjected to invasive medical procedures and tests. An infant with CHD goes through a traumatic event which is often reflected in feeding problems, nightmares and over all behavior of the infant.

According to Dr.Vihan Sanyal, psychotherapist, “Parents of children with CHD can seek the help of a skilled psychotherapist for their children’s psychological health while they are children. This will give the therapist to address the issue early on and help improve the quality of life of the child well into adulthood”

Early stressful experiences of a child can alter the child’s brain development, affect their immune system (the child tends to fall sick more often) and disturb the way a child reacts to stressful events in future life. Studies have proven that children who have been exposed to highly stressful environments early on in childhood often have issues with cognition and in processing of emotions.

Neonatal care, pediatric care, adolescent years and adulthood of a person diagnosed with CHD is often complex and challenging for the person. The psychological impact this creates is profound and can lead to suicide in adulthood if not managed properly.

Dr.Sanyal explains: “Children with CHD have difficulties with motor skills, speech, focus & attention, executive functioning, impulse control, management of emotions and behavior. The change in the structure of the brain and in brain chemistry can tarnish the image a child has of himself. He can quickly form an opinion of himself as being “abnormal”, leading to self esteem issues. It is important for children to be helped by a skilled psychotherapist, who is proficient in dealing with psychological issues of children living with CHD. Timely therapeutic intervention can provide the support a child requires in coping with the emotional challenges of CHD.”

Psychiatric disorders, in particular mood and anxiety disorders are more frequent in Adults with CHD compared to Non-CHD adults.

Life threat to the fetus is an important key factor for emotional disturbance during pregnancy for the parents. It is also an indication of long term psychological disorders faced by the parents of the child with CHD.

Studies have indicated that more than 30% of parents with children who have been diagnosed with CHD show signs of Post Traumatic Stress Disorder (PTSD). 50% of them have shown to have anxiety and depression. More than 80% of these parents have tested positive for psychological stress related disorders.

“MNLP & other modalities of psychotherapy can help the parents of those who have recently been diagnosed with CHD. MNLP can help in building resilience in the parents and equip them to face the challenges which lay ahead without disintegrating emotionally. Hypnotherapy can be used to promote relaxation and to address issues of trauma in the subconscious” Say’s Dr.Sanyal

Contributory Factors While Pregnant Which Can Result In CHD

· Smoking during pregnancy

· Consuming alcohol during pregnancy

· Exposure To Poor Air Quality (pollution)

· Exposure to Toxic Chemicals (Even common household chemicals like toilet cleaners and detergents)

· Exposure to pesticides and insecticides

· Medicines not meant to be consumed during pregnancy

· Obesity in mothers

In addition to the above list, symptoms of anxiety and depression in pregnant women often go undetected and hence, remain untreated. It is also important to mention that a range of symptoms of stress, anxiety and depression, marital harmony and quality of relationship the parents share with each other all have an effect on the fetus’s psychological health.

Dr.Sanyal says: “Many pregnant women of our country are unaware of some of the precautions they need to take during pregnancy. More importantly, they are unaware of the harmful effects the unborn child could face due to their habit and behavior. Many psychological disorders and mental illnesses can be prevented by pregnant women choosing to lead a balanced and a relatively stress free life during their pregnancy.”

Health

Zika virus cases reach 72 in Jaipur

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Zika Virus

Jaipur, Oct 15 : The number of people infected with the Zika virus rose to 72 in Jaipur, officials from the health department said on Monday.

The number of people carrying the virus was put out after a review meeting chaired by Additional Chief secretary (Health) Veenu Gupta.

The officials informed that 280 teams were surveying the affected areas by visiting each and every house. Around 96,000 houses had been surveyed till date.

Since Sunday, the health department has started issuing challans against owners of houses where larvae of the mosquito that transmits the virus were found.

The virus is transmitted through the Aedes Aegypti Mosquito. It causes fever, skin rashes, conjunctivitis, and muscle and joint pain. It is particularly harmful to pregnant women, as it can lead to microcephaly, a condition in which a baby’s head is significantly smaller than expected upon birth.

Till Monday evening, 68 such challans were issued and penalties of Rs 44,000 were imposed.

Screening and anti-larvae measures are continuing in the capital city. The samples are also being collected from those suffering from fever, the officials said.

The people in the affected areas are being advised to temporarily suspend water storage, and the same is being supplied via tankers.

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Internet obsession among adolescents leading to mental disorder: Experts

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Spending excessive time over internet and social media is emerging as a leading cause for mental disorder among adolescents and youths, say medical experts.

“It is seen that youths and teenagers are getting obsessed with mobile phones and computers. They spend most of time either playing games and chatting over social media and get away from the real world,” RK Chadda, HOD Psychiatry and Chief National Drug Dependence Treatment Centre (NDDTC).

According to Dr Rachna Bhargava, Associate Professor, Psychiatry and NDDTC AIIMS, excessive time spent over virtual world is forces youths to remain secluded from reality.

“Individuals develop an imaginary world and tend to confine themselves within that. Youths, especially boys aged between 14-25, have been observed to be more prone to mental disorder,” Bhargava added.

Among early symptoms it is found that a child tends to stop interacting or mingling with other children and creates a distance from family members.

“If a device is being forcefully taken away from a child, it is seen that he or she tends to lose temper and even misbehaves,” Dr Anju Dhawan, NDDTC stated.

Dr Pratap Saran, Psychiatry, AIIMS pointed that the primary reason behind youths falling prey to mobile games or social media addiction is because of lack of parental supervision.

“It is often seen that the parents remain engulfed in their own daily routine work and ignores the child. At times even the parents also fails to understand or realise that a child is developing mental disorder and it further escalates the syndrome,” Dr Saran added.

However, most mental disorder cases remain unattended. Dr Bhargava said the reason behind is that neither the patients nor anyone from their families come up and talk about it to medical experts.

“Most people do not even realise that they are facing mental disorder. Many think it is a stigma to attend a psychiatrist and hesitate to report or talk about the issues. There is quite a gap between psychiatrists and mental disorder patients,” she said.

According to the experts, mental disorder owing to social media and mobile games can be avoided if parents start early supervision.

“The addiction cannot be measured in a particular time frame. It can develop after using even for 3-4 hours of more than 6 hours. It is very important that parents should take their child for outdoor activities, that will help them to keep in pace with the real world,” Dr Chadda mentioned.

The recently concluded National Mental Health Survey of India estimates current prevalence of mental disorders in the age group 18-29 at 7.39 per cent and lifetime prevalence at 9.54 per cent.

AIIMS also organised an event to promote awareness of mental health issues affecting the young people on the occasion of World Mental Health Day which is marked on October 10 every year.

(Somrita Ghosh can be contacted at [email protected])

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Overdose of Vitamin A may up bone fracture risk

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London, Oct 9: Over-supplementing Vitamin A in your diet may decrease bone thickness, leading to weak and fracture-prone bones, a new study claims.

Vitamin A found in meat, dairy products and vegetables, is an essential source that is important for growth, vision, immunity and organ function.

The findings showed that mice which were given lower doses of Vitamin A, equivalent to 4.5-13 times the recommended daily allowance (RDA) in humans, showed thinning of their bones in just eight days.

“Overconsumption of Vitamin A may be an increasing problem as many more people now take vitamin supplements. Overdose of Vitamin A could be increasing the risk of bone weakening disorders in humans but more studies are needed to investigate this,” said Ulf Lerner, Professor from Sahlgrenska Academy at the University of Gothenburg in Sweden.

“In the majority of cases, a balanced diet is perfectly sufficient to maintain the body’s nutritional needs for Vitamin A,” Lerner added.

Previous studies on mice have shown that short-term overdosing of Vitamin A, at the equivalent of 13-142 times the RDA in people, results in decreased bone thickness and an increased fracture risk after just one or two weeks.

However, these studies were performed with very high doses of Vitamin A, over a short period of time.

“In our study we have shown that much lower concentrations of Vitamin A, a range more relevant for humans, still decreases rodent bone thickness and strength,” Lerner noted.

Researchers suggested that people should be cautious of over-supplementing Vitamin A in their diets.

IANS

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