BRIG RASHID QAYYUMCONSULTANT PSYCHIATRISTHEAD DEPT OF PSYCHIATRY

CMH SIALKOT

PSYCHOSOCIAL ISSUES &PSYCHOLOGICAL HEALTH OF WOMEN

OBJECTIVEConcept of Health & WellbeingPsychosocial Issues of WomenImpact on HealthPsychiatric Disorders

Psychosocial IssuesGender Preference Cultural, Sociopolitical background Illegal AbortionInfanticideInjustice in the hands of Loved ones (parents)Quality of Diet, Fear of early physical maturityQuality of Education

Over expectations/ResponsibilitiesEmployment/ Limited JobsUnderpaidHarassment at Work PlaceDecision making in MarriageExchange marriages/Marriage with QurraanLate Marriages, in search of matching, avoidancePregnancy/InfertilityQuitting job after marriage

Violence against WomenDomestic violence ( private matter ) Spouse Abuse , Marital Rape. Burning to death ( Kitchen stove bursts ) Acid burn victims Honor killing ( Karro kaari ) Killing of Malaala

Understanding Bases of Violence

Intrinsic/Extrinsic Factors Individual Personality Education less than Husband Witnessed Violence in childhood Power, Decision maker Employment of Women-Independence Privilege/ Right

Early MarriageDowry (Jahez)Women with no children or no male childMother’s in law role Zan, Zar & Zameen, Source of evilInheritance-NO ShareWomen exchanged to settle disputes

Stress of Physiological changes Menarche Pregnancy Menopause Old Age

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Organizatio

nal Behav

ior / Perception

Mortality V/C MorbidityDisability Adjusted Life Years (DALYS)Quality Adjusted Life Years (QALYS)

Social•Support system•Cultural factors

Psychological•Behavioural factors

•Cognitive factors•Psychodynamic

Biological•Neurotransmitters•Endocrine system•Family and genetics•Sleep dysfunction

Health/Disease

COMMON PSYCHOLOGICAL DISORDERS IN WOMEN

Depression Psychiatric disorders related to reproductive

events (Post partum depression, Post partum psychosis)

Anxiety disorders (Panic disorder, Phobias, PTSD,Generalized anxiety disorder,OCD)

Somatoform disordersEating disorderBorderline Personality

MOOD DISORDERS

ANXIETY DISORDERS

SOMATOFORM DISORDERS

Psychiatric disorders related to Reproductive Events

Post partum depression, Post partum psychosis

EATING DISORDERS

Managing Distress

•Prevention is Better than Cure•Increasing Awareness •Role of Policy makers•Developing Empathy for others•Ability to understand others perspective

THANK YOU

RISK FACTORS FOR PSYCHOLOGICAL DISORDERS IN WOMEN

New Born : Desire v/s DisappointmentGender based violence (Physical/Sexual abuse)

RISK FACTORS FOR PSYCHOLOGICAL DISORDERS IN WOMEN

(cont)

Physiological Change (menarche) Gender based violence (Physical/Sexual abuse)Marriage, pregnancy, childbirth and puerperiumMenopauseOld Age

Admission to School/Home Schooling/No Schooling

Expectations by family / Society

Unremitting responsibility for the care of others

Discrimination at Job(underpaid , sexual harassment )