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PSYCHOSOCIAL ISSUES & PSYCHOLOGICAL HEALTH OF WOMEN. BRIG RASHID QAYYUM CONSULTANT PSYCHIATRIST HEAD DEPT OF PSYCHIATRY CMH SIALKOT. OBJECTIVE. Concept of Health & Wellbeing Psychosocial Issues of Women Impact on Health Psychiatric Disorders. Psychosocial Issues. Gender Preference
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PSYCHOSOCIAL ISSUES &PSYCHOLOGICAL HEALTH OF WOMEN BRIG RASHID QAYYUM CONSULTANT PSYCHIATRIST HEAD DEPT OF PSYCHIATRY CMH SIALKOT
OBJECTIVE • Concept of Health & Wellbeing • Psychosocial Issues of Women • Impact on Health • Psychiatric Disorders
Psychosocial Issues • Gender Preference Cultural, Sociopolitical background • Illegal Abortion • Infanticide • Injustice in the hands of Loved ones (parents) • Quality of Diet, Fear of early physical maturity • Quality of Education
Over expectations/Responsibilities • Employment/ Limited Jobs • Underpaid • Harassment at Work Place • Decision making in Marriage • Exchange marriages/Marriage with Qurraan • Late Marriages, in search of matching, avoidance • Pregnancy/Infertility • Quitting job after marriage
Violence against Women • Domestic 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 Marriage • Dowry (Jahez) • Women with no children or no male child • Mother’s in law role • Zan, Zar & Zameen, Source of evil • Inheritance-NO Share • Women exchanged to settle disputes
Stress of Physiological changes • Menarche • Pregnancy • Menopause • Old Age
Mortality V/C Morbidity • Disability Adjusted Life Years (DALYS) • Quality Adjusted Life Years (QALYS)
Biological • Neurotransmitters • Endocrine system • Family and genetics • Sleep • dysfunction • Psychological • Behavioural factors • Cognitive factors • Psychodynamic Health/ Disease • Social • Support system • Cultural factors
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 disorders • Eating disorder • Borderline Personality
Psychiatric disorders related to Reproductive Events Post partum depression, Post partum psychosis
Managing Distress Prevention is Better than Cure Increasing Awareness Role of Policy makers Developing Empathy for others Ability to understand others perspective
RISK FACTORS FOR PSYCHOLOGICAL DISORDERS IN WOMEN • New Born : Desire v/s Disappointment • Gender 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 puerperium • Menopause • Old Age