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A follow-up study of patients with Dhat syndrome: Treatment pattern, outcome, and
reasons for dropout from treatment
#MMPMID26985105
Grover S
; Gupta S
; Avasthi A
Indian J Psychiatry
2016[Jan]; 58
(1
): 49-56
PMID26985105
show ga
AIM: The aim of this study was to evaluate the treatment pattern and satisfaction
with treatment provided to patients with Dhat syndrome. It was also aimed to
study the follow-up rates and reasons for dropping out of treatment in patients
with Dhat syndrome. MATERIALS AND METHODS: Sixty-four subjects diagnosed with
Dhat syndrome were prospectively contacted to evaluate treatment satisfaction and
reason for dropout after 6 months of baseline evaluation. Sociodemographic,
clinical details were recorded at initial intake and Sex Knowledge and Attitude
Questionnaire was applied. After 6 months, information on treatment received,
number of follow-up visits to the clinic and the outcome were extracted from the
treatment records. Treatment satisfaction using Patient Satisfaction
Questionnaire and reasons for dropping out from treatment were assessed by a
telephonic interview. RESULTS: Twenty-three patients were categorized as
treatment completers, 14 as early drop-outs and 27 as late drop-out. The mean
(standard deviation) number of visits over the period of 6 months was 3.81
(3.06). The outcome at 6 months was no change in 45.3%, improved in 32.8% and
recovered in 21.9%. Higher proportion of treatment completers (52.2%) sought
psychiatric help on their own compared to those who dropped out early from the
treatment (7.1%). Treatment completers had better knowledge, and more positive
attitude toward sex compared to late drop-out group. 34.4%of the subjects were
fully satisfied with the various components of treatment. Level of satisfaction
was highest for treatment completers. The most common reasons given by those who
dropped out early were "not able to spare time for consultation" (21.4%) and "not
prescribed medications" (21.4%). The most common reason given by those belonging
to "late drop-out" group was 'no improvement with treatment in symptoms of Dhat
syndrome (40.7%). CONCLUSIONS: Patients with Dhat syndrome frequently drop-out of
the treatment network. There is a need to reorganize the services for these
patients and understand their expectations from the treatment so as to provide
better care.
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