Dhat Syndrome in Geriatric Population: Cultural Beliefs and Implications
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https://doi.org/10.54169/ijocp.v3i02.78Keywords:
Dhat Syndrome, Geriatric population, Cultural beliefs, Mental health careDimensions Badge
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Copyright (c) 2023 Mohit kumar Shahi mohit, Ashwin J.V, Astha Singh

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This case series examines Dhat Syndrome in the geriatric population, considering its association with cultural beliefs prevalent in the Indian Sub-continent. Dhat Syndrome involves anxiety about the perceived loss of semen in young individuals and less reported in older individuals. Cultural norms surrounding masculinity and sexual functions contribute to feelings of shame and guilt in affected geriatric individuals, impacting mental health and overall well-being. The series emphasizes the necessity of cultural competence in mental health care, urging personalized and customized interventions to address the unique needs of older adults experiencing Dhat Syndrome. Two illustrative cases highlight the complexities and challenges associated with the disorder in the geriatric context, warranting further research and heightened cultural sensitivity to improve mental health outcomes in this vulnerable population.Abstract
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References: Williams ME, Sandeep J, Catic A. Aging and ESRD demographics: Consequences for the practice of dialysis. InSeminars in dialysis 2012 Nov (Vol. 25, No. 6, pp. 617-622). Oxford, UK: Blackwell Publishing Ltd. Thakker J, Ward T, Strongman KT. Mental disorder and cross-cultural psychology: A constructivist perspective. Clinical Psychology Review. 1999 Nov 1;19(7):843-74. Shahi MK, Tripathi A, Singh A, Kar SK, Nischal A, Singh S, Dalal PK. Quality of Life and Disability in Patients with Dhat Syndrome: A Cross-Sectional Study. Indian Journal of Psychological Medicine. 2022 Sep;44(5):459-65. Prakash S, Sharan P, Sood M. A study on phenomenology of Dhat syndrome in men in a general medical setting. Indian Journal of Psychiatry. 2016 Apr;58(2):129. Singh AK, Kant S, Abdulkader RS, Lohiya A, Silan V, Nongkynrih B, Misra P, Rai SK. Prevalence and correlates of sexual health disorders among adult men in a rural area of North India: An observational study. Journal of family medicine and primary care. 2018 May;7(3):515. Rao TS. History and mystery of Dhat syndrome: A critical look at the current understanding and future directions. Indian Journal of Psychiatry. 2021 Jul;63(4):317. Alles PS, Akurana C, Amarakoon DL, Rohanachandra YM. An elderly man presenting with symptoms suggestive of Dhat syndrome. Vaughn LM, Jacquez F, Bakar RC. Cultural health attributions, beliefs, and practices: Effects on healthcare and medical education. The Open Medical Education Journal. 2009 Aug 22;2(1). Grover S, Avasthi A, Gupta S, Dan A, Neogi R, Behere PB, Lakdawala B, Tripathi A, Chakraborty K, Sinha V, Bhatia MS. Phenomenology and beliefs of patients with Dhat syndrome: A nationwide multicentric study. International Journal of Social Psychiatry. 2016 Feb;62(1):57-66. KAR SK, Singh A. Person centered management approach for the Dhat syndrome. International Journal of Person Centered Medicine. 2016;6(4). Grover S, Gupta S, Mehra A, Avasthi A. Comorbidity, knowledge and attitude towards sex among patients with Dhat syndrome: A retrospective study. Asian Journal of Psychiatry. 2015 Oct 1;17:50-5. Sagar R, Pattanayak RD, Garg R, Chavan BS, Arun P, Roelandt JL, Daumerie N, Defromont L, Caria A, Bastow P, Kishore J. Stigma and community intervention: Has enough been done. J Ment Health Hum Behav. 2014 Jan 1;19:1-3. Khan N. Dhat syndrome: Physical and psychological implications. Unpublished Doctoral Thesis Submitted to University of Health Sciences, Lahore, Pakistan. 2008 Apr. Newlands RT, Brito J, Denning DM. Cultural considerations in the treatment of sexual dysfunction. Handbook of Cultural Factors in Behavioral Health: A Guide for the Helping Professional. 2020:345-61. Singh AK, Kant S, Abdulkader RS, Lohiya A, Silan V, Nongkynrih B, Misra P, Rai SK. Prevalence and correlates of sexual health disorders among adult men in a rural area of North India: An observational study. Journal of family medicine and primary care. 2018 May;7(3):515.
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