Papers by Muhammad Mullick
Bangladesh journal of psychiatry, Dec 31, 2022
Asian Journal of Psychiatry, 2020
This is a PDF file of an article that has undergone enhancements after acceptance, such as the ad... more This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
Clinical case reports international, Aug 20, 2021
Obsessive-Compulsive Disorder (OCD) is a chronic and diversely presented psychiatric condition. P... more Obsessive-Compulsive Disorder (OCD) is a chronic and diversely presented psychiatric condition. Patients of this disorder, sometimes, present such an unusual way that diagnosis becomes very difficult. These patients, later, may face multiple consultations in different specialties or social and legal difficulties. This is the case of an adolescent boy who presented with stealing or pick-up mobile phone and facing social harassment. He was diagnosed as OCD after meticulous psychiatric assessment and treated with fluoxetine along with exposure and response prevention. Significant remission of symptoms of this adolescent was found with the intervention. Unusual presentations of OCD is not unexpected and early identification and treatment can reduce the huge burden of this troublesome psychiatric disorder.
British Journal of Psychiatry Open, Jun 1, 2022
The authors intend to briefly review the literature regarding the progress of substance misuse ra... more The authors intend to briefly review the literature regarding the progress of substance misuse rates and harms, the support available and reflect on the current national situation. We aim to better understand the changes in policies and services, and their impact to see what can be learned from the Portuguese experience. Methods. A narrative literature review was carried out by the authors using the keywords "addiction" "drugs policy" "Portugal" "drug use". The authors declare no conflicts of interest. Results. The end of the dictatorship in 1974, the reopening of borders, and the return of white Portuguese from former colonies, were all associated with a dramatic increase in substance misuse in Portugal. In the 1990's it is estimated that 0.5%-1% of the population was using heroin at the time, with extremely high rates of HIV and Hepatitis in intravenous drug users. At the start of this period, healthcare services were poorly organized, resources for substance misuse services were limited, legislation was punitive, and there was a general understanding that drug addiction was a consequence of a moral failing. A change in paradigm occurred in the late 1990's and new legislation introduced in 2001, which along with the growth in services to support substance misusers dramatically reduced the rates and negative outcomes of substance misuse. Of note, new HIV diagnoses due to injecting and overdose rates dropped significantly in the XXI century and decriminalization did not lead to an overall increase in substance misuse. Conclusion. The pivotal shift in the understanding of the nature of addiction as an illness lead to a profound change in interventions to mitigate this overwhelming problem that affected Portugal by the end of the XX century. We hope that by sharing this experience this will improve interventions around the world to support substance misusers and public health.
Asian Journal of Psychiatry, Jul 1, 2021
Asian Journal of Psychiatry, Dec 1, 2020
Preschool period is the most important stage of life when major development occurs that lays the ... more Preschool period is the most important stage of life when major development occurs that lays the foundation of later life. Nearly similar ranges of psychiatric disorders start during preschool age and they continue to childhood and adolescence. Early intervention can reduce risks of adverse psychosocial outcome and longitudinal continuity of disorders. Detailed assessment of psychiatric disorders among this population is increasingly of high importance. Present study was aimed to determine the prevalence of psychiatric disorders among 3-4 year olds and to find out possible baseline correlates. This was a quantitative, cross-sectional and descriptive study carried out from March to May 2018 in 160 random urban community samples of Dhaka city. Of these, 86 were boys and 74 were girls. Household Questionnaire and validated parent version of Bangla Strengths and Difficulties Questionnaire (SDQ) for screening psychopathology had been applied to the consented parents or caregivers of the respondents. Mean age of the subjects was 3.63 ± 0.49 years. Overall, predictive prevalence of psychiatric disorder was 11.9 %. Among them, 4.4 % was emotional disorder, 5.6 % was conduct disorder and 1.9 % was hyperactivity. Prevalence of predictive psychiatric disorders was roughly similar in 3 and 4 years age. Girls had an excess of emotional disorder and boys had more behavioral disorder. Comorbidity was found at a higher rate with significant overlapping among the broad types of psychiatric disorders. This study supports the other findings of psychiatric disorders among the preschool children that would ultimately help in applying suitable screening procedures and subsequent management of psychiatric conditions.
Bangladesh journal of psychiatry, Jun 7, 2017
Medical students confront significant academic, psychosocial and existential stressors for coping... more Medical students confront significant academic, psychosocial and existential stressors for coping with new college and schedule,. So assessment of the symptoms of depression, anxiety and stress among medical students are essential to take necessary steps to treat or prevent any psychiatric morbidity. The objective of the study was to assess depression, anxiety and stress among the first year MBBS students. This was a cross sectional and descriptive study conducted in Khulna Medical College, Bangladesh from December 2009 to July 2010. For this purpose, 105 students fulfilling inclusion and exclusion criteria were taken as sample. They filled up personal data and the short-form Bangla version of DASS (DASS-21 BV) scale. The results showed that, the mean age of students was 18.8 years with male predominance (54.3%). Symptoms of depression, anxiety and stress were found among 54.3%, 64.8% and 59.0% of students respectively. Eighty five (81%) students either had depression, anxiety or stress alone or in combination. Combination of depression, anxiety and stress was highest (36.2%). No significant association was found between gender difference and depression, anxiety or stress. Age was positively correlated with depression (p=0.004) and stress (p=0.001). Percentage of 1st year MBBS students suffering from depression, anxiety and stress were very high. Adequate psychiatric services should be provided to manage these symptoms among medical students.
Asian Journal of Psychiatry
Preschool period is the most important stage of life when major development occurs that lays the ... more Preschool period is the most important stage of life when major development occurs that lays the foundation of later life. Nearly similar ranges of psychiatric disorders start during preschool age and they continue to childhood and adolescence. Early intervention can reduce risks of adverse psychosocial outcome and longitudinal continuity of disorders. Detailed assessment of psychiatric disorders among this population is increasingly of high importance. Present study was aimed to determine the prevalence of psychiatric disorders among 3-4 year olds and to find out possible baseline correlates. This was a quantitative, cross-sectional and descriptive study carried out from March to May 2018 in 160 random urban community samples of Dhaka city. Of these, 86 were boys and 74 were girls. Household Questionnaire and validated parent version of Bangla Strengths and Difficulties Questionnaire (SDQ) for screening psychopathology had been applied to the consented parents or caregivers of the respondents. Mean age of the subjects was 3.63 ± 0.49 years. Overall, predictive prevalence of psychiatric disorder was 11.9 %. Among them, 4.4 % was emotional disorder, 5.6 % was conduct disorder and 1.9 % was hyperactivity. Prevalence of predictive psychiatric disorders was roughly similar in 3 and 4 years age. Girls had an excess of emotional disorder and boys had more behavioral disorder. Comorbidity was found at a higher rate with significant overlapping among the broad types of psychiatric disorders. This study supports the other findings of psychiatric disorders among the preschool children that would ultimately help in applying suitable screening procedures and subsequent management of psychiatric conditions.
BJPsych Open
AimsConversion disorder is common among children and adolescents, particularly in non-Western soc... more AimsConversion disorder is common among children and adolescents, particularly in non-Western societies like in Bangladesh. Diverse presentation of the disorder makes it difficult to diagnose which ultimately may lead to poor prognosis.MethodsPatient X is a 10-year-old girl, a 5th grade student, hailing from a District town, Bangladesh, attending child and adolescent consultation services with the complaint of sudden loss of vision in both eyes for 3 weeks. Earlier, she underwent thorough examination and investigation and intervention by the different specialists (GP, ophthalmologist, and neurologist). At one point she was given zero power glasses. Her symptom was then fluctuating. She was not attending school as she was away for treatment purposes. X complained of not seeing lines of books when her parents tried to persuade her to do schoolwork at home. Eventually she was referred for psychiatric evaluation after no improvement. Assessment was completed and parental discord, violen...
Clinical medicine insights, Jul 19, 2021
Asian Journal of Psychiatry, 2021
There is considerable evidencefromfamily and twin studies that aetiology of autism is predominant... more There is considerable evidencefromfamily and twin studies that aetiology of autism is predominantly genetic. However, the definition of the phenotype is questionable and it is suggested that the genetic liability for autism may be expressed in nonautistic relatives in a phenotype that is milder but qualitatively similar to the defiling features of autism This study was aimed to evaluate the rate of childhood autism and autism like features among the first degree relatives of austistic probands. Sixty five consecutive cases of childhood autism attended in Child Mental Health Outpatient Clinic of Bangabandhu Sheikh Mujib Medical Unibersity, Dhaka, from July 1998 to June 2000, satisfying clinical diagnosis of ICD-10 were included for this study. Same number of patients were selected as controls from children outpatient services of the University. A structured family history interview was used to assess the autism or autistic like features in first degree relatives of the probands of th...
BJPsych Open, 2020
Background Suicide is an important, understudied public health problem in Bangladesh, where risk ... more Background Suicide is an important, understudied public health problem in Bangladesh, where risk factors for suicide have not been investigated by case–control psychological autopsy study. Aims To identify the major risk factors for suicide in Dhaka, Bangladesh. Methods We designed a matched case–control psychological autopsy study. We conducted a semi-structured interview with the next-of-kin of 100 individuals who died by suicide and 100 living controls, matched for age, gender and area of residence. The study was conducted from July 2019 to July 2020. Results The odds ratios for the risk factors were 15.33 (95% CI, 4.76–49.30) for the presence of a psychiatric disorder, 17.75 (95% CI, 6.48–48.59) for life events, 65.28 (95% CI, 0.75–5644.48) for previous attempts and 12 (95% CI, 1.56–92.29) for sexual abuse. Conclusions The presence of a psychiatric disorder, immediate life events, previous suicidal attempts and sexual abuse were found as significant risk factors for suicide in D...
International Journal of Contemporary Research and Review, 2018
Background: In Bangladesh fatality rate due to road traffic accidents is rising sharply day by da... more Background: In Bangladesh fatality rate due to road traffic accidents is rising sharply day by day. At least 2297 people were killed and 5480 were injured in road traffic accidents within 1st six months of 2017.Whereas in the previous year at 2016 at least 1941 people were killed and 4794 were injured within the 1st six months. No survey has been reported in Bangladesh yet correlating ADHD as a reason of impulsive driving which ends up in a road crash.
Asian Journal of Psychiatry, 2019
This is a PDF file of an article that has undergone enhancements after acceptance, such as the ad... more This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
International Journal of Psychiatry Research, 2019
Zinat Ali, the tallest man of Bangladesh as well as over the world who has recorded in Guinness B... more Zinat Ali, the tallest man of Bangladesh as well as over the world who has recorded in Guinness Book of world record for his height. But he has some medical issues which make his living difficult day by day. Increasing height makes him more voracious food taker and he takes almost more than 1kg of rice daily. Moreover he has long fingers which are bending progressively. Even he has dissimilarities in length of legs, which are producing difficulties in walking. Nowadays he has started some symptoms of sad feeling which causes significant impairment in social, occupational and other areas of functioning. His condition has started to deteriorate in mentally, physically, financially and socially. His various problems of daily life are making him too irritated that his living is threatened now.
The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2006
Heart failure (HF) and depression are both common in older adults, and the presence of depression... more Heart failure (HF) and depression are both common in older adults, and the presence of depression is known to worsen HF outcomes. For community-dwelling older adults, admission to a nursing home (NH) is associated with loss of independent living and poor outcomes. The objective of this study was to examine the effect of depression on NH admission for older adults with HF. Using the 2001-2003 National Hospital Discharge Survey datasets, the authors identified all community-dwelling older adults who were discharged alive with a primary discharge diagnosis of HF. The authors then identified those with a secondary diagnosis of depression. Using a multivariable logistic regression model, the authors then determined probability or propensity to have depression for each patient. The authors used propensity scores for depression to match all 680 depressed patients with 2,040 nondepressed patients. Finally, the authors estimated the association between depression and NH admission using bivar...
Psychiatric Services, 2001
Ibrahim cardiac medical journal, Nov 14, 2023
Background & Objective: Autism Spectrum disorder (ASD) is a developmental disorder that requires ... more Background & Objective: Autism Spectrum disorder (ASD) is a developmental disorder that requires constant care by family members. Meeting the continuous care demand of the affected children takes a lot of time and effort. Studies have shown that parents of children with ASD experience heightened stress. The present study was intended to investigate the level of stress or burden of parents of children with ASD and to identify different psychiatric disorders among them. Methods: This cross-sectional study was conducted at Out Patient Department (OPD) of the Institute for Paediatric Neurodisorder and Autism (IPNA) in Bngobandhu Sheikh Mujib Medical University (BSMMU),
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Papers by Muhammad Mullick