Department of Occupational Therapy

Quality of Life of the Caregivers of the Person with Obsessive-Compulsive Disorder in Bangladesh.

2025-07-20T08:23:39Z

Quality of Life of the Caregivers of the Person with Obsessive-Compulsive Disorder in Bangladesh. Nobi, Zoarder Tashdid Un Background: Obsessive-Compulsive Disorder (OCD) represents a serious mental health disorder characterized by obsessions and accompanying compulsions that may severely affect patients and family caregivers alike. Introduction: Providing care for people having or living with obsessive compulsive disorder (OCD) has substantial psychological, social and economic costs, but little is known about the quality of life (QoL) among caregivers, especially in Bangladesh. Aim: This study aims to find out the quality of life of the caregivers of person with obsessive-compulsive disorder in Bangladesh. Method: A cross-sectional, quantitative study was conducted among 72 caregivers from the National Institute of Mental Health & Hospital (NIMH&H) and CRP-Rabia Noor Mental Health Day Centre. Participants were selected using purposive sampling. Data were collected through face-to-face interviews using socio-demographic questionnaires and the WHOQOL-BREF scale. Statistical analysis included Mann Whitney U and Kruskal-Wallis tests to identify significant differences in QoL domains. Results: This study examined the quality of life among 72 caregivers of individuals with OCD focused on the sociodemographic background and four health dimensions. The majority of participants were female (51.4%), between the ages of 38 and 57 (54.2%), urban dwellers (69.4%), and members of nuclear families (77.8%). The majority (86.1%) had no prior understanding of OCD, however, 94.4% acknowledged its influence on daily living. The highest quality of life scores was in physical health (Mean = 66.97), followed by social (63.61), environmental (57.53), and psychological health (55.18). Gender substantially influenced psychological health (p = 0.047), with males reporting better results, whereas urban inhabitants viewed their surroundings more positively (p = 0.003). Age influenced social participation (p = 0.007), and occupation significantly affected both physical (p = 0.013) and psychological health (p = 0.033). These results suggest that key sociodemographic factors shape caregivers’ well-being. Conclusion: The QoL of caregivers of OCD patients in Bangladesh is influenced by socio-demographic factors such as gender, living area, and occupation. Interventions targeting the psychological health of female caregivers, environmental improvements for rural caregivers, and support systems for housewives are essential to enhance caregivers' overall well-being. Keywords: Obsessive-Compulsive Disorder, Caregivers, Quality of Life, WHOQOL This dissertation is submitted in partial fulfillment of the requirements for the Degree of Bachelor of Science in Occupational therapy, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh.

Household Food Insecurity and Emotional Dysregulation Symptoms in Children with Autism Spectrum Disorder (ASD) : a cross-sectional study

2025-07-20T05:09:34Z

Household Food Insecurity and Emotional Dysregulation Symptoms in Children with Autism Spectrum Disorder (ASD) : a cross-sectional study Oishi, Yeasmin Sultana Background: A significant public health concern affecting children's emotional regulation is household food insecurity (HFI). Common challenges among children with Autism Spectrum Disorder (ASD) and emotional dysregulation (ED) may be aggravated by food insecurity. However, limited research has explored the relationship between HFI and ED in children with ASD, particularly in a low-income country like Bangladesh. Aim: This study aims to examine the association between household food insecurity and emotional dysregulation symptoms in children with ASD. Method: A cross-sectional study design was employed, with data collected from 200 parents or caregivers of children with ASD receiving therapy at rehabilitation and special education centers. The HFSSM assessed household food security, while the SDQ measured symptoms of emotional dysregulation. Data were analyzed using descriptive statistics, correlation analysis, and regression modeling to identify potential associations. Result: The results show that a substantial proportion of households, 86% classified as having poor food security and 14%, as having very low food security, were experiencing food insecurity. Children with ASD frequently have emotional dysregulation; 41% of them had extremely high ED levels. A substantial correlation (p < 0.05) was found between elevated emotional dysregulation scores and household food insecurity. Regression analysis also showed that sociodemographic factors, such as monthly food expenses and the caregiver's role, had a significant impact on the degree of emotional dysregulation. Conclusion: This study reveals how household food insecurity disrupts emotional regulation in children with ASD, particularly in Bangladesh. Addressing this challenge through targeted programs such as nutritional assistance and equitable policy reforms could meaningfully improve the emotional dysregulation of the children with ASD. The results urgency of uniting healthcare experts, policymakers, and community organizations to combat food insecurity and improve emotional outcomes for children with ASD. Keywords: Autism Spectrum Disorder, Household Food Insecurity, Emotional Dysregulation This dissertation is submitted in partial fulfillment of the requirements for the Degree of Bachelor of Science in Occupational therapy, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh.

Functional Ambulation Profile of People with Incomplete Spinal Cord Injury: A Cross-Sectional Study

2025-07-16T08:45:37Z

Functional Ambulation Profile of People with Incomplete Spinal Cord Injury: A Cross-Sectional Study Ahammed, Toufik Background: Evaluating walking ability of incomplete SCI and association with their gait, level of assistive device support and daily mobility. Incomplete SCI patients present a unique level of recovery influenced by the level and severity of injury. This research focuses on assessing gait efficiency, adaptations and rehabilitation outcomes. Understanding functional ambulation profiles helps clinicians develop targeted interventions, assistive device use, and improve quality of life for individuals with incomplete SCI. Aim: The aim of this study is to measure the quality of gait patterns and the performance of walking of a person with incomplete spinal cord injury. Methods: The study followed a cross-sectional quantitative design. Data were collected through a face-to-face survey among 72 participants who had completed their rehabilitation services at the CRP. The Spinal Cord Injury Functional Ambulation Inventory (SCI-FAI) Questionnaire was used to determine the ambulation status of people with incomplete SCI. SPSS 25 version was used to conduct the descriptive analysis and crosstabulation. Results: The findings showed that, 70.8% of participants were paraplegic most of the 37.5% at the neurological level (L1-S5), 50% of participants walked independently without needing any assistance, and 50% of participants used a forearm crutch. 29.2% of participants were unemployed. The temporal distance walked, within a maximum of 2 minutes, is 603 feet, with a minimum of 40 feet. The study shows an association between parameters, assistive devices, and temporal distance with ASIA scores, neurological levels, and types of paralysis. Conclusion: As this is the first study to focus on the ambulation status of this group within the country, it found a strong association between gait parameters, the use of assistive devices, and temporal distance measures. Additionally, this research contributes to our understanding of the socio-demographic characteristics and the current status of this population. Keywords: Spinal Cord Injury, Incomplete Injury, Ambulation, Assistive device, Parameters. This dissertation is submitted in partial fulfillment of the requirements for the Degree of Bachelor of Science in Occupational therapy, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh.

Understanding of functional difficulties among patients with Colles’ Fracture

2025-07-16T08:34:36Z

Understanding of functional difficulties among patients with Colles’ Fracture Tania Sultana, Tania Background: Colles' fracture, a common type of distal radial fracture, is frequently encountered in Bangladesh, particularly among older adults with osteoporosis and individuals who experience falls or road traffic accidents. Due to limited access to specialized rehabilitation services and financial constraints, many patients face significant functional difficulties during recovery and difficulty in performing daily activities such as eating, dressing, personal care. Additionally, the lack of ergonomic workplace adjustments and social support further hinders functional recovery. Understanding these challenges from a qualitative perspective is essential to developing patient-centered rehabilitation strategies in the Bangladeshi context. Aim: To explore and understand the functional difficulties experienced by patients with Colles’ Fracture. Method: The phenomenological approach of qualitative research design was chosen to conduct study. Data collection questionnaire was followed self-developed interview guide. Data was collected by conducting face-to-face in depth semi-structured interview. Seven participants who have Colles’ Fracture were accepted by simple random sampling of probability sampling. Data was analyzed by thematic analysis according Braun and Clark’s six step. Result: The findings explored in-depth information regarding functional difficulties of Colles’ fracture with nine themes: i) Impact on Activities of Daily Living, ii) Impact on Instrumental Activities of Daily Living, iii) Activity Restriction, iv) Coping strategies, v) Time and routine management, vi) Leisure activities, vii) Physical limitations, viii) Emotional & Mental health impact, ix) Family and Social Support. Conclusion: Patients with Colles’ fracture face significant functional difficulties that impact their daily lives, including pain, limited mobility and limitation performing essential tasks. The study identified several themes to find out and understanding the functional difficulties of patients’ activities of daily living, productive life. A qualitative approach highlights the need for tailored rehabilitation programs, emphasizing not only physical recovery but also emotional support to help patients regain confidence and improve their overall quality of life. Key words: Colles’ Fracture, Functional difficulties. This dissertation is submitted in partial fulfillment of the requirements for the Degree of Bachelor of Science in Occupational therapy, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh.