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Background:COVID 19 has led to dramatic changes in the lives of people leading to an increase in stress and anxiety. Music intervention is a non-medicated method for relieving anxiety. This current study aims to understand whether music can be effectively used to alleviate anxiety in admitted COVID-19 patients. Objective:To study the effect of music on anxiety in patients admitted for COVID-19 in a tertiary care hospital in New Delhi Method:34 patients (17 females &17 males) were randomly divided into two groups, a control (N=17) and a music group (N=17). Vitals of all the patients were noted. Patients of the music group were asked to listen to relaxing instrumental for 30 minutes, while patients of the control group were asked to relax for 30 minutes. Vitals of all the patients were noted again. Patients were asked to fill State Trait Anxiety Inventory (STAI) before and after intervention. Results:The post-intervention mean scores of STAI after the music session were lower in the music group than the control group [95.06 (SD 8.5)) versus 102.37 (SD 10.3)]. The differences in mean values of pre- to post-intervention changes between both groups after music session were statistically significant. Conclusions:Our findings suggest that listening to music lowers anxiety. As music is non- invasive and free of side-effects we recommend that music intervention service should be used to improve health care quality. &nbsp

Introduction:Sleep is naturally recurring state of mind and body, characterized by altered consciousness, inhibition of nearly all voluntary muscles and reduced interactions with surroundings. Chronic disturbances can lead to poor sleep quality which may manifest as increased irritability, anxiety, tension, depression, confusion. The undergraduate years are a period of vulnerability when considering sleep problems and mental health may tend to worsen over time. Alcohol, tobacco, and stimulant beverages such as tea/ caffeine affect the quality of sleep. Students are more prone to adopt and practice maladaptive sleep hygiene such as irregular bedtime, academic pressure, internet addiction, electronic media exposure, alcohol consumption and smoking, which affects quality of sleep. Material and Methods:The study was a cross sectional, interview based, non-interventional studyconducted on the engineering students at SGT University, Budhera, Gurgaon, Haryana, India. Data was collected through questionnaires such as Pittsburgh Sleep Quality Index, The Epworth `Sleepiness Scale, Depression Anxiety Stress Scale, The general health questionnaire. Results:A total of 274 students were included in the study. The mean age was20.11 ± 1.30 years and there were more male (77.3%) students as compared to females (22.7%). Alcohol use was present in 43(11.7%) of students, cannabis intake was present in 11(4%), nicotine intake was reported by 39(14.2%) of students and only one student reported of taking opioid. DASS-A, DASS-S, DASS-D, GHQ-12, PSQI were positively correlated with each other when associations were studied individually. Conclusion:In our study,it was established that poor sleep quality in engineering students was significantly associated with poor mental and physical health.

Context:The COVID-19 pandemic caused by the novel Corona virus has impacted more than 200 countries. COVID-19 patients are frequently isolated and quarantined due to high infectivity thus adding to further mental stress, uncertainty, anger, confusion, stress and insecurity. It has given rise to various psychological problems such as anxiety, depression, fear of isolation, fear of dying, feeling of helplessness, insomnia and many more. The aim of this study is to investigate stress, anxiety, and depression in COVID-19 positive patients during the Corona pandemic in India. Aims:To study the prevalence of psychiatric comorbidities in patients admitted for COVID-19 in a tertiary care hospital in New Delhi. Settings and Design: This cross sectional study was conducted on 82 COVID-19 patients admitted in covid ward of Hamdard institute of medical sciences, Hakeem Abdul Hameed Centenary Hospital (HAHC)Hospital, New Delhi. Subjects and Methods:The data was collected on socio demographic parameters and assessment was done using the depression, anxiety, and stress scale (DASS-21) questionnaire in COVID-19 admitted patients in the hospital. Statistical Analysis Used: SPSS 16 version for Microsoft Windows. Results:The mean age of the patients was 52.21 ± 12.23 years. 59.8% patients (N=49) were men and 40.2% (N=33) were women. Depression was more 40 to 60 years age group (12%). (P=0.333). Anxiety and stress was more in age group of 60 years and above. (14%) (P=0.313) and (14%) (P=0.011) respectively. Depression was more in females patients.(P=0.039) while anxiety and stress was also found in male patients. (P=0.014) and (P=0.148) respectively Anxiety and stress was more common in patients with less oxygen saturation while depression was more in patients with more higher oxygen saturation levels. Conclusions:COVID-19 patients score higher on comorbid anxiety and depression. Mild to Moderate level of depression is commonly seen among female, married, less educated, middle age and above group and low oxygen saturation. Anxiety is more amongst male, married, less educated and elderly group and stress is more common in male, widow, tobacco smokers and patients with less oxygen saturation in COVID-19 patients. &nbsp

Introduction COVID 19 has led to dramatic changes in the lives of people leading to an increase in stress and anxiety. Music intervention is a non-medicated method for relieving anxiety. This current study aims to understand whether music can be effectively used to alleviate anxiety in admitted COVID-19 patients. Objectives To study the effect of music on anxiety in patients admitted for COVID-19 in a tertiary care hospital in New Delhi Methods 34 patients (17 females &17 males) were randomly divided into two groups, a control (N=17) and a music group (N=17). Vitals of all the patients were noted. Patients of the music group were asked to listen to relaxing instrumental for 30 minutes, while patients of the control group were asked to relax for 30 minutes. Vitals of all the patients were noted again. Patients were asked to fill State Trait Anxiety Inventory (STAI) before and after intervention. Results The post-intervention mean scores of STAI after the music session were lower in the music group than the control group [95.06 (SD 8.5)) versus 102.37 (SD 10.3)]. The differences in mean values of pre- to post-intervention changes between both groups after music session were statistically significant. Conclusions Our findings suggest that listening to music lowers anxiety. As music is non- invasive and free of side-effects we recommend that music intervention service should be used to improve health care quality. Disclosure No significant relationships.

Introduction:Sleep is naturally recurring state of mind and body, characterized by altered consciousness, inhibition of nearly all voluntary muscles and reduced interactions with surroundings.Chronic disturbances can lead to poor sleep quality which may manifest as increased irritability, anxiety, tension, depression, confusion. The undergraduate years are a period of vulnerability when considering sleep problems and mental health may tend to worsen over time. Alcohol, tobacco, and stimulant beverages such as tea/ caffeine affect the quality of sleep. Students are more prone to adopt and practice maladaptive sleep hygiene such as irregular bedtime, academic pressure, internet addiction, electronic media exposure, alcohol consumption and smoking, which affects quality of sleep. Material and Methods:The study was a cross sectional, interview based, non-interventional studyconducted on the engineering students at SGT University, Budhera, Gurgaon, Haryana, India. Data was collected through questionnaires such as Pittsburgh Sleep Quality Index, The Epworth `Sleepiness Scale, Depression Anxiety Stress Scale, The general health questionnaire. Results:A total of 274 students were included in the study. The mean age was20.11 ± 1.30 years and there were more male (77.3%) students as compared to females (22.7%). Alcohol use was present in 43(11.7%) of students, cannabis intake was present in 11(4%), nicotine intake was reported by 39(14.2%) of students and only one student reported of taking opioid. DASS-A, DASS-S, DASS-D, GHQ-12, PSQI were positively correlated with each other when associations were studied individually. Conclusion:In our study,it was established that poor sleep quality in engineering students was significantly associated with poor mental and physical health.

Introduction:In December 2019, novel coronavirus (2019-nCoV) was recognized in Wuhan, China, and since then has caused serious illness and death. As on May 16, 2020, a total of more than 4.5 million cases of the novel coronavirus disease (COVID-19) have been reported globally and a total of more than 86000 confirmed positive cases in India alone. This has led to significant medical and psychological morbidity, both, in India as well as globally. Aim:To compare psychological distress, intolerance to uncertainty and resilience in people quarantined for COVID-19 pandemic and in health care providers in a tertiary care hospital. Material and methods:Data was collected from suspected COVID-19 individual evacuated from abroad and quarantined in wards, and health care providers in SGT Hospital, SGT university, Gurugram using anonymous online questionnaires for socio demographic details and psychological assessment using Depression Anxiety and Stress Scale 21 (DASS-21), Intolerance of Uncertainty Scale (IUS), General health questionnaire-12 stress scale (GHQ- 12 stress scale) and Connor- Davidson Resilience Scale (CDRISC). Results:A statistically significant mean difference in total DASS-21 score, GHQ-12 score, IUS score was observed between quarantined patients (Group1) and health care providers (Group 2). Psychological stress and intolerance to uncertainty was found to be more in healthcare providers. Resilience had an inverse correlation with Psychological stress and intolerance to uncertainty. Conclusion:COVID 19 has affected people from all domains. It has not spared even the Healthcare Providers. Therefore, special attention must be given to Mental Health of all including Healthcare Providers.

Introduction: Opiate is the one of the major drugs of abuse in India. In National household survey 2004, 0.7% of population was detected with opioid abuse disorder. There was lot of studies done at different states to find out prevalence of opioid abuse, but none of the study compared the opioid abuser disorder with other states. The present study was thus conducted to assess the prevalence and pattern of opioid dependence in state of Haryana, Punjab and Rajasthan. Methodology: Total 540 patients with opioid dependence were enrolled from the three different deaddiction centers- one in Haryana, One in Punjab and One in Rajasthan from January 2016 to December 2017. Social demographic details were collected and pattern of opioid dependence were obtained by self-reporting and corroborated from cases notes. Results: In sample of 540 patients with opioid dependence, 202 patients were from Haryana, 168 were from Punjab and 170 were from Rajasthan. Average age of patients was 39 to 40 years. All were male with education status above metric in more than 80% of sample size and more than 75% of patients were employed. Opioid abuse disorder was seen in mainly married patients with average duration of dependence 9 to 10 years. In different form of opioid, opium/bhukki (75-85%) was common form of opioid in all the three staes followed by heroin(13-25%) and pharmaceutical drugs (2-3%). Conclusion: This study shows the social demographic profile is almost same in all the three states and opioid dependence was mainly seen in married and educated patients too.

Introduction: Baclofen and topiramate are GABAergic drugs, and both have been recommended for the treatment of alcohol dependence as anticraving agent. Several studies have demonstrated the effect of baclofen and topiramate as anticraving, but none has compared them. The main aim of the current study was to assess the baclofen and topiramate as anticraving agent in alcohol dependence during 1 month follow-up. Methodology: After 1-week detoxification protocol, 94 patients were randomly assigned to either baclofen (n = 49) or topiramate (n = 45) for 1-month follow-up. Patients were assessed with clinical institute withdrawal assessment at baseline, and at 1 week, the Addiction Severity Index, ready to change questionnaire at baseline and weekly assessed with Obsessive and Compulsive drinking scale (OCDS) for craving. At every follow-up, adverse effects were also assessed to check tolerability. Results: A marked improvement was observed with baclofen in OCDS in each assessment as compared to topiramate. With baclofen, 61.22% of patients became complete abstinence, as compared to 37.78% in topiramate group. Baclofen was better tolerated as 24.49% patients were dropped out in baclofen group as compared to 33.33% in topiramate group. Conclusion: Baclofen has better efficacy and tolerability as compared to topiramate.