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  1. Article: Sri Lanka's response to prescribed drug misuse: is it enough?

    Hapangama, Aruni / Kuruppuarachchi, K A L A

    BJPsych international

    2023  Volume 20, Issue 1, Page(s) 7–9

    Abstract: A wide range of medications are being misused by people the world over and Sri Lanka is no exception. Reasons for this misuse are manyfold. Regulatory bodies, prescribers, dispensers, as well as the general public, have significant roles to play in ... ...

    Abstract A wide range of medications are being misused by people the world over and Sri Lanka is no exception. Reasons for this misuse are manyfold. Regulatory bodies, prescribers, dispensers, as well as the general public, have significant roles to play in mitigating the misuse of prescribed medications and their harmful consequences.
    Language English
    Publishing date 2023-02-22
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2905058-3
    ISSN 2058-6264 ; 2056-4740
    ISSN (online) 2058-6264
    ISSN 2056-4740
    DOI 10.1192/bji.2021.54
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Improving psychological well-being among healthcare workers during the COVID-19 pandemic with an online mindfulness intervention: A randomised waitlist-controlled trial.

    Baminiwatta, Anuradha / Fernando, Roshan / Solangaarachchi, Indrajith / Abayabandara-Herath, Thilini / Wickremasinghe, Ananda R / Hapangama, Aruni

    International journal of psychology : Journal international de psychologie

    2024  

    Abstract: The high prevalence of psychological problems observed among healthcare workers (HCWs) during the COVID-19 pandemic called for interventions to safeguard their mental health. We assessed the effectiveness of a 6-week online mindfulness-based intervention ...

    Abstract The high prevalence of psychological problems observed among healthcare workers (HCWs) during the COVID-19 pandemic called for interventions to safeguard their mental health. We assessed the effectiveness of a 6-week online mindfulness-based intervention in improving well-being and reducing stress among HCWs in Sri Lanka. Eighty HCWs were recruited and randomised into two groups: waitlist-control (WLC) and intervention groups. In the intervention, 1-hour online sessions were conducted at weekly intervals and participants were encouraged to do daily home practice. Stress and well-being were measured pre- and post-intervention using the Perceived Stress Scale and WHO-5 Well-being Index, respectively. One-way analysis of covariance was used to evaluate the effectiveness, in both intention-to-treat (ITT) and complete-case (CC) analyses. A significantly greater improvement in well-being occurred in the intervention arm compared to WLC on both ITT (p = .002) and CC analyses (p < .001), with medium-to-large effect sizes (partial η
    Language English
    Publishing date 2024-02-14
    Publishing country England
    Document type Journal Article
    ZDB-ID 1480995-3
    ISSN 1464-066X ; 0020-7594
    ISSN (online) 1464-066X
    ISSN 0020-7594
    DOI 10.1002/ijop.13118
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Cross-cultural adaptation and validation of the Liebowitz Social Anxiety Scale (LSAS-SR) Tamil Version.

    Hapangama, Aruni / Premaratne, Imalsha / Thilaxshan, Thevasingam / Gadambanathan, Thanabalasingam / Wickremasinghe, Rajitha

    The Ceylon medical journal

    2023  Volume 67, Issue 1, Page(s) 5–10

    Abstract: Background: Despite being the third most prevalent psychiatric disorder, social anxiety disorder remains under-diagnosed due to multiple reasons. Although many screening instruments are available in the English language, to date no instrument has been ... ...

    Abstract Background: Despite being the third most prevalent psychiatric disorder, social anxiety disorder remains under-diagnosed due to multiple reasons. Although many screening instruments are available in the English language, to date no instrument has been translated into Tamil.
    Objective: To translate and validate the Liebowitz Social Anxiety Scale (LSAS-SR) into Tamil among a group of Sri Lankan university students whose mother tongue is Tamil.
    Method: The process of translation and validation involved standard procedures. DSM- 5 was used as the gold standard to diagnose social anxiety disorder. As part of the psychometric study, test-retest reliability and analysis of items for internal consistency of the instrument were assessed.
    Results: A cut off of55.5had the optimum sensitivity and specificity for the Tamil version of the LSAS-SR. The Cronbach's alpha between the avoidance subscale, total and the fear subscale total was 0.860 while the figures for Cronbach's alpha between the total score and fear subscale total score and the avoidance subscale total score were 0.880 and 0.855, respectively. The test- retest reliability correlation coefficients for the fear subscale, avoidance subscale and the total score were 0.890, 0.925 and 0.918, respectively (p<0.001 for all).
    Conclusions: The cut off score of 55.5had the optimum sensitivity and specificity for the LSAS-SR Tamil version. It had good internal consistency and test-retest reliability. Further studies will enable the assessment of the prevalence of social phobia and investigation of cultural and environmental factors associated with social phobia in Sri Lanka.
    MeSH term(s) Humans ; Cross-Cultural Comparison ; India ; Reproducibility of Results ; Language ; Anxiety
    Language English
    Publishing date 2023-08-22
    Publishing country Sri Lanka
    Document type Journal Article
    ZDB-ID 419365-9
    ISSN 0009-0875
    ISSN 0009-0875
    DOI 10.4038/cmj.v67i1.9552
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Why are we still living in the past? Sri Lanka needs urgent and timely reforms of its archaic mental health laws.

    Hapangama, Aruni / Mendis, Jayan / Kuruppuarachchi, K A L A

    BJPsych international

    2022  Volume 20, Issue 1, Page(s) 4–6

    Abstract: Mental health legislation protects the rights of people with mental illnesses. However, despite major social, political and cultural changes, Sri Lankan mental health services still operate on laws enacted mostly during the British rule more than a ... ...

    Abstract Mental health legislation protects the rights of people with mental illnesses. However, despite major social, political and cultural changes, Sri Lankan mental health services still operate on laws enacted mostly during the British rule more than a century ago, in the pre-psychotropics era, and focusing more on the detention of people with mental illnesses than on their treatment. It is high time all stakeholders made efforts for the much-awaited new Mental Health Act to pass through parliament urgently to meet the needs and protect the rights of patients, their caregivers and service providers.
    Language English
    Publishing date 2022-11-30
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2905058-3
    ISSN 2058-6264 ; 2056-4740
    ISSN (online) 2058-6264
    ISSN 2056-4740
    DOI 10.1192/bji.2022.26
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Achievements and challenges in psychiatric education and training in Sri Lanka.

    Hapangama, Aruni / Kuruppuarachchi, K A L A / Hanwella, Raveen

    BJPsych international

    2022  Volume 20, Issue 1, Page(s) 2–4

    Abstract: When compared with other Asian countries, psychiatric education and training in Sri Lanka has made significant developments during the past two decades, such as introducing psychiatry as a separate final year subject in the undergraduate medical ... ...

    Abstract When compared with other Asian countries, psychiatric education and training in Sri Lanka has made significant developments during the past two decades, such as introducing psychiatry as a separate final year subject in the undergraduate medical curricula. However, further developments in psychiatric training in medical education are needed.
    Language English
    Publishing date 2022-11-30
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2905058-3
    ISSN 2058-6264 ; 2056-4740
    ISSN (online) 2058-6264
    ISSN 2056-4740
    DOI 10.1192/bji.2021.35
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Maternal mental health services in Sri Lanka: challenges and solutions.

    Hapangama, Aruni / Kuruppuarachchi, K A L A

    BJPsych international

    2021  Volume 18, Issue 4, Page(s) 100–102

    Abstract: Sri Lanka boasts of making significant strides in the indicators of maternal healthcare during the past few decades. However, these indicators mostly look only at the physical well-being of women. Lack of awareness regarding maternal mental health ... ...

    Abstract Sri Lanka boasts of making significant strides in the indicators of maternal healthcare during the past few decades. However, these indicators mostly look only at the physical well-being of women. Lack of awareness regarding maternal mental health problems among grass-root level healthcare workers, poor integration of services, and the culture and stigma regarding perinatal mental disorders are barriers to improving services in maternal mental healthcare in Sri Lanka.
    Language English
    Publishing date 2021-11-08
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2905058-3
    ISSN 2058-6264 ; 2056-4740
    ISSN (online) 2058-6264
    ISSN 2056-4740
    DOI 10.1192/bji.2020.52
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Measuring Resilience Among Sri Lankan Healthcare Workers: Validation of the Brief Resilience Scale in Sinhalese and Tamil Languages.

    Baminiwatta, Anuradha / Fernando, Roshan / Gadambanathan, Thanabalasingam / Jiyatha, Fathima / Sasala, Rashmi / Kuruppuarachchi, Lalith / Wickremasinghe, Rajitha / Hapangama, Aruni

    Indian journal of psychological medicine

    2023  Volume 45, Issue 5, Page(s) 542–543

    Language English
    Publishing date 2023-06-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2622378-8
    ISSN 0975-1564 ; 0253-7176
    ISSN (online) 0975-1564
    ISSN 0253-7176
    DOI 10.1177/02537176231174185
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Prevalence and predictors of new onset depression in the acute phase of stroke.

    Isuru, Amila / Hapangama, Aruni / Ediriweera, Dileepa / Samarasinghe, Lochana / Fonseka, Madhavi / Ranawaka, Udaya

    Asian journal of psychiatry

    2021  Volume 59, Page(s) 102636

    Abstract: Introduction: Post-stroke depression (PSD) is known to be associated with poor functional outcome and high mortality. There is limited data on the prevalence and associated factors of depression in the acute phase after stroke.: Objectives: To ... ...

    Abstract Introduction: Post-stroke depression (PSD) is known to be associated with poor functional outcome and high mortality. There is limited data on the prevalence and associated factors of depression in the acute phase after stroke.
    Objectives: To determine the prevalence of PSD in the acute phase and its correlates among patients with stroke in a tertiary care hospital in Sri Lanka.
    Method: A cross sectional descriptive study was conducted among patients with stroke admitted to the stroke unit of a tertiary care hospital in Sri Lanka over a 3-year period. Demographic and clinical information was obtained using an interviewer administered questionnaire. Depression was diagnosed using the ICD-10 criteria. Group comparisons were performed using Pearson's Chi-square test and Mann-Whitney U test Multiple logistic regression was used to identify factors associated with PSD.
    Results: Of 374 patients, 106 patients experienced moderate to severe PSD, with a prevalence of 28.3 % (95 % CI: 23.8 %-32.9 %). Of them, 54.7 % were females, 49 % were above the age of 60 years, and 79.9 % had ischemic strokes. Female gender (OR-2.77, 95 % CI: 1.46-5.07, P = 0.002), a longer duration of hypertension (OR-1.31, 95 % CI: 1.01-1.721, P = 0.004), strokes involving the temporal lobe (OR-7.25, 95 % CI: 2.81-20.25, P < 0.001) and post-stroke functional disability (OR- O.98, 95 % CI:0.97-0.99, P = 0.001) were associated with PSD on multivariate analysis.
    Conclusion: More than one fourth of the patients suffered from PSD in the acute phase of stroke. Female gender, longer history of hypertension, physical dependence and temporal lobe strokes were predictive of PSD.
    MeSH term(s) Cross-Sectional Studies ; Depression/epidemiology ; Depression/etiology ; Female ; Humans ; Male ; Middle Aged ; Prevalence ; Risk Factors ; Sri Lanka/epidemiology ; Stroke/complications ; Stroke/epidemiology
    Language English
    Publishing date 2021-04-06
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2456678-0
    ISSN 1876-2026 ; 1876-2018
    ISSN (online) 1876-2026
    ISSN 1876-2018
    DOI 10.1016/j.ajp.2021.102636
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Impact of COVID-19 on the mental health of frontline and non-frontline healthcare workers in Sri Lanka.

    Baminiwatta, Anuradha / De Silva, Shamila / Hapangama, Aruni / Basnayake, Kumarini / Abayaweera, Charani / Kulasinghe, Dinithi / Kaushalya, Dewmi / Williams, Shehan

    The Ceylon medical journal

    2022  Volume 66, Issue 1, Page(s) 16–31

    Abstract: Introduction: Healthcare workers (HCWs) are at risk of mental health problems during a pandemic. Being stationed at the frontline or not may have implications on their mental health.: Objectives: The aims of this study were to assess depression, ... ...

    Abstract Introduction: Healthcare workers (HCWs) are at risk of mental health problems during a pandemic. Being stationed at the frontline or not may have implications on their mental health.
    Objectives: The aims of this study were to assess depression, anxiety and stress among HCWs, to explore differences between frontline and non-frontline workers, and to investigate associated factors.
    Methods: In this cross-sectional study, frontline and non-frontline HCWs were recruited from a COVID-19 screening hospital in Sri Lanka. Mental health impact was assessed using Depression, Anxiety and Stress Scale (DASS-21). Sociodemographic data and perceptions of social and occupational circumstances were gathered. Categorical variables were analyzed using Chi square and logistic regression. Odds ratios were calculated for the effect of different perceptions on psychological morbidity.
    Results: A total of 467 HCWs participated, comprising 244 (52.2%) frontline and 223 (47.8%) non-frontline workers, with female preponderance (n=341, 77%). Prevalence of depression, anxiety and stress among HCWs were 19.5%, 20.6%, 11.8%, respectively. Non-frontline group showed a higher prevalence of depression (27% vs. 11%, p<0.001), anxiety (27% vs. 14%, p=0.001) and stress (15% vs. 8%, p=0.026). Being married, having children, living with family and higher income were associated with better psychological outcomes. Perceived lack of personal protective equipment, inadequate support from hospital authorities, greater discrimination, and lack of training to cope with the situation predicted poor mental health outcomes, and non-frontline HCWs were more likely to hold such perceptions.
    Conclusion: Addressing factors leading to negative psychological outcomes in HCWs should be a key concern during this pandemic.
    MeSH term(s) Anxiety/epidemiology ; COVID-19 ; Child ; Cross-Sectional Studies ; Depression/epidemiology ; Female ; Health Personnel ; Humans ; Mental Health ; SARS-CoV-2 ; Sri Lanka/epidemiology
    Language English
    Publishing date 2022-01-04
    Publishing country Sri Lanka
    Document type Journal Article
    ZDB-ID 419365-9
    ISSN 0009-0875
    ISSN 0009-0875
    DOI 10.4038/cmj.v66i1.9351
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Cross-cultural adaptation and validation of the Leibowitz Social Anxiety Scale (LSAS-SR) Sinhala Version.

    Hapangama, Aruni / Kuruppuarachchi, Lalith A / de Silva, Ransirini / Wickremasinghe, Ananda R / Ravindran, Arun / Williams, Shehan S

    The Ceylon medical journal

    2020  Volume 65, Issue 1&2, Page(s) 28–31

    MeSH term(s) Anxiety/diagnosis ; Cross-Cultural Comparison ; Humans ; Psychometrics ; Reproducibility of Results
    Language English
    Publishing date 2020-08-07
    Publishing country Sri Lanka
    Document type Journal Article
    ZDB-ID 419365-9
    ISSN 0009-0875
    ISSN 0009-0875
    DOI 10.4038/cmj.v65i1-2.9134
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

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