Vision for how you live

SAWHNY, R.C., GUPTA, Satish*, HARINATH, K., GOPINATH, M., MALHOTRA, A.S., PAL, Karan, PRASAD, R., RAI, Lajpat** and SELVAMURTHY W. (Defence Institute of Physiology and Allied Sciences, *Global Hospital and Research Centre, Mount Abu & **Morarji Desai National Institute of Yoga, New Delhi) 

Coronary Artery Disease (CAD) is fast becoming a major health problem in India and other developing countries. In Indian population the disease is extensive, premature, severe and has unrelenting course particularly affecting the younger generation (20-40 years age group). It appears that both nature and nurture might have contributed towards the development of malignant atherosclerosis in Indian population.   On the biological side, a combination of risk factors like higher levels of lipoprotein (a), insulin resistance, and hyperlipedemia have been attributed for higher incidence of CAD.   The nurture has been provided through transition of our country from an underdeveloped to the developing nation leading to urbanization, affluence and mechanization. In addition, the psychological factors such as type-A behaviour, excessive emotional stress, hostility, anger, ego, job and family stress might have also contributed besides genetical susceptibility. In the present study, the effects of life style changes like low fat vegetarian diet, moderate aerobic exercise and stress management through Rajyoga Meditation on regression of coronary artery disease were explored. Seventy patients of coronary artery disease with angiographic ally documented SVD, DVD or TVD were registered for the life style intervention programme. Detailed cardiac, biochemical, physiological, hormonal and psychological investigations were carried out before starting the intervention programme and after six months of follow up. The patients along with spouses received an intensive information, education and Rajyoga Meditation during seven days of their stay at Global Hospital and Research Centre, Mount Abu and continued the new Life Style during the follow up period. The results from the study have suggested a marked improvement in cardiac function parameters within seven days of the intervention programme which showed further improvement when reinforcement was done after six months of entering the study. These observations indicate that the life style intervention programme is an effective modality against progression of the coronary artery disease and can prove a better and cost effective alternative to surgical interventions.

SAXENA, Parul (Jindal Psychiatric Center, Delhi) 

This article explores those aspects of Indian culture which hold the path towards the attainment of psychological well-being. Like the two sides of the coin, two kinds of impressions of the Indian culture can also be traced out. One is the set of dynamics which create conflicts in the development and cognitive and behavioural manifestations of one's self in day to day life. It consists of strict code of conducts, prohibitions on the private self; focus on interdependence and high emotional affiliation with in familial and societal ties, lack of space for ego separation and autonomy, emphasis of submission and repression of authenticity, surrenderism to God and fate and sexual segregation and repression. Another is the set of cultural images and norms which make Indians relatively more contended and psychologically healthy. This set includes the focus on self realization than being on self actualization, virtues of Kshama (forgiveness) and tyag (sacrifice) and theological renderings in the favour of freedom for the manifestation of private self, duties toward one's own self, free expressions of emotions and lesser sexual taboos. Finally a suggestion is made to introspect and understand one's own self 'and cultural impressions upon it, to overcome the stress and to attain not only the physical but also the mental health, to live a more contended life.

SEHGAL, Rima (Bal Bharti Public School) 

Increasing number of youngsters from middle and upper socioeconomic families are getting involved in violence and crime. Changing social structure, nuclear families, absence of elders and media direct a child towards stronger peer group affiliation. This group belongingness allows them to override inhibitions and diminish any feeling of guilt. Violence becomes a part of life with more and more youngsters indulging in antisocial behaviours. Hence, there is strong need for research and work in prevention and treatment of the disorder. Presence of a counsellor in a school can help in catching them young and providing required support and help. Measures like awareness programmes for effective parenting and anger control training appear promising.

SEHGAL, Meena (Punjab University, Chandigarh) 

Type A Behaviour pattern described as acompl of behavioural characteristics manifesting intense striving for achievement, competitiveness, easily provoked impatience, time urgency, excess of drive and hostility - has been found to be associated with CHD as demonstrated in a number of investigations. However, no specific studies have been done to explore the role of Type A behaviour pattern in other chronic - stress related diseases. The present study addressed itself to this question - i.e. is this association between Type A and disease specific to CHD only or is it valid in other diseases also viz EHT, diabetes and asthma. For this purpose equal number of patients from these disease groups and Healthy Controls were compared on Type A questionnaire. Implications of results in terms of TABP being a general disease prone condition are discussed.

(SAAP-Delhi Con.-1999)
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