Comprehensive questionnaire for assessment of dhat syndrome. Dhat syndrome is a condition in which the male patients suffer from premature ejaculation or impotence, and believe that they are passing semen in their urine. The varied presentations of dhat syndrome springerlink. Dhat syndrome has been thought to occur primarily upon the indian subcontinent, where cultural and religious beliefs view semen as one of the bodys most precious fluids. Dhat syndrome semen lossrelated psychological distress is a culturebound syndrome seen in the natives of indian subcontinent, but it is prevalent in other. A reappraisal find, read and cite all the research you need on. Pdf a study of dhat syndrome a culture bound syndrome. Dhat syndrome has been thought to occur primarily upon the indian subcontinent, where cultural and religious beliefs view semen as one of the bodys most.
Though the origin of this condition is deeply rooted to the overvalued role of semen as a vital substance of the human body, sexual awareness and improved literacy rates have still not been able to convince the general population of its non. Jul 18, 20 dhat syndrome is an illness that affects the india culture. Dhat syndrome is nowadays reported mostly by people coming from the indian subcontinent 4 and is defined as a culture. Dhat syndrome in india on 17 jul, 2014 by moriah hill with 2 comments posted in w3 activity dhat syndrome is found in people in cultures in india, it is when males believe thy have premature ejaculation or that they are urinating out semen during urination and also having erectile dysfunctions. Increasingly, its nosological status has been questioned with some describing it as a culturally determined form of depression or an idiom of distress. National drug dependence treatment centre, all india institute of medical. Due to processes of globalization and population migration, dhat syndrome now can be detected, diagnosed, and treated worldwide.
This includes loss of semen through night discharges and masturbation or through sexual intercourse. However, it is common in the indian subcontinent 1 and is also called neurosis of the orient. He formulated the syndrome as a new type of depression characterized by symptoms such as anxious melancholia, ideas of. One of the more unusual cbss is dhat syndrome, typically located in the indian subcontinent india, sri lanka, bangladash. Male patients think that they suffer from premature. A condition where a patient presents with primary complaint of loss of semen. Dhat syndrome is reported on basis of self diagnosis.
The concept and epidemiology of dhat syndrome ajit avasthi,om prakash jhirwal abstract culture bound syndromes refer to prevalence of some syndromes in specific cultures. The syndrome is named for jules cotard 18401889, a french neurologist who first described this condition in 1880. Management of dhat syndrome understanding of dhat syndrome by modern medicine fails to impress most patients. Development and use in patient population dhat syndrome is a culturebound syndrome, characterized by. A condition described in india which is characterised by anxiety, weakness, exhaustion, and hypochondriasis that may accompany discharge of semen or a whitish discolouration of urine. The syndrome has been classified as both a neurotic disorder and a culture specific disorder. Depression in dhat syndrome dhikav 2008 the journal.
Dhat syndrome is described as a culturebound syndrome, common mainly in the southeast asian region, including nepal. Cognitive behavioral therapy is the mainstay of treatment. Perhaps the term dhat syndrome was first used by wig in 1960 sing, 19850. This mostly occurs in young men, although a variant of the condition unique to women as been. In 1969, yap coined the term cbs to delineate a rare and exotic group of disorders that cause little damage to humanity. Dhat syndrome is a condition found in the cultures of the indian subcontinent in which male patients report that they suffer from premature ejaculation or impotence, and believe that they are passing semen in their urine in traditional hindu spirituality, semen is described as a vital fluid. Dhat syndrome is an illness that affects the india culture. Request pdf comprehensive questionnaire for assessment of dhat syndrome. Its manifestations mimic the phenomenology of neurotic spectrum disorders. Dhat syndrome is a condition found in the cultures of the indian subcontinent in which male patients report that they suffer from premature ejaculation or impotence, and believe that they are passing semen in their urine.
It presents with symptoms that resemble somatization. The concept and epidemiology of dhat syndrome ajit avasthi,om. Dhat syndrome in india anp204 introduction to medical. A culture bound syndrome the term was coined by dr. Development of cognitivebehavioral therapy intervention. Other case reports suggest dhat to be semen, prostatic secretion, pus due to. Letters an unusual presentation of dhat syndrome to the editor. Semen leakage in urine creates severe deficiencies in the body which makes a male weak and stops him from recovering the problem. It is suggested that such a perception is reflective of the unusual emphasis placed on the qualities of semen in ancient holy treatises. Treatment offered to the patients suffering from it continues to be esoteric, unstructured and without standardization. Semen leakage in urine, dhat syndrome ayurvedic treatment. Dhat syndrome, term first used in scientific literature by renowned indian psychiatrist prof. Other case reports suggest dhat to be semen, prostatic secretion, pus due to infection, lymph, and sugar.
At other times counseling, antianxiety and antidepressant medications have been. This condition has been considered to be a culture. The icd10cm alphabetical index is designed to allow medical coders to look up various medical terms and connect them with the appropriate icd codes. Most of the empirical studies on dhat syndrome have emerged from asia, whereas. Dhat syndrome is a widely recognized clinical condition in the indian subcontinent characterized by excessive preoccupation with semen loss as the main presenting complaint. Cbss comprise a combination of psychiatric andor somatic symptoms viewed as a recognizable disease within specific cultures or societies and are often unknown outside of their own local regions. Dhat syndrome is a culture bound syndrome that is found in the indian subcontinent. Study of clinical presentations in a teaching institute of eastern nepal dhana ratna shakya1 abstract background. Electronic and manual literature searches were used to gather information on the. The dhat syndrome has been found in several cultures and they often go by different names. Dhat syndrome seems to be associated with sexual dysfunctions as well as with inadequate sex education.
Various physical and mental symptoms usually accompany the chief complaint. The patient experiences depressive and anxiety features which are attributed to the loss of semen as a vital substance during a nocturnal emission, through the urine or as a result of masturbation. Post orgasmic illness syndrome pois page 957 naked. The clinical picture includes severe anxiety and hypochondriasis. Shilajit capsules reverse weaknesses and deficiencies caused by semen leakage in urine to provide longlasting dhat syndrome treatment. Dhat syndrome the british journal of psychiatry cambridge. Pdf comprehensive questionnaire for assessment of dhat. Dhat syndrome among the islamic populations of india and pakistan. Letters the journal of neuropsychiatry and clinical. Concept of dhat syndrome ds or semenloss syndrome is prevalent with different names in various cultures.
The term dhat gets its origin from the sanskrit word dhatus, which, according to the sushruta samhita, means elixir that constitutes the body. Dhat syndrome is a condition found in the cultures of the indian subcontinent in which male patients report vague psychosomatic symptoms of fatigue, weakness, anxiety, loss of appetite, guilt, and sexual dysfunction, attributed by the patient to loss of semen in nocturnal emission, through urine or masturbation. There is historical evidence that the same syndrome existed in europe, united states, and australia, mainly in the 19th century, probably related to moral and religious concerns, and that it disappeared. Due to its clinical significance, it has been included in icd10. Dhat syndrome semen loss related psychological distress is a culture bound entity seen in natives of indian subcontinent. Myths related to semen loss are the core belief around which anxiety, depressive as well as somatic symptoms develop. Dhat syndrome is an important diagnostic entity in clinical practice in south east asia. Dhat syndrome in india on 17 jul, 2014 by moriah hill with 2 comments posted in w3 activity dhat syndrome is found in people in cultures in india, it is when males believe thy have premature ejaculation or that they are urinating out semen during. Dhat derives from the sanskrit word dhatu, meaning metal and, also, elixir. Indian doctor narendra wig coined the term dhat syndrome in 1960 and described it as being characterized by vague. The prevalence rate is varying between 4066% among indian population. Though this condition has been conceptualized as a culturebound syndrome, some authors have also considered it a manifestation of depression. The indian dhat syndrome is a culturebound symptom complex. Gittelsohn j, bentley m, pelto p, nag m, pachauri s, harrison a, et al.
Dhat syndrome is being reported from different corners of the world. Dhat syndrome is a true culture bound sex neurosis quite common in natives of the. Lessons for postgraduate trainees about dhat syndrome. Dhat syndrome has been found to be prevalent in different. A study was carried out to investigate the cultural basis of the dhat syndrome. Often the patients respond to psychoeducation focusing on resolving the sexual. Dear editor, i read the case report culturespecific pathogenicity of dhat semen loss syndrome in an arabislamic society, oman published in the may 2017 issue of the oman medical journal with interest. Readers must therefore always check the product information and clinical procedures with the most up to date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations. Dhat syndrome is known as a culturebound syndrome of south east asia. Dhat syndrome is considered a culturebound syndrome cbs specific to the indian subcontinent. Sir, dhat syndrome is a true culture bound sex neurosis quite common in natives of the indian subcontinent.
In a prospective study of 144 consecutive male patients with psychosexual disorders, comprising 93 with dhat syndrome with or without impotence or premature ejaculation, 21 with premature ejaculation, and 30 suffering only impotence, the commonest associated psychiatric illness was neurotic depression 39% followed by anxiety neurosis 21 %, while 31% did not receive a psychiatric diagnosis. Dhat syndrome is a true culture bound sex neurosis quite. This is a psychological issue caused primarily by social taboos and deeply ingrained beliefs which stem from religious doctrine or social stigma. Historical perspective and development of beliefs related to semen loss 24. Wig, described as a specific syndrome nurtured as a result of culturerelated beliefs. A study of dhat syndrome a culture bound syndrome in nepalese context article pdf available november 2018 with 104 reads how we measure reads. Pdf dhat syndrome is described as a culture bound syndrome cbs. Its diagnosis and management issues need to be taught to postgraduates in their teaching program. The syndrome consists of patient complaints of semen loss in any context accompanied by vague symptoms andor discomfort. This syndrome is a conglomeration of multiple psychosomatic symptoms, including sexual symptoms in the absence of physical illnesses. Pdf dhat syndrome evaluation questionnaire swarnima. Dhat syndrome semen loss related psychological distress is a culturebound entity seen in natives of indian subcontinent.
The authors described a study on patients seeking urologic consultation with complaints of loss of semen. Dhat syndrome is a cultural bound syndrome in which affected individuals have morbid preoccupation with semen loss in their urine and its impact on the body. Dhat syndrome is commonly seen in young males, in all educational and socioeconomic status. Dhat syndrome and its association with sexual behavior and pyschiatric comorbidities in males. Dear editor,i read the case report culturespecific pathogenicity of dhat semen loss syndrome in an arabislamic society, oman published in the may 2017 issue of the oman medical journal with interest. Indian doctor narendra wig coined the term dhat syndrome in 1960 and described it as being characterized by vague psychosomatic symptoms of fatigue, weakness, anxiety, loss of appetite, guilt, and sexual dysfunction, attributed by the patient to loss of semen in nocturnal emission, through urine or masturbation. Psychosomatics vol 54, issue 3, pages a1a4, 205306. The patient is preoccupied with the excessive loss of semen by nocturnal emissions. In a prospective study of 144 consecutive male patients with psychosexual disorders, comprising 93 with dhat syndrome with or without impotence or premature ejaculation, 21 with premature ejaculation, and 30 suffering only impotence, the commonest associated psychiatric illness was neurotic depression 39% followed by anxiety neurosis 21 %, while. Dhat syndrome is often taken as culture bound syndrome cbs of indian subcontinent.
In conclusion, dhat syndrome is a very common culture bound sex neurosis, widely prevalent in india. Culture bound syndromes cbs were defined by littlewood and lipsedge as episodic and dramatic reactions specific to a particular community. Dhat syndrome is a clinical condition that is mainly reported on the indian subcontinent. Dhat syndrome semen lossrelated psychological distress is a culturebound syndrome seen in the natives of indian subcontinent, but it is prevalent in other cultures also. Dhat syndrome among the islamic populations of india and. Cotards syndrome involves nihilistic delusions about the patients own body, such as believing that he or she is a walking corpse. Feb 10, 2015 it was the chinese psychiatrist yap who first introduced the term culture bound syndrome in 1969. N n wig in1960 wig explained dhat syndrome the symptoms of dhat syndrome fatiguability weakness decreased appetite sexual dysfunction anxiety feeling of guilt the symptoms attribute to semen loss wig n. Cbs were first described outside the west and so were thought to be only nonwestern conditions culturebound syndromes. There are 0 terms under the parent term dhat syndrome in the icd10cm alphabetical index. Dhat syndrome, a culture bound sex neurosis related to semen loss is commonly diagnosed in males of indian subcontinent. Oxford university press makes no representation, express or implied, that the drug dosages in this book are correct. Indian story on semen loss and related dhat syndrome europe. Nov 23, 2012 i read with interest the paper titled dhat syndrome, an emergent condition within urology in spain published in your journal on july 27, 2012 epub ahead of print, by menendez and colleagues.
Lessons for postgraduate trainees about dhat syndrome ncbi. Is dhat syndrome indeed a culturally determined form of. These studies focused on clinical manifestations of dhat syndrome, associated attitude towards passage of dhat. For example, semen is considered to be a vital fluid and an integral part of life force. Dhat syndrome is a condition described in the indian subcontinent, in which patients present with concerns about loss of semen. May 21, 2015 symptoms, risk factors and treatments of dhat syndrome medical condition dhat syndrome is a condition found in the cultures of the indian subcontinent in which male patients report that they. Dhat syndrome a useful diagnostic entity in indian culture. Wig to characterize the condition by vague somatic symptoms of fatigue. The study aims to study associated symptoms, sexual behavior and co morbidities in indian population. Sir, dhat syndrome, originally described as a culture bound syndrome of the indian subcontinent is a controversial diagnosis in many ways. Comprehensive questionnaire for assessment of dhat.
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