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CURRENT ISSUE
Volume 6 | Issue 2 | July-December, 2024
Editorial
STRENGTHENING HEALTH SOCIAL WORK IN POST-PANDEMIC INDIA
Health social work in India stands at a pivotal juncture. The COVID-19 pandemic and subsequent societal shifts have both strained and inspired our profession. We have encountered increased mental health needs, the burden of chronic diseases, and persistent health inequities. Yet, the resilience and innovation within the social work community have been remarkable. This editorial outline the pressing issues and promising developments in Indian health social work, setting the context for the articles in this issue.
Review Article
A SCOPING REVIEW OF THE EXPERIENCES OF WOMEN TO WOMEN BULLYING IN WORKSPACES
Bullying among women at the workplace is not as uncommon and a rare occurrence as it may seem, it is a worryingly common phenomenon that demands our immediate attention. Its adverse effects have ramifications for the entire organization, making it a pressing concern for all. Power dynamics at work are not limited to one’s status or position within an organization but it extends to the positionality of an individual within the social matrix of the workspace. This positionality is a key factor in how bullying manifests in the behavioural pattern of the individuals and their subsequent interactions with their colleagues at the workplace. At its core, bullying is the use of intimidating tactics to assert dominance, ranging from verbal aggression and threats to physical abuse and coercion. Workplace bullying is a dehumanizing process that revolves around power and control and this behaviour fosters an extremely non-conducive environment where employees feel unsafe, undermined, and unable to flourish professionally.
Understanding the Psycho-Social Challenges Faced by Deafblind Individuals: A Systematic Scoping Review
Deafblindness is a complex condition characterized by the simultaneous impairment of both hearing and vision (Kennedy & Smith, 2010). This dual sensory loss significantly impacts communication, access to information, and overall quality of life. It is crucial to recognize that deafblindness is a unique disability, distinct from the sum of its individual components (Kennedy & Smith, 2010). The National Association for the Deaf-Blind (NADB) defines deafblindness as a combination of hearing and visual impairments so severe that it cannot be accommodated by programs solely for deaf or blind individuals (NADB, 2023). This emphasizes the specialized needs of individuals with deafblindness and the necessity for tailored educational and support services. Deafblindness can be categorized as congenital or acquired. Congenital deafblindness occurs at birth, often due to genetic factors or prenatal infections (Kennedy & Smith, 2010; World Federation of Deafblind, 2018).
ORIGINAL Articles
ADVANCING HEALTH EQUITY IN INDIA: THE INTERSECTION OF SOCIAL WORK AND POLICY PRACTICE
Health equity, a cornerstone of social justice (Carter, 2023), is an essential attribute of social justice and is still a dream for many in India, showing sharp socio-economic disparities. The struggle for health equity has to be multi-pronged, where professional practice and policy formulation must go hand in hand (Heyman & MSW, 2018). The following article highlights the critical intersection of social work and policy practice for advancing health equity in India. Deepseated social and economic inequities pose formidable challenges for India in attaining health equity. Socioeconomic variables of income, education, and geography are the dominant factors influencing health status. Hence, the significant causes of disease and early deaths descend upon the most vulnerable population groups. The people of India are spread out across a wide income distribution curve, with a majority living below the poverty line. Poverty is, therefore, inextricably tied to poor health outcomes since food, water, and waste management are strongly associated. Education plays a fundamental role in health literacy and proper self-care practices.
MEDIATING ROLE OF ACCEPTANCE ON PARENTAL STRESS AND COPING AMONG PARENTS HAVING CHILDREN WITH AUTISM SPECTRUM DISORDER
Parents having child with disability undergo lot of stressors due to multiple challenges while rearing the child like facing stigma from the society, long term therapy procedures, and difficulty in accessibility of services. While the Parental stress among parents having children with disability has been well established, the stress among Parents having children with Autism Spectrum Disorder (ASD) has been more when compared to than those of with typical children and other disability. It has been reported that Parents of children with ASD have more stress compared to those with typical children and also than having children with Down Syndrome (A. dwska & E. Pisula., 2010, L. Abbeduto et al.., 2004). Parents of children with Autism face many challenges as Autism remains undiagnosed late or until preschool years (Beauchesne & Kelley, 2004) and due to the associated symptoms such as impairment in social communication skills and restricted or repetitive behaviors (Gabriels, R. L.,2005). In a very recent study done by Dijkstra-de Neijs, L (2024), he has reported that Parents of children with ASD have more psychological distress and poor quality of life. Although there is no proven cure for autism, the treatment of Autism includes long term multiple therapy procedures to improve the overall functional status of the child by promoting development of communication, social, adaptive, behavioral, and academic skills as well as lessening maladaptive and repetitive behaviors.
MATERNAL STATUS AS A MODERATOR OF THE RELATIONSHIP BETWEEN EMOTIONAL INTELLIGENCE AND QUALITY OF LIFE AMONG MOTHERS
Raising children is an arduous responsibility. Motherhood is often called the most challenging and most rewarding job. Having children gives mothers a sense of purpose and significance and places many demanding obligations on them throughout their adult years (Nomaguchi & Milkie, 2020). The experience of motherhood involves a wide range of obstacles and moments of happiness, which significantly impact both the mothers and their families’ overall happiness. In today’s society, the role of mothers has expanded beyond traditional domestic responsibilities, with a growing focus on their emotional intelligence and how it affects their overall well-being. However, in this complex network of factors, the impact of being a parent, whether as a single mother or a partnered mother, has been identified as an essential but not extensively studied variable. In India, the occurrence of single-parent families varies from 5% to 12%, as reported by Kramer (2019), Pandit (2019), and the U.S. Census Bureau (2023). Single parents, especially single mothers, belong to a socially and economically disadvantaged category that faces the possibility of experiencing a range of physical and mental health issues.
MOTIVATIONAL DETERMINANTS OF CAREGIVERS AND THE ROLE OF MULTIDISCIPLINARY TEAMS IN HEALTH CARE
Care is a fundamental aspect in human relationships. Providing physical or emotional support and care for people in need is the vital role of helping professionals (Gibelman & Margaret, 1999). Being sensitive, becoming responsible, providing comfort & respect and actively listening are some of the caring behaviours (Tabers, 1993). Caregiving professionals might have entered into a helping profession with an idealistic goal to serve others. The list of professions with caring behaviours are endless. Health care centres, especially Palliative care, are intended to enhance the quality of life among patients with life threatening diseases and their immediate family members (World Health Organization, 1997). Such centres address psychosocial and spiritual distress beyond the physical symptoms faced by terminally ill patients (Saunders, 2001). The caregivers play a foremost role in a patient’s physical and mental wellbeing at such centres as they provide holistic care to the patients (Choi S & Seo J, 2019). Their role is broader, since they are involved in constant and close proximity with the patients as well as family members during the life- death transition (Reigada C., Pais-Ribeiro, Novella, Gonclaves 2015).
TRENDS IN INFANT FEEDING PRACTICES: UNDERSTANDING MATERNAL CHOICES
Infant feeding practices generally meet the baby’s nutritional and immunological needs. World Health Organization and UNICEF recommend a global strategy, i.e., early initiation of breastfeeding within one hour of birth and exclusive breastfeeding for the first six months. Supplementary foods that are safe and nutritious are introduced at six months of age, and breastfeeding is maintained until the child is two years old or older. Breastfeeding has a beneficial effect on the health of women. Breastfeeding helps lose pregnancy weight faster (Kramer & Kakuma, 2012; Baker et al., 2008; Sanusi & Falana, 2013). A study revealed that breastfed women lose 4.4 kilograms in a year, compared to 2.4 kilograms for non-breastfeeding women (P<0.5) (Dewey et al., 1993). This underlines the effectiveness of breastfeeding, especially if practiced exclusively in the first six months, in reducing weight gain during pregnancy. Breastfeeding promotes uterine contraction, thereby reducing blood loss after delivery and promoting uterine involution (NRDC, 2005). Breastfeeding reduces the risk of type 2 diabetes and cardiovascular diseases (Davis et al., 2012). It also lowers the risk of breast, endometrial, and ovarian cancers (Labbok, 2001; NRDC, 2005; Centre for Community Child Health, 2006; Huo, Adebamowo, 2008; Sule, 2011; Davis et al., 2012).
NAVIGATING DISRUPTIONS: INDIAN SOCIAL WORK STUDENTS’ FIELDWORK EXPERIENCES DURING THE COVID-19 PANDEMIC
In December 2019, highly contagious virus identified as COVID-19, emerged and rapidly spread to multiple countries, catching the world unprepared. The World Health Organization (WHO) declared it a pandemic, urging nations to take immediate action. To curb the spread of the virus, governments implemented restrictions on movement, including widespread lockdowns. The pandemic and subsequent lockdowns significantly impacted social work education both in India and globally (Mishra et al., 2022; Saumya & Singh, 2022). It reshaped both the teaching and practice of social work, as schools and colleges closed, suspended inperson classes, disrupting students’ education globally and students transitioned to online learning (Azman et al., 2020; Rahman, 2020), presenting a major shift for everyone involved in the field. Fieldwork is a crucial aspect of social work education, enabling students to acquire the necessary skills and understanding to fulfill their roles effectively. However, the COVID19 pandemic posed significant challenges, leading to the suspension of fieldwork for many students until the next academic term.
Brief COmmunication
MENTAL HEALTH AND SOCIAL WELLBEING OF OLDER ADULTS: PERSPECTIVES FROM COVID-19 PANDEMIC
As the world population grows, a major part of it grows old as well. The growing elderly population brings forth the issue of geriatric mental health, which has become a major public health concern around the world. A report by the World Health Organization (WHO) in 2004 stated that the prevalence of depression in persons aged 60 years was 0.5 million in developed countries alone. Further, it also reported 4.8 million such cases in the developing countries. Interestingly, increased life expectancy in India has resulted in an increase in the older adult population between 2001 and 2011, which is anticipated to reach 324 million by 2050 (United Nations Department of Economic and Social Affairs, Population Division, 2020).
Case reports
FAMILY CASEWORK WITH A PERSON HAVING RECURRENT DEPRESSIVE DISORDER WITH DISSOCIATIVE FUGUE AND MARITAL CONFLICT
Depression is considered as a common mental health condition and 350 million people in the globe suffer from depression, according to the World Health Organization, and it accounts for a higher burden according to years lost to disability(YLD) (Smith, 2014). Depression is a mood disorder with the symptoms of low mood, loss of interest in all activity, decrease or increase in appetite almost all day, fatigue or loss of energy, and feeling of worthlessness that lasts for more than two weeks (American Psychiatric Association, 2013). Recurrent depressive disorder is a condition where at least two depressive episodes should occur with several-month gaps without any mood disturbances (WHO, 2019). Major depressive disorder is a mental illness that may have high comorbidities (Hardeveld et al., 2009). Dissociative fugue, formerly called psychogenic fugue, is a group of psychiatric conditions called dissociative disorders. Dissociative fugue is the disruption of the integration of consciousness, memory, perception, identity, or emotion of the person (Igwe, 2013).
Exploring the Psychosocial Dynamics of Parental Pressure, Academic Stress, and Depression: A Case Study Analysis
Adolescence is a critical developmental stage characterized by extensive changes and heightened vulnerability to psychological disorders such as anxiety and depression(Sawyer, Azzopardi, Wickremarathne, Patton, 2018 & McCanceKatz, 2018). This vulnerability is exacerbated by academic pressures and high-stress family environments, which contribute significantly to the risk of mental health issues, including suicidal ideation. Parenting styles marked by inconsistency, harsh discipline, and emotional detachment further complicate adolescents’ emotional and social development, negatively affecting their academic performance and social relationships. Despite the availability of treatments like cognitive-behavioural therapy (CBT) (Hofmannet, 2012). and mindfulness based cognitive therapy (MBCT) (Goldberg et al.,2018 & Strauss et al.,2014) which have been proven effective in managing symptoms of depression and anxiety, there is a notable deficiency in interventions specifically tailored to address the unique challenges faced by adolescents dealing with academic and familial stress The intervention intends to reduce stress and enhance overall psychological well-being by addressing the specific psychosocial factors that impact this age group.
IMPORTANCE OF CAUSATION IN TRAUMATIC OSTEOARTHRITIS OF KNEE: AN EVIDENCE BASED CASE REPORT
Osteoarthritis (OA) is a prevalent degenerative joint disorder characterized by cartilage degradation, subchondral bone remodeling, and synovial inflammation. It primarily affects weight-bearing joints, causing pain, stiffness, joint effusion, and functional impairment. Aging, genetic predisposition, biomechanical stress, metabolic dysregulation, and inflammatory mediators contribute to OA development (Felson & Zhang, 1998; Felson et al., 2008).The pathogenesis of OA involves abnormal chondrocyte metabolism, imbalanced extracellular matrix turnover, oxidative stress, and inflammation, with cytokines such as IL-1â and TNF-á playing key roles (Felson et al., 2000; Abramson & Attur, 2009). Recent research highlights the influence of epigenetics, mitochondrial dysfunction, and dysregulated autophagy in OA progression (Bijlsma et al., 2011). Management options are mainly palliative, including lifestyle modifications, physical therapy, analgesics, NSAIDs, corticosteroid injections, and viscosupplementation (Hochberg et al., 2012). However, challenges persist due to delayed diagnosis, limited treatment efficacy, and the lack of diseasemodifying therapies.
INSTRUCTION FOR AUTHORS
The “Indian Journal of Health Social Work” is a biannual E-journal which will be published in the month of January and July in every year. The Indian Journal of Health Social Work is an official publication of All India Association of Medical Social Work Professionals (AIAMSWP). The journal accepts original research work, review articles, case reports, commentary, forum, & brief communication related to social work practice in health care.

ISSN: 2582-1393 (online)

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