Data from Khan's thesis study "Identification of practitioners and demographics of potential patients with Dhat syndrome" indicated a typical profile of Dhat syndrome consisting of a mean age of 24 +/- 8.5 years, the majority of patients were single (75%) and had education up to matriculation (67%).11 Dhikav etal, studying 30 patients with Dhat syndrome, found that the majority were unmarried and had education up to 5th standard or above.24 Our study revealed the average age of patients with Dhat syndrome, the average age is 21.1+/-3.1 years old, 76.3% are unmarried, but in contrast our study revealed that Dhat patients mainly include high school and intermediate school students (39.4%) followed by students university and graduates (21%), illiterates (21%) and school dropouts (15.9%) of urban origin (52.6%). Khan documented that the symptoms that patients experienced were constipation (60.4%), physical pain (60.1%), guilt (59.7%), nerve weakness (59.4%), pain testicles (56.6%), fear of getting married (54.7%), worry about marriage (53.8%), superficial eyes (53.1%), dry mouth (50.9%), cheeks affected (50.3%) and impotence (50.0%).11 Our research revealed that all patients complained of undue concern regarding the debilitating effects of seminal secretions, fatigue and weakness. Additional symptoms of Dhat patients included anxiety (63%), depressed mood (52.6%), guilt (50%), palpitation (47%), anorexia (34%), dizziness (5.2%), blackout (2.6%) and burning urination (2.6%). Furthermore, Khan Data indicated that majority of Dhat patients consulted Hakim and homeopaths (50% and 24% respectively).11 Our study also witnessed patients' consultation with Alternative and Complementary Medicine Practitioners (ACMPs), such as our study reveals that 42.3% of patients consulted ACMP and ...... half of the document ......ed 2008; 5(4): 841-425. Avasthi A, Prakash O. The concept and epidemiology of Dhat syndrome. Journal of Pakistan Psychiatric Society 2005; 2(1): 6. Available online www.ncbi.nlm.nih.gov/pmc/articles/PMC313601226. Malhotra HK, Wig NN. Dhat syndrome: a sexual neurosis linked to the culture of the East. Sexual Behavior 1975; 4(5): 519 – 2827. Behere P, Natraj G. Dhat syndrome: the phenomenology of sexual neurosis linked to the culture of the East. Indian Psychiatry J 1984; 26(1): 76-828. Ismail K. The continuing story of Dhat syndrome. Br J Psychiatry 2004 ;185: 260 – 5 29. Bhattacharya R. West Bengal to map sex clinics and train quacks. Report featured in Indian Express on 7 August 2007. Available online at www.indianexpress.com30. Basu D. Faith healers called for referring the mentally ill to doctors. Report in Indian Express dated 12 February 2009. Available online at ww.indianexpress.com
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