{"title":"A study of factors affecting the health seeking behaviour of people with pre-existing mental illness during the COVID-10 pandemic","authors":"S. R., S. S., R. T., K. P.","doi":"10.32746/ijmhns.2021.v4.i1.41","DOIUrl":"https://doi.org/10.32746/ijmhns.2021.v4.i1.41","url":null,"abstract":"Health or care seeking behavior has been defined as any action undertaken by individuals who perceive themselves to have a health problem or to be ill for the purpose of finding an appropriate remedy. A little understanding exists concerning socio-ecological barriers experience when seeking mental health care. we aimed at determining the factors that affect health seeking behavior of people with preexisting mental illness during COVID19 pandemic. METHODOLOGY: A Cross sectional study done for three months duration at Department of psychiatry, Chengalpattu Medical College and Hospital with sample size of 105. Ethical committee clearance was obtained.105 patients (age >18 years) consecutive patients having an International Classification of Disease 10 (ICD-10) psychiatric diagnosis, were included. Informed consent was obtained. Data regarding Socio demographic and clinical profile was obtained. RESULTS: In our study,39% of the patients belonged to 30-45 and 46-60 years of age, 6.7% of patients were between the age of above 60. 60% of study participants were male and the rest were female.69.5 % of patients had financial crisis ,70.5% of patients had decrease in the monthly income of the family by 30%or more.60% of patients had difficulty in travel to the hospital due to lack of transport facility during COVID pandemic. DISCUSSION AND CONCLUSION; Factors determining health-seeking behavior can help address problems and delay in early identification and optimal management of mental disorders during pandemic. Implementing community-based strategies to support resilience and psychologically vulnerable individuals during the COVID-19 crisis is fundamental for any community.","PeriodicalId":113988,"journal":{"name":"INDIAN JOURNAL OF MENTAL HEALTH AND NEUROSCIENCES","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132706225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Specific Learning Disorder: Challenges and Intricacies for a Practicing Psychiatrist","authors":"Vimal Doshi Veerappan","doi":"10.32746/10.32746/ijmhns.2021.v4.i1.68","DOIUrl":"https://doi.org/10.32746/10.32746/ijmhns.2021.v4.i1.68","url":null,"abstract":"Specific Learning Disorder (SLD) is one of the common diagnoses often encountered in psychiatry(1). As with many neurodevelopmental disorders early identification, specific intense remediation, appropriate management of comorbid conditions, coordination with teachers and parents and engaging the child long-term are the mainstay of management of SLD. Each of these steps pose unique challenges due to the inherent complexity of SLD, lack of uniform, standardised curriculum and testing methods, wide regional variations in definition, assessment and certification in SLD, strained relationship between professionals of various disciplines and lack of custommade tools for screening, assessment and follow-up in native (Indian) languages(2).","PeriodicalId":113988,"journal":{"name":"INDIAN JOURNAL OF MENTAL HEALTH AND NEUROSCIENCES","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128788191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
V. Raghavan, Aishwarya Gonzalez Cherubal, S. John, K. Rao, R. Padmavati, R. Thara, Thara R. Predictors
{"title":"Predictors of Access to Mental Health Care Services Among Persons with Severe Mental Disorders: A Community-Based Study from Rural South India","authors":"V. Raghavan, Aishwarya Gonzalez Cherubal, S. John, K. Rao, R. Padmavati, R. Thara, Thara R. Predictors","doi":"10.32746/10.32746/ijmhns.2021.v4.i1.47","DOIUrl":"https://doi.org/10.32746/10.32746/ijmhns.2021.v4.i1.47","url":null,"abstract":"Background: Various factors are associated with access to care among patients with severe mental disorders (SMD). The aim of this study was to identify the predictors of access to care among patients with SMD in rural south India. Methods: The study was conducted in Pudukkottai district of Tamil Nadu, India. After screening and confirmation of SMD by community level workers and trained mental health workers, participants were classified as those who have at some time sought treatment and those who have never accessed mental health care services. Results: Among 422 participants with SMD, 74% had at some point in time accessed mental health care services. Logistic regression showed education asthe predictor of access to mental health care services among patients with severe mental disorders. Conclusion: Improving education and awareness on the mental illness and its treatment options will help the patients with mental illness to seek care early leading to favorable outcomes.","PeriodicalId":113988,"journal":{"name":"INDIAN JOURNAL OF MENTAL HEALTH AND NEUROSCIENCES","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116930206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
U. Nandhini, S. Vaishali, Ahalya Vedachalam, S. Sudhakar, P. Kannan
{"title":"Phenomenology and Severity of Symptoms in OCD Patients After COVID 19: A Cohort Study","authors":"U. Nandhini, S. Vaishali, Ahalya Vedachalam, S. Sudhakar, P. Kannan","doi":"10.32746/ijmhns.2021.v4.i1.49","DOIUrl":"https://doi.org/10.32746/ijmhns.2021.v4.i1.49","url":null,"abstract":"Background: COVID 19 pandemic and the associated restrictions can have significant impact on patients with pre-existing mental disorders. Fear of getting infected and excessive focus on contamination can worsen in patients with OCD. Methodology: Thirty patients with OCD attending Chengalpattu Medical College Hospital were evaluated for OCD symptom severity using Y-BOCS severity scores in June and July 2020 and that was compared with their scores five months prior (pre covid) Results: Majority of the study population (53%) had no changes in symptom severity after the onset of COVID19 pandemic. Twenty seven percent (27%) had a decrease in symptom severity while only 20% had increase in severity. Conclusion: Our study results indicate that there were no significant changes in OCD symptom severity after the onset of COVID 19 pandemic.","PeriodicalId":113988,"journal":{"name":"INDIAN JOURNAL OF MENTAL HEALTH AND NEUROSCIENCES","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115365866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
V. Narmadha, A. Akshaya, V. Raghavan, P. Poornachandrika
{"title":"Prevalence of Physical comorbidities among Long-Term Psychiatric Inpatients: A Single Centre Study from South India","authors":"V. Narmadha, A. Akshaya, V. Raghavan, P. Poornachandrika","doi":"10.32746/10.32746/ijmhns.2021.v4.i1.34","DOIUrl":"https://doi.org/10.32746/10.32746/ijmhns.2021.v4.i1.34","url":null,"abstract":"Background: Physical comorbidities are the most common causes of early mortality among patients with mental disorders. Prevention and early treatment of physical comorbidities would lead to better outcomes. Hence, the aim to the study was to estimate the prevalence of physical health disorders present as comorbidities among long-term stay psychiatric inpatients and to compare the difference in the physical comorbidities among male and female patients. Materials and Methods: The study was conducted at Institute of Mental Health, Madras Medical College, Chennai. It was a descriptive study combining data from clinical files and nursing records related to the physical health of the long-term inpatients. The clinical records of long-term inpatients, defined as the duration of stay in the care facility for more than 5 continuous years between 1stJanuary and 30thJune, 2019 were assessed. Results: The estimated prevalence was74.2% (95% CI: 69.5-78.6) for at least one physical disorder comorbidity and 38.8% (95% CI: 33.8-43.9) had more than one physical comorbidities. Female in-patients have 2.7 times higher risk than males to have diabetes mellitus, hypertension and thyroid disorders. They also have 0.92 times higher risk than males to have anaemia. Conclusion: There is a high prevalence of physical comorbidities among long term psychiatric inpatients. Systems for the early detection and better clinical management of these physical comorbidities are essential in any long-term psychiatric facility.","PeriodicalId":113988,"journal":{"name":"INDIAN JOURNAL OF MENTAL HEALTH AND NEUROSCIENCES","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114206007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Coping strategies among medical professionals during COVID-19 outbreak","authors":"Vaishali Shanmugam","doi":"10.32746/ijmhns.2021.v4.i1.43","DOIUrl":"https://doi.org/10.32746/ijmhns.2021.v4.i1.43","url":null,"abstract":"BACKGROUND: COVID -19 pandemic is a very stressful situation for doctors, who face the risk of infection in daily life. Coping is the process by which a person deals with stressful situations or demands. Identifying the coping strategies of our medical professionals will help us to understand their coping styles and to deliver effective interventions to enhance their mental well-being. METHODS: An online survey form with socio-demographic profile and BRIEF COPE tool for assessing different coping strategies was sent to interns, residents, and teaching faculty. The coping strategies were divided into emotion-based, problem-based, and dysfunctional coping, and spearman's correlation was done to determine any correlation between sociodemographic variables and the coping strategies. RESULTS: A total of 84 valid and complete responses were included in the study. There is a variable distribution of mean scores for problem-focused, emotion-focused, and dysfunctional strategies. Age and marital status had a positive correlation with problem-focused and emotion-focused strategies meaning that older adults and married people used these strategies predominantly. Higher designation used problem-focused coping predominantly. Dysfunctional coping strategies had no correlation with any of the sociodemographic variables. CONCLUSION: Sociodemographic factors affecting the coping mechanisms in medical professionals differ from those of the general population seen in previous studies. Within the group of medical professionals, those with higher age, higher designation and married had predominantly adaptive strategies. Interventions targetting maladaptive components of emotion-focused strategies and dysfunctional strategies should be aimed at a younger age group, unmarried people, interns, and residents among the medical professionals to better cope with this COVID scenario.","PeriodicalId":113988,"journal":{"name":"INDIAN JOURNAL OF MENTAL HEALTH AND NEUROSCIENCES","volume":"83 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134398134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Devi, V. Monica, R. Santhosh, V. Raghavan, P. Poornachandrika
{"title":"Psychological Morbidity Among Post-COVID-19 Patients: A Cross-sectional Study from Chennai, South India","authors":"D. Devi, V. Monica, R. Santhosh, V. Raghavan, P. Poornachandrika","doi":"10.32746/ijmhns.2021.v4.i1.48","DOIUrl":"https://doi.org/10.32746/ijmhns.2021.v4.i1.48","url":null,"abstract":"Background: The COVID-19 pandemic is a global health threat and is by far the largest outbreak of atypical pneumonia, since the SARS outbreak in 2003. A range of psychiatric morbidities such as persistent depression, anxiety, panic attacks, delirium and suicidality were observed in the post infectious state across the world. Hence, the aim of the study was to understand the psychological status of the patients affected by COVID during their post-COVID follow-up period and to examine the socio-demographic and clinical factors associated with high psychological morbidity. Materials and Methods: A cross sectional study conducted in the post-COVID follow up clinic, at a tertiary care hospital between the months of August - November 2020, using a semi structured proforma and rating scales such as Patient Health Questionnaire-9 (PHQ-9), Hospital Anxiety and Depression Scale (HADS) and Insomnia Severity Index (ISI) for depression, anxiety and insomnia, respectively. Results: The study results indicate that the prevalence of depression and anxiety among post-COVID-19 patients was 21.9% and 11.9%, respectively. Insomnia was observed among 21.7%Among various sociodemographic and clinical variables examined, it was observed that female gender, patients with ongoing stressors and patients with post-COVID-19 persistent physical symptoms were found to be associated with greater depression and anxiety among the study population. Conclusions: Persistent physical symptoms and ongoing life stressors are found to be associated with depression and anxiety among post-COVID-19 patients. Hence, periodic screening for individuals with persisting physical symptoms and care for the vulnerable population such as those with ongoing stressors will provide a significant advantage in the follow up of the mental health of the patients affected with COVID-19.","PeriodicalId":113988,"journal":{"name":"INDIAN JOURNAL OF MENTAL HEALTH AND NEUROSCIENCES","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116527374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yamini Kannappan, Tinu Thamby, Aishwariya Ramesh, H. Tharoor
{"title":"Lockdown: A Focus on Emotions & Coping in Adolescents","authors":"Yamini Kannappan, Tinu Thamby, Aishwariya Ramesh, H. Tharoor","doi":"10.32746/ijmhns.2020.v3.i2.35","DOIUrl":"https://doi.org/10.32746/ijmhns.2020.v3.i2.35","url":null,"abstract":"Objective: The COVID lockdown has been the most significant life-changing experience this year. The sudden implementation of measures such as social distancing, closure of institutions, and restriction of movement may have affected the psychological well-being of adolescents. Keeping this in mind the present exploratory pilot study is an attempt to study and determine the psychological impact on adolescents during the lockdown. Material and Method: Data was collected from a sample of 461 adolescent respondents aged 14 to 20 years through an online survey Statistical Analysis: Descriptive statistics and Spearman’s correlation in SPSS version 24 Results: The majority of the study population (85.7%) reported happiness or a relaxed state of mind, and the next common emotion was boredom. Amongst the 69% of participants also conveyed that stressful/negative thoughts, lack of direct contact with friends were the predominant stressor. Coping behaviors highlighted were spending time with family (93.6%), communicating with friends (96.1%), engaging in hobbies (88.7%), talking to relatives (79.6%), studying (72.7%), and exercising (70.9%). In contrast, the majority (73.3%) indulged in excessive sleep or increased usage of social media platforms or apps. Conclusion: This study is the only survey to document adolescents’ mental health in India during the Covid-19 lockdown. The study highlights that happiness and boredom reflected the young mind of these adolescents, and significantly only one third reported any physical or mental health impact with the lockdown.","PeriodicalId":113988,"journal":{"name":"INDIAN JOURNAL OF MENTAL HEALTH AND NEUROSCIENCES","volume":"446 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116515431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prevalence and family factors associated with loneliness during COVID-19: A cross-sectional study from South India","authors":"G. Sanjana, V. Raghavan","doi":"10.32746/10.32746/ijmhns.2020.v3.i2.52","DOIUrl":"https://doi.org/10.32746/10.32746/ijmhns.2020.v3.i2.52","url":null,"abstract":"Background: Loneliness can affect anyone at any point in their life. It can be detrimental to the wellbeing and quality of life of individuals and communities. In the ongoing COVID-19 pandemic, loneliness is considered as a public health crisis. Hence, the objectives of the study were to estimate the prevalence of loneliness and family related factors associated with loneliness among general population in south India. Materials and Methods: The study employed a crosssectional online survey design. The data was collected in the first phase of the lockdown in 2020 from adults in Southern India. Socio-demographic profile and family related variables were collected using a semistructured proforma. Loneliness was assessed by UCLA loneliness scale. Results: Of 573 total respondents to the survey, aged between 18-65 years, 43% were male and 57% were female. The overall prevalence of loneliness was 63% (358/573). No significant gender differences were observed in the prevalence of loneliness. Family discord was associated with higher rates of loneliness (p less than 0.01). Other factors associated were younger age and being single. Conclusion: Rates of loneliness during the COVID-19 lockdown were high in Southern India. Findings suggest that interventions should prioritize younger people. Increasing social support and improving interpersonal skills, which in turn would help reduce family discord and may reduce the impact of COVID-19 on loneliness.","PeriodicalId":113988,"journal":{"name":"INDIAN JOURNAL OF MENTAL HEALTH AND NEUROSCIENCES","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124023692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Psychosocial issues of antenatal mother with COVID 19: A case report","authors":"S. S., N. M, K. P., B. A.","doi":"10.32746/10.32746/ijmhns.2020.v3.i2.30","DOIUrl":"https://doi.org/10.32746/10.32746/ijmhns.2020.v3.i2.30","url":null,"abstract":"We present a case report of an antenatal mother who was diagnosed with COVID- 19. The psycho-social stressors experienced by her and the psychological intervention provided to her through telephone have been documented. The importance of post discharge telephone support or tele-psychiatry during the pandemic is also elucidated in this paper.","PeriodicalId":113988,"journal":{"name":"INDIAN JOURNAL OF MENTAL HEALTH AND NEUROSCIENCES","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131925389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}