Indian Journal of Psychiatry最新文献

{"title":"Magnetic seizure therapy for severe depressive episodes: An open-label case series.","authors":"Aromal Shibu, Harsh Pathak, Vanteemar S Sreeraj, Urvakhsh Meherwan Mehta, Preeti Sinha, Shyam Sundar Arumugham, Jagadisha Thirthalli","doi":"10.4103/indianjpsychiatry_824_26","DOIUrl":"10.4103/indianjpsychiatry_824_26","url":null,"abstract":"<p><strong>Background: </strong>Magnetic seizure therapy (MST) is a potential alternative to electroconvulsive therapy (ECT) with a favorable cognitive adverse effect profile.</p><p><strong>Cases: </strong>We present the first report of MST administration in India on six patients with severe depressive episodes referred for convulsive therapy. MST was administered thrice weekly under general anesthesia. Four of six patients achieved remission following MST (mean 8.5 sessions per patient, range 7-13). No clinically meaningful cognitive decline occurred; reorientation was consistently rapid with mild self-limiting adverse effects.</p><p><strong>Conclusion: </strong>MST was feasible and safe within the existing ECT infrastructure, with meaningful clinical effectiveness, and preserved cognitive function.</p>","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 9","pages":"856-860"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13623250/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Food-associated sexual arousal in psychiatric disorders: A case series.","authors":"Rajiv Mehta, Payal Tulsan, Anurag Sengar, Suyash Shendye","doi":"10.4103/indianjpsychiatry_399_26","DOIUrl":"10.4103/indianjpsychiatry_399_26","url":null,"abstract":"<p><strong>Background: </strong>Food-associated sexual arousal, frequently termed sitophilia, is a rarely reported phenomenon with no established diagnostic validity or prevalence data.</p><p><strong>Cases: </strong>We describe it, in exploratory terms, as a secondary phenomenon across three psychiatric presentations. Three patients from a tertiary care psychiatry outpatient service were assessed through clinical interview and ICD-11 criteria. A 14-year-old girl with anorexia nervosa experienced arousal to food imagery that reinforced restriction; a 46-year-old man with depression developed arousal while cooking, as a compensatory pleasure; and a 24-year-old woman with obsessive-compulsive disorder felt arousal on achieving culinary perfection. In each, the arousal was concealed, was not the presenting complaint, and was linked to the underlying psychopathology.</p><p><strong>Conclusion: </strong>Food-associated sexual arousal may represent a context-dependent secondary phenomenon shaped by underlying psychiatric conditions rather than a distinct paraphilic disorder. Systematic research using structured assessments is needed.</p>","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 9","pages":"853-855"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13623264/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Indian Journal of Psychiatry: A thriving journal from Global South looking into the horizon.","authors":"Siddharth Sarkar, Sujit Sarkhel","doi":"10.4103/indianjpsychiatry_1090_26","DOIUrl":"10.4103/indianjpsychiatry_1090_26","url":null,"abstract":"","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 9","pages":"773-775"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13623245/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cognitive recovery after left globus pallidus infarction and its implications for competency to stand trial: A case report.","authors":"Ting-Yuan Huang, Wen-Ching Hsieh, Chia-Hsiang Chan","doi":"10.4103/indianjpsychiatry_27_26","DOIUrl":"10.4103/indianjpsychiatry_27_26","url":null,"abstract":"","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 9","pages":"862-863"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13623265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Haloperidol decanoate injection for sustained remission in bipolar disorder with recurrent manic episodes: A case report.","authors":"Rushikesh Mali, Sonia Shenoy, Podila S V N Sharma","doi":"10.4103/indianjpsychiatry_552_26","DOIUrl":"10.4103/indianjpsychiatry_552_26","url":null,"abstract":"","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 9","pages":"864-865"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13623246/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quetiapine-induced acneiform eruptions in a patient with bipolar depression.","authors":"Seshan Kumar, Abdul Qadir Jilani, Saloni Singh","doi":"10.4103/indianjpsychiatry_121_26","DOIUrl":"10.4103/indianjpsychiatry_121_26","url":null,"abstract":"","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 9","pages":"867-869"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13623254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hindi translation and cross-cultural adaptation of the Liverpool University Neuroleptic Side-effect Rating Scale (LUNSERS): A cognitive debriefing study.","authors":"Hemant Choudhary, Tulika Shukla, Vaibhav Patil, Koushik S Deb, Rakesh K Chadda, Mamta Sood","doi":"10.4103/indianjpsychiatry_1154_25","DOIUrl":"10.4103/indianjpsychiatry_1154_25","url":null,"abstract":"<p><strong>Background: </strong>The Liverpool University Neuroleptic Side-Effect Rating Scale (LUNSERS) is a comprehensive self-report tool for assessing subjective adverse events during antipsychotic treatment.</p><p><strong>Aim: </strong>We aimed to translate LUNSERS into Hindi for its application in the Indian population.</p><p><strong>Methods: </strong>We followed the translation methodology provided by the World Health Organization (WHO) and the International Society for Pharmacoeconomics and Outcomes Research (ISPOR) 2005 task force (English to Hindi). We completed the forward (<i>n</i> = 2) and back translation (<i>n</i> = 2), reconciliation by an expert panel (<i>n</i> = 5), and cognitive debriefing (20 participants). After suggested culturally relevant changes, the final version was drafted.</p><p><strong>Results: </strong>Participants included Hindi-speaking adult male participants on second-generation antipsychotics. Reported side effects included sedation, tiredness, tension, restlessness, difficulty concentrating, and memory problems. A total of eight items were revised following cognitive debriefing. The influence of \"Hinglish\" was a factor influencing a change in interpretation.</p><p><strong>Conclusion: </strong>The Hindi-translated self-report tool (LUNSERS) can help screen antipsychotic-related side effects in a busy Indian clinical setting.</p>","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 9","pages":"821-825"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13623248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implications of new guidelines for assessment and certification of disability in mental illness in India.","authors":"Aishwarya John, Krishna P Muliyala, Thanapal Sivakumar, Devvarta Kumar, Hareesh Angothu, K N Nishanth, Aarti Jagannathan, Shanivaram Reddy, Jagadisha Thirthalli","doi":"10.4103/indianjpsychiatry_639_26","DOIUrl":"10.4103/indianjpsychiatry_639_26","url":null,"abstract":"<p><p>The Government of India revised the guidelines for assessment and certification of disability due to mental illness in March 2024, introducing important changes with wide reaching implications. The revised guidelines recommend the use of a version of the Indian Disability Evaluation and Assessment Scale (IDEAS) which appears to restrict certification to four psychiatric disorders, raising concerns about diagnosis-based exclusion. The shift from total illness duration to months of illness in the preceding two years is an improvement; however, it still measures 'illness' rather than disability or dysfunction. Requirements regarding a certain duration of illness before permanent certification, and ill-defined terms like \"adequate\" or \"appropriate\" treatment creates barriers to certification, particularly in a resource limited setting like India. Expansion of the medical authority and inclusion of private practitioners are welcome changes, although individual roles require greater clarity. While the revised guidelines introduce several positive changes, internal inconsistencies may further restrict access to disability certifications.</p>","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 9","pages":"848-852"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13623257/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation of the Hindi version of the Edinburgh postnatal depression scale (EPDS): Translation, cross-cultural adaptation, and psychometric evaluation in postpartum mothers.","authors":"Rashida Begum, Vindhya Solanki, Devendra Basera, Deepti Dabar, Ajay Halder, Roshan F Sutar","doi":"10.4103/indianjpsychiatry_147_26","DOIUrl":"10.4103/indianjpsychiatry_147_26","url":null,"abstract":"<p><strong>Background: </strong>Postpartum depression (PPD) is a significant global public health concern, with a high prevalence in India. While the EPDS is widely used, there is a lack of rigorous validation studies specifically for Hindi-speaking postpartum mothers.</p><p><strong>Aim: </strong>This study aimed to translate, culturally adapt, and evaluate the psychometric properties of the Hindi EPDS in postpartum mothers against a clinical diagnosis.</p><p><strong>Methods: </strong>An observational study was conducted at a tertiary care hospital involving 181 mothers, 48 hours to 7 days after childbirth. The original English EPDS underwent a five-stage translation and adaptation process, including independent forward and back-translations and expert committee reviews. Validity was assessed against a clinical diagnosis made by a psychiatrist. Statistical analysis included Cronbach's alpha for internal consistency, Principal Axis Factoring with Promax rotation for construct validity, and receiver operating characteristic (ROC) curve analysis to determine the optimal cut-off score.</p><p><strong>Results: </strong>The prevalence of depression in the cohort was 26.0% (47/181). Hindi EPDS showed good internal consistency (Cronbach's α =0.859) and demonstrated good diagnostic accuracy with an Area Under the Curve (AUC) of 0.912. At an optimal cut-off score of 9, the scale showed a sensitivity of 70.2% and a specificity of 91.8%. Factor analysis revealed a three-factor structure: Anxiety, Depressed Affect, and Anhedonia, which accounted for 62% of the total variance.</p><p><strong>Conclusions: </strong>The Hindi version of the EPDS is a valid, reliable, and culturally sensitive tool for screening postpartum depression in Indian tertiary care settings. A threshold score of nine is recommended for identifying at-risk mothers, enabling clinicians to apply cultural formulations for mothers facing significant neonatal stressors or breastfeeding difficulties.</p>","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 9","pages":"791-797"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13623259/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anxiety, depression, and academic stress among students attending and not attending professional coaching: A cross-sectional study.","authors":"S Shekhawat Bharat, Gupta Khushi, Yadav Sandhya, Kumar Kishor, Gothwal Rohitashava, Mimrot Shreya","doi":"10.4103/indianjpsychiatry_860_25","DOIUrl":"10.4103/indianjpsychiatry_860_25","url":null,"abstract":"<p><strong>Background: </strong>The increasing emphasis on competitive entrance examinations has led many students to join professional coaching institutes, where rigorous academic schedules may increase psychological distress. This study compared anxiety, depression, and academic stress among coaching and noncoaching students.</p><p><strong>Aim: </strong>To assess and compare anxiety, depression, and academic stress between coaching and noncoaching students.</p><p><strong>Methods: </strong>This cross-sectional study included 300 students aged 13-17 years (150 coaching and 150 noncoaching). Participants were assessed using a semi-structured proforma, the Hamilton Anxiety Rating Scale (HAM-A), the Beck Depression Inventory (BDI), and the Scale of Academic Stress (SAS). Data were analyzed using IBM SPSS Statistics version 21.</p><p><strong>Results: </strong>Coaching students had higher mean anxiety (13.74 ± 11.47 vs. 10.89 ± 9.14), depression (14.25 ± 14.09 vs. 9.13 ± 8.46), and academic stress (293.91 ± 80.87 vs. 261.32 ± 65.35) scores than noncoaching students. After Bonferroni adjustment, differences in depression and academic stress remained statistically significant, whereas the difference in anxiety was no longer significant. Anxiety, depression, and academic stress were positively correlated (all <i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>Psychological distress was common in both groups but was significantly greater among coaching students, particularly for depression and academic stress. These findings highlight the need for routine mental health screening and timely psychological interventions for students preparing for competitive examinations.</p>","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 9","pages":"798-804"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13623263/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}