Indian Journal of Psychiatry最新文献

{"title":"Before interpreting catatonia as secondary to bipolar 1 disorder current episode with peripartum onset, all other causes should be carefully excluded.","authors":"João Gama-Marques, Josef Finsterer","doi":"10.4103/indianjpsychiatry.indianjpsychiatry_177_25","DOIUrl":"https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_177_25","url":null,"abstract":"","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"67 4","pages":"452"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12073948/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144077795","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":"Comments on \"Delirious mania or excited catatonia: Diagnostic and management issues in a postpartum woman\".","authors":"Gurvinder Pal Singh","doi":"10.4103/indianjpsychiatry.indianjpsychiatry_121_25","DOIUrl":"https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_121_25","url":null,"abstract":"","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"67 4","pages":"450-451"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12073946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144077796","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":"Reply to comments on \"Delirious mania or excited catatonia: Diagnostic and management issues in a post-partum woman\".","authors":"Jitender Aneja, Kajol Chhabra, Sharanjot Kaur","doi":"10.4103/indianjpsychiatry.indianjpsychiatry_182_25","DOIUrl":"https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_182_25","url":null,"abstract":"","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"67 4","pages":"451"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12073957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144077813","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":"Response to the comments on \"Depression and anxiety symptoms among Afghan war widows and their associated factors: A cross-sectional analytical study\".","authors":"Naqib A Dost, Muhammad Haroon Stanikzai, Massoma Jafari","doi":"10.4103/indianjpsychiatry.indianjpsychiatry_162_25","DOIUrl":"https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_162_25","url":null,"abstract":"","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"67 4","pages":"449-450"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12073962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144077814","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":"A cross-sectional study to assess the perceived and unmet needs of the relatives/family members of patients admitted in intensive care unit.","authors":"Neeru Bala, Akrambir S Brar, Joginder P Attri, Piyush Mahajan, Malvika Dahuja, Utkarsha Kapila","doi":"10.4103/indianjpsychiatry.indianjpsychiatry_853_24","DOIUrl":"https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_853_24","url":null,"abstract":"<p><strong>Background: </strong>Family-members of ICU patients often experience significant psychological stress. Understanding their needs can improve patient outcomes and reduce stress for both families and healthcare teams. The Critical Care Family Needs Inventory (CCFNI) assesses these needs, highlighting gaps between perceived and actual needs.</p><p><strong>Aim: </strong>Objectives of our study were: to examine the current perceptions of the needs of family-members of ICU patients and to study the sociodemographic profile of patients and their key family-members.</p><p><strong>Methods: </strong>This study was conducted in the ICU of the Department of Anaesthesia at Government Medical College, Amritsar. Over twelve months, 100 patient-family pairs were randomly selected. Patients admitted for at least 48 hours and key family members aged 18-60 years, actively involved in care, were included. Data was collected using the CCFNI, consisting of 45 items rated from 1 to 4.</p><p><strong>Results: </strong>In the results of the current study, the largest proportion of ICU patients were aged 46-50 years (16%), followed by those aged 26-30 years (13%). The most important needs of ICU patients' relatives include knowing the expected outcome (93%), being assured of the best care (91%), and feeling that hospital staff care about the patient (88%). In contrast, less important needs focused on comfort and support, like having good food available (95%), being told about others who could help (92%), and having a pastor visit (82%).</p><p><strong>Conclusion: </strong>The current study highlights the critical needs of ICU patients' families, emphasizing clear communication and emotional support. Addressing these needs can reduce psychological distress and improve overall patient and family outcomes.</p>","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"67 4","pages":"436-440"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12073960/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144077792","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":"Development and validation of Restless Legs Syndrome Diary for the assessment of severity and course of symptoms - A cross-sectional study.","authors":"Chandni Sharma, Vijay Krishnan, Lokesh Kumar Saini, Niraj Kumar, Ravi Gupta","doi":"10.4103/indianjpsychiatry.indianjpsychiatry_927_24","DOIUrl":"https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_927_24","url":null,"abstract":"<p><strong>Background: </strong>The clinical course and severity of restless legs syndrome (RLS) are variable. Existing questionnaires measure the severity of RLS based on recall. One possible solution could be the daily charting of symptoms in a diary.</p><p><strong>Aim: </strong>Development and validation of a diary for the longitudinal assessment of symptoms and the impact of RLS.</p><p><strong>Materials and methods: </strong>This study was conducted in two phases. In phase 1, an RLS diary was developed. During phase 2, it was given to patients presenting with RLS. They were explained how to fill in the information in the diary. It collected information related to symptoms as well as sleep. Adverse effects of the symptoms on mood and daytime function were also assessed. Three scores were calculated from the data-the burden of RLS, the burden of severe RLS symptoms, and the overall burden of RLS. The convergent validity of the diary was calculated by comparing it with the international RLS severity rating scale (IRLS).</p><p><strong>Results: </strong>During phase 1, RLS Diary attained a score of one during content validation by universal agreement. Of 34 participants, 63.6% were females with an average age of 46.6 ± 14 years. Cronbach's alpha of the diary was 0.92. RLS diary showed the temporal change in time of onset of RLS, change in severity, and topography. The composite score from the RLS diary for week four had weak to moderate positive correlations with IRLS (week four).</p><p><strong>Conclusions: </strong>RLS Diary is a valid and psychometrically optimal tool for detailed assessment of the severity of RLS symptoms and the burden of RLS. However, there was a poor to the moderate correlation with recall-based measures of the severity of RLS.</p>","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"67 4","pages":"399-411"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12073949/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144077798","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":"Factors associated with chronotype in individuals with bipolar disorder in remission.","authors":"Ravneet Singh, Raman Deep, Vaibhav Patil, Rachna Bhargava, Ashwani Kumar Mishra","doi":"10.4103/indianjpsychiatry.indianjpsychiatry_980_24","DOIUrl":"https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_980_24","url":null,"abstract":"<p><strong>Background: </strong>Chronotype is trait-like construct reflecting long-term morningness-eveningness preferences. Higher eveningness scores are linked to sleep disturbances, night-eating, and addictive behaviors but remain understudied in subjects with bipolar disorder (BD).</p><p><strong>Aim: </strong>This study aimed to explore the clinical and behavioral factors associated with chronotype in a euthymic cohort with BD.</p><p><strong>Methods: </strong>Adult individuals (18-45 years) with DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, 5^th Edition) diagnosis of BD in clinical remission (≥3 months) were enrolled, if they did not have current psychiatric or substance use disorder as per Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST score < 27). Participants were assessed using the validated Hindi version of Composite Scale of Morningness-Eveningness (CSM), the National Institute of Mental Health (NIMH)-Life Chart Method, IGLSI (International Group for Study of Lithium) Scale for typical/atypical features, Pittsburgh Sleep Quality Index, Cognitive complaints in BD Rating Assessment, Seasonal Pattern Assessment Questionnaire, Bipolar Eating Disorder Scale, Internet Disorder Scale, and Functioning Assessment Short Test. After data normalization, exploratory factor analysis was conducted using principal component analysis with varimax rotation on the study variables excluding the CSM. Subsequently, regression analysis was performed with CSM as the dependent variable.</p><p><strong>Results: </strong>The mean age of the sample was 32.43 ± 7.68 years (n = 100; 35% females). Factor analysis revealed a latent structure with three factors: <i>Factor 1</i> (global functioning), <i>Factor 2</i> (disordered biological functions and rhythms), and <i>Factor 3</i> (dysfunction due to sleep and internet use). The regression model was found to be statistically significant [F (3,96) = 5.520, <i>P</i> = 0.002; R² = 0.147, adjusted R² = 0.120). Factor-2 was a significant predictor of CSM score (B = -2.201, SE: 0.606, <i>P</i> < 0.001). For every unit increase in Factor 2 score, the CSM total score reduced on average by 2.2 units.</p><p><strong>Conclusion: </strong>This study highlights the role of disrupted sleep, eating behaviors, and seasonality in influencing the chronotype and their interconnectedness in individuals with BD.</p>","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"67 4","pages":"419-427"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12073954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144077799","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":"Flexible diagnostic Interview for ICD-11 (FLII -II) - A new tool for psychiatric epidemiology in India.","authors":"Sujit Sarkhel, T S Jaisoorya, Girish N Rao, Vivek Benegal","doi":"10.4103/indianjpsychiatry.indianjpsychiatry_352_25","DOIUrl":"https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_352_25","url":null,"abstract":"","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"67 4","pages":"365-366"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12073951/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144077800","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":"Mental capacity, insight, and severity of illness in psychiatric in-patients: A prospective study.","authors":"N Aman, Swapna A Pandurangi, Pratibha R Kulkarni, Ranganath R Kulkarni","doi":"10.4103/indianjpsychiatry.indianjpsychiatry_977_24","DOIUrl":"https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_977_24","url":null,"abstract":"<p><strong>Background: </strong>Capacity is a dynamic, task-specific, time-specific clinical construct that may be impaired either temporarily or permanently due to the medical or psychiatric illness, necessitating varying degrees of support from caregivers. There is paucity of Indian prospective studies focusing on the mental capacity, insight, and severity of illness (SOI) in psychiatric in-patients.</p><p><strong>Aim: </strong>The current study aimed to prospectively examine the capacity, insight, and SOI in psychiatric in-patients in a tertiary level psychiatric center.</p><p><strong>Materials and methods: </strong>A prospective observational study design was used to assess patient's capacity for making mental healthcare and treatment decisions, insight and SOI using the guidance document, clinical grading of insight and brief psychiatric rating scale (BPRS), respectively. In-patients aged 18 years and above, any gender and any psychiatric diagnosis as per ICD-11 diagnostic criteria were included, and intellectual developmental disorder was excluded. All assessments were conducted at the time of admission (baseline) and repeated every week until discharge.</p><p><strong>Results: </strong>Of 233 in-patients studied, 75% (<i>n</i> = 175) had incapacity and 80% (<i>n</i> = 187) had absent insight at the baseline. Incapacity at baseline was noted in those with delirium, catatonia, BPRS >31 (88%), absent insight (92.6%), and psychotic symptoms (94%). Only 6.42% (<i>n</i> = 12) of cases with the absent insight at baseline had preserved capacity. On repeated measures analysis, those with substance use disorders (SUDs; ≤1 week) and mood disorders regained capacity earlier (1-3 weeks) than psychotic disorders (>3 weeks; <i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>Insight appears to be the best discriminator for capacity status for psychotic disorders, bipolar disorders, and SUDs. Presence of delirium, catatonia, and intoxication reflect obvious lack of capacity; while absent insight, BPRS >31, psychotic and bipolar disorders suggest significant association with incapacity. Effective treatment improves capacity and insight earlier in persons with SUDs and bipolar disorders than psychotic disorders.</p>","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"67 4","pages":"382-390"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12073952/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144077809","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":"Labor analgesia and postpartum depression: Methodological and statistical issues.","authors":"Nitasha Sharma, Mirza J Beg, Chittaranjan Andrade","doi":"10.4103/indianjpsychiatry.indianjpsychiatry_88_25","DOIUrl":"https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_88_25","url":null,"abstract":"","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"67 4","pages":"446"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12073963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144077802","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}