Indian Journal of Psychiatry最新文献

{"title":"Prevalence and a cross-sectional analysis of factors linked to common mental symptoms in central Kashmir.","authors":"Aadil Bashir, Triptish Bhatia, Misbah Rafiq, Shiekh Shoib, Margaret McDonald, Smita N Deshpande, Mary Hawk","doi":"10.4103/indianjpsychiatry_701_24","DOIUrl":"10.4103/indianjpsychiatry_701_24","url":null,"abstract":"<p><strong>Background: </strong>Mental health is a global concern. Because of Kashmir's sociopolitical environment and susceptibility to natural calamities, self-reported mental health problems increased. Due to social stigma, lack of awareness, and scarce mental health resources, this distress remains prevalent.</p><p><strong>Aim: </strong>This cross-sectional study aimed to estimate the prevalence and risk factors associated with self-perceived depression and anxiety among adults in a central district of Kashmir.</p><p><strong>Methods and materials: </strong>Following a 2-day training session for the research team, a door-to-door survey of 488 adults was carried out in 13 randomly chosen locations in one of Kashmir's districts. After providing their informed consent and sociodemographic information, participants were asked to complete Kashmiri and Urdu-translated version of Hopkins Symptom Checklist for Anxiety and Depression (HSCL).</p><p><strong>Results: </strong>The prevalence of anxiety and depression symptoms was 31.76% and 28.28%, respectively, while 30.94% reported high overall psychological distress. Females had significantly higher odds of reporting anxiety (OR: 1.72, 95% CI: 1.10-2.71). Unemployment was strongly associated with both anxiety (OR: 1.89, 95% CI: 1.22-2.92) and depression (OR: 2.04, 95% CI: 1.31-3.19). Members of the Other Backward Classes/Scheduled Castes were more likely to report anxiety (OR: 1.58, 95% CI: 1.01-2.46) and emotional distress (OR: 1.67, 95% CI: 1.08-2.59). Younger, unemployed individuals showed particularly high levels of distress.</p><p><strong>Conclusions: </strong>High prevalence of self-perceived depression and anxiety was observed, particularly among women, the unemployed, and socially marginalized groups. These findings underscore the need for community-based mental health interventions, targeted outreach to high-risk groups, and stigma reduction strategies to improve access to care and promote mental wellbeing in conflict-affected regions.</p>","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 Suppl 2","pages":"S366-S373"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13553095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148911797","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":"Lance-Adams syndrome following suicidal hanging: A rare complication initially misdiagnosed as dissociative motor disorder.","authors":"Anusha Aggarwal, Shobit Garg","doi":"10.4103/indianjpsychiatry_458_26","DOIUrl":"10.4103/indianjpsychiatry_458_26","url":null,"abstract":"","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 8","pages":"771-772"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13561460/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148929718","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":"Association between stress, caregiver burden, and social support among partners of women with and without postpartum psychosis: A cross-sectional study.","authors":"Sriparno Patra, Soumitra Ghosh, Dhrubajyoti Bhuyan, Paresh Shyam","doi":"10.4103/indianjpsychiatry_980_25","DOIUrl":"10.4103/indianjpsychiatry_980_25","url":null,"abstract":"<p><strong>Background: </strong>Postpartum psychosis (PPP) not only affects mothers but also their partners.</p><p><strong>Aim: </strong>To evaluate and compare levels of stress, caregiver burden, and perceived social support among partners of women with and without postpartum psychosis.</p><p><strong>Methods: </strong>This hospital-based, cross-sectional study recruited 180 male partners of postpartum women through systematic random sampling. Sociodemographic details were recorded, and participants were assessed using the Kessler Psychological Distress Scale (K10), Zarit Burden Interview-12 (ZBI-12), and Multidimensional Scale of Perceived Social Support (MSPSS).</p><p><strong>Results: </strong>Stress was significantly higher among partners of women with PPP compared with partners of women without PPP [<i>P</i> = 0.004]. Partners exhibited high caregiver burden [<i>P</i> = 0.007] if the wife is suffering from postpartum psychosis. Social support was significantly higher in partners from rural backgrounds (<i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>Compared with partners of women without PPP, partners of women with PPP suffer from significantly higher stress and caregiver burden.</p>","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 8","pages":"756-760"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13561483/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148944215","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 evaluation of manualized approaches for telephone-based outreach in suicide prevention.","authors":"Uttara Chari, RamPratap Beniwal, Suhas Chandran, Priya Sreedaran, Triptish Bhatia, Smita N Deshpande","doi":"10.4103/indianjpsychiatry_1188_24","DOIUrl":"10.4103/indianjpsychiatry_1188_24","url":null,"abstract":"<p><strong>Aims: </strong>We describe the process of development and evaluation of manualized approaches for two types of telephone outreach: Telephone contacts (TC) and Telephone-based psychosocial intervention (TBPI). TC comprised inquiry into suicidal ideation and reminders for mental health hygiene. TBPI comprised psychosocial counseling in addition to TC components. Trained research associates (RAs) delivered TC and TBPI to individuals with a history of suicide attempts. Telephone outreach was an addon to the usual follow-up care in such individuals.</p><p><strong>Methods: </strong>We developed manuals from extensive literature review and consensus. We evaluated the approaches by fidelity assessments to specific components of the outreach and overall acceptability. We used a cross-sectional study design for evaluation of approaches. An independent rater evaluated fidelity by reviewing audio recordings of TC and TBPI. Individuals who received the telephone outreach rated the acceptability on a visual Likert scale of 1-10 (1 was the least and 10 was the maximum acceptable score).</p><p><strong>Results: </strong>We developed two telephone outreach manuals structured in a narrative format in an algorithmic approach with similar sections for rapport, inquiry into suicidal ideation and reminders for mental health hygiene. The TBPI manual included a psychosocial counseling section. Fidelity assessment of 168 telephone outreach sessions showed adherence of 80% or more to the manuals in 78.57% of the participants. The mean acceptability score was 7.6 out of 10 for the telephone outreach (SD: 1.75, <i>n</i> = 239).</p><p><strong>Conclusion: </strong>We demonstrate that manualized approaches for telephone outreach in suicide prevention are an acceptable strategy that can be delivered with optimal fidelity.</p>","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 Suppl 2","pages":"S445-S451"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13553107/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148911360","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":"Screening children and adolescents with mild to moderate intellectual disability for autistic symptoms with the Indian Autism Screening Questionnaire (IASQ).","authors":"Shrestha Verma, Triptish Bhatia, Satabdi Chakraborty, Ram Pratap Beniwal, Smita N Deshpande","doi":"10.4103/indianjpsychiatry_903_24","DOIUrl":"10.4103/indianjpsychiatry_903_24","url":null,"abstract":"<p><strong>Introduction: </strong>Intellectual disability (ID) is frequently associated with autistic symptoms. Considering the prevalence of ID and the large numbers involved, a simple easy-to-use screening instrument is required. The present study aimed to screen a group of children with ID using the Indian Autism Screening Questionnaire (IASQ), a screening instrument for identifying autism in the general population but not tested among children with ID.</p><p><strong>Objectives: </strong>To screen for the presence and prevalence of autistic symptoms among Indian children with ID and to evaluate IASQ scale properties in this group.</p><p><strong>Methods: </strong>In a cross-sectional observational study, 120 children/adolescents between the ages of 3 and 18 (both genders) with mild to moderate ID were assessed using the Vineland Social Maturity Scale for Social Quotient, IASQ, and the Indian Scale for Assessment of Autism (ISAA).</p><p><strong>Results: </strong>Using the ISAA, 37.2% of children with mild ID (mild symptoms 27, moderate 5) and 52.9% with moderate ID (mild 16, moderate 2) reported autistic symptoms. The sensitivity and specificity for IASQ against the ISAA were acceptable - high sensitivity at cutoffs 1 to 5 and high specificity at cutoffs 4 and 5.</p><p><strong>Conclusion: </strong>The IASQ can be used for screening for autistic symptoms among children with mild or moderate ID at cutoff 1, while the specificity is high at cutoff 4. Autistic features were reported among 1/3^rd and 1/2^nd of children with mild and moderate ID, respectively.</p>","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 Suppl 2","pages":"S359-S365"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13553094/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148911822","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":"Beyond fear and survival: Complex post-traumatic stress disorder, emotion regulation, and post-traumatic growth in substance use disorders.","authors":"Oishika Sarkar, Vikas Punia, Diptadhi Mukherjee","doi":"10.4103/indianjpsychiatry_1335_25","DOIUrl":"10.4103/indianjpsychiatry_1335_25","url":null,"abstract":"<p><strong>Background: </strong>The reconceptualization of complex post-traumatic stress disorder (cPTSD) has changed how we view substance use disorders (SUDs), highlighting trauma and maladaptive emotion regulation over vulnerability or environment. Trauma-related disorders are common in those with SUDs, but research in India is limited, especially since cPTSD was added to ICD-11.</p><p><strong>Aim: </strong>This study examined the links between cPTSD symptoms, emotion regulation, and post-traumatic growth (PTG) in SUD patients.</p><p><strong>Methods: </strong>This cross-sectional study was conducted at a tertiary addiction treatment center in India. Forty patients with SUD and traumatic history were assessed after detoxification. Trauma symptoms were evaluated using the International Trauma Questionnaire (ITQ) for ICD-11 PTSD and cPTSD. Cognitive emotion regulation was measured with the Cognitive Emotion Regulation Questionnaire (CERQ), and PTG was assessed using the PTG Inventory. Anxiety and depression were evaluated with the Hamilton Anxiety and Hamilton Depression Rating Scale. Descriptive analysis revealed the occurrence of PTSD and cPTSD in the sample, correlation analyses explored relevant associations, and a regression model identified predictors of PTG.</p><p><strong>Results: </strong>cPTSD and PTSD were found to affect 75% and 82.5% of the study sample, respectively. cPTSD symptoms-especially affective dysregulation and negative self-concept-were linked to higher anxiety and depression. Greater cPTSD severity correlated with lower PTG, especially in interpersonal domains. Adaptive emotion regulation strategies were associated with higher PTG and explained 44.8% of PTG variance in regression.</p><p><strong>Conclusion: </strong>The findings affirm the hypothesized associations underscoring the necessity of trauma-informed, individualized treatment approaches integrating emotion regulation and trauma processing within addiction recovery.</p>","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 8","pages":"741-747"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13561487/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148944318","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":"Inflammation's complex role in first-episode psychoses.","authors":"Haewon Byeon","doi":"10.4103/indianjpsychiatry_502_25","DOIUrl":"10.4103/indianjpsychiatry_502_25","url":null,"abstract":"","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 8","pages":"769-770"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13561485/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148944334","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":"Psychological determinants and coping mechanisms associated with internet addiction disorder among university students in Bhubaneswar, India.","authors":"Jayanti Mishra, Ansuman Panigrahi, Manas R Behera, Priyadarsini Samanta, Sonali Kar, Rituparna Mitra, Pranab Mahapatra, Jigyansa I Pattnaik, Sanghamitra Pati","doi":"10.4103/indianjpsychiatry_1034_25","DOIUrl":"10.4103/indianjpsychiatry_1034_25","url":null,"abstract":"<p><strong>Background: </strong>Internet addiction disorder (IAD) has emerged as a significant concern among university students, fueled by academic pressures and increased internet accessibility.</p><p><strong>Aim: </strong>This study aimed to assess the prevalence and determinants of IAD, focusing on the roles of socio-demographic factors, sleep quality, psychological distress, cognitive styles, and coping strategies.</p><p><strong>Methods: </strong>A cross-sectional online survey was conducted during January-April 2024 among 386 undergraduate students (aged 17-23 years) from medical, engineering, and allied sciences at a selected university in India. Data were collected using validated tools: Young's Internet Addiction Test (IAT), DASS-21, Rumination-Reflection Questionnaire, Brief COPE, and Pittsburgh Sleep Quality Index. Statistical analyses included Chi-square tests, logistic regression, structural equation modelling, and latent profile analysis.</p><p><strong>Results: </strong>The prevalence of IAD was 68.9%, with mild, moderate, and severe cases accounting for 66.5%, 32.3%, 1.1%, respectively. Male gender, physical inactivity, prolonged sleep latency (>30 min), and daytime dysfunction were significantly associated with higher odds of IAD. Stress and anxiety had significant direct effects on IAD, with rumination mediating and reflection protecting against addiction. Problem-focused coping reduced, while avoidant and emotion-focused coping strategies moderated the impact of psychological distress. Latent profile analysis identified subgroups with varying psychological distress and coping styles, with the highest-risk profile exhibiting greater IAD severity.</p><p><strong>Conclusion: </strong>IAD is highly prevalent among university students and is closely linked to psychological distress, maladaptive cognitive styles, and poor coping mechanisms. Targeted interventions addressing stress, promoting adaptive cognition, and fostering healthy coping strategies are essential to mitigate IAD risk in this population.</p>","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 8","pages":"732-740"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13561467/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148944631","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":"The Grantathon Project - A unique effort in research mentorship.","authors":"Sujit Sarkhel","doi":"10.4103/indianjpsychiatry_967_26","DOIUrl":"https://doi.org/10.4103/indianjpsychiatry_967_26","url":null,"abstract":"","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 Suppl 2","pages":"S310"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13553087/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148911827","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":"Effectiveness of a brief depression training program to primary care personnel for people with type 2 diabetes mellitus and depression in India.","authors":"R Johnson-Pradeep, Dhanya Raveendranathan, Mina Chandra, Suravi Patra, B Ramakrishna Goud, Anupama Nataraj, Ilene Babu, Nikitha K Padmanabha, Sumithra Selvam, Konasale Prasad, Jaspreet S Brar, Smita N Deshpande","doi":"10.4103/indianjpsychiatry_345_24","DOIUrl":"10.4103/indianjpsychiatry_345_24","url":null,"abstract":"<p><p>Depression is highly prevalent among individuals with type 2 diabetes mellitus (T2DM), contributing to increased morbidity, mortality, and healthcare costs. Given the shortage of mental health professionals, task-sharing with primary care personnel (PCP) are essential for early identification and management of depression in primary care settings. To evaluate the effectiveness of a brief depression training program (BDTP) in enhancing PCPs' knowledge of depression management in T2DM. A 3-hour module-based BDTP was conducted at primary care centers in Bengaluru, New Delhi, and Bhubaneswar. Knowledge was assessed pre- and post-training (immediately) using multiple-choice questions (MCQs) and case vignettes. Forty-nine PCPs participated. Post-training scores significantly improved across all sites, irrespective of prior mental health training. BDTP is effective in improving PCPs' short-term knowledge. Ongoing training supervision and virtual skill-based training are recommended to sustain and translate knowledge into clinical practice.</p>","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 Suppl 2","pages":"S452-S456"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13553106/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148911355","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}