Indian Journal of Psychiatry最新文献

{"title":"Logistic and patient preference-driven therapeutic stance in an opioid-dependent pregnant female: A case report.","authors":"Rajkumar Sanahan, Shreya Pourush, Swati Tomar, Piyali Mandal, Siddharth Sarkar","doi":"10.4103/indianjpsychiatry_238_26","DOIUrl":"10.4103/indianjpsychiatry_238_26","url":null,"abstract":"","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 7","pages":"654-656"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13395207/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578600","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 evolution of transcranial magnetic stimulation services in psychiatry in India.","authors":"Gurvinder Pal Singh, Khushpreet Kaur, Mahak Aggarwal, Pratiksha Bugalia","doi":"10.4103/indianjpsychiatry_1258_25","DOIUrl":"10.4103/indianjpsychiatry_1258_25","url":null,"abstract":"","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 7","pages":"659-660"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13395219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578570","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":"Olanzapine induced pancytopenia: Case series highlighting diagnostic and therapeutic challenges.","authors":"Shrabosti Pal, Siddhartha S Saha, Sk Kamal Hassan","doi":"10.4103/indianjpsychiatry_1178_25","DOIUrl":"10.4103/indianjpsychiatry_1178_25","url":null,"abstract":"<p><strong>Background: </strong>Antipsychotics are commonly used in the long-term treatment of schizophrenia and bipolar disorder, but rare blood-related adverse effects can complicate therapy.</p><p><strong>Cases: </strong>We report three Indian patients who developed pancytopenia during prolonged Olanzapine use. Thorough clinical and laboratory evaluation ruled out nutritional deficiencies, infections, autoimmune disorders, and primary hematological diseases. A 43-year-old woman with schizophrenia developed severe anemia, hyponatremia, and recurrent infections that improved after stopping Olanzapine. A 40-year-old woman with paranoid schizophrenia developed cytopenia's during leptospirosis and recovered after drug withdrawal. A 36-year-old man with bipolar disorder experienced recurrent typhoid infections and transfusion-dependent anemia, with gradual recovery after switching to Quetiapine.</p><p><strong>Conclusion: </strong>Olanzapine-associated pancytopenia may easily be mistaken for infection or nutritional deficiency. Regular blood count monitoring and timely use of safer alternatives are important to ensure both patient safety and psychiatric stability.</p>","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 7","pages":"639-642"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13395206/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578618","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 cost-minimization analysis of telemedicine vs standard induction for buprenorphine: Evidence from a randomized clinical trial in India.","authors":"Amudeep Singh, Harpreet S Dhillon, Neha Purohit, Abhishek Ghosh, Shalini Naik, B N Subodh, Debasish Basu, Prinja Shankar","doi":"10.4103/indianjpsychiatry_116_26","DOIUrl":"10.4103/indianjpsychiatry_116_26","url":null,"abstract":"<p><strong>Background: </strong>In-person buprenorphine induction poses substantial cost and access barriers in India's opioid agonist treatment programs, while telemedicine-assisted induction may offer a scalable, lower-cost alternative.</p><p><strong>Aim: </strong>To compare the societal costs of telemedicine-assisted buprenorphine induction (TABI) with standard care (SOC), while evaluating treatment retention and quality-of-life (QoL) outcomes.</p><p><strong>Methods: </strong>An economic evaluation was embedded within a randomized controlled trial at a tertiary addiction treatment center, adopting a societal perspective. Health-system costs were estimated using a mixed top-down/bottom-up micro-costing approach for all participants (<i>n</i> = 138; SOC = 70, TABI = 68), while direct out-of-pocket and indirect wage-loss costs were assessed on day 7 in a predefined sub-sample (<i>n</i> = 57; SOC = 28, TABI = 29). Primary outcomes were 1-week retention and QoL; as effectiveness was comparable between arms, a cost-minimization analysis (CMA) was conducted.</p><p><strong>Results: </strong>Mean health-system cost per induction was INR 3,545 (USD 42.26) for SOC vs INR 2,690 (USD 32.06) for TABI (24% lower). In the out-of-pocket expenditure (OOP) sub-sample, mean direct patient costs were INR 1,857 (USD 22.13) for SOC vs INR 776 (USD 9.24) for TABI (<i>P</i> < 0.001); mean indirect costs were INR 1,502 (USD 17.91) vs INR 766 (USD 9.13). Total mean societal cost per patient was INR 6,904 (USD 82.33) for SOC vs INR 4,232 (USD 31.88) for TABI (39% saving). Treatment retention was similar between groups (SOC: 76% vs TABI: 82%; <i>P</i> = 0.339), and both demonstrated comparable improvements in QoL at 1 week (84.00 vs 84.17; <i>P</i> = 0.912).</p><p><strong>Conclusion: </strong>Compared with standard induction, TABI substantially reduces health-system and patient costs, while maintaining comparable short-term retention and QoL.</p>","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 7","pages":"609-615"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13395212/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578534","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":"Coping with male factor infertility in India: A call for culturally contextualized biopsychosocial frameworks.","authors":"Prarthana Pai, Deviga Subramani","doi":"10.4103/indianjpsychiatry_577_26","DOIUrl":"10.4103/indianjpsychiatry_577_26","url":null,"abstract":"","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 7","pages":"664-665"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13395231/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578590","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":"Perspectives of Anganwadi workers on early childhood mental health: A qualitative study from rural Karnataka and hilly Uttarakhand.","authors":"A Nandhini, Radhakrishnan Govindan, Channveerachari Naveen Kumar, Keerti Kaushik, K M Rajendra, K Latha","doi":"10.4103/indianjpsychiatry_343_26","DOIUrl":"10.4103/indianjpsychiatry_343_26","url":null,"abstract":"<p><strong>Background: </strong>Anganwadi workers (AWWs) are central to India's integrated child development services (ICDS) and play an important role in early childhood care and development (ECCD). However, limited evidence exists regarding how AWWs understand and respond to early childhood mental health concerns across diverse rural settings. This study explored AWWs' perspectives on early childhood mental health, including barriers, existing practices, and training needs.</p><p><strong>Methods: </strong>A qualitative descriptive design informed by Sandelowski's approach was employed. Five focus group discussions (FGDs) were conducted with 35 AWWs from Belur taluk, Karnataka (<i>n</i> = 22), and Munsyari block, Uttarakhand (<i>n</i> = 13). Discussions were audio-recorded, transcribed verbatim, and analyzed inductively using Braun and Clarke's thematic analysis approach. Coding was independently undertaken by two researchers using ATLAS.ti version 9.0.</p><p><strong>Results: </strong>Five interrelated themes emerged: understanding child mental health; community participation and parenting practices; innovations and training needs; operational challenges affecting psychosocial engagement; and delivery of nutrition and health services within community contexts. AWWs demonstrated strong motivation and contextual understanding of children's developmental and emotional needs; however, recognition of less visible emotional and regulatory concerns remained limited. Parenting stress, migration, economic hardship, administrative workload, geographical barriers, and limited referral pathways constrained early identification and psychosocial engagement. Participants expressed a preference for practical, skills-based training and simple referral guidance integrated within routine ICDS activities.</p><p><strong>Conclusion: </strong>AWWs occupy an important position within rural early childhood care systems. The findings suggest that practical, context-responsive training and clearer referral pathways may strengthen the early identification and support of children with developmental and emotional concerns in rural settings.</p>","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 7","pages":"593-601"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13395223/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578563","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 viewpoint proposing 'World Psychiatry Day'.","authors":"Shahul Ameen","doi":"10.4103/indianjpsychiatry_791_26","DOIUrl":"10.4103/indianjpsychiatry_791_26","url":null,"abstract":"","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 7","pages":"667"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13395221/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578578","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 healthcare act and electroconvulsive therapy: Making a case for review.","authors":"Jagadisha Thirthalli, Deepak S Ghadigaonkar, B N Gangadhar","doi":"10.4103/indianjpsychiatry_695_26","DOIUrl":"10.4103/indianjpsychiatry_695_26","url":null,"abstract":"<p><p>The Mental Healthcare Act of 2017 has introduced some restraints on the practice of electroconvulsive therapy (ECT) in India. It has prohibited the administration of unmodified ECT and ECT to minors without permission from the mental health review board. While intended as safeguards for the patients, blanket application of these restraints has practical concerns. ECT is known to be one of the most effective and rapidly acting treatments in some psychiatric emergencies. The unavailability of anesthesiologists or required infrastructure may limit access to modified ECT in resource-poor settings. In such situations, the patient may consent to the unmodified ECT. If the patient lacks the capacity to provide consent, the nominated representative may provide it. Such intervention can be life-saving at times and mitigate complications. This article makes the case for reconsidering the current legislature. The unmodified ECT may be considered in certain exceptional situations. Relevant authorities should consider amending the Mental Healthcare Act of 2017 in this regard.</p>","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 7","pages":"646-648"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13395196/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578587","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":"Bridging the gap in traumatic brain injury (TBI) assessment: The cognitive and behavioral inventory (CBI).","authors":"Haewon Byeon","doi":"10.4103/indianjpsychiatry_1271_25","DOIUrl":"10.4103/indianjpsychiatry_1271_25","url":null,"abstract":"","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 7","pages":"663-664"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13395209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578575","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 adaptation and psychometric validation of \"Stages of Change Readiness and Treatment Eagerness Scale\" in alcohol dependence.","authors":"Sayan Saha, Priyanka Saha, Ravindra Rao, Pratap Sharan, Ashwani Kumar Mishra","doi":"10.4103/indianjpsychiatry_1262_25","DOIUrl":"10.4103/indianjpsychiatry_1262_25","url":null,"abstract":"<p><strong>Background and aims: </strong>Motivation is an important predictor of outcome in alcohol dependence. This study aimed to translate the Stages of Change Readiness and Treatment Eagerness-Alcohol Version 8A (SOCRATES-8A) scale into Hindi and evaluate its psychometric properties among individuals with alcohol dependence.</p><p><strong>Methods: </strong>This cross-sectional study included 200 outpatient males with alcohol dependence recruited by purposive sampling. The scale was translated into Hindi using forward and back translation and administered to participants. Other scales included Severity of Alcohol Dependence Questionnaire, Patient Health Questionnaire-9, General Anxiety Disorder, and Motivation to Addiction Treatment-Hindi (MAT-H) Scale. Validity and reliability were assessed, and correlation analysis was conducted between the socio-demographic and clinical variables.</p><p><strong>Results: </strong>The findings supported a three-factor structure: Recognition, Ambivalence, and Taking Steps. The Confirmatory Factor Analysis model retained 15 items and revealed good fit indices (CFI = 0.91, TLI = 0.89, and RMSEA = 0.07). Internal consistency was strong for Taking Steps (α =0.89), moderate for Recognition (α =0.69), and lower for Ambivalence (α =0.51). Modest correlation exists between SOCRATES-Hindi and MAT-H scale. Taking Steps showed positive correlation with age of the participant (r = 0.17, <i>P</i> = 0.01), and age of onset of day drinking (r = 0.16, <i>P</i> = 0.03), while Recognition and Ambivalence factors had a positive correlation with amount of alcohol consumption.</p><p><strong>Conclusion: </strong>The findings suggest that the Hindi version of the scale has acceptable psychometric properties in this population, though further validation across other substances and settings is needed.</p>","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 7","pages":"625-633"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13395210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578603","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}