Indian Journal of Psychiatry最新文献

{"title":"A study of positive and negative factors associated with tapering off methadone maintenance treatment.","authors":"Kishor Kumar, Bharat S Shekhawat, Sandhya Yadav, Rohitashava Gothwal, Mohammed A Rangrez","doi":"10.4103/indianjpsychiatry_632_25","DOIUrl":"10.4103/indianjpsychiatry_632_25","url":null,"abstract":"<p><strong>Background and aim: </strong>Evidence on factors associated with successful methadone tapering in India is limited. This study aims to identify positive and negative factors associated with successful tapering of methadone maintenance treatment (MMT).</p><p><strong>Materials and methods: </strong>This retrospective study reviewed records of 88 patients undergoing MMT tapering at a tertiary care drug treatment clinic (DTC). Demographic, clinical, withdrawal, motivational, and treatment-related factors associated with taper outcomes were analyzed.</p><p><strong>Results: </strong>Seventeen participants (19.3%) successfully completed tapering without relapse. Successful tapering was associated with lower baseline methadone dose, lower withdrawal severity, greater motivation, and absence of tobacco use. Participants who relapsed after taper completion had significantly higher taper rates than those who remained abstinent (6.4 vs. 3.3 mg/week; <i>P</i> = 0.039). Fear of relapse, withdrawal symptoms, family instability, economic instability, and fear of death were common barriers to tapering.</p><p><strong>Conclusion: </strong>Successful tapering was associated with lower baseline methadone dose, slower taper rate, lower withdrawal severity, greater motivation, and absence of tobacco use.</p>","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 7","pages":"634-638"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13395230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578548","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":"Comment on \"Psychiatric interventions and suicide prevention in India's coaching centers: Framework development from Kota's experience\".","authors":"Ramdas Ransing, Debarsheena Changkakati, Diksha Das","doi":"10.4103/indianjpsychiatry_136_26","DOIUrl":"10.4103/indianjpsychiatry_136_26","url":null,"abstract":"","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 7","pages":"658-659"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13395200/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578613","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":"Narcotic bowel syndrome misdiagnosed as somatoform pain disorder and presenting with opioid use disorder - A case report.","authors":"Natarajan Varadharajan, Joseph Jensingh Babu Selvan","doi":"10.4103/indianjpsychiatry_1384_25","DOIUrl":"10.4103/indianjpsychiatry_1384_25","url":null,"abstract":"","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 6","pages":"586-587"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13327398/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148375618","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":"From tramadol to pregabalin addiction: A case report of unsupervised substance substitution and temporally improved in craving with fluoxetine.","authors":"Samir Shingarakhiya, Shruti Garg","doi":"10.4103/indianjpsychiatry_804_25","DOIUrl":"10.4103/indianjpsychiatry_804_25","url":null,"abstract":"","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 6","pages":"584-585"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13327410/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148375597","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":"Executive function in schizoaffective disorder: A comparative study with schizophrenia, bipolar affective disorder and normal controls.","authors":"Devosri Sen, Vinod K Sinha, Meera Jayaswal, Partha S Biswas","doi":"10.4103/indianjpsychiatry_829_25","DOIUrl":"10.4103/indianjpsychiatry_829_25","url":null,"abstract":"<p><strong>Background: </strong>Schizoaffective disorder (SAD), in current literature, lies clinically and prognostically between schizophrenia (SCZ) and bipolar affective disorder (BPAD), with some overlapping neuropsychological deficits in them.</p><p><strong>Aim: </strong>The aim of this study was to investigate whether there was any difference in executive functions among patients of schizoaffective disorder (SAD), schizophrenia (SCZ), bipolar affective disorder with psychotic symptoms (BPAD) and normal controls (NC).</p><p><strong>Methods: </strong>Data were collected by a non-probability purposive sampling technique from a total of 114 psychotic in-patients using inclusion and exclusion criteria. Using standard laboratory procedure, executive functions (Trail Making Test, TMT; Stroop Color-Word Test, SCWT; Spatial Working Memory, SWM; Stockings of Cambridge, SOC; Intra-Extra Dimensional Set Shift, IEDS) of 23 consecutive consenting clinically stable patients of SAD (manic type) were compared with 23 matched (age, gender and handedness) consenting clinically stable patients of each SCZ, psychotic BPAD and NC subjects.</p><p><strong>Results: </strong>Significantly more executive function deficits due to low CW score (<i>F</i> = 35.11,95% CI = 32.12 to 37.09, <i>P</i> < .001), more Stroop interference (<i>F</i> = 6.53,95% CI = 5.12 to 7.11, <i>P</i> < .001) in SCWT and more SWM errors (<i>F</i> = 19.08,95% CI = 17.42 to 21.34, <i>P</i> < .001) were noted in SAD patients than BPAD patients. NC and bipolar group had gradually reduced their percentage of bets in CGT, as they passed through higher probability to lower probability ratios. But both SAD and SCZ patients could not follow this concept, and thus they showed more impulsivity or risk-taking behavior.</p><p><strong>Conclusion: </strong>The CW score, and Stroop interference and number of errors of SWM can differentiate SAD patients from BPAD. The percentage of bets placed in different probability ratios in CGT can differentiate SAD and SCZ patients from BPAD patients neuropsychologically.</p>","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 6","pages":"545-551"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13327396/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148375546","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":"Future caregiving concerns and plans of parents of adults with mild intellectual disability: A qualitative study from a South Indian tertiary care hospital.","authors":"Lakshmi Jogi, Thanapal Sivakumar, Hareesh Angothu, Thomas M Kishore, Deepak Jayarajan","doi":"10.4103/indianjpsychiatry_1092_24","DOIUrl":"10.4103/indianjpsychiatry_1092_24","url":null,"abstract":"<p><strong>Background: </strong>Parents of children with intellectual disability (ID) are concerned about the care of their wards after their death or incapacitation. Most literature originates in high-income countries, which have greater resources and distinct cultural and socioeconomic contexts. There is a need for Indian literature.</p><p><strong>Aim: </strong>To explore the concerns and plans of parents regarding the future of their wards with mild ID when they can no longer care for them.</p><p><strong>Methods: </strong>The study was conducted in a tertiary care hospital in Bengaluru, India. Both parents of four men and four women with mild ID (referred to as 'ward' from here on) who had future caregiving concerns were interviewed using a semi-structured interview schedule. All 16 interviews were translated and transcribed. Thematic analysis was done using the Braun and Clarke approach. Atlas-Ti software, version 9, was used.</p><p><strong>Results: </strong>Parents were concerned about identifying a prospective guardian, the ward's safety, and future care. Parental concerns are influenced by <i>individual factors</i> (including the degree of supervision required for daily activities, behavioral problems, and physical health of the ward), <i>parental factors</i> (such as age, physical health of the parents, coping strategies, and awareness about ID), <i>family factors</i> (including sibling relationship and attitude of father), and <i>environmental factors</i> (such as attitude toward the ward with ID and COVID-19). Most parents had a financial plan, preferred to keep guardianship a family affair, and considered residence and occupation/employment after their lifetimes.</p><p><strong>Conclusions: </strong>Caregiving concerns and plans did not differ between parents. They were influenced by the parents' financial position, how society perceived the ward, independence, and behavioral issues. Parents preferred a family member, usually the neurotypical sibling, as the guardian, but many hadn't explicitly discussed guardianship with them or initiated legal procedures.</p>","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 6","pages":"527-537"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13327394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148375563","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 prevalence of anxiety disorders among people living with HIV in India: A systematic review and meta-analysis.","authors":"Aninda Debnath, Thejas Achary, Anubhav Mondal, Pritam Halder, Ashlyn Tom, Sayan Saha, Abu Talha Purkait","doi":"10.4103/indianjpsychiatry_150_26","DOIUrl":"10.4103/indianjpsychiatry_150_26","url":null,"abstract":"<p><strong>Background: </strong>Globally, 301 million face anxiety disorders, notably common among people living with human immunodeficiency virus (PLHIV), causing major challenges and reduced quality of life.</p><p><strong>Aim: </strong>This review assesses India's prevalence, offering evidence to guide targeted interventions.</p><p><strong>Methods: </strong>A systematic literature search was conducted across PubMed, Excerpta Medica database (EMBASE), Scopus, and Web of Science up to November 2024. Observational studies using validated tools to assess anxiety prevalence in PLHIV were included. The pooled prevalence of anxiety disorders was estimated using a random-effects meta-analysis. Subgroup and sensitivity analyses were conducted to explore sources of heterogeneity. Study quality was assessed using the Joanna Briggs Institute Critical Appraisal Tool. Between-study heterogeneity was evaluated using Cochran's Q and I² statistics.</p><p><strong>Results: </strong>Fifteen studies (5,336 PLHIV) were included. The pooled prevalence of anxiety was 36% (95% confidence interval: 24%-47%), with higher prevalence in hospital-based studies (39%) compared to community-based studies (23%). Females had a higher prevalence (46%) than males (36%), though this difference was not statistically significant. Diagnostic tools influenced prevalence estimates, with self-report measures (e.g., Hospital Anxiety and Depression Scale [HADS] and Depression Anxiety and Stress Scale [DASS]) reporting higher prevalence (48%-49%) than structured interviews (ICD-10: 7%, DSM-IV: 1%). Subgroup analysis revealed significant heterogeneity across study settings and diagnostic tools.</p><p><strong>Conclusion: </strong>This meta-analysis demonstrates a high prevalence of anxiety disorders among PLHIV in India, underscoring the need for integrated mental health services within HIV care frameworks. Routine anxiety screening, stigma reduction initiatives, and gender-sensitive interventions are essential to address this mental health burden effectively. Future research should focus on longitudinal outcomes and community-based approaches to improve mental health care for PLHIV.</p>","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 6","pages":"517-526"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13327404/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148375609","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 bibliometric assessment of the <i>Indian Journal of Psychiatry</i>: Trends, impact, and collaboration (2009-2024).","authors":"Sandeep Grover, Raju Vaishya, Brij M Gupta, Namita Mahapatra, S M Chaman, S Madhu","doi":"10.4103/indianjpsychiatry_61_26","DOIUrl":"10.4103/indianjpsychiatry_61_26","url":null,"abstract":"<p><strong>Background: </strong>The <i>Indian Journal of Psychiatry</i> (IJP) serves as a premier repository for psychiatric research in India.</p><p><strong>Aim: </strong>This study conducts a comprehensive bibliometric analysis to evaluate the journal's publication trends and citation impact from 2009 to 2024.</p><p><strong>Methods: </strong>Bibliographic data were retrieved from the Scopus database, covering the period from January 2009 to December 2024. A final dataset of 2,357 publications was analyzed for this paper.</p><p><strong>Results: </strong>The journal experienced robust growth, registering an average annual publication growth rate of 9.16% over the 16 years. The journal's Impact Factor rose significantly from 0.384 in 2010 to a peak of 3.1 in 2022. Authors from India contributed 88.63% of the total output, anchored by institutions such as the National Institute of Mental Health and Neuro Sciences, Bangalore, and the Post Graduate Institute of Medical Education and Research, Chandigarh, although international contributions from countries like Switzerland (Citation per paper [CPP]: 22.36), Germany (CPP: 17.68), Canada (CPP: 17.68), and Italy (CPP: 17.63) demonstrated a higher citation efficiency compared to those from India (11.6). The authorship pattern revealed a definitive shift from single-author (reduced from 28.65% to 9.9%) to collaborative, multiauthor research. Thematically, research concentrated on core areas such as depression and schizophrenia, while displaying responsiveness to emerging crises like the COVID-19 pandemic.</p><p><strong>Conclusion: </strong>The IJP has consistently demonstrated a trajectory of upward influence and academic reputation over the past 16 years. While the journal serves as a vibrant ecosystem for domestic research, future strategies should focus on leveraging international collaborations to enhance global visibility and citation impact further.</p>","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 6","pages":"510-516"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13327397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148375634","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":"Covert medication in India-Revisiting practice in the light of Mental Healthcare Act (MHCA) 2017.","authors":"N A Uvais","doi":"10.4103/indianjpsychiatry_403_26","DOIUrl":"10.4103/indianjpsychiatry_403_26","url":null,"abstract":"","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 6","pages":"590-591"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13327408/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148375624","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":"Proposal of 'World Psychiatry Day': The aim is to celebrate psychiatry as the third division of medicine alongside internal medicine and general surgery.","authors":"Narayana Manjunatha, Arun V Marwale, Kuruthukulangara Sebastian Jacob, K S Shaji, Roy Abraham Kallivayalil, Debasish Basu, Smita Arun Agrawal Tibrewala, Nitin Gupta, Anant Kumar Verma, Rajmohan Velayudhan, Sagar Lavania, Vikram Wankhade, Laxmi Naresh Vadlamani, Om Prakash Singh, T S Sathyanarayana Rao","doi":"10.4103/indianjpsychiatry_658_26","DOIUrl":"10.4103/indianjpsychiatry_658_26","url":null,"abstract":"<p><p>Psychiatry is a distinct medical specialty that integrates biological, psychological, and social sciences to diagnose, treat, and prevent psychiatric disorders. Despite major advances in neuroscience, pharmacological treatments, psychotherapy, and service delivery, psychiatry often remains insufficiently recognized within the broader mental health discourse. Public awareness efforts have largely focused on mental health in general, while psychiatry as a medical discipline has received comparatively limited visibility. This has contributed to ambiguity regarding its identity and role within modern medicine. Many medical specialties have dedicated international observance days that strengthen professional identity, public awareness, and advocacy. In contrast, psychiatry currently lacks a dedicated global day of recognition. We therefore propose the establishment of a World Psychiatry Day, to be observed annually on February 20, the birth anniversary of Johann Christian Reil (1759-1813), the physician who coined the term Psychiatrie in 1808 and advocated for psychiatry as a distinct branch of medicine. The proposed observance would reinforce psychiatry's status as a core medical specialty, promote integration of psychiatric care with general healthcare, reduce stigma, strengthen advocacy and policy engagement, encourage research and innovation, and highlight the global burden of psychiatric disorders. Ultimately, World Psychiatry Day could enhance the visibility of psychiatry within medicine and reaffirm its indispensable role in improving health and wellbeing worldwide.</p>","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"68 6","pages":"578-582"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13327393/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148375594","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}