Indian Journal of Psychological Medicine最新文献

{"title":"\"How Long Can You Stare at Your Wife?\" Rethinking Duty Hours and Mental Health at the Workplace.","authors":"Om Prakash Singh","doi":"10.1177/02537176251339465","DOIUrl":"https://doi.org/10.1177/02537176251339465","url":null,"abstract":"","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176251339465"},"PeriodicalIF":1.9,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143984838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric Evaluation of Bengali, Hindi, and Kannada Versions of the Yale-Brown Obsessive Compulsive Scale.","authors":"Anirban Dutta, Himani Kalra, Praveen Raj, Karthik Sheshachala, Vasundhra Teotia, Dhritiman Das, T S Jaisoorya, Kandavel Thennarasu, Shyam Sundar Arumugham, Yc Janardhan Reddy","doi":"10.1177/02537176251335095","DOIUrl":"https://doi.org/10.1177/02537176251335095","url":null,"abstract":"<p><strong>Background: </strong>The Yale-Brown Obsessive Compulsive Scale (YBOCS) is the most widely used clinician-rated instrument for assessing the severity of obsessive-compulsive disorder (OCD). There are no validated translations of the scale in Indian languages. In a clinical sample, we evaluated the psychometric properties of the Bengali, Hindi, and Kannada versions of the Y-BOCS severity scale.</p><p><strong>Methods: </strong>The English version of Y-BOCS was translated into three Indian languages employing standard procedures. The Kannada, Hindi, and Bengali versions were administered to 71, 100, and 105 OCD patients, respectively, along with the National Institute of Mental Health-Global Obsessive-Compulsive Scale (NIMH-GOCS) and the Patient Health Questionnaire (PHQ-9). Cronbach's alpha was assessed to measure internal consistency. Test-retest reliability was evaluated by re-administering the translated scales by the primary rater. Inter-rater reliability was evaluated by re-administering the scale by an independent rater within a week.</p><p><strong>Results: </strong>All three versions of the Y-BOCS severity scale had high Cronbach's Alpha scores (>0.90) for total and subscale scores, suggesting good internal consistency. The intraclass coefficients for inter-rater and test-retest reliability were >0.90, suggesting excellent reliability. Although the total Y-BOCS score was significantly correlated with both NIMH-GOCS and PHQ-9, the correlation was stronger for the former, supporting the construct validity.</p><p><strong>Conclusion: </strong>The translated versions of Y-BOCS investigated in this study are psychometrically reliable and valid measures for the assessment of severity in the Indian population with OCD.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176251335095"},"PeriodicalIF":1.9,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12050265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143965616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intravenous Ketamine Treatment for Depression: One-year Retrospective Study from a Tertiary Care Psychiatry Center from India.","authors":"Ekta Yadav, Bheemsain Tekkalaki, Kavita P Gadadavar, Vishwas Yadawad, Sameeran S Chate, Sandeep Patil, Vinayak Koparde","doi":"10.1177/02537176251334446","DOIUrl":"https://doi.org/10.1177/02537176251334446","url":null,"abstract":"<p><strong>Background: </strong>Major depressive disorder (MDD) is a debilitating mental health condition characterized by significant morbidity and mortality. The emergence of ketamine infusion therapy has provided a promising, rapidly acting treatment option. We aimed to assess the effectiveness of ketamine infusion therapy as an adjunct treatment in patients with depression and to study the patient's profile undergoing ketamine therapy in a real-world clinical setting.</p><p><strong>Methods: </strong>This was a retrospective chart review. A total of 28 patients with depression who received ketamine infusion therapy at a tertiary care hospital were included in this retrospective analysis. The Hamilton Depression Rating Scale (HAMD) was utilized to assess depressive symptomatology.</p><p><strong>Results: </strong>A statistically significant reduction in HAMD scores was observed post-treatment (<i>P</i> < .0001). Notably, 53.6% of patients achieved a therapeutic response (≥50% decrease in HAMD score), while 39.3% attained remission (HAMD score < 7) after an average of 4.6 ketamine infusions. Furthermore, a substantial decrease in suicidal ideation was observed in 71.4% of patients.</p><p><strong>Conclusion: </strong>The finding of this study indicates that ketamine infusion therapy is safe and effective as a rapidly acting adjunct treatment for depression.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176251334446"},"PeriodicalIF":1.9,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12040862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143991784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Juvenile Delinquency in Kashmir: A Retrospective Analysis of Psychosocial Profiles.","authors":"Rajnish Raj, Syed Karrar Hussain, Vaibhav Kumar Khare, Zaid Ahmad Wani, Afifa Afreen","doi":"10.1177/02537176251335059","DOIUrl":"https://doi.org/10.1177/02537176251335059","url":null,"abstract":"<p><strong>Background: </strong>India has a large population of children under 18, one-third of the total population. Jammu and Kashmir (J&K) has experienced an increase in juveniles in conflict with the law compared to the rest of the country. This study aimed to assess the socio-demographic profiles, psychosocial factors, and psychopathology of juveniles in conflict with the law in Kashmir who were referred to our institute for assessment.</p><p><strong>Methods: </strong>A retrospective cross-sectional study assessed records from January 2022 to June 2024. Data related to the socio-demographic profile, psychosocial factors, psychiatric disorders, charged offenses, and psychological assessments (Draw a Picture Test [DAPT], Rorschach Inkblot Test [RIBT]) were extracted and analysed.</p><p><strong>Results: </strong>The mean age of the subjects was 17.24 years, and all participants were male. A history of child labor was reported in 29.26% of the subjects, while 41.46% (<i>N</i> = 17) experienced familial neglect. Hyperactivity and impulsivity, consistent with ADHD (7.31%), were the most common psychiatric disorders, followed by depression (4.87%) and anxiety disorders (4.87%). In the DAPT, most subjects scored higher on inadequacy, followed by anxiety and social immaturity. In contrast, intact cognitive mediation and an avoidant style were more prevalent in the RIBT. The most common offenses were registered under the Unlawful Activities (Prevention) Act, followed by the Arms Act and the Protection of Children from Sexual Offenses (POCSO) Act.</p><p><strong>Conclusion: </strong>Our study observed a link between juvenile delinquency and developmental, psychological, and social factors. Anxiety, hyperactivity, and peer influence were frequently reported among the cases analysed, highlighting areas requiring further exploration. The findings underscore the importance of addressing developmental and mental health conditions, as well as psychosocial factors, in juveniles in conflict with the law. Future research should explore targeted rehabilitation programs and longitudinal studies to establish causality. In limitation, this retrospective study used descriptive statistics, limiting the ability to infer causation.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176251335059"},"PeriodicalIF":1.9,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12040872/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144008791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SMILES: A Child-Centered OCD Recovery Model Derived Through Thematic Analysis.","authors":"Lakshmi Sravanti, Arul Pradeep, John Vijay Sagar Kommu, Rajendra Kiragasur Madegowda, Satish Chandra Girimaji, Shekhar Seshadri","doi":"10.1177/02537176251333706","DOIUrl":"https://doi.org/10.1177/02537176251333706","url":null,"abstract":"<p><strong>Background: </strong>Obsessive-compulsive disorder (OCD) in children and adolescents presents unique clinical challenges, requiring individualized care. Recovery is a subjective process, and a structured recovery model is needed to guide and support children during their journey. This study explores the meaning of recovery for children with OCD and develops a model that addresses their specific needs throughout treatment.</p><p><strong>Methods: </strong>The central research question aimed to explore the meaning of recovery for children living with OCD. A purposive sampling approach was employed to recruit five participants each from the 7-12 years (children) and 13-17 years (adolescents) age groups, with theme saturation achieved after ten transcripts. Participants were required to have had OCD for at least six months and be in remission. Data were analyzed using thematic analysis, with the final themes synthesized into a conceptual model, SMILES. Ethical approval from the institute and informed consent were obtained from the participants and their parents.</p><p><strong>Results: </strong>Participants identified six key areas of recovery. These areas, derived through inductive thematic analysis, form the components of the recovery model represented by the acronym SMILES, which stands for <b>S</b>ense of self, <b>M</b>ental Health and Well-being, <b>I</b>nstitution of school, <b>L</b>ifestyle, <b>E</b>xtracurricular, and <b>S</b>ocial. The SMILES model can be used in two formats-Rainbow Recovery and Blooming Recovery-based on the child's preference.</p><p><strong>Conclusions: </strong>The SMILES model can enhance clinical practice by aiding clinicians in establishing a connection with children, thereby facilitating the delivery of holistic care.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176251333706"},"PeriodicalIF":1.9,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12018353/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143985954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Methylphenidate and the Paradox of Sedation: A Case Report.","authors":"Ravi Yadav, Bhavuk Garg","doi":"10.1177/02537176251332231","DOIUrl":"https://doi.org/10.1177/02537176251332231","url":null,"abstract":"","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176251332231"},"PeriodicalIF":1.9,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12018690/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143978097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Study Protocol of Primary Prevention Interventions for Substance Use and Suicide Prevention Among Youth in Kashmir: Development, Administration, and Evaluation.","authors":"Aadil Bashir, Misbah Rafiq, Triptish Bhatia","doi":"10.1177/02537176251329473","DOIUrl":"https://doi.org/10.1177/02537176251329473","url":null,"abstract":"<p><strong>Background: </strong>Given the unique geopolitical positioning of Kashmir and its susceptibility to addiction and suicide, we present a protocol study that aims to design culturally tailored primary prevention for youth in Kashmir.</p><p><strong>Novelty: </strong>This study is the first attempt in the region to design and test a culturally tailored primary prevention intervention for youth mental health in Kashmir.</p><p><strong>Objectives: </strong>It aims to design culturally tailored primary prevention for youth in Kashmir and test it on the high-risk population.</p><p><strong>Methods: </strong>The study has three stages. (a) estimating risk factors for substance-use disorders (SUDs) and suicide in Kashmir among youth (16-24 years of age), (b) adapting an existing primary prevention intervention and psycho-social interventions to the culture-specific risk factors operating in Kashmir, (c) screening the at-risk youth in schools and colleges, (d) selecting suitable sample for pre/post-evaluation design, (e) administering a culturally-tailored primary-prevention intervention to the selected sample, and (f) evaluating the outcome variables which include parameters of symptom reduction and improved well-being. Data shall be analyzed utilizing both qualitative and quantitative methods. Risk factors will be estimated using thematic analysis. A culturally tailored primary prevention intervention will be designed by adapting an existing dialectical behavioral therapy skill training module to the Kashmir context. The effectiveness of the designed intervention will be evaluated through pre-and post-tests.</p><p><strong>Expected outcomes: </strong>The study will provide a solid foundation for the mental health curriculum in schools and colleges. It is expected to reduce the number of mental disorders and contribute to a sustainable, mentally healthy Kashmir.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176251329473"},"PeriodicalIF":1.9,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12014575/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144014780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental Health at the Margins: The Need for an Intersectional Approach for Inclusive Mental Health Care in India.","authors":"Sreya Mariyam Salim, Miller Am, Jithin Thekkelkuthiyathottil Joseph","doi":"10.1177/02537176251332006","DOIUrl":"https://doi.org/10.1177/02537176251332006","url":null,"abstract":"","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176251332006"},"PeriodicalIF":1.9,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12014578/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Electroconvulsive Therapy (ECT): Reiterating the Call for Urgent Attention.","authors":"Charles H Kellner","doi":"10.1177/02537176251330928","DOIUrl":"https://doi.org/10.1177/02537176251330928","url":null,"abstract":"","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176251330928"},"PeriodicalIF":1.9,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12006110/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144010093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gastrointestinal Manifestations and Associated Comorbidities in Children with Autism Spectrum Disorder: A Cross-sectional Analysis from South India.","authors":"Nishant Prabhakaran, Sruthy Jestine, Suhas Chandran, Lakshmi Shiva, Ann Maria Moncy","doi":"10.1177/02537176251331152","DOIUrl":"https://doi.org/10.1177/02537176251331152","url":null,"abstract":"<p><strong>Background: </strong>Gastrointestinal (GI) symptoms are frequently reported in children with autism spectrum disorder (ASD) and may significantly impact behavior, sleep, adaptive functioning, and the severity of autism. This study aims to explore the relationship between GI symptoms and these factors in children with ASD.</p><p><strong>Methods: </strong>We investigated 96 children and adolescents with ASD aged 3-18 years attending an autism clinic in South India. Parents were interviewed using a semi-structured proforma that gathered information on GI symptoms, sociodemographic details, medical history, and treatment history. Behavioral problems were assessed using the Strengths and Difficulties Questionnaire-2 (SDQ-2), ASD severity was measured using the Indian Scale for Assessment of Autism (ISAA), and sleep issues were evaluated using the Children's Sleep Habits Questionnaire (CSHQ) for autism. Statistical analyses were conducted to determine the predictive value of assessment scores on GI symptoms in two groups: (a) those with mild to moderate ASD and (b) participants aged less than or equal to six years versus more than six years.</p><p><strong>Results: </strong>Constipation and dietary problems were the most commonly reported (82.29%), followed by dyspepsia and reflux (44.79%), pica (36.46%), abdominal pain (26.04%), and diarrhea (14.58%). Holding all other predictor variables constant, constipation increased by 20% (odds ratio [OR] = 1.201) for unit increases in speech-language communication scores. Abdominal pain decreased by 24.5% (OR = 0.755) for unit increases in peer problems scores. Excessive flatulence decreased by 64.2% (OR = 0.358) for unit increases in conduct problems score. Finally, pica was found to increase by 23.2% (OR = 1.232) for unit increases in the sensory patterns score.</p><p><strong>Conclusions: </strong>The GI symptoms can negatively impact sleep and behavior in children with ASD, spotlighting the importance of routine GI screening in this population. Clinicians should be particularly vigilant in cases where symptoms suggest a higher likelihood of GI issues to enhance the quality of care for children with ASD.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176251331152"},"PeriodicalIF":1.9,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12006118/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}