Indian Journal of Psychological Medicine最新文献

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Neurocognitive Deficits Associated with Gambling Behavior: A Systematic Review and Meta-analysis of Executive Function, Decision-making, Delay Discounting & Reward Sensitivity. 与赌博行为相关的神经认知缺陷:执行功能、决策、延迟折扣和奖励敏感性的系统回顾和元分析。
IF 2
Indian Journal of Psychological Medicine Pub Date : 2026-05-03 DOI: 10.1177/02537176261444941
Yashita Ahluwalia, Parvender Singh Negi, Swarndeep Singh, Siddharth Sarkar, Yatan Pal Singh Balhara
{"title":"Neurocognitive Deficits Associated with Gambling Behavior: A Systematic Review and Meta-analysis of Executive Function, Decision-making, Delay Discounting & Reward Sensitivity.","authors":"Yashita Ahluwalia, Parvender Singh Negi, Swarndeep Singh, Siddharth Sarkar, Yatan Pal Singh Balhara","doi":"10.1177/02537176261444941","DOIUrl":"https://doi.org/10.1177/02537176261444941","url":null,"abstract":"<p><strong>Purpose of the review: </strong>This systematic review and meta-analysis examined whether gambling behavior is associated with neurocognitive deficits across executive function, decision-making, delay discounting, and reward sensitivity, and whether these deficits support the dual-process model of addiction.</p><p><strong>Collection and analysis of data: </strong>PubMed, Scopus, Embase, and Web of Science were searched on September 1, 2024. Observational studies including individuals with gambling behavior identified using Diagnostic and Statistical Manual of Mental Disorders (DSM)/International Classification of Diseases (ICD) criteria and/or standardized screening instruments were eligible. Risk of bias (ROB) was assessed using the Joanna Briggs Institute (JBI) checklist (cross-sectional studies). Random-effects meta-analyses using Hedges' <i>g</i> were conducted in <i>R</i> software, with heterogeneity, publication bias, leave-one-out sensitivity, subgroup, and meta-regression analyses.</p><p><strong>Results: </strong>Of 12,488 records, 76 studies (<i>n</i> = 5362) met eligibility for the review, and 35 (<i>n</i> = 2822) were included in the meta-analysis. Across 15 random-effects meta-analyses (<i>k</i> = 02-12; <i>n</i> = 38-562; <i>I</i> <sup>2</sup> = 0%-94.1%), the largest deficits were observed in inhibitory control on the Stroop task (ST) under gambling (<i>g</i> = 1.91; <i>p</i> < .05) and neutral conditions (<i>g</i> = 1.83; <i>p</i> < .05), followed by delay discounting (area under the curve [AUC]: <i>g</i> = -1.07; <i>p</i> < .001; discounting parameter: <i>g</i> = 0.45; <i>p</i> < .01), cognitive flexibility on the probabilistic reversal learning test (<i>g</i> = -0.51; <i>p</i> < .05) and Intra/Extra-Dimensional Set Shift Task (<i>g</i> = 0.72; <i>p</i> < .001), and working memory on the Trail Making Test-B (TMT-B) (<i>g</i> = 0.59; <i>p</i> < .05). Decision-making impairments were partially supported by qualitative evidence, while no consistent deficits were observed in planning ability or reward sensitivity.</p><p><strong>Conclusions: </strong>Findings indicate impairments in controlled and automatic processes, partially supporting the dual-process model of gambling disorder; however, heterogeneity and task-specific effects warrant caution.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176261444941"},"PeriodicalIF":2.0,"publicationDate":"2026-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13136229/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837297","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}
引用次数: 0
Clinician Awareness and Attitude About Decriminalization of Suicide Attempt as per Mental Health Care Act 2017: A Cross-sectional Study. 根据2017年精神卫生保健法,临床医生对自杀未遂非刑事化的认识和态度:一项横断面研究
IF 2
Indian Journal of Psychological Medicine Pub Date : 2026-05-02 DOI: 10.1177/02537176261445618
Simran Sandhu, Varchasvi Mudgal, Priyash Jain
{"title":"Clinician Awareness and Attitude About Decriminalization of Suicide Attempt as per Mental Health Care Act 2017: A Cross-sectional Study.","authors":"Simran Sandhu, Varchasvi Mudgal, Priyash Jain","doi":"10.1177/02537176261445618","DOIUrl":"https://doi.org/10.1177/02537176261445618","url":null,"abstract":"<p><strong>Background: </strong>The decriminalization of suicide under Section 115 of the Mental Healthcare Act (MHCA), 2017 marked a paradigm shift in India, reframing suicide attempts as manifestations of severe stress requiring care rather than punishment. However, gaps in clinician awareness and ambiguity regarding medico-legal responsibilities may hinder effective implementation of the law in clinical settings. This study aimed to assess non-psychiatric clinicians' awareness and attitudes regarding the decriminalization of suicide under the MHCA, 2017, and to explore potential implementation gaps.</p><p><strong>Methods: </strong>A cross-sectional questionnaire-based study was conducted among 134 clinicians from non-psychiatric departments at a tertiary-care center in central India. A structured, self-administered questionnaire assessed sociodemographic characteristics, awareness of legal provisions related to decriminalization, and attitudes toward its impact on stigma, help-seeking, and clinical practice. Descriptive statistics were computed, and subgroup comparisons based on years of clinical experience (≤1 year vs. >1 year) were performed using the chi-square test.</p><p><strong>Results: </strong>Most clinicians were aware that suicide has been decriminalized in India (76.1%) and that individuals attempting suicide are presumed to be under severe stress (84.3%). Nearly four-fifths (79.1%) recognized the government's obligation to provide care and rehabilitation. However, 80.6% believed that reporting suicide attempts to legal authorities remains mandatory, and only 51.5% were aware of professional immunity from civil or criminal liability. Attitudes toward decriminalization were largely positive: 55.2% agreed that it reduces stigma, 56.8% felt it encourages help-seeking, and 88.8% reported a greater likelihood of psychiatric referral following decriminalization. Subgroup analysis did not reveal significant differences across experience levels.</p><p><strong>Conclusion: </strong>Non-psychiatric clinicians demonstrated generally favorable awareness and supportive attitudes toward the decriminalization of suicide. However, persistent misconceptions regarding medico-legal obligations suggest an implementation gap. Targeted training, legal-literacy initiatives, and clear institutional protocols are needed to ensure consistent, rights-based care in alignment with the MHCA 2017.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176261445618"},"PeriodicalIF":2.0,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13135623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837312","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}
引用次数: 0
Beyond the Mirror: Psychological Correlates of Body Image Dissatisfaction. 超越镜子:对身体形象不满的心理关联。
IF 2
Indian Journal of Psychological Medicine Pub Date : 2026-04-20 DOI: 10.1177/02537176261439298
Soni Jaiswal, Sabeen H Rizvi, Kaiser Ahmad Dar
{"title":"Beyond the Mirror: Psychological Correlates of Body Image Dissatisfaction.","authors":"Soni Jaiswal, Sabeen H Rizvi, Kaiser Ahmad Dar","doi":"10.1177/02537176261439298","DOIUrl":"https://doi.org/10.1177/02537176261439298","url":null,"abstract":"<p><strong>Background: </strong>Body image dissatisfaction (BID) is associated with compromised psychological well-being (PWB) and quality of life (QoL); however, the mechanisms underlying these associations remain underexplored in non-Western populations. This study tested whether psychological distress mediates the BID-PWB and BID-QoL relationships among college-going young adults in urban India, and examined gender differences across these pathways.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 225 participants (125 females, 100 males; <i>M</i> age = 19.87 years, SD = 1.95) from University of Delhi-affiliated institutions. BID, psychological distress, QoL, and PWB were assessed using validated self-report instruments. Structural equation modelling (SEM) with bootstrapped indirect effect analysis (2,000 resamples; 95% bias-corrected CIs) examined direct and mediated pathways.</p><p><strong>Results: </strong>The final model demonstrated excellent fit (<i>χ</i> <sup>2</sup> [26, <i>N</i> = 225] = 34.99, <i>p</i> = .112; CFI = 0.99; TLI = 0.98; RMSEA = 0.04). BID dimensions-self-aggrandisement, body acceptance, and vitality-exerted significant indirect effects on QoL and PWB via psychological distress, with direct pathways non-significant after accounting for the mediator, indicating full mediation. Physical contact and sexual fulfilment showed additional direct associations with specific QoL and PWB indices. Contrary to prevailing assumptions, no gender differences emerged in psychological distress, suggesting BID-related psychological burden is equitably distributed across genders.</p><p><strong>Conclusion: </strong>BID compromises QoL and PWB primarily through psychological distress, identifying distress reduction as an efficient intervention target. These findings extend the body image literature into a collectivistic cultural context, suggesting that sociocultural factors attenuate gender-differential vulnerability patterns observed in Western samples. Culturally adapted, distress-focused interventions within college mental health frameworks are recommended; longitudinal research is needed to establish causal directionality.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176261439298"},"PeriodicalIF":2.0,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13096006/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147770374","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}
引用次数: 0
Accelerated Transcranial Direct Current Stimulation as an Adjunctive Treatment for Rapid Symptom Relief in Bodily Distress Disorder: A Case Series. 加速经颅直流电刺激作为快速缓解躯体痛苦障碍症状的辅助治疗:一个病例系列。
IF 2
Indian Journal of Psychological Medicine Pub Date : 2026-04-19 DOI: 10.1177/02537176261442676
Jithin Thekkelkuthiyathottil Joseph, Rashmi Vishwanath, Ashok Jammigumpula, Abhiram N Purohith, Sonia Shenoy, Samir Kumar Praharaj
{"title":"Accelerated Transcranial Direct Current Stimulation as an Adjunctive Treatment for Rapid Symptom Relief in Bodily Distress Disorder: A Case Series.","authors":"Jithin Thekkelkuthiyathottil Joseph, Rashmi Vishwanath, Ashok Jammigumpula, Abhiram N Purohith, Sonia Shenoy, Samir Kumar Praharaj","doi":"10.1177/02537176261442676","DOIUrl":"https://doi.org/10.1177/02537176261442676","url":null,"abstract":"<p><p>Bodily distress disorder (BDD) is a challenging condition often unresponsive to pharmacotherapy. This case series explores accelerated transcranial direct current stimulation (atDCS) as an adjunctive treatment in five patients with treatment-resistant BDD. Patients received 2-5 daily sessions over approximately 10 days, targeting the left motor cortex or dorsolateral prefrontal cortex. Four patients showed significant pain reduction (Visual Analogue Scale [VAS] scores reduced from 9.0 ± 1.4 to 3.8 ± 2.2) and overall symptom improvement, with minimal adverse effects. These findings suggest that atDCS is a safe, feasible and potentially effective intervention for BDD.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176261442676"},"PeriodicalIF":2.0,"publicationDate":"2026-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13092558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147770452","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}
引用次数: 0
Effectiveness of Binaural Beats in Reducing Anxiety in Alcohol Withdrawal Patients: A Single-group Pre-post Interventional Study. 双耳节拍减少酒精戒断患者焦虑的有效性:一项单组介入前后研究
IF 2
Indian Journal of Psychological Medicine Pub Date : 2026-04-12 DOI: 10.1177/02537176261435752
Prithiviraj R, Meinaakshi Coumaravelou, Arun Selvaraj, Souganya Vijayan, Reenaa Mohan
{"title":"Effectiveness of Binaural Beats in Reducing Anxiety in Alcohol Withdrawal Patients: A Single-group Pre-post Interventional Study.","authors":"Prithiviraj R, Meinaakshi Coumaravelou, Arun Selvaraj, Souganya Vijayan, Reenaa Mohan","doi":"10.1177/02537176261435752","DOIUrl":"https://doi.org/10.1177/02537176261435752","url":null,"abstract":"<p><strong>Background: </strong>Binaural beats are used to reduce anxiety by presenting two sounds with steady intensities at different frequencies to each ear, resulting in a single tone midway between them, with an amplitude equal to the difference between them. We aimed to utilize this to reduce anxiety in alcohol withdrawal patients and assess its effectiveness.</p><p><strong>Methods: </strong>This study was done among 100 alcohol patients categorized as moderate and severe alcohol withdrawal by Clinical Institute Withdrawal Assessment of Alcohol Scale-Revised (CIWA-Ar) score. The anxiety levels for both groups were assessed using the Hamilton Anxiety Rating Scale (HAM-A). Binaural Beats were played in their ears via headphones for 10 minutes, and their anxiety levels were assessed again. The data were analyzed using an independent sample <i>t</i>-test and regression analysis.</p><p><strong>Results: </strong>Out of the 100 patients, 48 had moderate withdrawal, and 52 had severe withdrawal. Pre- and post-test HAM-A scores in moderate withdrawal showed no statistically significant difference (<i>p</i> = .17), whereas in severe withdrawal there was a significant reduction (<i>p</i> < .001). The patients with severe withdrawal had a reduction in anxiety with intervention when compared to moderate withdrawal. The rate of improvement in the severe and moderate withdrawal groups was 5.76% and 0.27%, respectively. Higher CIWA-Ar scores and pre-intervention HAM-A scores caused greater improvement in HAM-A post-intervention.</p><p><strong>Conclusion: </strong>Binaural beats technology could be a better add-on to conventional therapy to reduce anxiety, as evidenced by our patients' responses.</p><p><strong>Summary: </strong>This is the initial research on applying binaural beats in reducing anxiety among alcohol withdrawal patients. It reveals the potential of binaural beats as a new, nonintrusive, and effective strategy in reducing alcohol withdrawal anxiety. It can be implemented in our routine setup to improve patients' understanding of the illness, their drug compliance, and their cooperation with the initiation of therapy sessions like Motivational Enhancement Therapy and could help in minimizing the use and need for anxiolytic medications, thus making the treatment more cost-effective. Thus, it can be integrated as a part of psychiatric care, addiction treatment, and withdrawal management.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176261435752"},"PeriodicalIF":2.0,"publicationDate":"2026-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13070990/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147689731","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}
引用次数: 0
Efficacy of Family-based Interventions in Addressing Substance Use Disorders: A Systematic Review on Randomized Controlled Trials. 以家庭为基础的物质使用障碍干预措施的有效性:随机对照试验的系统评价。
IF 2
Indian Journal of Psychological Medicine Pub Date : 2026-04-10 DOI: 10.1177/02537176261435440
Aswathy P V, Junaid K P, Abhishek Ghosh, Debasish Basu, Suresh K Sharma, Renjith R Pillai
{"title":"Efficacy of Family-based Interventions in Addressing Substance Use Disorders: A Systematic Review on Randomized Controlled Trials.","authors":"Aswathy P V, Junaid K P, Abhishek Ghosh, Debasish Basu, Suresh K Sharma, Renjith R Pillai","doi":"10.1177/02537176261435440","DOIUrl":"https://doi.org/10.1177/02537176261435440","url":null,"abstract":"<p><strong>Purpose of the review: </strong>Substance use disorders (SUDs) persist as a critical public health concern across the globe, affecting individuals, families, and communities across diverse sociocultural contexts. Among various intervention strategies, family-based interventions have emerged as essential components in the holistic management and treatment of SUDs. This study systematically reviews the scientific literature published between 2012 and 2024 to evaluate the efficacy of family-based interventions in mitigating substance use and enhancing family functioning.</p><p><strong>Collection and analysis of data: </strong>Three databases, PubMed, Scopus, and Web of Science, were searched using a predefined strategy focused on the terms \"SUD\" and \"family-based intervention.\" Eligible studies included randomized controlled trials (RCTs) involving individuals with SUDs that implemented family-based interventions aimed at reducing substance use and required the participation of at least one immediate family member. The Cochrane Risk of Bias 2.0 (RoB 2) tool is used to assess the methodological quality.</p><p><strong>Results: </strong>A total of 3,864 records were identified, of which 15 trials met the inclusion criteria and were included in the final review. Findings indicate that family engagement in substance use treatment leads to favorable outcomes, including substance use reduction and improvements in family functioning, with 11 studies demonstrating significant positive effects of family-based interventions.</p><p><strong>Conclusions: </strong>This review suggests that involving family members in treatment reduces substance use and improves family functioning. However, further high-quality RCTs are necessary to strengthen these conclusions and provide more definitive evidence.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176261435440"},"PeriodicalIF":2.0,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13068785/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147672796","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}
引用次数: 0
Efficacy of Transcranial Alternating Current Stimulation (tACS) for Treating Hallucinations: A Systematic Review and Meta-analysis. 经颅交流电刺激(tACS)治疗幻觉的疗效:系统回顾和荟萃分析。
IF 2
Indian Journal of Psychological Medicine Pub Date : 2026-04-09 DOI: 10.1177/02537176261437978
Velprashanth Venkatesan, Darshankumar Dharaiya, Garima Patel, Raj Kiran Donthu, Kowsalya Arjunan, Brijesh Sathian, Samir Kumar Praharaj
{"title":"Efficacy of Transcranial Alternating Current Stimulation (tACS) for Treating Hallucinations: A Systematic Review and Meta-analysis.","authors":"Velprashanth Venkatesan, Darshankumar Dharaiya, Garima Patel, Raj Kiran Donthu, Kowsalya Arjunan, Brijesh Sathian, Samir Kumar Praharaj","doi":"10.1177/02537176261437978","DOIUrl":"https://doi.org/10.1177/02537176261437978","url":null,"abstract":"<p><strong>Purpose of the review: </strong>Transcranial alternating current stimulation (tACS) is a non-invasive technique that modulates brain oscillations and may help treat hallucinations when conventional treatments fail. This systematic review evaluated the efficacy of tACS in reducing hallucinations in psychiatric disorders.</p><p><strong>Collection and analysis of data: </strong>A systematic search of PubMed, Scopus, EMBASE, and clinical trial registries was conducted. Studies included adult psychiatric populations receiving tACS with hallucinations measured using standardized scales. Three randomized controlled trials (RCTs) were included in the meta-analysis, and five additional studies were synthesized qualitatively. Risk of bias was assessed using the Cochrane RoB 2 tool for RCTs, and the Joanna Briggs Institute tools for other designs, and certainty of evidence was assessed using GRADE.</p><p><strong>Results: </strong>Meta-analysis of three RCTs (72 participants) showed no significant difference between tACS and sham treatment in reducing hallucinations post-intervention (SMD = -0.14, 95% CI = -0.61 to 0.32) or at study endpoint (SMD = 0.10, 95% CI = -0.41 to 0.61). Qualitative findings suggested potential benefits with gamma-frequency (40 Hz) tACS for auditory hallucinations in schizophrenia. Side effects were mild and infrequent. Overall risk of bias was moderate to high, and evidence certainty was low.</p><p><strong>Conclusions: </strong>Gamma-frequency tACS shows potential, but evidence remains inconclusive. Larger, well-designed trials are needed to determine its effectiveness for hallucinations in psychiatric disorders.</p><p><strong>Summary: </strong>Persistent auditory hallucinations pose treatment challenges in schizophrenia. Non-invasive brain stimulation such as TMS and tDCS has been found to offer some benefit for auditory hallucinations. However, the literature on the efficacy of tACS for auditory hallucinations has not been reviewed. This systematic review has synthesized all published studies and reported the pooled effect for efficacy and safety.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176261437978"},"PeriodicalIF":2.0,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13065639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147672774","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}
引用次数: 0
Benchmarking Large Language Models Against Psychiatry Residents Using Traditional Institutional Assessments. 使用传统机构评估的大型语言模型对精神病学住院医师进行基准测试。
IF 2
Indian Journal of Psychological Medicine Pub Date : 2026-04-09 DOI: 10.1177/02537176261435658
Manik Inder Singh Sethi, Satish Suhas, Vijaykumar Harbishettar, Narayana Manjunatha, Channaveerachari Naveen Kumar, Raghuram Bharadwaj, Tanmoy Chakraborty, Suresh Bada Math
{"title":"Benchmarking Large Language Models Against Psychiatry Residents Using Traditional Institutional Assessments.","authors":"Manik Inder Singh Sethi, Satish Suhas, Vijaykumar Harbishettar, Narayana Manjunatha, Channaveerachari Naveen Kumar, Raghuram Bharadwaj, Tanmoy Chakraborty, Suresh Bada Math","doi":"10.1177/02537176261435658","DOIUrl":"https://doi.org/10.1177/02537176261435658","url":null,"abstract":"<p><strong>Background: </strong>Artificial intelligence (AI) models demonstrate remarkable capabilities in healthcare applications, yet their performance compared to medical trainees in psychiatric education remains unexplored. This study evaluated the comparative performance of large language models (LLMs) against first-year psychiatry residents in standardized assessments at a premier Indian medical educational institute.</p><p><strong>Methods: </strong>For this study, the already-scored answer sheets for Theory Papers I and II, as well as unmanned, non-interactive Objective Structured Clinical Examinations (OSCEs) with image-based tasks, from all 25 first-year psychiatry residents (March 2024 exam) were obtained from the examination section of the institute. The same question papers were then uploaded into three AI models (ChatGPT<sub>-3.5</sub>, Gemini Advanced, and Claude Sonnet). Four blinded faculty members evaluated the responses generated by the AI models. Final, the scores of the AI models and psychiatry residents were analyzed for comparison. Statistical analysis employed Kruskal-Wallis tests with post hoc Mann-Whitney <i>U</i> comparisons.</p><p><strong>Results: </strong>AI models outperformed residents in theoretical assessments. In Paper I (theory), AI models achieved mean scores (standard deviation) of Claude Sonnet 67.88 (10.63), ChatGPT<sub>-3.5</sub> 70.38 (3.95), and Gemini Advanced 71.25 (3.86), compared to residents' 58.0 (2.58). Paper II (theory) assessments showed even larger gaps, with AI models scoring Claude Sonnet 72.88 (3.77), ChatGPT<sub>-3.5</sub> 71.0 (3.56), and Gemini Advanced 69.63 (12.86), compared to residents' 50.96 (2.49). OSCE performance patterns differed markedly. Paper I OSCEs showed equivalent performance: AI: 13.0; residents': 13.16 (1.49), while Paper II OSCEs revealed variable results: Claude Sonnet excelled at 20.0 (1.41), but ChatGPT<sub>-3.5</sub> underperformed at 15.0 (0.50), compared to residents at 16.6 (1.55). Inter-rater reliability coefficients remained excellent ( intraclass correlation coefficients [ICC]: 0.810-0.934).</p><p><strong>Conclusions: </strong>While AI demonstrated superior theoretical knowledge, equivalent or variable practical skills performance reveals fundamental limitations in clinical reasoning and contextual understanding. These findings necessitate reconceptualizing psychiatric education to emphasize uniquely human competencies while leveraging AI's capabilities for knowledge synthesis.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176261435658"},"PeriodicalIF":2.0,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13065625/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147672857","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}
引用次数: 0
Exploring Mental Health Literacy and Help-seeking Attitude Among the General Population: Insights from a Pilot Study. 探索心理健康素养和寻求帮助的态度在一般人群:从试点研究的见解。
IF 2
Indian Journal of Psychological Medicine Pub Date : 2026-04-02 DOI: 10.1177/02537176261435691
Rupangi Shah, Biswajit Dey
{"title":"Exploring Mental Health Literacy and Help-seeking Attitude Among the General Population: Insights from a Pilot Study.","authors":"Rupangi Shah, Biswajit Dey","doi":"10.1177/02537176261435691","DOIUrl":"https://doi.org/10.1177/02537176261435691","url":null,"abstract":"<p><strong>Background: </strong>Globally, mental health issues are becoming more prevalent, but stigma and obstacles to getting treatment are substantial. There is still a lack of community-based and region-specific research in India.</p><p><strong>Methods: </strong>This study examined patterns of mental health literacy (MHL) and help-seeking preferences among an urban non-clinical population in Ahmedabad, Gujarat, India. A community sample of 100 adults participated in semi-structured interviews and completed an adapted version of the General Help-Seeking Questionnaire (GHSQ). Qualitative manifest content analysis was used to analyze the interview results. Descriptive frequencies were used to map patterns of understanding and help-seeking preferences.</p><p><strong>Results: </strong>Although the individuals were aware of the term \"mental health,\" mental illness and abnormal behavior were the most prevalent conditions associated with mental health. The most common issues were anxiety and depression, and little knowledge of professional roles. The primary source of information about mental health was digital media. Even though the attitude toward seeking professional help was found to be positive, assistance was only considered as the last option for severe mental health issues such as schizophrenia and suicidal thoughts. Non-clinical concerns were mostly managed through informal support from trusted individuals or faith and motivation-based sources. Many participants also reported uncertainty about how to respond when others shared mental health concerns.</p><p><strong>Conclusions: </strong>The findings highlight a gap between awareness and appropriate help-seeking. Improving MHL must extend beyond awareness to strengthen understanding of professional roles, normalization of psychological help for non-clinical concerns, and promote community-level dialogue.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176261435691"},"PeriodicalIF":2.0,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13046698/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147622812","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}
引用次数: 0
Acknowledgment in the Scientific Literature: An Overlooked Record of Collaboration. 科学文献中的致谢:一个被忽视的合作记录。
IF 2
Indian Journal of Psychological Medicine Pub Date : 2026-03-29 DOI: 10.1177/02537176261429867
Rajshekhar Bipeta
{"title":"Acknowledgment in the Scientific Literature: An Overlooked Record of Collaboration.","authors":"Rajshekhar Bipeta","doi":"10.1177/02537176261429867","DOIUrl":"https://doi.org/10.1177/02537176261429867","url":null,"abstract":"<p><p>In scientific writing, it is important to recognize research contributions that do not qualify for authorship. However, acknowledgment sections are often short and lack a consistent structure. This article examines how acknowledgment statements document these contributions and reviews bibliometric evidence indicating that acknowledgments reveal types of collaboration not reflected in author lists. Examples from mental health research show how field teams and people with lived experience are recognized. Paying more attention to acknowledgment practices, along with established authorship and contributorship frameworks, could help better represent the many ways people contribute to research.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176261429867"},"PeriodicalIF":2.0,"publicationDate":"2026-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13035668/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147591754","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}
引用次数: 0
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