Indian Journal of Psychological Medicine最新文献

{"title":"A Gamble of Life: Adolescent Betting, Mental Health Crisis, and Legal Insights- A Case Report.","authors":"Shruti Zunzunwala, Tanisha Pruthi, Anubhav Katyal, Preeti Dalal, Shiv Prasad","doi":"10.1177/02537176241297755","DOIUrl":"10.1177/02537176241297755","url":null,"abstract":"","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176241297755"},"PeriodicalIF":1.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11609949/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142768597","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":"Digitally Driven Short- and Intermediate-term Courses of Primary Care Psychiatry for Doctors: A Theme-based Analysis and Performance Audit.","authors":"Madhuri H Nanjudaswamy, Rini Joseph, Mi Singh Sethi, Narayana Manjunatha, Channaveerachari Naveen Kumar, Prabhat K Chand, Suresh Bada Math","doi":"10.1177/02537176241297339","DOIUrl":"10.1177/02537176241297339","url":null,"abstract":"<p><strong>Background: </strong>The National Mental Health Survey of India 2015-2016 identified a substantial treatment gap in mental healthcare, emphasizing the urgent need for improved training of primary care doctors (PCDs) in managing psychiatric disorders. This study aimed to evaluate the effectiveness of three digitally delivered primary care psychiatry courses offered by the department of psychiatry in a tertiary neuropsychiatric center: the Certificate Course in Primary Mental Healthcare (CCPMH), the Diploma in Community Mental Health (DCMH), and the Diploma in Primary Care Psychiatry (DPCP).</p><p><strong>Methods: </strong>Based on the board of studies documents, including curriculum, delivery methods, accreditation criteria, and outcomes, a comparative and thematic analysis of the courses was conducted.</p><p><strong>Results: </strong>The digital courses differed in duration, depth, and delivery methods. The DPCP, the most intensive and personalized program, was highly effective in translating knowledge into clinical practice. The CCPMH provided a foundational, short-term course for PCDs, while the DCMH covered a broader range of topics relevant to primary care psychiatry, supplemented with self-learning modules. All courses significantly contributed to reducing the mental health treatment gap by training a substantial number of PCDs.</p><p><strong>Conclusions: </strong>Digitally delivered courses are essential in addressing the mental health treatment gap in India. The DPCP, with its emphasis on practical training and personalized learning, demonstrates high effectiveness in equipping PCDs with the necessary skills to manage psychiatric disorders. However, further research is needed to evaluate long-term outcomes and to address the scalability and accessibility challenges of these.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176241297339"},"PeriodicalIF":1.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11615903/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142785265","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":"Substance Use in Indian Adolescents: The Role of School-Based Programs.","authors":"Sravanthi Penubarthi, Vishwak Reddy Vatte, Srinivas Kandrakonda","doi":"10.1177/02537176241294248","DOIUrl":"10.1177/02537176241294248","url":null,"abstract":"","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176241294248"},"PeriodicalIF":1.9,"publicationDate":"2024-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11585918/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142716285","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 Thematic Analysis of the Significance of Peace Education in Managing Aggression in Adolescents.","authors":"Nadia Azadi, Prangya Paramita Priyadarshini Das","doi":"10.1177/02537176241293635","DOIUrl":"10.1177/02537176241293635","url":null,"abstract":"","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176241293635"},"PeriodicalIF":1.9,"publicationDate":"2024-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11585917/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142716284","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":"Regulatory Framework for Gambling in India: Salient Aspects for Mental Health Professionals.","authors":"New Fight Seth, Yatan Pal Singh Balhara","doi":"10.1177/02537176241295621","DOIUrl":"10.1177/02537176241295621","url":null,"abstract":"","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176241295621"},"PeriodicalIF":1.9,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11580113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142709969","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":"Echoes of Pain: Navigating Non-suicidal Self-injury in Schizophrenia-Clinical Chronicles.","authors":"Jitendriya Biswal, Kritika Agarwal, Mridul Deepanshu, Surjeet Sahoo","doi":"10.1177/02537176241292799","DOIUrl":"10.1177/02537176241292799","url":null,"abstract":"","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176241292799"},"PeriodicalIF":1.9,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11580116/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142709962","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":"Stress, Anxiety, and Depression in the First-year Students of Medical Education: A Prospective Cohort Study from a Women's Medical College in South India.","authors":"Ganesh Kumar Mallaram, Upasna Gopalakrishnan, Deepthy Ann Mathews, Dhatri Sai Mudamala, Harshitha Gangavarappagari, Utkarsh Modi, Dheeraj Kattula","doi":"10.1177/02537176241282100","DOIUrl":"10.1177/02537176241282100","url":null,"abstract":"<p><strong>Background and aims: </strong>Medical students around the world have been found to have high rates of depression and anxiety as compared to the general population. This study aimed to assess these in medical students immediately after they joined medical school and six months later. This study also aimed to assess if there was any association with stress, anxiety, and depression scores at six months follow-up with coping styles, self-esteem, personality, family functioning, and academic performance.</p><p><strong>Methods and materials: </strong>We enrolled 154 first-year undergraduate medical students in this study with a baseline assessment including sociodemographic factors and Depression, Anxiety, Stress Scale 21 (DASS 21). They were followed up at six months with assessments of DASS 21, family functioning using the Family Adaptability, Partnership, Growth, Affection, and Resolve Scale (APGAR), coping styles using the Brief Coping Orientation to Problems Experienced (Brief COPE) scale, personality factors using the Big Five Inventory (BFI-10) and self-esteem using Rosenberg Self-Esteem Inventory (RSES). Change in scores in DASS 21 was measured. The DASS 21 scores at six months were correlated with other scale scores using appropriate statistical tools. Logistic regression analysis was done to study the effect of different variables on the outcomes.</p><p><strong>Results: </strong>Mean DASS scores at baseline fell within the normal range. There was a significant increase in mean DASS scores six months after joining. Despite this, only three students reported receiving treatment for mental health problems. DASS scores showed positive correlations with neuroticism and emotion-focused coping styles. About 36.6% of students reported failing in at least one subject. Academic performance did not show any association with levels of psychological distress.</p><p><strong>Conclusion: </strong>Students showed a striking rise in psychological distress six months after joining medical school. This suggests that the medical school environment could play a role. To meet students' needs, a change in medical school culture and the provision of accessible and flexible mental health services are required.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176241282100"},"PeriodicalIF":1.9,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11574819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142681804","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":"Buprenorphine Induced Nicolau Syndrome: A Case Report.","authors":"Aarushi Arunima, Sukhdeep Singh, Ashwini Reddy, Keshavamurthy Vinay","doi":"10.1177/02537176241296307","DOIUrl":"10.1177/02537176241296307","url":null,"abstract":"","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176241296307"},"PeriodicalIF":1.9,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11574817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142681802","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":"Heart Rate Variability for Supplementing Withdrawal Assessment in Patients with Opioid Dependence: An Exploratory Study.","authors":"Siddharth Sarkar, Kanwal Preet Kochhar, Esha Sood, Dinu Chandran, Sunil Jangra, Adit Verma","doi":"10.1177/02537176241292590","DOIUrl":"10.1177/02537176241292590","url":null,"abstract":"<p><strong>Background: </strong>Management of opioid dependence requires titrating medication doses based on withdrawal symptoms, but its clinical assessment presents challenges when it comes to subjective reporting. This study aimed to find out the relationship between heart rate variability (HRV) and opioid withdrawal in patients with opioid dependence.</p><p><strong>Methods: </strong>Three groups of adult males were recruited: (a) patients with opioid dependence undergoing inpatient detoxification, (b) patients with opioid dependence stabilized on buprenorphine-based opioid substitution treatment, and (c) healthy controls. Frequency and time-domain parameters of HRV were used in the analysis. The opioid withdrawal was assessed using the Subjective Opiate Withdrawal Scale (SOWS).</p><p><strong>Results: </strong>Resting heart rate was found to be significantly different across the three groups (higher in patients stabilized on buprenorphine than the other two groups). In time-domain parameters, the detoxification group had the highest beat-to-beat variability. In frequency-domain parameters, the total power was highest for the detoxification group and lowest for the opioid substitution treatment group. In contrast, the relative power of frequency bands (very low, low, and high) did not vary across the groups at baseline. The SOWS had a weak negative correlation with root mean square of successive differences (RMSSD) in the opioid substitution group and did not have any relationship with HRV parameters in the detoxification group.</p><p><strong>Conclusions: </strong>This exploratory study did not find HRV parameters to be robustly associated with subjective withdrawal, except for a negative association with the beat-to-beat variability among patients on opioid substitution treatment. This study adds to information on HRV in patients with opioid dependence.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176241292590"},"PeriodicalIF":1.9,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11572500/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142675712","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":"Personality Dimension, Suicidal Intent, and Lethality: A Cross-sectional Study of Suicide Attempters with or Without Personality Disorders.","authors":"Amruti Sahoo, Sarada Prasanna Swain, Nilamadhab Kar","doi":"10.1177/02537176241287161","DOIUrl":"10.1177/02537176241287161","url":null,"abstract":"<p><strong>Background: </strong>Although personality disorders (PD) are known risk factors for suicide attempts, studies on personality dimension are scarce, which may provide further insights for interventions.</p><p><strong>Methods: </strong>The relationship between personality dimension, lethality, intent, and quality of life (QOL) was studied in suicide attempters with or without PD. We used the international personality disorder examination (IPDE) dimensional score, the scale for assessment of lethality of suicide attempt (SALSA), suicide intent scale (SIS), and WHOQOL-BREF QOL scale, to assess a sample of suicide attempters admitted to a general hospital.</p><p><strong>Results: </strong>PD was present in 43.2% and 57.9% of them had more than one PD. Comparison of attempters with or without PD suggested that the lethality of attempts and QOL were comparable, whereas self-reported suicide intent was significantly low in patients with PD. A higher proportion of PD patients reported relational problems as the reason for the attempt. The personality dimensional score was significantly higher for female attempters from urban backgrounds than for those with previous attempt histories. It was negatively correlated with the lethality of attempts and suicide intent.</p><p><strong>Conclusion: </strong>It is important to explore the personality dimension of the suicide attempters, along with PD, that may highlight additional risks and suggest the need for specific support.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176241287161"},"PeriodicalIF":1.9,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11572302/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142675057","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}