Indian Journal of Psychological Medicine最新文献

{"title":"Color Perception in Patients with Schizophreniza and Their Healthy First-degree Relatives: A Cross-sectional Study.","authors":"Nikita S Shidhore, Vasantmeghna S Murthy, Ajish G Mangot, Sharad V Kshirsagar","doi":"10.1177/02537176261480351","DOIUrl":"10.1177/02537176261480351","url":null,"abstract":"<p><strong>Background: </strong>Endophenotypic markers are an important area of study for a better understanding of the biological basis of disorders such as schizophrenia. Our study evaluated color vision as a potential endophenotypic marker in schizophrenia.</p><p><strong>Methods: </strong>This was a cross-sectional study at a tertiary care center with 39 patients diagnosed with schizophrenia and 39 healthy first-degree relatives (FDRs). After screening for ocular disorders and color blindness, all participants underwent the Farnsworth-Munsell D-100 test for color perception, the Montreal Cognitive Assessment (MoCA), and a symptom severity assessment with the Positive and Negative Syndrome Scale. Statistical analyses included <i>t</i> tests, correlations, and regression models.</p><p><strong>Results: </strong>All patients demonstrated poor color discrimination (total error score [TES] > 100), compared with 66.7% of FDRs. The mean TES of patients was 225.5 ± 64.3, and that of FDRs was 143.7 ± 50.9, both indicating impaired color discrimination. This deficit was not specific to any one color axis. Patients had significantly lower MoCA scores (20.5 ± 5.1) compared to FDRs (25 ± 2.7) (<i>p</i> < .001). Color perception deficits correlated positively with negative symptom scores (<i>ρ</i> = 0.39, <i>p</i> = .04) and negatively with MoCA scores (<i>ρ</i> = -0.44, <i>p</i> = .005). Regression analysis indicated that cognitive function was the strongest predictor of color perception impairment. Among FDRs, TES correlated significantly with age and MoCA scores.</p><p><strong>Conclusions: </strong>Patients with schizophrenia exhibited marked impairments in color discrimination, and this was shared with FDRs. This suggests that impaired color vision may represent a potential endophenotypic marker of schizophrenia, warranting further longitudinal research.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176261480351"},"PeriodicalIF":1.8,"publicationDate":"2026-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13550230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148911890","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":"\"Ethics Committee Approval and Participant Consent Were Not Required\": Challenging a Persistent Misconception in Biomedical Research.","authors":"Rajshekhar Bipeta","doi":"10.1177/02537176261483252","DOIUrl":"10.1177/02537176261483252","url":null,"abstract":"<p><p>Biomedical journal editors often encounter manuscripts claiming that ethics review or participant consent was unnecessary because the studies were low risk or did not involve patients. Such claims may reflect misunderstandings of contemporary research ethics. Ethical responsibilities extend to research involving human participants, identifiable data, biological materials, and digital or online settings. Exemption from ethics review and waiver or modification of informed consent are distinct decisions that should be made in accordance with applicable regulations and, where required, determined by an ethics committee rather than the investigator alone. This article examines four common misconceptions and provides practical guidance for clear ethics statements in biomedical manuscripts.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176261483252"},"PeriodicalIF":1.8,"publicationDate":"2026-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13547547/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148905599","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":"Phonemic Awareness Deficits in Specific Learning Disorder with Impairment in Reading in Malayalam: A Case-control Study.","authors":"Anjana Soman, Sonu S Dev, Rajith Ravindren","doi":"10.1177/02537176261480347","DOIUrl":"10.1177/02537176261480347","url":null,"abstract":"<p><strong>Background: </strong>Phonemic awareness deficits are a core feature of specific learning disorder with impairment in reading (SLD-R) in alphabetic languages. How task- and language-specific factors influence these deficits in alphasyllabary languages may help clarify the cognitive mechanisms underlying reading impairment in SLD-R.</p><p><strong>Methods: </strong>Thirty children with SLD-R (mean age 11.4 years) and 29 age-matched typically developing children were given phoneme blending (words and pseudowords) and segmentation tasks in Malayalam, an alphasyllabary language.</p><p><strong>Results: </strong>Children with SLD-R performed significantly worse than controls across most phonemic awareness tasks, with the largest deficits observed in pseudoword blending and word blending, and smaller deficits in segmentation. In typically developing children, age showed strong positive correlations with phonemic performance across most tasks. In contrast, the SLD-R group showed weak or absent correlations, except in word blending and initial phoneme deletion. Consonant clusters significantly affected performance in both groups, with SLD-R showing more severe deficits.</p><p><strong>Conclusions: </strong>Phonemic awareness deficits observed in SLD-R in Malayalam are more pronounced in tasks lacking lexical support, such as pseudoword blending. These deficits vary across task types and linguistic complexity. The findings suggest that phonemic awareness deficits are a core feature of SLD-R across languages, but orthographic, and linguistic characteristics of the writing system shape their manifestation.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176261480347"},"PeriodicalIF":1.8,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13534353/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148880361","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":"Assessing Suicidal Ideation in a Community of Bangladesh: Validation of a Suicidal Ideation Scale.","authors":"Md Omar Faruk, Md Abdul Awal, Kamal Uddin Ahmed Chowdhury","doi":"10.1177/02537176261478811","DOIUrl":"10.1177/02537176261478811","url":null,"abstract":"<p><strong>Background: </strong>Surpassing the global and Bangladesh averages, Jhenaidah, a southwestern region in Bangladesh, remains one of the most prone districts for suicidal ideation and suicide rates. However, despite the higher prevalence, there is no psychometric measure available to assess the degree of suicidal ideation in this region. The present study aimed to validate the Bangla version of the Suicidal Ideation Scale (B-SIS) in Jhenaidah.</p><p><strong>Methods: </strong>We recruited 300 participants (male 50.87% and female 45.13%) via purposive sampling from six sub-districts, with an overall mean age of 23.26 (SD = 2.96). We used the B-SIS, the World Health Organisation-5 Well-being Index and the Symptom Rating Scale.</p><p><strong>Results: </strong>The scale yielded a one-factor structure with 55.58% of the total variance supported by multiple indices in confirmatory factor analysis (RMSEA = 0.061, CFI = 0.981, TLI = 0.971, SRMR = 0.035). The intraclass correlation coefficient (two-way random-effects model, absolute agreement) for average measures was 0.90 (95% CI, [0.84, 0.95]; <i>F</i>[29, 551] = 10.11; <i>p</i> < .001), indicating high score stability across administrations. The scale also demonstrated acceptable internal consistency, reliability and construct validity.</p><p><strong>Conclusions: </strong>The psychometric properties suggest that the B-SIS is a suitable measure to assess suicidal ideation in Jhenaidah. The study is expected to advance scholarly work in suicidology by taking Jhenaidah into account.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176261478811"},"PeriodicalIF":1.8,"publicationDate":"2026-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13527052/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148864719","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":"Classification of Mental Health Establishments in India According to Levels of Care: A Policy Perspective.","authors":"Kannan Palaniyandi Ponnusamy, Panneerselvan C","doi":"10.1177/02537176261478220","DOIUrl":"10.1177/02537176261478220","url":null,"abstract":"<p><p>The recent classification of mental health establishments under the Mental Healthcare Act, 2017, is based largely on institutional affiliation. This viewpoint proposes a care-level-based classification comprising acute, intermediate, and rehabilitation services. Such an approach may better reflect clinical needs, support service planning, and align with the objectives of the Mental Health Care Act.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176261478220"},"PeriodicalIF":1.8,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13518609/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148840290","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":"List of Reviewers 2026.","authors":"","doi":"10.1177/02537176261481226","DOIUrl":"https://doi.org/10.1177/02537176261481226","url":null,"abstract":"","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176261481226"},"PeriodicalIF":1.8,"publicationDate":"2026-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13503629/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148818347","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":"Barriers, Facilitators, Attitudes, and Preferences Toward Digital Mental Health Interventions Among Patients with Severe Mental Illness and Their Caregivers: A Qualitative Exploration from a Low- and Middle-income Setting.","authors":"Srinandha Srinivasan, Jilisha Gnanadhas, Subashree Kathatharan, Vikas Menon","doi":"10.1177/02537176261473079","DOIUrl":"10.1177/02537176261473079","url":null,"abstract":"<p><strong>Background: </strong>Digital mental health interventions (DMHIs) offer a potential solution to bridge the considerable treatment gap in mental health service delivery. Our objectives were to qualitatively examine barriers, facilitators, attitudes, and preferences toward DMHIs among patients with severe mental illness (SMI) and their caregivers.</p><p><strong>Methods: </strong>In-depth interviews were conducted with remitted patients with schizophrenia or bipolar disorder and their caregivers. A semi-structured interview guide with open-ended questions and prompts was used. Interview sessions were audio-recorded and transcribed verbatim. Descriptive open coding was done. Generated inductive codes were arranged first into categories and then into themes.</p><p><strong>Results: </strong>Twelve patients with SMI and 12 caregivers were interviewed. Key barriers to the use of DMHIs were perceived ineffectiveness of technology-assisted consults (compared to in-person visits), perceived adverse effects, inadequate digital literacy, cognitive barriers such as forgetting details during teleconsultations, and concerns about confidentiality. Key facilitators included convenience, wide reach and availability, willingness to adapt, shared access to devices in households, and the potential of DHMIs to increase awareness about mental illness. Attitudes toward DMHIs were ambivalent, with concerns about technology-mediated clinical interactions but openness to personalized service delivery through technology, such as medication and appointment reminders, and toll-free contact numbers for emergencies. They also emphasized the importance of raising awareness about mental illness through DMHIs.</p><p><strong>Conclusions: </strong>Patients with SMI and their caregivers identified significant structural and individual barriers to the use of DMHIs. We suggest that DMHIs for this group should be co-designed to address their needs and concerns, thereby enhancing uptake.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176261473079"},"PeriodicalIF":1.8,"publicationDate":"2026-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13503630/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148818387","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":"Effectiveness of Online Suicide Prevention (Gatekeeper) E-module Training Compared to In-person Training for Healthcare Workers: A Randomized Interventional Trial.","authors":"Guru S Gowda, Amrutha Raju, Hanok Kallunawar, Deepak Ghadigaonkar, Suhas Satish, Pracheth Raghuveer, Latha Krishnamurthy, Sojan Antony, Sundernag Ganjekar, Krishna Prasad Muliyala, Harish Thippeswamy, Geetha Desai, Srikanth T K, Anil Singarajipura, Rajani Parthasarathy, Venkata Senthil Kumar Reddi","doi":"10.1177/02537176261472323","DOIUrl":"10.1177/02537176261472323","url":null,"abstract":"<p><strong>Background: </strong>People with tuberculosis (TB) have a suicide risk up to 25 times higher than the general population. It may be due to stigma, isolation, prolonged treatment, and psychological distress from the disease. Hence, empowering healthcare workers (HCWs) who are involved in TB care with suicide prevention skills is essential.</p><p><strong>Novelty: </strong>This study will be integrating suicide prevention into TB care and will be evaluating an asynchronous learning management solution (LMS)-based training model against traditional in-person gatekeeper training for HCWs of high-risk population.</p><p><strong>Objectives: </strong>This study will examine the effectiveness of the gatekeeper suicide prevention training online e-module compared to in-person training for National Tuberculosis Elimination Program (NTEP) HCWs.</p><p><strong>Methods: </strong>HCWs in the Karnataka State NTEP program will be randomly assigned to two training groups using parallel cluster-randomization at the district level. The online training group (intervention group) will receive training through customized and locally adapted e-modules hosted on an LMS. The In-person training group (control group) will undergo training through presentations, role-play simulations, and discussions. Training effectiveness will be assessed using the Kirkpatrick model, with statistical evaluation and comparison of pre- and post-test scores to measure knowledge acquisition, skill retention, and application (number of referrals) across both groups.</p><p><strong>Expected outcome: </strong>The study anticipates that e-module training will be as effective as in-person training for developing competence and confidence in suicide prevention and early identification and referral of suicidality.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176261472323"},"PeriodicalIF":1.8,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13498673/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148792424","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":"Comments on \"Gola Khisakna as a Culture-bound Syndrome\".","authors":"Diederik F Janssen","doi":"10.1177/02537176261473125","DOIUrl":"https://doi.org/10.1177/02537176261473125","url":null,"abstract":"","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176261473125"},"PeriodicalIF":1.8,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13486383/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148792366","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":"Sleep and Stroop Performance with Adjunctive Melatonin in Pharmacotherapy-stable Pediatric ADHD: A Prospective Open-label Study.","authors":"Ritwick Tripathi, Shweta Singh, Amit Arya, Vivek Agarwal","doi":"10.1177/02537176261472435","DOIUrl":"https://doi.org/10.1177/02537176261472435","url":null,"abstract":"<p><strong>Background: </strong>Attention-deficit/hyperactivity disorder (ADHD) is frequently comorbid with sleep disturbances; evidence linking melatonin to objective neurocognitive outcomes in this population is lacking. The present study assessed the association of melatonin with parent-reported sleep disturbance scores and Stroop Color-Word Test performance in children and adolescents with ADHD and comorbid sleep disturbances on stable pharmacotherapy.</p><p><strong>Methods: </strong>Prospective, open-label, single-arm, 6-week study. Thirty-three participants (ADHD; Children's Sleep Habits Questionnaire [CSHQ] score ≥41) on stable methylphenidate or atomoxetine were enrolled; 32 completed follow-up. Melatonin (3 mg/day <40 kg; 5 mg/day ≥40 kg) was administered 1 hour before bedtime. Primary outcome: CSHQ total score (baseline, weeks 2, 4, 6). Secondary outcome: Psychology Experiment Building Language Stroop Color-Word Test (baseline and week 6). Analysis involved repeated-measures analysis of variance and paired <i>t</i> tests.</p><p><strong>Results: </strong>Total CSHQ scores declined from 50.25 ± 3.60 to 34.31 ± 2.69 at 6 weeks (<i>F</i>=506.238, <i>p</i> < .001, partial <i>η</i>²=0.942), with significant improvement in six of eight subscales after Bonferroni correction. Pre- and post-Stroop scores showed large observed changes (<i>d</i>=1.12-1.19; all <i>p</i> < .001), though practice effects cannot be excluded without a control group. Sleep-cognition correlations were small and non-significant (<i>r</i>=0.19-0.29; <i>p</i> > .10). Adverse effects were mild and transient.</p><p><strong>Conclusions: </strong>Pre- and post-improvements in parent-reported sleep scores and Stroop performance were observed over 6 weeks of melatonin use; given the single-arm design, causal attribution is not possible. Randomized controlled trials with objective sleep measures and parallel cognitive assessment forms are warranted.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176261472435"},"PeriodicalIF":1.8,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13486400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148792518","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}