Indian Journal of Psychological Medicine最新文献

{"title":"Analyzing the Relationship Between Chronic and Occasional Alcohol Consumption Patterns and Their Association with Attentional Bias: An Eye-tracking Methodology.","authors":"Newfight Seth, Omar Afroz, Raja Babu Ramawat, Apinderjit Kaur, Stuti Karna, Shalini Singh, Roshan Bhad, Rohit Verma, Ravindra Rao","doi":"10.1177/02537176251376317","DOIUrl":"10.1177/02537176251376317","url":null,"abstract":"<p><strong>Background: </strong>Alcohol use disorder (AUD) is accompanied by cognitive impairments, including attentional bias towards cues linked to alcohol. Most studies on attentional biases have focused on participants in intoxicated states, with limited research on differences between chronic and occasional users. This study aimed to examine attentional biases in chronic alcohol users compared to occasional users using eye-tracking.</p><p><strong>Methods: </strong>In this cross-sectional study, 71 male participants (36 chronic users and 35 occasional users) were recruited from a tertiary care center in India. Eye-tracking assessments were conducted using free-viewing of emotional and landscape images, and viewing of alcohol related stimuli. For each task, variables such as the number of fixations, fixation duration, scan path, and anti-saccade rates were calculated.</p><p><strong>Results: </strong>No statistically significant difference was found between chronic alcohol users and occasional users in fixation metrics, scan path length, or anti-saccade rates for emotional, landscape, or alcohol related stimuli. Chronic alcohol users had slightly longer fixation durations and greater scan path lengths on alcohol-related stimuli, but these differences were not significant (<i>p</i> > .05).</p><p><strong>Conclusions: </strong>Our findings suggest that chronic alcohol users may not always display prominent attentional biases in a sober state. The prolonged abstinence duration (>2 months) contributed to the absence of significant biases in our study. The slightly longer scan path length for alcohol-related images among chronic users may indicate that they were possibly avoiding these images. The findings also highlight the need for a state-dependent approach and the importance of assessing variables like craving in future research.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176251376317"},"PeriodicalIF":2.0,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12450205/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124591","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 \"Specific Learning Disability: Ten Challenges and Ten Recommendations in Current Indian Context\".","authors":"Palaniyandi Ponnusamy Kannan, Venkatesh Madhan Kumar","doi":"10.1177/02537176251370648","DOIUrl":"10.1177/02537176251370648","url":null,"abstract":"","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176251370648"},"PeriodicalIF":2.0,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12449303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113059","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":"Association Between Hair Cortisol, Dehydroepiandrosterone and Perceived Stress in Chronic Stress-related Conditions: A Systematic Review and Meta-analysis.","authors":"Ravish Huchegowda, Ranganath R Kulkarni, Somashekhar Bijjal, Prasad Nagamangala Nagesh, Mariyamma Philip, Vijaykumar Harbishettar","doi":"10.1177/02537176251370986","DOIUrl":"10.1177/02537176251370986","url":null,"abstract":"<p><strong>Background: </strong>Hair concentrations of cortisol and dehydroepiandrosterone (DHEA) are increasingly recognized as non-invasive, retrospective biomarkers of hypothalamic-pituitary-adrenal axis function. The ratio of these hormones may reflect the balance between catabolic and anabolic activity, potentially serving as a composite marker of chronic stress. Despite its theoretical relevance, the clinical utility of the hair cortisol: DHEA ratio remains unclear. This PROSPERO-registered systematic review, done according to PRISMA guidelines, aimed to evaluate the association between the hair cortisol: DHEA ratio and perceived stress in adults with chronic stress exposure.</p><p><strong>Methods: </strong>A comprehensive search of five electronic databases and grey literature was conducted up to March 5, 2025. Studies were eligible if they included adults (≥18 years) with at least 4 weeks of documented chronic stress exposure and reported both hair cortisol and DHEA concentrations alongside validated perceived stress measures. Meta-analyses were performed for correlation coefficients and group comparisons. Risk of bias was assessed using a modified Downs and Black checklist.</p><p><strong>Results: </strong>Eight studies (five cross-sectional, three cohort; <i>n</i> = 60-210) met inclusion criteria. A meta-analysis of two studies using validated stress scales showed no significant association between the hair cortisol/DHEA ratio and perceived stress (<i>ρ</i> = 0.09; 95% CI: -0.07 to 0.26; <i>I</i>² = 0%). However, a separate analysis of three studies comparing high- versus low-stress groups revealed a moderate, statistically significant pooled effect (Hedges' <i>g</i> = 0.69; 95% CI: 0.14-1.24; <i>p</i> = .01) with substantial heterogeneity (<i>I</i>² = 77.17%). Risk of bias ranged from moderate to low, but the overall certainty of evidence was rated very low due to small sample sizes and inconsistent findings.</p><p><strong>Conclusion: </strong>The hair cortisol: DHEA ratio has biological plausibility as a marker of chronic stress, but current evidence is insufficient to support its clinical application. Further standardized, longitudinal studies are needed to establish its diagnostic and prognostic value.</p><p><strong>Prospero registration: </strong>CRD420251003364.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176251370986"},"PeriodicalIF":2.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12446278/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113099","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":"Redefining Access to Mental Health Care Through Sustained Tele-mentoring: A Report of the Instant Collaborative Video Consultations with Primary Care Doctors.","authors":"Chandana Sabbella, Hetashri Shah, Prakyath Ravindranath Hegde, Rahul Patley, Sivakami Sundari Subramanian, Manjunatha Narayana, Naveen Kumar Channaveerachari, Suresh Bada Math","doi":"10.1177/02537176251375301","DOIUrl":"10.1177/02537176251375301","url":null,"abstract":"<p><strong>Background: </strong>Mentoring primary care doctors (PCDs) improves their competency and aids in integrating psychiatric care into primary care, especially in resource-constrained settings. This study evaluates the socio-demographic, diagnostic, and treatment profiling of instant collaborative video consultations (i-CVCs) and the diagnostic (domain-wise and disorder-wise) and treatment concordance of PCDs with tele-psychiatrists.</p><p><strong>Methods: </strong>This was a cross-sectional study that was a part of a digitally driven capacity-building program that provided tele-mentoring to PCDs via i-CVCs with tele-psychiatrists. A total of 382 i-CVCs conducted between November 2022 and July 2024 were analyzed for diagnostic and treatment profiling. Concordance between PCDs and tele-psychiatrists was assessed using Cohen's kappa (<i>n</i> = 358).</p><p><strong>Results: </strong>Among the domain-wise diagnostic distribution by the tele-psychiatrist, the majority were classified as common mental disorders (CMDs) (47.7%), and among the disorder-wise distribution, the majority was depressive disorder (22.5%). The analysis revealed very good to good diagnostic agreement between PCDs and tele-psychiatrists across major domains: SUD (κ = 0.96), SMD (κ = 0.81), and CMD (κ = 0.75), all with <i>p</i> < .001. Disorder-wise concordance was highest for alcohol disorders (κ = 0.96). Treatment concordance also showed moderate agreement for all the major classes of psychotropic medications (κ = 0.5 to 0.6; <i>p</i> < .001), including antidepressants, antipsychotics, benzodiazepines, and nicotine replacement therapy. i-CVC support was primarily sought for diagnostic/treatment confirmation and clarification on dosage strategies.</p><p><strong>Conclusions: </strong>i-CVCs facilitate real-time learning and improve confidence in managing psychiatric disorders within live primary care clinics, demonstrating a scalable approach to address the treatment gap.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176251375301"},"PeriodicalIF":2.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12446279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113062","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 the Strengths and Gaps of PRASHAST in Screening for Mental Disabilities Among School-Going Children.","authors":"Asmita Nayak, Hareesh Angothu","doi":"10.1177/02537176251369643","DOIUrl":"10.1177/02537176251369643","url":null,"abstract":"","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176251369643"},"PeriodicalIF":2.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12446268/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113122","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":"Disulfiram-ethanol Reaction Linked to the Consumption of Fermented Pickles: A Unique Case Encounter.","authors":"Mahak Aggarwal, Rohit Guleria, Jawahar Singh","doi":"10.1177/02537176251369644","DOIUrl":"10.1177/02537176251369644","url":null,"abstract":"","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176251369644"},"PeriodicalIF":2.0,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12443720/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113114","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":"Integrating Palliative Care in Dementia in India: How Long Can We Afford to Wait?","authors":"Dhanya Charly, Sujas Bhardwaj, Thomas Gregor Issac","doi":"10.1177/02537176251369642","DOIUrl":"10.1177/02537176251369642","url":null,"abstract":"","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176251369642"},"PeriodicalIF":2.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12436328/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145080494","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":"ANKK1 Taq1A Gene Variance and Executive Functions in Female Youth with Binge Eating Disorder: A Cross-sectional Study.","authors":"Ola M Ibrahim, Azza El-Bakry, Heba Baz, Mohamed A Khalil, Gihan Fouad Ahmad, Doaa R Ayoub, Shirin M El-Makawi","doi":"10.1177/02537176251365051","DOIUrl":"10.1177/02537176251365051","url":null,"abstract":"<p><strong>Background: </strong>Binge eating disorder (BED) biological and psychological etiology is still not fully understood. This study investigates the relationship between the ANKK1 Taq1A gene variant and BED in female youth with obesity, while also assessing executive functions (EFs).</p><p><strong>Methods: </strong>The study included eighty young females with obesity, divided into BED and non-BED groups. EFs were assessed using the Stroop test, Digit Span, and the PEBL battery (including Card Sorting, Iowa Gambling, and Go/No-go tests). The ANKK1 Taq1A gene variance was detected via real-time PCR.</p><p><strong>Results: </strong>No significant differences were found in ANKK1 Taq1A genotypes or allele frequencies between the groups. However, the BED group exhibited worse cognitive flexibility, decision-making, and higher depression levels. Specifically, the BED group scored poorly on tests such as Card Sorting, Iowa Gambling, and Digit Span (<i>p</i> < .001, <i>p</i> = .005, <i>p</i> = 0.07, respectively). A logistic regression analysis indicated that worse cognitive flexibility and high depression severity significantly increased the probability of BED (<i>p</i> = .01, OR = 1.42; <i>p</i> = .001, OR = 1.26, respectively).</p><p><strong>Conclusions: </strong>No association was found between ANKK1 Taq1A gene variance and BED or EFs performance. The female youth with obesity and BED demonstrated worse cognitive flexibility and decision-making, along with greater depression severity. Worse cognitive flexibility and greater depression severity were found to increase the probability of BED. Thus, evaluating and addressing EF deficits in BED patients, along with managing co-morbid psychiatric conditions, is crucial for improving treatment outcomes.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176251365051"},"PeriodicalIF":2.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12436327/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145080479","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":"Research That Is Not Published Is Not Worth Doing.","authors":"Rajshekhar Bipeta","doi":"10.1177/02537176251377594","DOIUrl":"10.1177/02537176251377594","url":null,"abstract":"<p><p>This editorial assertsthat unpublished research undermines scholarly inquiry, emphasizing that publication is a moral and institutional obligation. It highlights the negative consequences of non-publication, such as wasted resources, ethical violations, and risks to public health. The piece asserts that \"research that is not published is not worth doing,\" stressing the ethical duty to participants and funders. It reviews empirical evidence on the impact of non-publication, addresses the challenges of unpublished research, and proposes reforms, such as mandatory registration, reporting of results, and data sharing.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"421-426"},"PeriodicalIF":2.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12432010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145064385","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":"Unmet Psychosocial Needs of Disaster Survivors in India: A Growing Concern.","authors":"Nilamadhab Kar","doi":"10.1177/02537176251374856","DOIUrl":"10.1177/02537176251374856","url":null,"abstract":"","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176251374856"},"PeriodicalIF":2.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12423088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145064397","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}