Alka Chandrakar, Selvaraj M Karthik, Sathianathan R, Udayakumar N, Natrajan S
{"title":"Caregiver Strain in Children with Attention Deficit Hyperactivity Disorder.","authors":"Alka Chandrakar, Selvaraj M Karthik, Sathianathan R, Udayakumar N, Natrajan S","doi":"10.1177/02537176251316358","DOIUrl":"10.1177/02537176251316358","url":null,"abstract":"<p><strong>Background: </strong>Attention Deficit Hyperactivity Disorder (ADHD) is among the most prevalent psychiatric disorders observed in children, which causes significant caregiver burden in terms of psychological, emotional, physical, and financial status. The current study correlates the severity and subtypes of ADHD with caregiver strain in children with ADHD.</p><p><strong>Methods: </strong>A cross-sectional study in which 40 caregivers of children with ADHD were assessed using a semi-structured proforma, Caregiver Strain Questionnaire (CSQ), and Vanderbilt ADHD Diagnostic Parent Rating Scale (VADPRS).</p><p><strong>Results: </strong>The mean global score of caregiver strain in this study was suggestive of moderate caregiver burden. The combined subtype of ADHD was the most common (42.5%) and had the greatest mean score of severity in this study, but it caused the least caregiver burden (<i>P</i> < .05). The inattentive subtype of ADHD was causing the greatest caregiver strain in all the domains of strain (objective, subjective externalized, and subjective internalized) [<i>P</i> < .05]. Most of the children had co-morbid psychiatric conditions (67.5%), of which oppositional defiant disorder was the commonest (60%) and caused significant caregiver strain in all the domains (<i>P</i> value even up to <.01 and <.001 for some domains).</p><p><strong>Conclusion: </strong>The severity of caregiver burden is influenced by the subtype of ADHD and the existence of co-morbid psychiatric conditions. Applying such findings in routine clinical practice can be more helpful for improving the overall well-being of the child and the caregiver.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176251316358"},"PeriodicalIF":1.9,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11830161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143440857","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":"Can Non-specific Blood Inflammatory Biomarkers Predict Recovery in Acute Transient Psychotic Disorder? A Prospective Observational Study.","authors":"Jaya Prakash, Sujita Kumar Kar, Wahid Ali, Pronob Kumar Dalal","doi":"10.1177/02537176251317648","DOIUrl":"10.1177/02537176251317648","url":null,"abstract":"<p><strong>Background: </strong>Inflammation may play an important role in the pathogenesis of schizophrenia and related psychotic disorders. This study aimed to measure the inflammatory marker (serum prolactin, serum cortisol, C-reactive protein [CRP], erythrocyte sedimentation rate (ESR), total leucocyte count, and differential leucocyte count) in drug naïve patients of the first episode of acute and transient psychotic disorder (ATPD) at baseline and their alterations after three months of antipsychotic treatment.</p><p><strong>Methods: </strong>This prospective study estimated the change of inflammatory biomarkers in patients with ATPD over three months, along with the change in psychopathology and global functioning. Attempts were taken to compare the trend of change in inflammatory biomarkers with clinical improvement.</p><p><strong>Result: </strong>A total of 157 patients with ATPD were screened to recruit 78 patients, of which only 33 patients were followed up till three months from the point of recruitment. More than three-fourths of the patients improved significantly during the brief follow-up period. Patients who improved substantially with antipsychotic drug treatment had a significantly lower age and age at the onset of psychiatric illness. The patients who improved also had a significant reduction in total leucocyte count, absolute neutrophil count, and neutrophil-to-lymphocyte ratio from baseline to three-month follow-up. Duration of untreated illness had a significant positive correlation (<i>P</i> = .042; <i>r</i> = 0.401) with the ESR.</p><p><strong>Conclusion: </strong>Inflammatory biomarkers are raised in drug naïve patients with ATPD, which improves with antipsychotic drug treatment, indicating a possible role of inflammation in the pathogenesis of ATPD.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176251317648"},"PeriodicalIF":1.9,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11829276/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432465","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 Preliminary Outcome Study of Brief Cognitive Therapy for Management of Suicidal Thoughts and Behaviors: An Open-label Trial Protocol.","authors":"Swarnalakshmi S, Munivenkatappa Manjula, Venkata Senthil Kumar Reddi","doi":"10.1177/02537176251315390","DOIUrl":"10.1177/02537176251315390","url":null,"abstract":"<p><strong>Background: </strong>Suicidal thoughts and behaviors (STBs) are a major concern in India, but there is limited research on effective interventions. Cognitive Therapy for Suicidal Patients (CT-SP) has shown promise, but its implementation in India needs further investigation.</p><p><strong>Novelty: </strong>This study adopts a transdiagnostic approach to suicidality, recognizing the strong link between various mental health conditions and STBs. The study aims to use an evidence-based intervention for acute suicidal risk and understand its outcomes in the Indian context using systematic implementation. The blended delivery format of the intervention (both in-person and online) further enhances its relevance for diverse clinical settings.</p><p><strong>Objectives: </strong>The study aims to assess the effectiveness of a brief CT-SP intervention in reducing the severity of suicidal ideation and behaviors. Secondary objectives include evaluating changes in emotional regulation, cognitive flexibility, hopelessness, depression, anxiety, problem-solving skills, frequency of dysfunctional cognitions, and overall functioning.</p><p><strong>Methods: </strong>The study will use an open-label, single-group design with baseline, post-intervention, and follow-up assessments at one, three, and six months. Patients with recent suicidal ideation or behaviors will be recruited across diagnoses. The intervention consists of a ten-session CT-SP protocol delivered in a blended format over five weeks.</p><p><strong>Expected outcome: </strong>The study would contribute to the empirical understanding of suicide risk management in clinical settings and inform the development of culturally relevant interventions specific to the Indian context.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176251315390"},"PeriodicalIF":1.9,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11829275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432531","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":"Utilization of Psychiatric Clinical Rating Scales in Tertiary Care Teaching Hospital: A Retrospective Descriptive Study in a Naturalistic Setting.","authors":"Pranesh Ram Ranganathan, Sureshkumar Ramasamy","doi":"10.1177/02537176241310942","DOIUrl":"10.1177/02537176241310942","url":null,"abstract":"<p><strong>Background: </strong>Considering the importance of clinical rating scales in psychiatric evaluation and their academic relevance, this study assessed the extent to which they were utilized in a tertiary care teaching hospital during patients' hospital stays.</p><p><strong>Methods: </strong>We did a consecutive sampling of patients' records and retrieved data from medical records of the patients admitted with the diagnoses of schizophrenia, bipolar affective disorder (BPAD), and depressive disorder in the psychiatry wards. Data regarding the use of clinical rating scales (Brief Psychiatric Rating Scale (BPRS), Young Mania Rating Scale (YMRS), or Hamilton Depression Rating Scale (HDRS)) each week was collected and analyzed accordingly.</p><p><strong>Results: </strong>Out of 50 case records retrieved, the majority (60%) were male. The sample mean age was 37.76 ± 12.78 years. Forty percent of the sample records had schizophrenia, 38% had BPAD-mania, and 22% had depressive disorders. The sample had an average inpatient hospital stay of 17.68 ± 8.25 days. At baseline, only 54% were administered respective clinical rating scales. At the end of the first week, 42% were assessed using clinical rating scales. At the end of the second and third weeks, only 35.9.1% and 13.3% of patients were monitored by rating scales, and the utilization rate declined further, with a downward slump in subsequent weeks.</p><p><strong>Conclusions: </strong>Utilization of clinical rating scales was found to be low in our tertiary care teaching hospital. Postgraduate trainees need more exposure and formal training in applying psychiatric rating scales for better patient care.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176241310942"},"PeriodicalIF":1.9,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432557","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 \"A Thematic Analysis of the Significance of Peace Education in Managing Aggression in Adolescents\".","authors":"Mirza Jahanzeb Beg","doi":"10.1177/02537176251317159","DOIUrl":"10.1177/02537176251317159","url":null,"abstract":"","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176251317159"},"PeriodicalIF":1.9,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11806444/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143382394","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}
Kallabi Borah, Tessy Treesa Jose, Anil Kumar Mysore Nagaraj, P V Bhandary
{"title":"Systematic Development, Validation, and Implementation of a Workshop Module \"Suicide Prevention Program\" for Pre-University College Teachers.","authors":"Kallabi Borah, Tessy Treesa Jose, Anil Kumar Mysore Nagaraj, P V Bhandary","doi":"10.1177/02537176251314061","DOIUrl":"10.1177/02537176251314061","url":null,"abstract":"<p><strong>Background: </strong>Death by suicide is a global health concern and is one of the top three causes of death among people aged between 15 and 29 years. Teachers are the key professionals in educational institutes to identify symptoms of suicide among students. The present article aimed to develop, validate, and implement a workshop module on the suicide prevention program (SPP).</p><p><strong>Methods: </strong>The workshop module was developed using the \"curriculum development for medical education framework\". Subject experts from the psychiatric field validated the module. A total of 72 Pre-University College (PUC) teachers participated in the workshop. A self-structured feedback questionnaire was used to evaluate the participants' satisfaction.</p><p><strong>Results: </strong>The workshop content areas were identified with a thorough literature review. The workshop module (content, case scenarios for role play, topics for group activities, and diary) was developed in the English language and validated with a content validity index of one. Participants reported high satisfaction with the workshop module. Feedback reported a positive attitude toward suicide prevention.</p><p><strong>Conclusion: </strong>The \"Suicide Prevention Program\" was developed and validated based on various experts' suggestions for PUC teachers. It can be implemented in educational institutes.</p><p><strong>Registration: </strong>CTRI registration is done (CTRI/2022/09/045819).</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176251314061"},"PeriodicalIF":1.9,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11806451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143382401","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":"Relationship of Neurotropin-3 Gene Polymorphism with Cognitive Impairment in Bipolar Disorder.","authors":"Muralidharan Monisha, Neha Keshri, Hanumanthappa Nandeesha, Vikas Menon","doi":"10.1177/02537176251314157","DOIUrl":"10.1177/02537176251314157","url":null,"abstract":"<p><strong>Background: </strong>Neurotropin-3 (NT-3), a marker of neural plasticity, is reported to be altered in bipolar disorder (BD). This study was designed to evaluate NT-3 gene polymorphism (rs 6489630, rs 6332, and rs 11063714) in BD and its association with disease severity and cognition.</p><p><strong>Methods: </strong>The study included 176 BD cases and 176 controls. All the participants were tested for NT-3 polymorphism and plasma NT-3. ACE-III scores were used to analyze cognition.</p><p><strong>Results: </strong>The NT-3 polymorphism (rs 6489630) was associated with cognitive impairment in BD (<i>P</i> = .010). The attention score was found to be decreased in the CT genotype (<i>P</i> = .028) when compared to the CC and TT genotypes of the rs6489630 variant. The visuospatial ability score was decreased in the GG genotype (<i>P</i> = .044) compared to the AG genotype of the rs11063714 variant. BD patients with the maniac episode showed a decrease in levels of Neurotrophin-3 in comparison to both the control group (<i>P</i> = .045) and the remission group (<i>P</i> = .017). Plasma NT-3 was associated with the YMRS (<i>r</i> = -0.221, <i>P</i> = .003), HDRS (<i>r</i> = 0.209, <i>P</i> = .005) and visuospatial ability score (<i>r</i> = 0.180, <i>P</i> = .017) in patients with BD.</p><p><strong>Conclusion: </strong>Single nucleotide polymorphisms of NT-3 are associated with cognitive dysfunction in BD.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176251314157"},"PeriodicalIF":1.9,"publicationDate":"2025-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789048/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143189046","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":"Mindfulness: Impact and Place in Physician's Well-being.","authors":"Viswanath Bandi, Prasad Rao Gundugurti","doi":"10.1177/02537176241312647","DOIUrl":"10.1177/02537176241312647","url":null,"abstract":"","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176241312647"},"PeriodicalIF":1.9,"publicationDate":"2025-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143189041","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}