Indian Journal of Psychological Medicine最新文献

{"title":"Magnitude, Extent, and Burden of Substance-use Disorders in West Bengal: Findings from the National Mental Health Survey (NMHS), 2016.","authors":"Aniruddha Basu, Pavithra Jayashankar, Aparajita Guin, Sukanto Sarkar, Pradip Kumar Saha, Raghunath Misra, Debasish Sinha, Rajarshi Neogi, Soumyadeep Saha, Vivek Benegal, Girish N Rao, Mathew Varghese, Gopalkrishna Gururaj","doi":"10.1177/02537176241265079","DOIUrl":"10.1177/02537176241265079","url":null,"abstract":"<p><strong>Introduction: </strong>Substance-use disorders (SUDs) are a public health problem. The Global Adult Tobacco Survey (GATS) and National Family Health Survey (NFHS) provide evidence of high usage. Hence, the National Mental Health Survey (NMHS) WB data were analyzed to estimate the prevalence, pattern, disability burden, and service utilization of SUD.</p><p><strong>Methodology: </strong>The usual NMHS methodology was used. Four districts were selected, and thereafter, a multistage random sampling was done. The validated Bengali version of the Mini International Neuropsychiatric Interview (MINI) and other instruments like the Fagerstrom Test for Nicotine Dependence (FTND), disability, and health care utilization modules were used.</p><p><strong>Results: </strong>A total of 2,646 eligible members (age >18 years as per 2011 census) were interviewed. It was found that alcohol use as per MINI at least 3 drinks of alcohol within 3 hours on 3 or more occasions was 3.9%, and the weighted prevalence of alcohol-use disorder (AUD) and tobacco-use disorder (TUD) was 3.04% and 14%, respectively. The AUD and TUD prevalence was lower than the national prevalence, yet they were more prevalent in urban areas than in the national trend. The ratio of women to men suffering from AUD in WB (1:5) was one of the highest in the country (all India average 1:18). Also, the treatment gap of 89.2% was more than the national average.</p><p><strong>Discussion: </strong>SUDs are an important public health problem in the state of WB, which requires further research, particularly among women, comorbid psychiatric disorders, and in urban areas.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":"46 6","pages":"558-563"},"PeriodicalIF":1.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11558717/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142619366","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":"Meta-analysis on QEEG Changes to Antidepressant Treatment Among Patients with Depression.","authors":"Anamika Srivastava, Soumyajit Sanyal, Seema Jaiswal, Shrikant Srivastava","doi":"10.1177/02537176241271716","DOIUrl":"10.1177/02537176241271716","url":null,"abstract":"<p><strong>Introduction: </strong>Diagnostic and treatment accuracy of depression can lead to a better and possibly earlier response and remission in patients. The literature, though scanty, seems to suggest that quantitative electroencephalography (QEEG) can predict the outcome of antidepressant effects.</p><p><strong>Methodology: </strong>Articles published between January 1990 and July 2019, including those dealing with QEEG recordings before and after the initiation of antidepressant medication, were included. The pooled effect size and subgroup analysis of waveforms were calculated to predict response to antidepressants.</p><p><strong>Result: </strong>In all, 572 results were retrieved from the searches, of which 20 studies were included. Pooled data using a random-effects model (REM) calculated an effect size of 0.80 (95% CI [0.64-0.97]). Heterogeneity of the sample was low with Tau² = 0.02; df = 18 (<i>P</i> = .30); I² = 12%. Moreover, subgroup analysis showed that theta band frequencies were better at predicting response than alpha band frequencies (the standard mean difference [SMD] for theta was 0.91 compared to 0.68 for alpha waves).</p><p><strong>Conclusions: </strong>QEEG is a valuable predictor of the antidepressant response. Among the EEG frequencies, the theta band showed the most significant change with treatment.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176241271716"},"PeriodicalIF":1.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11572393/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142675729","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":"NAMAH-An Innovative Tele-ECHO Mentoring Program to Foster Well-being Among Physicians.","authors":"Nidhi Parate, Manjunatha Br, Sanchitha R, Venkata Lakshmi Narasimha, Jayant Mahadevan, Prabhat Chand, Pratima Murthy, Sanjeev Arora","doi":"10.1177/02537176241287839","DOIUrl":"10.1177/02537176241287839","url":null,"abstract":"<p><strong>Background: </strong>The current study aimed to develop and implement the National Assistance in Mental Health for Health Care Providers (NAMAH) module, which focused on wellness and building resilience for a cohort of physicians.</p><p><strong>Methods: </strong>The NAMAH module is a 12-week tele-mentoring program leveraging videoconference technology that uses the ECHO (Extension of Community Healthcare Outcome) HUB and SPOKE and consists of real-life case discussions and a brief didactic. The module's content was developed after iterative feedback from experts and incorporated suggestions from healthcare providers (HCPs) following a needs assessment. A pre and post-design was used to assess the impact of the module on psychological distress using the self-reported Kessler Psychological Distress Scale (K10) and burnout using the Maslach Burnout-Inventory-Human Services Survey (MBI-HSS) among the 32 physicians who participated.</p><p><strong>Results: </strong>There was a significant decrease in the mean scores before (19.5 ± 6.27) and after (17.38 ± 6.23) the NAMAH module (<i>p</i> < .05) in the psychological distress as measured by K 10 with a Cohen's d of 0.41 (95% CI: 0.05-0.77). There was also a significant decrease in the mean scores after the intervention in the emotional exhaustion and depersonalization domain of the MBI-HSS with a medium effect size (Cohen's d of 0.65) and large effect size (Cohen's d of 0.94), respectively.</p><p><strong>Conclusion: </strong>The findings from this pilot study lay a foundational framework, encouraging further exploration, research, and scaling-up of such interventions to enhance mental health among physicians and HCPs.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176241287839"},"PeriodicalIF":1.9,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11572390/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142675732","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":"Uncovering the Tale of a Young Boy with a Husky Voice and an Aversion to Dirt.","authors":"Ravi Yadav, Saloni Seth, Sayoni Chowdhary, Suvasini Sharma, Sumit Rana","doi":"10.1177/02537176241287808","DOIUrl":"10.1177/02537176241287808","url":null,"abstract":"","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176241287808"},"PeriodicalIF":1.9,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11572661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142675693","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":"Translational Quotient as an Innovative Outcome Parameter to Assess the Effectiveness of Training Methods: A Feasibility Study in Assessing the Baseline Psychiatric Skills of Primary Care Doctors in their Real-world Live Outpatient Clinic.","authors":"Priyanka Singhal, Manik Inder Singh Sethi, Darshan Shadakshari, Shaktidevi G Rayaji, Aravind B A Banavaram, Melur Sukumar Gautham, Banandur S Pradeep, Narayana Manjunatha, Channaveerachari Naveen Kumar, Suresh Bada Math","doi":"10.1177/02537176241285170","DOIUrl":"10.1177/02537176241285170","url":null,"abstract":"<p><strong>Background: </strong>The effectiveness of training methods in medical education is critical, particularly for primary care physicians (PCPs) who frequently encounter psychiatric issues in their practice. Traditional assessment methods often fail to evaluate skill acquisition in real-world clinical practice. The Translational Quotient (TQ) is proposed as an innovative outcome measure to assess PCPs' ability to apply psychiatric skills in their live outpatient consultation among their general patients. This study aims to evaluate the feasibility of using the TQ in real-world outpatient clinics and to understand the baseline psychiatric skills among PCPs using TQ.</p><p><strong>Methods: </strong>Actively practicing MBBS-qualified PCPs enrolled in the Diploma in Primary Care Psychiatry (DPCP) program across various districts were invited to participate. Baseline TQ assessments were conducted in the PCPs' live clinics, with psychiatrists observing live consultations either remotely or in-person for the first five consecutive general consultations. Each consultation was scored using a standardized TQ proforma, which evaluated six criteria: elicitation of psychiatric symptoms, clinical reasoning, medication choices, counseling, time management, and overall clinical skills.</p><p><strong>Results: </strong>A total of 25 PCPs participated, with an average baseline TQ score of 15.7% (4.72 out of 30). Most participants (72%) scored 5 or less, highlighting significant gaps in psychiatric skills. Analysis revealed no significant associations between TQ scores and PCP demographics such as age, gender, and prior psychiatric training, but regional differences were noted, with lower scores in Karnataka compared to Bihar.</p><p><strong>Conclusions: </strong>The TQ is a feasible and practical tool for assessing real-world psychiatric skills among PCPs. The baseline scores indicate a pressing need for targeted psychiatric training to bridge the treatment gap in primary care. Future training programs should focus on enhancing diagnostic accuracy, treatment planning, and patient communication to improve mental healthcare outcomes in primary care settings.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176241285170"},"PeriodicalIF":1.9,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11572426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142675692","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":"Designing and Implementing the Psychiatrist-led Personalized Mentorship Programs: The Role and Impact of Live Consultation-driven Training Methods.","authors":"Narayana Manjunatha, Darshan Shadakshari, Priyanka Singhal, Channaveerachari Naveen Kumar, Suresh Bada Math","doi":"10.1177/02537176241286033","DOIUrl":"10.1177/02537176241286033","url":null,"abstract":"<p><strong>Background: </strong>Clinical training in traditional medical education often needs more translational value, especially for in-service MBBS doctors working in primary health centers (PHCs), who provide first-line treatment for psychiatric disorders. To address this gap, a psychiatrist-led personalized mentorship program incorporating three live consultation-driven training (CDT) methods was developed to integrate psychiatric care into PHCs.</p><p><strong>Methods: </strong>The authors designed and implemented a personalized mentorship program using three CDT methods tailored for in-service MBBS doctors. The CDT methods were applied through live consultations to facilitate real-time, real-life learning and integration of psychiatric care into primary health settings. Data from published articles and manuals on CDT methods were collected, focusing on their descriptions, effectiveness, principles, and advantages over traditional classroom training.</p><p><strong>Results: </strong>Data indicate the effectiveness of the CDT methods to translate to real-life skills (translational quotient). The personalized mentorship program showed promising results in enhancing the confidence and competence of MBBS doctors in managing psychiatric disorders in PHCs. The CDT methods were found to be superior to traditional classroom training in terms of practical applicability and real-time learning.</p><p><strong>Conclusion: </strong>The psychiatrist-led personalized mentorship program with CDT methods demonstrates the potential for significant improvements in the training of in-service MBBS doctors, facilitating the integration of psychiatric care into PHCs. These methods offer a practical and effective approach to bridging the gap in clinical training and can be replicated among medical students and residents across various medical and surgical specialties. Further research and longitudinal studies are recommended to validate these preliminary findings and explore the program's broader applicability.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176241286033"},"PeriodicalIF":1.9,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11572698/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142675695","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":"Hyperhomocysteinemia and its Association with Cognitive Functioning-A Cross-sectional Study from an Ageing Cohort in South India.","authors":"Sandhya G, Aishwarya Ghosh, Anjana J Menon, Dwaiti Roy, Monisha S, Thomas Gregor Issac","doi":"10.1177/02537176241285127","DOIUrl":"10.1177/02537176241285127","url":null,"abstract":"","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176241285127"},"PeriodicalIF":1.9,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11572696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142675714","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 on the Alternative Model for Personality Disorders (AMPD) in Iran: A Narrative Literature Review.","authors":"Saeid Komasi, Martin Sellbom, Christopher J Hopwood","doi":"10.1177/02537176241281888","DOIUrl":"10.1177/02537176241281888","url":null,"abstract":"<p><strong>Background: </strong>Many original studies have evaluated the validity and utility of the Alternative Model for Personality Disorders (AMPD) in Iran. However, the present review is a unique attempt to summarize the data in a critical framework to cover gaps in the AMPD research and determine future directions. The review aimed to explore the psychometric evidence for the AMPD, including reliability (alpha coefficient) and validity (construct, convergent, criterion, and incremental types) data in Iran. We also reviewed the overlap between the two AMPD criteria and the associations between the constructs and general psychopathology.</p><p><strong>Methods: </strong>We searched PubMed, PsycNet, Google Scholar, and three national databases for English and Persian records related to the AMPD from January 2013 to 2023. Several keywords and criteria were applied to select studies before summarizing the data.</p><p><strong>Results: </strong>The self-report scales were the first-line measures to assess the AMPD constructs, while interviews were rarely used. The research body provided relative support for both the unidimensional nature of Criterion A measures and the five-factor structure of Criterion B measures. Regarding Criterion B, however, there are still questions about the validity of the disinhibition factor and its clinical utility and generalizability.</p><p><strong>Conclusion: </strong>Although a decade of research on the AMPD in Iran has contributed to improving our knowledge, the current review provided a more comprehensive and clear profile of this model's validity and generalizability to Iranian culture. We discussed the details of validation studies, limitations, and future considerations.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176241281888"},"PeriodicalIF":1.9,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11572366/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142675488","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":"The Bharatiya Nyaya Sanhita Act (BNSA) 2023: Implications for Forensic Psychiatry in India.","authors":"Prakyath Ravindranath Hegde, Yogender Malik, Channaveerachari Naveen Kumar, Suresh Bada Math","doi":"10.1177/02537176241281465","DOIUrl":"10.1177/02537176241281465","url":null,"abstract":"","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176241281465"},"PeriodicalIF":1.9,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11572553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142675675","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":"Efficacy of a Culturally Adapted Emotion Recognition Training Program in Improving Facial Emotion Recognition in Persons with Schizophrenia.","authors":"Umesh Thonse, Rishikesh V Behere, Nicole Frommann, Samir Kumar Praharaj, Podila Sathya Venkata Narasimha Sharma","doi":"10.1177/02537176241281451","DOIUrl":"10.1177/02537176241281451","url":null,"abstract":"<p><strong>Background: </strong>Facial emotion recognition (FER) deficits are being considered as core features of social cognitive deficits in schizophrenia, associated with socio-occupational dysfunction. Social cognition intervention programs have been shown to improve these deficits; however, there are no such intervention strategies in India. In this study, we aim to examine the efficacy of Training of Affect Recognition - Indian Version (TAR-IV) to enhance the FER abilities of people with schizophrenia.</p><p><strong>Methods: </strong>In an open-label experimental design, 36 participants with schizophrenia underwent 12 sessions of TAR-IV as an add-on to treatment as usual (TAU), while 29 participants with schizophrenia continued TAU (pharmacological treatment with or without occupational therapy and vocational rehabilitation services). Clinical and functional assessments were done using the positive and negative syndrome scale (PANSS) and socio-occupational functioning scale. Emotion recognition abilities were assessed on the tool for recognition of emotions in neuropsychiatric disorders at baseline, post-intervention, and follow-up (two to three months post-intervention).</p><p><strong>Results: </strong>The intervention group showed significant improvements in FER (<i>P</i> = .001) and socio-occupational functioning (<i>P</i> = .008) after receiving the TAR-IV, which remained significant at two months follow-up. A lower age of onset and poorer neurocognitive function at baseline predicted greater changes in emotion recognition ability following the intervention.</p><p><strong>Conclusions: </strong>This study demonstrated the efficacy of TAR-IV, the Indian adaptation of social cognition intervention, in improving emotion recognition abilities and socio-occupational functioning in patients with schizophrenia. These findings need to be replicated in randomized controlled trials.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176241281451"},"PeriodicalIF":1.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11572440/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142675709","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}