Industrial Psychiatry Journal最新文献

{"title":"Exploring motivational factors for opioid treatment engagement among substance users in Kashmir: A qualitative study.","authors":"Rajnish Raj, Shaheena Parveen, Aaliya Khanam, Khalid Bashir, Harkanwar Kashab, Zaid Ahmad Wani, Sajid Mohammad Wani, Yasir Hassan Rather","doi":"10.4103/ipj.ipj_462_24","DOIUrl":"10.4103/ipj.ipj_462_24","url":null,"abstract":"<p><strong>Background: </strong>Substance use disorder is a significant public health challenge globally, especially in conflict-affected regions like Kashmir, where opioid dependence poses a severe health and social burden. Opioid substitution therapy (OST) with buprenorphine is increasingly used to address opioid addiction in Kashmir.</p><p><strong>Aim: </strong>To explore the reasons and motives of opioid users seeking buprenorphine treatment in a tertiary care center in Kashmir.</p><p><strong>Materials and methods: </strong>This qualitative study was conducted at the Drug Deaddiction Center; 31 male opioid users were purposively sampled and interviewed. Inclusion criteria included individuals over 18 years with diagnosed opioid use disorder. Data were collected via in-depth interviews in Urdu or Kashmiri and analyzed using Braun and Clarke's six-step thematic analysis.</p><p><strong>Results: </strong>Six primary themes and many subthemes emerged from the data analysis, namely, (1) Family Responsibility and Social Pressure, with subthemes highlighting concerns over family reputation and children's wellbeing; (2) Regret Over Financial Consequences, particularly income loss due to addiction; (3) Emotional and Relational Impact, including familial disconnection and marital discord; (4) Desire for Self-Respect and Social Acceptance; (5) Personal Growth and Redemption, with a focus on aspirations for a drug-free future; and (6) External Influence, noting family encouragement for seeking treatment.</p><p><strong>Conclusion: </strong>Findings reveal that treatment motivations for opioid users are largely rooted in family and social considerations, financial impacts, and a desire for personal growth. These insights highlight the importance of family-centered support and socioeconomic interventions in enhancing the effectiveness of OST programs for opioid dependence in conflict regions like Kashmir.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"34 2","pages":"286-291"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12373335/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144952618","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 psychological intervention in Gardner-Diamond Syndrome.","authors":"Gursabeen Kaur, Navneet Kaur, Anish Thind, Divjot Kaur","doi":"10.4103/ipj.ipj_40_25","DOIUrl":"10.4103/ipj.ipj_40_25","url":null,"abstract":"","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"34 2","pages":"364-365"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12373352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144952635","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":"Stricter regulation of nicotine replacement therapy: One step forward, two steps back approach.","authors":"Abhishek Gupta, Ekram Goyal, Suprakash Chaudhury","doi":"10.4103/ipj.ipj_451_24","DOIUrl":"10.4103/ipj.ipj_451_24","url":null,"abstract":"","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"34 2","pages":"362-363"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12373333/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144952643","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":"Predictors of suicidality in critical care ICU patients after discharge: A cross-sectional study.","authors":"J V Ashwin, Mohit K Shahi, Astha Singh, Bhupendra Singh, Shashank Saurabh Sinha, S Theepan Kumar","doi":"10.4103/ipj.ipj_26_25","DOIUrl":"10.4103/ipj.ipj_26_25","url":null,"abstract":"<p><strong>Background: </strong>Suicidality is a critical concern among patients recovering from intensive care unit (ICU) admissions due to their heightened vulnerability to psychological stressors and psychiatric illness. Quantitative studies specifically examining how these ICU-related stressors correlate with suicidal ideation remain limited, indicating a critical need for further research in this area.</p><p><strong>Aim: </strong>This study explores the direct and indirect factors associated with suicidality and predictors of suicidality among patients discharged from the ICU.</p><p><strong>Materials and methods: </strong>This cross-sectional observational study was conducted at a tertiary care hospital in Uttar Pradesh, India. 315 patients were screened, and 250 adult participants were selected using convenience sampling. These participants were discharged from the medical ICU and recruited during follow-up visits to the psychiatry outpatient department between July 2021 and July 2022. Inclusion criteria encompassed individuals aged 18 years or above who had been discharged within 1 month of ICU stay and provided informed consent. Demographic and clinical variables were collected, including psychiatric diagnoses according to ICD-10 criteria. Suicidality was broadly defined to include suicidal ideation, planning, and attempts. Statistical analyses included Chi-square tests, Structural Equation Modeling (SEM) for direct and indirect associations, and machine learning-based Decision Tree Classification for prediction analysis.</p><p><strong>Results: </strong>The majority of participants were aged >30 years (83.9%), female (56.4%), and from urban areas (52.8%). Significant associations with suicidality were observed for family history of mental illness (<i>P</i> = 0.004), substance use (<i>P</i> < 0.001), medical comorbidities (<i>P</i> < 0.001), and co-occurring psychiatric illnesses along with depression (<i>P</i> < 0.001). SEM revealed that severe depression, co-occurring psychiatric illnesses, substance use, and extended ICU stays (>7 days) directly influenced suicidality, with past psychiatric history exerting an indirect effect through the severity of depression. Decision tree analysis ranked \"more than one co-occurring psychiatric illness along with depression\" as the most critical predictor, followed by \"duration of ICU stay,\" \"severity of depression,\" \"past psychiatric history,\" and \"substance use history.\"</p><p><strong>Conclusion: </strong>This study highlights the complex interplay of clinical and psychiatric factors associated with suicidality among post-ICU patients. The findings underscore the importance of comprehensive psychiatric screening and targeted interventions for high-risk individuals during their recovery phase to mitigate suicide risk.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"34 2","pages":"322-327"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12373337/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144952475","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":"Cognitive function changes during a course of electroconvulsive therapy in patients with various psychiatric illnesses: A prospective observational study.","authors":"Harita Patel, Parth Patel, Roshani Patel, Nilesh Kanaujiya, Kalpesh Chandrani, Yogesh Murugan","doi":"10.4103/ipj.ipj_332_24","DOIUrl":"10.4103/ipj.ipj_332_24","url":null,"abstract":"<p><strong>Background: </strong>Electroconvulsive therapy (ECT) is an effective treatment for severe psychiatric disorders, but concerns about cognitive side effects persist.</p><p><strong>Aim: </strong>To assess cognitive function changes during ECT in patients with various psychiatric illnesses.</p><p><strong>Materials and methods: </strong>This prospective observational study included 100 patients (aged 18-60 years) with psychiatric disorders scheduled for ECT at a tertiary care hospital. Cognitive function was assessed using the Montreal Cognitive Assessment (MoCA) at four-time points: before and after the first ECT session, and before and after the third ECT session. The first and third sessions were chosen to capture both acute effects and short-term cumulative changes. Socio-demographic and clinical data were collected using a semi-structured proforma.</p><p><strong>Results: </strong>The sample comprised patients with schizophrenia (50%), bipolar disorder (22%), major depressive disorder (21%), and obsessive-compulsive disorder (OCD) (7%). Baseline cognitive impairment was observed in 96% of patients. After the third ECT session, there was a significant improvement in the naming domain (<i>P</i> = 0.003) and a trend towards improvement in overall cognitive function (<i>P</i> = 0.075). Patients with schizophrenia and bipolar disorder showed more significant improvements in cognitive function compared to those with other diagnoses. Education level was significantly associated with cognitive outcomes (<i>P</i> = 0.004), with higher education correlating with better cognitive performance.</p><p><strong>Conclusion: </strong>This study suggests that ECT does not lead to significant cognitive decline in the short term and may improve certain cognitive domains, particularly naming ability. The cognitive effects of ECT vary across different psychiatric diagnoses and are influenced by educational background.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"34 2","pages":"303-308"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12373346/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144952680","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":"Prevalence and psychological correlates of binge-watching: The digital era of entertainment.","authors":"Maumita Sil, Anwesha Mondal, Manish Kumar","doi":"10.4103/ipj.ipj_36_25","DOIUrl":"10.4103/ipj.ipj_36_25","url":null,"abstract":"<p><strong>Background: </strong>Binge-watching refers to watching multiple television series episodes in one sitting. The concept of narratives and the immersive nature of the storyline are highlighted in the binge-watching phenomenon. Binge-watching has been compared with the addiction model, which impacts both mental and physical health. Different studies in the West have come up with different binge-watch profiles, but in India, the literature on binge-watching is scarce.</p><p><strong>Aim: </strong>The present study aims to explore the prevalence of binge-watching behavior and determine the relationship between binge-watching and the psychological correlates, namely, stress, depression, anxiety, coping styles, and personality traits.</p><p><strong>Materials and methods: </strong>The current study was conducted online on a community sample consisting of 235 individuals. Binge-watching behavior was assessed through the Binge-Watching Engagement and Symptoms Questionnaire (BWESQ), and psychological correlates were assessed through DASS 21, Brief COPE, and Big Five Invenrory-2-Short (BFI-2-S).</p><p><strong>Results: </strong>A high prevalence rate (85%) for binge-watching has been found. Avoidance coping style increases binge-watching behavior. Conscientiousness personality trait decreases binge-watching, and extraversion increases it.</p><p><strong>Conclusion: </strong>Binge-watching is a prevalent phenomenon in the community and coping styles, and personality traits can influence binge-watching behavior in a bidirectional manner.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"34 2","pages":"215-220"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12373332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144952406","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 systematic scoping review of Indian literature on ketamine use for treating psychiatric disorders.","authors":"Swarndeep Singh, Bhagwat Singh Rathore, Pankaj Verma, Saurabh Kumar","doi":"10.4103/ipj.ipj_376_24","DOIUrl":"10.4103/ipj.ipj_376_24","url":null,"abstract":"<p><p>This scoping review aims to systematically explore the use of ketamine for treating psychiatric disorders in India, mapping the landscape of research, and identifying gaps in the existing literature. The electronic literature search was conducted using PubMed, Scopus, and Clinical Trials Registry of India databases to identify both published and ongoing studies exploring ketamine's efficacy and safety in treating psychiatric disorders in India. Twenty published studies and 29 trial protocols were included. Published studies comprised case reports (<i>n</i> = 8), case series (<i>n</i> = 2), prospective uncontrolled investigations (<i>n</i> = 5), retrospective reviews (<i>n</i> = 2), and randomized controlled trials (RCTs, <i>n</i> = 3). Most of them focused on ketamine infusion treatment for resistant depression and suicidality. An analysis of trial protocols revealed a significant number of RCTs (<i>n</i> = 26/29), with two non-randomized and one single-arm trial. The majority of trials focused on unipolar depression or suicidality, with other psychiatric conditions such as obsessive-compulsive disorder (OCD) and bipolar depression being explored in some trials. The review of the literature indicated a growing interest in exploring alternative routes of ketamine administration such as oral and subcutaneous, which contrasts with the predominantly intravenous administration reported in published studies. However, careful consideration of dosing, administration routes, and medical supervision is essential to maximize the benefits and minimize the risks. The review highlights the need for more methodologically rigorous research to optimize treatment protocols and expand ketamine's therapeutic applications in psychiatric practice.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"34 2","pages":"167-178"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12373326/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144952598","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":"Prevalence of adult attention deficit hyperactivity disorder in patients of alcohol dependence syndrome: A cross-sectional study.","authors":"Rishabh Singh, Kaushik Chatterjee, V S Chauhan","doi":"10.4103/ipj.ipj_492_24","DOIUrl":"10.4103/ipj.ipj_492_24","url":null,"abstract":"<p><strong>Background: </strong>Alcohol use disorders (AUDs) are among the most common comorbid psychiatric disorders in patients with adult attention deficit hyperactivity disorder (ADHD), and adult ADHD is an independent risk factor for developing AUD.</p><p><strong>Aim: </strong>To study the prevalence of adult ADHD in patients with Alcohol dependence syndrome (ADS).</p><p><strong>Materials and methods: </strong>In total, 177 cases of ADS diagnosed as per International Classification of Diseases-10, Diagnostic Criteria for Research (ICD-10, DCR) were included. The severity of alcohol dependence was estimated by the Severity of Alcohol Dependence Questionnaire (SADQ). The included patients were screened for adult ADHD by the Adult ADHD Self-Report Scale (ASRS-v1.1) symptom checklist, and statistical tests were applied.</p><p><strong>Results: </strong>Out of 177 patients with ADS, 21 patients screened positive for adult ADHD (11.9%). Greater severity of alcohol dependence among those screened positive for adult ADHD was noted compared to the adult ADHD negative group (<i>P</i> = 0.013). Adult ADHD-positive patients had an earlier age of onset of alcohol consumption (<i>P</i> = 0.020), higher mean duration of alcohol consumption (<i>P</i> < 0.001), and early onset of ADS (<i>P</i> = 0.038). ICD-10 criteria of loss of control, salience, and use despite harmful effects were significantly higher among the adult ADHD-positive group.</p><p><strong>Conclusion: </strong>The study findings suggest a significant prevalence of adult ADHD among patients with ADS.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"34 2","pages":"279-285"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12373338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144952516","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":"QT interval prolongation from antipsychotics in schizophrenia and acute psychosis - A prospective study.","authors":"Anirban Saha, Ajay Kumar, Satyajit Singh, Aditya Somani","doi":"10.4103/ipj.ipj_495_24","DOIUrl":"10.4103/ipj.ipj_495_24","url":null,"abstract":"<p><strong>Background: </strong>Antipsychotic drugs have the potential to cause QT-interval prolongation (QTIP), which may lead to Torsades de Pointes and sudden cardiac death. Thus, it is important to know about the incidence and risk factors for QTIP.</p><p><strong>Aim: </strong>The primary objective of the study was to find out the incidence of QTIP due to the use of antipsychotic drugs in patients with schizophrenia and acute psychosis after two weeks of drug use. The secondary objective was to find the risk factors for QTIP.</p><p><strong>Materials and methods: </strong>The study included 160 consenting patients, aged ≥18 years, either sex, diagnosed with schizophrenia or acute psychosis, who had not taken oral/water-based injectable antipsychotics during the last 15 days or any long-acting antipsychotic injectable during the previous 6 months. Patients with other psychiatric disorders, substance use other than nicotine/caffeine, low serum levels of potassium/calcium/magnesium, congenital long QT syndrome, history of cardiac conditions, or those taking drugs with high risk to cause QTIP were excluded. ECG was recorded before starting treatment and after at least 2 weeks of treatment with antipsychotic drugs. Corrected QT interval (QTc) was calculated using Fridericia's and Bazett's formulae. QTc >450 ms in males and >460 ms in females was considered prolonged.</p><p><strong>Results: </strong>The mean age of study participants was 35.88 years (SD: 13.32), and 88 (55%) were males; 138 (86.3%) suffered from schizophrenia. Seventy-one (44.4%) and 74 (46.3%) received risperidone and olanzapine, respectively. Twelve (7.5%) developed QTIP (QTc calculated using Fridericia's formula). Twenty-five (15.6%) were seen to develop QTIP (QTc calculated using Bazett's formula). Additional risk factors for QTIP could not be identified in the study sample.</p><p><strong>Conclusion: </strong>QTIP is present in a reasonable number of participants. Careful screening and assessment for risk factors that could increase the chances of QTIP must be done regularly in patients getting antipsychotic drugs.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"34 2","pages":"228-235"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12373356/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144952563","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":"Unplugged for a day: A 24-hour digital detox journey.","authors":"Bayana Beevi Ottamaliyakkal Sayyidath, Sukanya B Menon","doi":"10.4103/ipj.ipj_477_24","DOIUrl":"10.4103/ipj.ipj_477_24","url":null,"abstract":"<p><strong>Background: </strong>Today, people are living in a digital world where they spend most of their time with electronic devices such as smartphones and computers and are not aware of the influence of the digital world in their life.</p><p><strong>Aim: </strong>The aim of this study was to explore digital detox experience of people when they were asked to shut off the digital devices from their life for one day.</p><p><strong>Materials and methods: </strong>The study's findings were based on semistructured interviews with participants who were willing for \"a data off\" experience. This study included a thematic analysis of the content of interviews from participants.</p><p><strong>Results: </strong>Data gathered on the basis of these interviews were personal experiences shared by individuals who were abstinent from using digital devices for one day. A total of 2 major themes, discomforts, and benefits were emerged from the primary themes. The primary themes such as psychological difficulties, physical Vicissitudes, and social disquiets together produced the major theme of discomfort. Sense of belonging, mood enhancers, organized life, and health promoting activities contributed to the major theme benefits.</p><p><strong>Conclusion: </strong>From this study, it can be concluded that digital detox experience is an eye opener for people about how they behave when there is no access to the world of internet. Although they need to struggle to maintain the data off activity, it certainly helped them to understand the way they can actively engage in more fruitful and productive activities which enhances their quality of life.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"34 2","pages":"242-247"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12373339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144952590","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}