Aaliya Khanam, Rajnish Raj, Zaid A Wani, Yasir H Rather, Iqra Arshad
{"title":"Pregabalin dependence: Experiences from liaison psychiatric settings in Kashmir, North India: A case series.","authors":"Aaliya Khanam, Rajnish Raj, Zaid A Wani, Yasir H Rather, Iqra Arshad","doi":"10.4103/ipj.ipj_474_24","DOIUrl":"https://doi.org/10.4103/ipj.ipj_474_24","url":null,"abstract":"<p><p>Pregabalin, a gamma-aminobutyric acid (GABA) analog, is a new-generation antiepileptic that is approved for the treatment of neuropathic pain, fibromyalgia, partial seizures, and generalized anxiety disorder. There is a rising concern regarding its abuse potential, and a handful of case reports have highlighted the same. We present a case series on pregabalin dependence. In contrast to previous case reports, which focused on patients with a history of illicit drug abuse, we present cases of drug-naïve individuals for whom pregabalin was the first substance of abuse. The highlight of the study is that we describe cases of pregabalin intoxication and a rare case of pregabalin withdrawal, which presented as a lethal suicidal attempt to liaison psychiatric settings.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"34 1","pages":"114-116"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12077636/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144077614","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":"Artificial intelligence in psychiatric education: Enhancing clinical competence through simulation.","authors":"Victor Ajluni","doi":"10.4103/ipj.ipj_377_24","DOIUrl":"https://doi.org/10.4103/ipj.ipj_377_24","url":null,"abstract":"<p><p>The integration of artificial intelligence (AI) in psychiatric education offers transformative potential to enhance clinical competence through realistic simulations. Traditional educational methods face limitations in replicating complex psychiatric cases, and AI-based tools provide a scalable solution. This narrative review examines current evidence on the efficacy of AI-powered simulations, focusing on their role in skill development, diagnostic accuracy, and safe clinical training. Through a comprehensive literature review of studies from 2010 to 2024, key themes such as AI's ability to standardize patient encounters, provide instant feedback, and improve student confidence are explored. Findings suggest that AI can enhance psychiatric education by offering consistent, adaptable learning experiences that prepare trainees for real-world complexities. However, challenges such as ethical considerations and accessibility disparities must be addressed for AI to be effectively integrated into psychiatric training. This review provides insights into the future of AI in medical education and its potential impact on training the next generation of psychiatrists.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"34 1","pages":"11-15"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12077637/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078050","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":"Classifying opioid use disorder based on diagnostic criteria items using cluster analysis.","authors":"Shweta Birla, Vinit Patel, Dinesh Gupta, Rishi Gupta, Yatan Pal Singh Balhara, Siddharth Sarkar","doi":"10.4103/ipj.ipj_430_24","DOIUrl":"https://doi.org/10.4103/ipj.ipj_430_24","url":null,"abstract":"<p><strong>Background: </strong>Opioid use disorder (OUD) is a global concern with a reported shift in changing demographic and biopsychosocial profiles. Characterization of clusters based on diagnostic symptom criteria can help to understand the underlying associations between these criteria.</p><p><strong>Aim: </strong>The present study identifies clusters based on OUD diagnostic criteria, which may reveal clinically relevant subgroups of individuals with OUDs.</p><p><strong>Materials and methods: </strong>The DSM5 diagnostic system OUD diagnosis was made for 204 male participants. An unsupervised clustering analysis focused on the individual 11 DSM5 diagnostic criteria.</p><p><strong>Results: </strong>Using the DSM5 diagnostic criteria, we obtained two clusters based on severity. Further, analyzing clinical information along with DSM5 criteria, two groups varying in OUD severity, presence of injecting drug use, and employment were identified.</p><p><strong>Conclusion: </strong>Based on cluster analysis, two main clusters of DSM5 criteria emerged. Rather than DSM5 symptoms clustering with each other based on the similarity of symptomatology, they aggregate numerically reflecting severity.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"34 1","pages":"32-38"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12077617/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078055","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}
Alishba Hameed, Hamna Noor, Muhammad Abdullah Ali, Zaryab Bacha, Umama Alam, Sidra Irfan
{"title":"Exploring the interplay between anxiety and academic procrastination: An institution-based cross-sectional study from Pakistan.","authors":"Alishba Hameed, Hamna Noor, Muhammad Abdullah Ali, Zaryab Bacha, Umama Alam, Sidra Irfan","doi":"10.4103/ipj.ipj_383_24","DOIUrl":"https://doi.org/10.4103/ipj.ipj_383_24","url":null,"abstract":"<p><strong>Background: </strong>Procrastination, the unnecessary delay of tasks, is common among college students, especially in academic settings. Academic procrastination often leads to last-minute rushes and increased anxiety. The relationship between procrastination and anxiety is intricate, complicating the determination of which triggers the other.</p><p><strong>Aim: </strong>To examine how anxiety and procrastination interact among medical students, particularly focusing on their reciprocal influence.</p><p><strong>Materials and methods: </strong>This descriptive cross-sectional study included 311 MBBS students, recruited through simple convenient sampling. Procrastination was assessed with the Irrational Procrastination Scale (IPS) and anxiety with the Generalized Anxiety Disorder 7-item (GAD-7) scale. Data analysis was conducted using SPSS version 27, with Chi-square tests, Pearson correlation, and linear regression. Statistical significance was set at <i>P</i> < 0.05.</p><p><strong>Results: </strong>Pearson correlation showed a significant, weak positive correlation between anxiety and procrastination (r = 0.346, <i>P</i> < .001). Subcategories of the IPS correlated with anxiety from negligible to high. Chi-square analysis found a significant association of anxiety with procrastination (<i>P</i> < 0.001) and gender (<i>P</i> = 0.038), but no significant link of anxiety or procrastination with the year of study was observed. Linear regression revealed that anxiety significantly predicted procrastination (B = 0.354, <i>P</i> < 0.05) and vice versa (B = 0.339, <i>P</i> < 0.05), explaining 12% of the variance.</p><p><strong>Conclusion: </strong>The study found a weak yet significant positive correlation between anxiety and procrastination, indicating that the relationship might be bidirectional. However, the cross-sectional design and reliance on self-reported data highlight the need for further longitudinal research to better understand these dynamics.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"34 1","pages":"82-88"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12077635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078073","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}
Julio Torales, Iván Barrios, Alejandra Echagüe, Ximena Paredes, Anthon Torres-Romero, Karina Malvido, María Alejandra Vázquez, Marcelo O'Higgins, Tomás Caycho-Rodríguez, Mohammad Jafferany, João Mauricio Castaldelli-Maia, Antonio Ventriglio
{"title":"Knowledge and awareness in psychodermatology: Findings from a survey among Ibero-Latin American dermatologists.","authors":"Julio Torales, Iván Barrios, Alejandra Echagüe, Ximena Paredes, Anthon Torres-Romero, Karina Malvido, María Alejandra Vázquez, Marcelo O'Higgins, Tomás Caycho-Rodríguez, Mohammad Jafferany, João Mauricio Castaldelli-Maia, Antonio Ventriglio","doi":"10.4103/ipj.ipj_388_24","DOIUrl":"https://doi.org/10.4103/ipj.ipj_388_24","url":null,"abstract":"<p><strong>Background: </strong>Psychodermatology is an interdisciplinary field that bridges psychiatry and dermatology, addressing the psychosocial and psychiatric aspects of skin diseases. Managing such cases presents a challenge for both dermatologists and psychiatrists as patients often resist psychiatric consultations, complicating diagnosis and treatment.</p><p><strong>Aim: </strong>This study aimed to assess the level of knowledge and awareness of psychodermatology among dermatologists in Ibero-Latin America, explore their experiences with psychodermatological conditions, and identify the educational needs and challenges in this interdisciplinary field.</p><p><strong>Materials and methods: </strong>An observational, descriptive, cross-sectional study was conducted through an online survey from December 2023 to March 2024. The survey was distributed through messaging apps and emails and targeted a sample of dermatologists from Ibero-Latin America to explore their experience, training, and perceived challenges in psychodermatology. The participants were selected through non-probabilistic sampling from the staffing records of the Ibero-Latin American College of Dermatology.</p><p><strong>Results: </strong>Of 301 dermatologists, the vast majority (99%) reported a good level of knowledge in the field of psychodermatology; however, only 36.5% had substantial clinical experience with these conditions. Approximately 70.1% did not prescribe psychotropic medications, reflecting hesitancy or lack of confidence in managing the psychiatric issues of dermatological conditions. The study also highlighted a strong preference (86.7%) for a multidisciplinary approach for managing psychodermatological disorders. Significant perceived challenges included limited access to professional training and patients' reluctance to accept psychological contributions to their dermatological conditions.</p><p><strong>Conclusion: </strong>The level of knowledge in psychodermatology is widespread among Ibero-Latin American dermatologists, even though a significant gap in practical experience and confidence in integrating psychological management into their dermatological practice was found. These findings emphasize the need for enhanced professional training programs and an interdisciplinary approach to effectively address psychodermatological conditions.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"34 1","pages":"16-24"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12077646/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144077422","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}
Debayan Mandal, Rishi Malik, Vijender Singh, Roshan F Sutar
{"title":"Treatment resistance and treatment intolerance in Mania: Lesson learned and way ahead.","authors":"Debayan Mandal, Rishi Malik, Vijender Singh, Roshan F Sutar","doi":"10.4103/ipj.ipj_382_24","DOIUrl":"https://doi.org/10.4103/ipj.ipj_382_24","url":null,"abstract":"","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"34 1","pages":"150-151"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12077641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144077551","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":"Delayed discovery of a frontal stroke causing depression.","authors":"Mohamed A Mnaili","doi":"10.4103/ipj.ipj_335_23","DOIUrl":"https://doi.org/10.4103/ipj.ipj_335_23","url":null,"abstract":"","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"34 1","pages":"130-131"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12077631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078058","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}