Romesh Bagde, Yashkumar Vaghani, Sushil Gawande, Smrity S Bagde
{"title":"Mesial temporal lobe sclerosis and systemic sclerosis in a young female with cognitive and psychiatric manifestations.","authors":"Romesh Bagde, Yashkumar Vaghani, Sushil Gawande, Smrity S Bagde","doi":"10.4103/ipj.ipj_206_25","DOIUrl":"https://doi.org/10.4103/ipj.ipj_206_25","url":null,"abstract":"","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"35 1","pages":"180-181"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12923213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147270970","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":"Neurovascular compression in patients with stress-related somatic complaints.","authors":"Bushra Zahoor, Gunjan Chadha, Sandeep Sekhon, Nimmi A Jose, Manjeet Singh Bhatia","doi":"10.4103/ipj.ipj_257_25","DOIUrl":"https://doi.org/10.4103/ipj.ipj_257_25","url":null,"abstract":"<p><p>This case series explores the complex interplay between stress-related somatic complaints and neurovascular compression, specifically focusing on anterior inferior cerebellar artery (AICA) vascular loops. Three female patients presented with diverse neurological symptoms, including facial discomfort, vertigo, tinnitus, and headache, often accompanied by anxiety and psychosocial stressors. Magnetic resonance imaging revealed AICA loops in all patients (unilateral in two, bilateral in one). While the AICA loops may contribute to the symptom complex, all patients experienced significant improvement with combined psychotropic (selective serotonin reuptake inhibitors, serotonin-norepinephrine reuptake inhibitors, antipsychotics) and neuropharmacological (propranolol) treatment. This suggests a significant role of psychological factors and highlights the importance of a holistic approach. This series underscores the need for clinicians to consider neurovascular compression syndromes in patients with stress-related somatic complaints and emphasizes the potential benefit of a multidisciplinary approach involving both neurological and psychiatric perspectives. Further research is warranted to clarify the precise role of AICA loops in these presentations and optimize therapeutic strategies.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"35 1","pages":"148-151"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12923240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147271032","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":"\"Happily, Ever After?\" Hidden marital struggles and their impact on well-being.","authors":"Aparajita Chakraborty, Atanu K Dogra","doi":"10.4103/ipj.ipj_230_25","DOIUrl":"https://doi.org/10.4103/ipj.ipj_230_25","url":null,"abstract":"","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"35 1","pages":"177-178"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12923229/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147270958","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}
Rajnish Raj, Shaheena Parveen, Sajid Mohammad Wani, Zaid Ahmad Wani, Yasir Hassan Rather, Inaamul Haq
{"title":"Perspectives of opioid users on overdose recognition, naloxone administration, and attitudes.","authors":"Rajnish Raj, Shaheena Parveen, Sajid Mohammad Wani, Zaid Ahmad Wani, Yasir Hassan Rather, Inaamul Haq","doi":"10.4103/ipj.ipj_232_25","DOIUrl":"https://doi.org/10.4103/ipj.ipj_232_25","url":null,"abstract":"<p><strong>Background: </strong>There has been a rise in opioid overdose deaths, despite harm reduction efforts like naloxone distribution. Naloxone is effective but underused due to knowledge gaps and stigma.</p><p><strong>Aim: </strong>To assess opioid users' knowledge regarding overdose and attitudes, experiences toward naloxone.</p><p><strong>Materials and methods: </strong>This cross-sectional study was conducted from August 2024 to May 2025 at a Deaddiction center. Participants with opioid use disorder were interviewed using a semistructured performa and the Brief Opioid Overdose Knowledge questionnaire to assess opioid users' knowledge and attitudes toward naloxone.</p><p><strong>Results: </strong>Our study involved 501 participants, mostly males (mean age = 27.16 years) with substance use averaging 6.5 years. Nearly half had overdose history, with serious outcomes common. Knowledge, overdose recognition, and overdose response scores varied significantly based on factors like history of overdose, awareness and use of naloxone, education, and socioeconomic status. Knowledge about naloxone was low, with mixed attitudes and significant barriers like stigma and poor access.</p><p><strong>Conclusion: </strong>Our study reveals that despite naloxone's proven efficacy in reversing opioid overdoses, its use is limited by stigma, poor awareness, and restricted access. Enhancing harm reduction education and destigmatization through tailored community interventions is vital to preventing overdose fatalities.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"35 1","pages":"99-104"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12923245/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147271023","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}
J V Ashwin, Mohit K Shahi, Bhupendra Singh, Astha Singh
{"title":"Periodic catatonia in the elderly: A case series highlighting the diagnostic challenge between delirium and catatonia.","authors":"J V Ashwin, Mohit K Shahi, Bhupendra Singh, Astha Singh","doi":"10.4103/ipj.ipj_485_24","DOIUrl":"https://doi.org/10.4103/ipj.ipj_485_24","url":null,"abstract":"<p><p>Differentiating catatonia from delirium in elderly patients presents significant diagnostic challenges due to overlapping clinical features. This case series describes three elderly patients with periodic catatonia characterized by alternating states of stupor and agitation. Specific features, such as negativism and refusal to eat, were pivotal in distinguishing catatonia from delirium. Febrile episodes in these cases appeared to exacerbate symptoms, suggesting a potential role for systemic inflammation and cortico-striato-thalamo-cortical (CSTC) circuit dysfunction in the pathophysiology. Treatment with benzodiazepines and electroconvulsive therapy yielded positive outcomes, emphasizing the importance of early recognition and targeted intervention. Emerging evidence supporting the role of neuroinflammation and CSTC disruptions underscores the need for further research on biomarkers, neuroimaging, and novel therapeutic strategies to improve diagnostic accuracy and clinical outcomes in elderly patients with catatonia.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"35 1","pages":"155-157"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12923235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147271055","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}
K R Mano Rakesh, Jesson Paulson Illimoottil, Bijesh Yadav, Arun Rachana
{"title":"Pattern and characteristics of aggression among adults with psychosis during early inpatient stay in an open ward psychiatric facility: A cross-sectional study.","authors":"K R Mano Rakesh, Jesson Paulson Illimoottil, Bijesh Yadav, Arun Rachana","doi":"10.4103/ipj.ipj_280_25","DOIUrl":"https://doi.org/10.4103/ipj.ipj_280_25","url":null,"abstract":"<p><strong>Background: </strong>Psychiatric inpatient setting is commonly associated with hospital aggression, where it is often perpetrated by patients. An open ward system is less associated with aggression than a closed system. Aggression among inpatients is commonly associated with psychosis. Identifying aggression and its characteristics early can mitigate the negative outcomes of aggression.</p><p><strong>Aims: </strong>To determine patterns and factors contributing to aggression among adult inpatients with psychotic disorders in a tertiary psychiatric open ward setting in the early part of stay.</p><p><strong>Materials and methods: </strong>A cross-sectional study was conducted in a psychiatric inpatient facility in South India, following ethical research principles. Aggression was assessed using the Modified Overt Aggression Scale. Severity of psychosis and illness disability were recorded using the Brief Psychiatric Rating Scale and the Indian Disability Evaluation and Assessment Scale, respectively. Other relevant data were obtained using a clinical research form. Data were analyzed using SPSS 25.0.</p><p><strong>Results: </strong>Of the 160 participants, 96% exhibited some form of aggression. Non-verbal aggression constituted 55%. In bivariate analysis, sex (<i>P</i> = 0.024) and severity of psychosis (<i>P</i> < 0.001) correlated with auto-aggression, while insight into illness (<i>P</i> = 0.004) and type of admission (<i>P</i> = 0.001) correlated with physical aggression. In multivariate analysis, non-verbal aggression retained a significant association with involuntary admission and markedly severe psychosis.</p><p><strong>Conclusions: </strong>There is a high prevalence of aggression among psychiatric inpatients during the early part of hospitalization in this open ward system. Factors associated with aggression can help identify inpatients who may exhibit aggression early during inpatient stay.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"35 1","pages":"111-117"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12923223/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147270967","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":"Emotional blunting with antidepressants in major depressive disorder patients: A hospital-based cross-sectional study.","authors":"Nigha Nazir, Deeba Nazir, Rezwana Mehmood, Zaid Ahmad Wani, Rajnish Raj","doi":"10.4103/ipj.ipj_201_25","DOIUrl":"https://doi.org/10.4103/ipj.ipj_201_25","url":null,"abstract":"<p><strong>Background: </strong>Around 40-60% of major depressive disorder (MDD) patients treated with either SSRIs or SNRIs have experienced emotional blunting. It is cited as a prevailing cause for discontinuation of antidepressant medications in patients with MDD.</p><p><strong>Aim: </strong>To determine the prevalence of emotional blunting with antidepressants in patients of MDD visiting psychiatric OPD in Kashmir.</p><p><strong>Materials and methods: </strong>This was cross-sectional study conducted over a period of 18 months. A total of 369 patients were diagnosed as MDD as per DSM-5. A Hamilton Depression Rating Scale score of ≤7 and those on a single class of antidepressant for at least 2 months were taken up for the study. They were screened for emotional blunting, and those who responded in affirmative as mildly, moderately, or severely were further evaluated by asking them to finish the Oxford Depression Questionnaire.</p><p><strong>Results: </strong>The prevalence of emotional blunting in our study was reported to be 46.07%. The mean age of the participants was 40.9 ± 10.6 years with the majority being females (71%), married (69.38%), and from nuclear families (75.88%). Emotional blunting was most commonly associated with duloxetine (73.68%) and least with bupropion (31.82%). Nearly 40% of the patients had considered stopping their antidepressant due to emotional numbing.</p><p><strong>Conclusion: </strong>Recognizing and addressing emotional blunting is crucial in optimizing therapeutic outcomes and ensuring patient-centered care in depressive management. Given a significant number of depressive patients taking antidepressants may experience emotional blunting and subsequent discontinuation of the same. Routine assessment and timely management are essential for optimized clinical outcomes in patients with depression.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"35 1","pages":"54-59"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12923221/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147271038","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}
Nikhil Nayar, Akansha Kalra, M K Deshpande, Kunal Kumar, Abhinit Kumar
{"title":"Stress and substance abuse - Assessment of psychiatric problems among police personnel.","authors":"Nikhil Nayar, Akansha Kalra, M K Deshpande, Kunal Kumar, Abhinit Kumar","doi":"10.4103/ipj.ipj_95_25","DOIUrl":"https://doi.org/10.4103/ipj.ipj_95_25","url":null,"abstract":"<p><strong>Background: </strong>Law enforcement, particularly policing, is a highly stressful occupation leading to stress, depression, anxiety, and substance intake. Over time, such persistent stress can affect both their professional efficacy and personal well-being.</p><p><strong>Aim: </strong>To estimate the level of stress, depression, anxiety, and substance intake patterns among police personnel.</p><p><strong>Materials and methods: </strong>A cross-sectional study consisting of 75 police personnel, including constables and assistant sub-inspectors were conducted in Indore district, where four police stations were selected by simple random sampling and nonprobability convenience sampling in two stages. police stress questionnaire-operational and organizational, DASS scale, and ASSIST were used. Data was entered in an Excel sheet and analyzed using SPSS Software. Categorical data is expressed as proportions and percentages and continuous data as mean and standard deviation. Wherever applicable test of association was applied.</p><p><strong>Results: </strong>A total of 42 (56%) participants were in a moderate stress level in the operational stress questionnaire; however, it was 28 (37%) in organizational stress. A total of 19 (25%) police personnel had some features of depression, with 13 (17.3%) being mild, five (6.7%) moderate, and one (1.3%) being severe. Tobacco intake (smoke as well as smokeless) was present in 35 (47%) participants, while alcohol intake was found in 44 (59%) participants.</p><p><strong>Conclusion: </strong>The majority of the participants were in a moderate stress level in the operational stress questionnaire; however, low or no stress was reported by a few according to the organizational stress questionnaire. In comparison with depression, many participants were found to have anxiety. Alcohol intake was more commonly seen than tobacco intake.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"35 1","pages":"60-64"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12923244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147270675","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":"Enhancing well-being and managing depression in alcohol dependence patients through well-being therapy.","authors":"Meenakshi Gupta, Kaptan Singh Sengar, Amool Ranjan Singh","doi":"10.4103/ipj.ipj_56_25","DOIUrl":"https://doi.org/10.4103/ipj.ipj_56_25","url":null,"abstract":"<p><strong>Background: </strong>Emotional dysregulation and poor psychological well being are significant psychological factors that can trigger relapse in patients with alcohol dependence. Therefore, well being therapy (WBT) is used as a treatment component for patients with alcohol dependence.</p><p><strong>Aim: </strong>To analyse the effectiveness of WBT on depression, anxiety, and stress among inpatients with alcohol dependence.</p><p><strong>Materials and methods: </strong>The sample consisted of 10 patients, aged between 30 and 45 years, divided into a control and experimental group based on the study's inclusion and exclusion criteria. The Depression, Anxiety, and Stress Scale 42, Advanced Warning of Relapse, and Ryff's Psychological Well being Scale were used to assess the patients at the pre and post intervention phases. Eight biweekly sessions were conducted over four months.</p><p><strong>Results: </strong>WBT significantly improved various dimensions, including the likelihood of relapse, depression, stress, autonomy, purpose in life, self acceptance, and overall well being.</p><p><strong>Conclusion: </strong>WBT can be used as an integral part of treatment among patients with alcohol use disorder to reduce the chances of relapse.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"35 1","pages":"78-81"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12923230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147270997","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}