Industrial Psychiatry Journal最新文献

{"title":"Lamotrigine monotherapy for management of bipolar depression with comorbid obsessive-compulsive disorder in a second trimester anemic pregnant female.","authors":"Anjali Sharma, Manish Roshan Thakur, Shiv Prasad","doi":"10.4103/ipj.ipj_185_24","DOIUrl":"10.4103/ipj.ipj_185_24","url":null,"abstract":"<p><p>This text discusses a case report of a pregnant anemic female in her second trimester with a diagnosis of bipolar depression and comorbid obsessive compulsive disorder (OCD). Managing both mood stabilization and obsessive compulsive symptoms simultaneously in a pregnant female presents a real challenge, especially considering that serotonin reuptake inhibitors (SSRI), the first-line treatment for OCD, can induce manic or mixed mood states in bipolar disorder patients. This case is unique in view of limited options left with pregnancy in place. Lamotrigine was chosen as an agent and was introduced in this patient which is rated as FDA pregnancy risk category C which amounts to risk cannot be ruled out (human data lacking, animal studies positive or not done). Patient responded well and maintained well on monotherapy of lamotrigine and showed significant improvement in both symptoms of depression and OCD. USG-level II examination shows no abnormality on repeated scans.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"34 2","pages":"345-347"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12373342/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144952595","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":"Effectiveness of tele-counseling for patients with alcohol dependence syndrome - A randomized control trial.","authors":"Pranesh Ram Ranganathan, Raghuthaman Gopal, Sureshkumar Ramasamy","doi":"10.4103/ipj.ipj_421_24","DOIUrl":"10.4103/ipj.ipj_421_24","url":null,"abstract":"<p><strong>Background: </strong>There is a rising trend of alcohol addiction in our Indian society. Studies from high-income countries have demonstrated the effective usage of mobile phones in delivering psychosocial interventions in the treatment of substance disorders.</p><p><strong>Aim: </strong>To assess the effectiveness of Tele-Counseling as a mode of continuing care for patients with alcohol dependence syndrome.</p><p><strong>Materials and methods: </strong>An open-label randomized control trial was conducted with 78 male participants. Patients with severe mental disorders or cognitive impairments were excluded. Participants received standard care treatments and were randomly assigned to either the Tele-Continuing Care (TCC) group or the Treatment as Usual (TAU) group. 1) 'Telephone Continuing Care ' group (TCC) who received pro-active contact and counseling through mobile phones from the treatment team on the 1^st, 2^nd, 4^th, 8^th, 12^th, 16^th, 20^th, and 24^th week after discharge. 2) The 'Treatment-As-Usual' group (TAU) received usual outpatient follow-up care. We contacted patients and their caregivers every month over mobile phones, belonging to both groups and collected information regarding drinking status up to one year after discharge. We compared abstinence rates, drinking percentage days, and treatment adherence rates. By including all the variables, we did logistic regression to predict relapse.</p><p><strong>Results: </strong>The mean age of participants was 41.38 ± 9.06 years, with the majority being married. A higher percentage of patients in the TAU group had higher education qualifications compared to the TCC group. Duration of treatment adherence was significantly (<i>P</i> = 0.017) longer in the TCC group than TAU group (159.83 (120) ±129.47 vs. 100.37 (60) ±112.95) days. Similarly, compliance with abstinence-maintaining medications was better (<i>P</i> = 0.027) in the TCC group than TAU group (142.85 (120) ±115.50 v/s 95.29 (52.5) ±104.42) days. Attendance to group therapy sessions also was better in the TCC group (<i>P</i> = 0.001) compared to the TAU group. However, there was no statistical significance between the two groups in terms of abstinence rate at the end of one year (TCC: 61.8% and TAU: 44.4%) and also the drinking percentage days at the end of one year (TCC 28.22% vs. TAU 38.76%). Logistic regression revealed that a Family History of Alcoholism and Poor Drug compliance were found to be significant predictors of relapse.</p><p><strong>Conclusion: </strong>As Tele-Counselling Care in our study showed partial effectiveness in improving the outcome measures, research should focus on improvising further to strengthen the Tele-Counselling model, especially in resource crunch Low- and Middle-Income countries and this could be included in the armamentarium of alcohol de-addiction program.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"34 2","pages":"264-272"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12373327/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144952624","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 need for AI education in psychiatric practice.","authors":"Victor Ajluni","doi":"10.4103/ipj.ipj_19_25","DOIUrl":"10.4103/ipj.ipj_19_25","url":null,"abstract":"","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"34 2","pages":"348-349"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12373317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144952627","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 association of sexual dysfunction in male patients with alcohol dependence syndrome.","authors":"Chhaya Suman, Ankit Dangi, Abhishek Bharti","doi":"10.4103/ipj.ipj_408_24","DOIUrl":"10.4103/ipj.ipj_408_24","url":null,"abstract":"<p><strong>Background: </strong>Chronic use of alcohol is usually associated with poor sexual functioning. Sexual dysfunction is often associated with disharmony in relationships, which ultimately leads to an increase in alcohol consumption.</p><p><strong>Aim: </strong>This study aimed to find out about various aspects of sexual dysfunction related to alcohol dependence syndrome (ADS).</p><p><strong>Material and methods: </strong>A cross-sectional observational study was conducted among married males and living with their families and admitted to a tertiary care center. The patients consuming alcohol were assessed using psychometric tools, including the alcohol use disorders identification test, the severity of alcohol dependence questionnaire, and the international index of erectile function. Data from 234 male patients were analyzed using descriptive statistics.</p><p><strong>Results: </strong>The study found a high prevalence of sexual dysfunction among the participants. Specifically, 41.5% of patients reported decreased sexual desire, 40.6% experienced a loss of overall satisfaction, and 38.9% suffered from erectile dysfunction. Patients with ADS showed significantly higher levels of dysfunction in orgasmic function, sexual desire, erectile function, and overall satisfaction compared to those without ADS. However, there was no significant difference in terms of intercourse satisfaction between the two groups. Longer durations of alcohol use were associated with a greater degree of sexual dysfunction across all domains of sexual functioning.</p><p><strong>Conclusion: </strong>The study highlights the significant association between alcohol dependence syndrome and sexual dysfunction. Routine assessment and intervention for sexual health issues should be integral to the management of alcohol dependence.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"34 2","pages":"298-302"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12373319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144952416","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":"Childhood sexual abuse: Its complexities and long-term consequences.","authors":"Jyoti Prakash, Tahoora Ali, Suprakash Chaudhury, Kalpana Srivastava","doi":"10.4103/ipj.ipj_17_25","DOIUrl":"10.4103/ipj.ipj_17_25","url":null,"abstract":"","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"34 2","pages":"153-155"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12373355/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144952677","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":"Depression, anxiety, and suicidal ideation in college students in the aftermath of COVID-19 pandemic.","authors":"Parisha Kelker, Sneha Singh, Tahoora Ali, Suprakash Chaudhury, Daniel Saldanha, Jaideep Patil","doi":"10.4103/ipj.ipj_288_24","DOIUrl":"10.4103/ipj.ipj_288_24","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic was not merely limited to physical health concerns, and after the pandemic, the mental health consequences of the pandemic are still reverberating within our societies, especially in India. The college students in India were left to grapple with unforeseen circumstances, facing abrupt uncertainties with respect to their education and careers. Although their physical health was relatively more robust, their mental health status was left unexplored.</p><p><strong>Aim: </strong>To assess depression, anxiety, and suicidal ideation in college students in the aftermath of COVID-19 pandemic.</p><p><strong>Materials and methods: </strong>An observational cross-sectional survey was conducted on 323 undergraduate students from June 2021 to August 2021, who were required to fill a survey form which comprised basic sociodemographic details, student's concerns about COVID-19 and the following scales: Hospital Anxiety and Depression Scale (HADS) and Positive and Negative Suicide Ideation Scale (PANSI) after obtaining written and informed consent from them. The data collected was analyzed using descriptive and inferential statistics.</p><p><strong>Results: </strong>The study revealed that 23.52% of the participants suffered from depressive disorders, and 34.98% from anxiety disorders. Although a statistically higher number of males were depressed as compared to females (33.87% versus 17.08%), it was the opposite for anxiety disorders (47.73% females versus 14.51% males). HADS anxiety score was positively correlated with worrying about family members, COVID-19 infection in family members, fear of contracting the infection, presence of psychiatric illness in family, and history of attempted suicide. HADS depression score was positively correlated with worrying about family, COVID-19 infection in family members, a prior consultation with a mental health professional, and history of attempted suicide. Suicidal ideations as predicted by PANSI Positive score was predicted by rural place of residence, number of family members, and presence of psychiatry patient in the family.</p><p><strong>Conclusion: </strong>In the following era of the COVID-19 pandemic, anxiety and depression were high amongst college students. Various COVID-19-related and personal correlates for anxiety and depression as well as predictors for suicidal ideations could also be delineated. Institutions need to find out at-risk students and plan active measures for them.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"34 2","pages":"196-202"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12373315/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144952650","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":"Psychiatric morbidity, risk-taking behavior, internalized stigma and perceived social support in men having sex with men: A cross-sectional study.","authors":"Neil Pawar, Neena Sawant, Shrikala M Acharya","doi":"10.4103/ipj.ipj_488_24","DOIUrl":"10.4103/ipj.ipj_488_24","url":null,"abstract":"<p><strong>Background: </strong>Research has shown a high prevalence of mental health disorders in homosexuals with high risk-taking behavior. Sexual minority groups are often prey to many psychosocial stressors such as harassment, victimization, and fear of rejection.</p><p><strong>Aim: </strong>To understand the occurrence of psychiatric morbidity, risk-taking behavior, stigma, and social support in the men having sex with men (MSM) population and correlate its relation with each other.</p><p><strong>Materials and methods: </strong>One hundred participants were selected via randomized sample selection from the existing list of registered MSM accessing services from MDACS, and a detailed psychiatric interview was taken with diagnoses as per ICD10 criteria. Measure of Internalized Sexual Stigma Scale and Multidimensional Scale of Perceived Social Support were applied for further evaluation.</p><p><strong>Results: </strong>Forty-eight study participants had psychiatric morbidity with substance use and mood disorders being more common. High risk-taking behavior was found to be less in the sample. Internalized stigma was high on identity and social discomfort subscale. The total mean MISS-G score was found to be 35.64 ± 35.57. Social support was more from significant others. MSPSS scale had a total mean score of 58.59 ± 20. There was a negative correlation between stigma and social support. Psychiatric morbidity was associated with high stigma and poor social support.</p><p><strong>Conclusion: </strong>This study shows that MSM is at higher risk for psychiatric illnesses like depression and internalized sexual stigma. The social support experienced by them is also poor. Hence, there is a need to spread awareness and address the mental health issues of this minority.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"34 2","pages":"273-278"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12373323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144952571","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":"Delirium pattern in hospitalized patients of a tertiary care rural hospital: An observational study.","authors":"Kshirod K Mishra, Shobhit Mathur","doi":"10.4103/ipj.ipj_16_25","DOIUrl":"10.4103/ipj.ipj_16_25","url":null,"abstract":"<p><strong>Background: </strong>Delirium, an acute and often fluctuating disorder of attention and cognition, poses significant challenges in clinical care due to its varied presentation and complex etiological factors. In rural healthcare settings, where resources and awareness are limited, delirium is frequently under-recognized and inadequately managed.</p><p><strong>Aim: </strong>To investigate the factors associated with and types of delirium and their correlation with sociodemographic profiles in hospitalized patients at a tertiary care rural hospital in Central India.</p><p><strong>Materials and methods: </strong>This cross-sectional observational study was conducted on 120 patients diagnosed with delirium and referred to the Department of Psychiatry. A comprehensive assessment was performed using the Delirium Etiology Checklist (DEC) and Richmond Agitation Sedation Scale (RASS), and data spanning various associated factors, subtypes, and demographic variables were analyzed using SPSS version 27.0.</p><p><strong>Results: </strong>The cohort had a mean age of 48.2 ± 15.96 years, with a predominance of male patients (84.2%). Substance withdrawal (16.96%), anemia (12.5%), and renal derangement (11.6%) emerged as the major factors associated with delirium. Hyperactive delirium was observed in 88.3% of patients, while hypoactive delirium was found in 11.7%. A significant association was noted between cardiac decompensation and sepsis with hypoactive delirium, while substance withdrawal with hyperactive delirium.</p><p><strong>Conclusion: </strong>The study highlights the need for a systematic approach to identify and manage delirium's underlying associated factors, particularly in resource-limited settings, to prevent adverse outcomes.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"34 2","pages":"317-321"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12373324/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144952592","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 preparedness: Assessing the impact of an online Training of Trainers program for nurses in Indian COVID-19 hospitals.","authors":"Ravikant G Pinjarkar, Sailaxmi Gandhi, Paulomi M Sudhir, Manjula Munivenkatappa","doi":"10.4103/ipj.ipj_146_24","DOIUrl":"10.4103/ipj.ipj_146_24","url":null,"abstract":"<p><strong>Background: </strong>Several studies have shown that frontline health-care personnel have experienced overwhelming stress and mental health problems since the outbreak of the coronavirus disease 2019 (COVID-19) pandemic. To address the psychological impact of the COVID-19 crisis on nurses working in COVID-19 hospitals across India, a series of Training of Trainers (ToT) programs were conducted. This study examined the effectiveness of these programs in reducing stress and improving coping self-efficacy of nurses.</p><p><strong>Aim: </strong>To examine the effectiveness of online Training of Trainers Program for Nurses working in Covid-19 Hospitals in India.</p><p><strong>Materials and methods: </strong>A cross-sectional survey with a convenient sampling method was adopted. The tools consisted of Knowledge, Practice, and Attitude Survey Schedule; Perceived Stress Scale; and Coping Self-Efficacy Scale. A total of 89 participants in the ToT group and 31 participants in the control group, working in COVID-19 hospitals across India, participated in the study. Data were collected through an online google survey. The study sample was sent the survey link through email and WhatsApp messages. Frequencies, means, standard deviations, and Chi squares were calculated to analyze sociodemographic variables. Pearson correlation coefficient and Student's <i>t</i>-test were used for analysis.</p><p><strong>Results: </strong>There was a significant difference between the two groups, with the ToT group scoring higher on knowledge, practice, coping self-efficacy, and positive attitude and lower on perceived stress than the control group.</p><p><strong>Conclusion: </strong>Our findings indicate support for the online mode of training programs for health care professionals, particularly significant in crisis situations.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"34 2","pages":"203-209"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12373329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144952601","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":"Presenteeism: A hidden phenomenon with many shades of gray.","authors":"Amitav Banerjee","doi":"10.4103/ipj.ipj_415_24","DOIUrl":"10.4103/ipj.ipj_415_24","url":null,"abstract":"","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"34 2","pages":"156-157"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12373334/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144952400","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}