Industrial Psychiatry Journal最新文献

{"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":"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":"Awareness and attitude of undergraduate medical students to LGBY community: A cross-sectional study.","authors":"Arya Jith, Nidhamary Nixon Manjaly","doi":"10.4103/ipj.ipj_155_25","DOIUrl":"10.4103/ipj.ipj_155_25","url":null,"abstract":"<p><strong>Background: </strong>The way that the lesbian, bisexual, gay, and transgender (LGBT) community is understood has changed from an abnormal concept to a normal variant of sexuality. Despite this action, the Indian population still harbors a great deal of fear toward this community. The health of the LGBT community is further negatively affected by the high rates of stigma and discrimination they experience in medical facilities. As aspiring medical professionals, it's critical to understand medical students' awareness of and attitudes toward this community.</p><p><strong>Aim: </strong>This study is to assess the Attitude, Awareness and Knowledge of medical students towards the LGBT community in Kerala.</p><p><strong>Materials and methods: </strong>This was a cross sectional study done at a medical college in Kerala. Students from first year MBBS till internship were included in the study after approval by the institutional ethical committee. Informed consent was obtained from all participants after providing details of the conduct of the study and assurance of participant's confidentiality. Semi structured questionnaire and Lesbian, Gay, Bisexual, and Transgender Development of Clinical Skills Scale were circulated among the students.</p><p><strong>Results: </strong>380 students participated in the study. Majority were first years (35.3%) and were females (69.7%). Participants scored highest on the attitudinal awareness subscale and lowest on the clinical preparedness subscale.</p><p><strong>Conclusion: </strong>Our study highlights the positive attitudes of medical students but also identifies their self-reported inadequacies in LGBT patient care-related clinical skills and preparedness.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"35 1","pages":"130-134"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12923212/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147270945","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":"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}

{"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":"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}

{"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":"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}

{"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":"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}

{"title":"Mental health impact of dengue fever.","authors":"Suprakash Chaudhury, Tahoora Ali, Jyoti Prakash, Kalpana Srivastava","doi":"10.4103/ipj.ipj_332_25","DOIUrl":"10.4103/ipj.ipj_332_25","url":null,"abstract":"","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"35 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12923224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147271014","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":"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":"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":"Media reporting of suicide in newspapers of Central India: An archive-based content analysis.","authors":"Vijay Niranjan, Priyash Jain, Varchasvi Mudgal, Kartikay Chaturvedi","doi":"10.4103/ipj.ipj_227_25","DOIUrl":"10.4103/ipj.ipj_227_25","url":null,"abstract":"<p><strong>Background: </strong>Suicide is a leading cause of death worldwide, and India recorded an estimated 171,000 deaths by suicide in 2022. Media coverage can shape public behavior: responsible reporting may help prevent suicides. Stories that model coping and help-seeking can reduce suicide risk (Papageno effect), whereas sensational or detailed reporting can increase suicide rates (Werther effect). Although the Press Council of India issued national guidelines for responsible reporting in 2019, adherence has remained uncertain.</p><p><strong>Aim: </strong>To evaluate guideline adherence in a tier-2 city in Central India, comparing English- and Hindi-language newspapers.</p><p><strong>Materials and methods: </strong>A cross-sectional content analysis examined all suicide-related news items published between 1 March and 31 March 2024 in one Hindi and one English daily. A coding instrument, derived from World Health Organization guidelines, captured harmful and protective elements. Descriptive statistics summarized frequencies, and differences between newspapers were tested using Pearson's Chi-square and Fisher's exact tests.</p><p><strong>Results: </strong>Of 110 eligible articles analyzed, harmful elements predominated: the deceased's name appeared in 91.8%, the suicide location in 80%, and the method in the headline in 58.2%. Protective content was rare-only 12.7 % of items offered prevention information. Compared with English reports, Hindi reports more often included method details (<i>P</i> < 0.05), emotionally explicit language (<i>P</i> < 0.05), and lacked prevention information (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>Adherence to suicide-reporting guidelines was suboptimal overall, and English newspapers demonstrated better compliance than Hindi newspapers. Strengthening adherence to responsible-reporting standards is essential for suicide prevention.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"35 1","pages":"48-53"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12923220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147271051","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":"Second Victim Syndrome in Indian Surgeons - A Cross Sectional Analytical Study.","authors":"Manisha Jindal, Salil K Gupta, Rankeen Raj, Neethu Jose, Subramaniyam Swaminathan","doi":"10.4103/ipj.ipj_289_25","DOIUrl":"10.4103/ipj.ipj_289_25","url":null,"abstract":"<p><strong>Background: </strong>Second victim syndrome (SVS) is an entity known to corrode healthcare providers from within. To analyze the interaction of different factors of SVS, an online questionnaire (based on the Second Victim Experience and Support Tool - Revised) was used for a cross-sectional survey.</p><p><strong>Aim: </strong>To know the prevalence and the psychological impact of SVS among Indian surgeons.</p><p><strong>Materials and methods: </strong>This cross-sectional online questionnaire survey-based analytical study collected responses of 200 Indian Surgeons of different types and levels of speciality. Inputs on all dimensions of SVS, namely, psychological distress, physical distress, colleague support, supervisor support, institutional support and professional self-efficacy, and outcome parameters, that is, turnover intentions and absenteeism, were collected and analyzed.</p><p><strong>Results: </strong>The SVS prevalence in the sample was 18.5%, the highest among specialists at 24.3%. Affected surgeons experienced significant psychological and physical distress and reported less peer and institutional support, lower self-efficacy, more intent to leave, higher absenteeism, and reduced resilience. Regression analyses identified distress as a predictor for turnover intentions and absenteeism, with SVS severity similar across all specialities and levels.</p><p><strong>Conclusions: </strong>SVS can have significant psychological effects, with its aftermath potentially manifesting as somatic symptoms, self-doubt, insecurity, and both mental and physical disengagement from the workplace. This may contribute to considerations of leaving the profession. There is a clear need for comprehensive institutional support systems to address these challenges and enhance professional outcomes.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":"35 1","pages":"105-110"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12923233/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147271035","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}