{"title":"Depression, anxiety, coping, and resilience among amputees: A cross-sectional tertiary care hospital-based study.","authors":"Prasanna Phutane, Manjeet Santre, Kumud Tiwari, Madhur Rathi","doi":"10.4103/ipj.ipj_78_24","DOIUrl":"https://doi.org/10.4103/ipj.ipj_78_24","url":null,"abstract":"<p><strong>Background: </strong>Amputation significantly impacts an individual's physical and psychological well-being. It is essential to understand these implications of amputation as well as the coping and resilience of amputees as part of comprehensive patient care.</p><p><strong>Aim: </strong>To study depression, anxiety, coping, and resilience among tertiary care amputee cases.</p><p><strong>Materials and methods: </strong>Consecutive 100 amputees seeking treatment in a tertiary care hospital were included in the study with their consent after ethics committee approval. The Hospital Anxiety and Depression Scale (HADS), Brief Resilience Scale (BRS-6), and Coping Inventory for Stressful Situations (CISS-21) scale were administered. The data were analyzed using the SPSS software with the Chi-square test and Spearman's correlation.</p><p><strong>Results: </strong>Depression affected a significant majority (67%) of patients, while anxiety was present in one-third (33%) of individuals. Certain sociodemographic factors and clinical parameters such as age group, residence, socioeconomic status, side of amputation, and duration of amputation showed statistically significant correlations with depression, anxiety, and low resilience. Emotional coping was positively correlated to anxiety (<i>P</i> < 0.001) and depression (<i>P</i> < 0.001) while task coping was negatively correlated to anxiety (<i>P</i> < 0.001) and depression (<i>P</i> < 0.001). Resilience was negatively correlated to anxiety (<i>P</i> < 0.001) and depression (<i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>There exists a significant burden of depression and anxiety in amputees. Those with positive coping and high resilience were better at adjusting to amputation than those with emotion-based coping and low resilience.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11553585/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142619409","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 regarding COVID-19 vaccination among unvaccinated persons with mental illness.","authors":"Asha Charitha Saroja Shankarappa, Rajesh Gopalakrishanan, Thangadurai Packirisamy, Anju Kuruvilla","doi":"10.4103/ipj.ipj_7_24","DOIUrl":"https://doi.org/10.4103/ipj.ipj_7_24","url":null,"abstract":"<p><strong>Background: </strong>The risk of COVID-19 infection and related health consequences is higher among persons with mental illnesses (PMI). Vaccines have had an impact in reducing the morbidity and mortality in patients with COVID-19 infection. Understanding the reasons for vaccine hesitancy in PMI is crucial for promoting vaccine acceptance in this population, but it remains an under-researched topic.</p><p><strong>Aims: </strong>This cross-sectional study assessed perspectives among unvaccinated PMI regarding COVID-19 vaccination in a tertiary care teaching hospital. Factors associated with vaccine hesitancy in this population were explored.</p><p><strong>Materials and methods: </strong>One-hundred consecutive PMI attending the psychiatric outpatient clinic who had not taken the COVID-19 vaccination were recruited after obtaining informed consent. A semi-structured questionnaire was used to elicit knowledge, attitudes, and practices regarding COVID-19 vaccination. The Oxford vaccine hesitancy scale was used to assess vaccine hesitancy; the Brief Psychiatric Rating Scale and Depression Anxiety Stress Scale-21 were administered to assess current psychopathology.</p><p><strong>Results: </strong>A majority of the participants (62%) were unwilling for the vaccination, the most common reasons being the perception that they were not at risk of infection, and worry about the possible side effects of the vaccination. Factors associated with low vaccine hesitancy were higher levels of education, greater perception of the risk of contracting the disease, belief that vaccination was effective, and easy accessibility to the vaccine.</p><p><strong>Conclusion: </strong>Improving awareness, providing accurate information, and ensuring better accessibility to vaccines are necessary to improve vaccine coverage among PMI. Mental health professionals need to assume an active role in providing education and clarifying misconceptions among our vulnerable patient population to help mitigate vaccine hesitancy.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11553621/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142619536","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":"Psycholegal issues in marital conflict.","authors":"Vrushali Dillikar Reddy, Saroj Arya","doi":"10.4103/ipj.ipj_336_23","DOIUrl":"https://doi.org/10.4103/ipj.ipj_336_23","url":null,"abstract":"<p><strong>Background: </strong>Marital conflict and disputes involve many issues to be settled between the couples like finance, health, assets, children, postdivorce securities, etc. The traumatic experiences of separation affect their mental health and the future of their children. Not being conscious of their legal rights and court procedures leads to long court litigation, causing distress and trauma to the couples.</p><p><strong>Aim: </strong>The aim of the article is to find out the level of psycholegal awareness among couples in conflict, approaching forums like police and courts, and to find the difference between the two groups.</p><p><strong>Materials and methods: </strong>A sample of 30 couples each from court and noncourt forums was taken. The demographic details were taken and a psycholegal checklist was administered. It is a cross-sectional study and exploratory research design was applied.</p><p><strong>Results: </strong>There was a significant difference in legal awareness of couples opting for redressal in the court and those opting for counseling in noncourt resolution centers.</p><p><strong>Conclusion: </strong>The results indicate that a lack of legal awareness among the couples in the two groups may be leading to lengthy litigation.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11553630/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142619447","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}
C S Bharath, Kaushik Chatterjee, Arun S Yadav, Ankit Dangi, Pookala Shivaram Bhat
{"title":"Alcohol dependence syndrome in patients with alcoholic liver disease: A cross sectional observational study.","authors":"C S Bharath, Kaushik Chatterjee, Arun S Yadav, Ankit Dangi, Pookala Shivaram Bhat","doi":"10.4103/ipj.ipj_222_22","DOIUrl":"10.4103/ipj.ipj_222_22","url":null,"abstract":"<p><strong>Background: </strong>Excessive alcohol use leads to a spectrum of liver disease. While physicians treat liver disease, the cause, i.e. alcohol, often remains untreated. This portends a poor overall outcome as such patients may continue to consume alcohol for the want of appropriate treatment directed at alcohol dependence or abuse.</p><p><strong>Aim: </strong>To assess the prevalence and severity of alcohol dependence among patients with Alcoholic Liver Disease (ALD).</p><p><strong>Materials and methods: </strong>A cross-sectional observational study was conducted among patients with varying severity of ALD (steatosis, hepatitis, and cirrhosis) where 75 were included. They were evaluated for alcohol dependence using clinical interview and M.I.N.I 6.0. The severity of dependence was rated using the SADQ (Severity of Alcohol Dependence Questionnaire). Appropriate statistical tests were applied to identify correlations.</p><p><strong>Results: </strong>All the patients of ALD met the criteria of Alcohol Dependence Syndrome (Clinical interview and ICD 10 criteria). Among them, 40% were severely dependent (SADQ >30). Among those with ALD, 57.3% had alcoholic hepatitis, 18.7% had steatosis, and 24% suffered cirrhosis. Patients with cirrhosis had higher median SADQ scores compared to those with steatosis or hepatitis.</p><p><strong>Conclusions: </strong>All the patients with ALD suffered from Alcohol Dependence Syndrome. Those with the most severe ALD had a higher severity of dependence. To ensure effective treatment and lasting outcomes, there is a need for greater awareness of this fact among physicians. Psychiatric referral of those suffering from ALD will ensure concurrent treatment of Alcohol Dependence Syndrome.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11553586/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43691246","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":"Impact of socio-vocational rehabilitation on work productivity and social behavior of inpatients with chronic schizophrenia.","authors":"Sushma Kumari, Prashanta K Chakraborty","doi":"10.4103/ipj.ipj_156_24","DOIUrl":"https://doi.org/10.4103/ipj.ipj_156_24","url":null,"abstract":"<p><strong>Background: </strong>A large proportion of persons with schizophrenia are either abandoned by their family members in mental hospitals or do not have any family members to look after them. Therefore, almost 2/3<sup>rd</sup> of hospital beds are occupied by chronic schizophrenic patients. Very few beds are available for the treatment of acute mental patients who need urgent hospitalization.</p><p><strong>Aim: </strong>To assess the impact of a comprehensive socio-vocation rehabilitation package on the work productivity and social behavior of persons with chronic schizophrenia.</p><p><strong>Materials and methods: </strong>Sixty chronic schizophrenic inpatients were included in the present study. Sociodemographic and clinical details were collected on a specially designed Performa for the study. Each patient was rated on a job-up-to-date form at baseline, 3 months, and 6 months after intervention. Data related to the vocational outcome were collected on the supervisor's evaluation form at the end of the first month and then after every month till the end of 6 months after intervention. The patient's social behavior was measured on the Social Behavior Schedule at baseline, 3 months, and 6 months after intervention.</p><p><strong>Results: </strong>Significant improvement was found in the area of vocational outcomes when a comparison was made from the 1<sup>st</sup> month to the 6<sup>th</sup> month. Marked improvement was also noticed in their social behaviors after social and vocational rehabilitation.</p><p><strong>Conclusion: </strong>The overall results suggest that chronic schizophrenic inpatients can be properly rehabilitated if opportunity is provided to them.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11553593/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142619479","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}
Santosh K Mandula, Diptadhi Mukherjee, Pranjal J Chakravarty, Sourabh Bhattacharya
{"title":"Disulfiram-induced psychosis still an important clinical entity: A case series.","authors":"Santosh K Mandula, Diptadhi Mukherjee, Pranjal J Chakravarty, Sourabh Bhattacharya","doi":"10.4103/ipj.ipj_106_24","DOIUrl":"https://doi.org/10.4103/ipj.ipj_106_24","url":null,"abstract":"<p><p>Disulfiram, an FDA-approved medication for treating alcohol dependence syndrome (ADS), is often used surreptitiously, resulting in severe adverse drug reactions such as disulfiram-induced psychosis (DIP). DIP presents diagnostic challenges, despite being perceived as common; however, there is limited literature available on DIP in India. We describe four cases with a history of psychosis in the background of disulfiram exposure. Our four male patients, aged 30-46 years old, had a history of ADS ranging from 7 to 16 years. They developed DIP after 5-15 days of exposure to disulfiram in doses ranging from 500 to 750 mg. In all cases, disulfiram was administered surreptitiously based on advice from non-experts. Predominant symptomatology included delusion, followed by perceptual disturbances. Naranjo adverse drug reaction probability scale was applied to establish disulfiram as the probable cause of psychosis in all cases. All patients responded to disulfiram discontinuation and a brief period of low-dose antipsychotic therapy within 7 days. The probability of DIP should be explored in a case of ADS presenting with an acute psychotic episode. Disulfiram, though an effective agent, should be used cautiously in selected cases at the recommended dose. Awareness building among family members may prevent and aid in the early detection of DIP.</p>","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11553577/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142619423","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 ghost in the machine: From fiction to facts.","authors":"Amitav Banerjee","doi":"10.4103/ipj.ipj_44_24","DOIUrl":"https://doi.org/10.4103/ipj.ipj_44_24","url":null,"abstract":"","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11553609/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142619552","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}
Antonio Ventriglio, F. Ricci, J. Torales, J. Castaldelli-Maia, Abdulbari Bener, Alexander Smith, M. Liebrenz
{"title":"Navigating a world in conflict: The mental health implications of contemporary geopolitical crises","authors":"Antonio Ventriglio, F. Ricci, J. Torales, J. Castaldelli-Maia, Abdulbari Bener, Alexander Smith, M. Liebrenz","doi":"10.4103/ipj.ipj_46_24","DOIUrl":"https://doi.org/10.4103/ipj.ipj_46_24","url":null,"abstract":"\u0000 Throughout history, armed conflicts have profoundly affected individuals and societies, with recent events in Ukraine, the Middle East, and beyond bringing into sharp focus the severe mental health and humanitarian consequences of geopolitical crises. Such situations often result in mass fatalities, destruction, displacement, forced migration, and other critical life events. Amid these scenarios, the adverse outcomes for mental health and well-being in both the short and long term must be emphasized. As a conceivable example of the latter, the proposed concept of intergenerational trauma could have far-reaching implications. In particular, in certain regions, civilians have repeatedly experienced instances of violence and may have continually been exposed to critical life events and traumatic stress. In this context, the consequences of these events for individual well-being and global mental health will likely be registered for years to come. Accordingly, urgent help and actions to address the mental health burdens within contemporary conflicts should be accentuated in humanitarian, political, and diplomatic interventions. Equally, health policies must adopt a long-term approach to support initiatives under the purview of global and public mental health objectives.","PeriodicalId":13534,"journal":{"name":"Industrial Psychiatry Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141103581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}