Indian Journal of Behavioural Sciences最新文献

{"title":"Future of Technology and Medicine is Interlinked Psychiatry will be a major Beneficiary","authors":"A. Tripathi","doi":"10.55229/ijbs.v26i1.01","DOIUrl":"https://doi.org/10.55229/ijbs.v26i1.01","url":null,"abstract":"The world is in the midst of large technological expansion and innovation. Technological growth is exponential and rapid in the last few decades. It has consistently increased in reach as well as capabilities. The exponential growth in various technologies that can be useful in practice and teaching/training medical students like wearable devices, e-learning, simulated patients, virtual learning, and interaction, is immense.","PeriodicalId":253024,"journal":{"name":"Indian Journal of Behavioural Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132246313","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}

{"title":"Profile of Patients attending the Neuropsychiatric Specialty Clinic of a Tertiary Care Teaching Hospital in North India: A Retrospective Chart Review","authors":"Sujita Kumar Kar, A. Prakash, P. Dalal","doi":"10.55229/ijbs.v26i1.06","DOIUrl":"https://doi.org/10.55229/ijbs.v26i1.06","url":null,"abstract":"Background:  Over past several decades various sub-specialities are developed in the field of mental health. Neuropsychiatry is a subspeciality of psychiatry that focuses on the mental health issues of patients that lie in the interface of neurology and psychiatry. Very few institutes in India, provide neuropsychiatric speciality care through the speciality clinics. \u0000Aims & objectives: The aim of this study is to evaluate the profile of patients attending the neuropsychiatric speciality clinic of a tertiary care teaching hospital in north India \u0000Material & Method: This is a retrospective chart review of all registered patients attending the neuropsychiatric specialty clinic of a tertiary care teaching hospital of north India. Clinical details of all the registered patients from the time of inception (January 2016) till December, 2020, were extracted and analysed after getting approval from the Institutional Ethics Committee. \u0000Result: A total of 202 patients were recruited in the study, of which 53% were males and 47% were females with age ranging from 10 years to 76 years. In the year 2020, there was more than 50% drop in the new registrations due to COVID-19 pandemic (lockdown & closure of specialty clinic). Approximately, half of the patients had neurological co-morbidities, whereas nearly 1/4th patients had no medical comorbidities. Average number of medications received at the time of initial consultation was 3.15 ± 2.09. Nearly, half of the patients had common mental disorders, whereas 1/5th patients had severe mental disorder. History of seizure disorder, head injury and meningitis/encephalitis were present in 17%, 10% and 5% respectively. Faith healing was as common as 42% among the patients attending neuropsychiatry clinic. Tobacco use disorder is the most common comorbid substance use disorder followed by alcohol and cannabis. \u0000Conclusion:  Neuropsychiatric conditions are seen in all ages, both genders. Neurological co-morbidities are the common co-morbidities and patients often receive polypharmacy. Common mental disorders are the most common presentation. History of seizure disorder, tobacco use disorder are common among neuropsychiatric patients.","PeriodicalId":253024,"journal":{"name":"Indian Journal of Behavioural Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125576529","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}

{"title":"Study Protocol of Death Anxiety, Perceived Stress, Sleep Quality, Cardiac Illness Denial and Subjective Well-being among Stable Patients with Acute Myocardial Infarction","authors":"Sujita Kumar Kar, Abhilash Boda, A. Pradhan, A. Prakash, Ankita Saroj, A. Shankar, Ashutosh Kumar Singh, P. Vishwakarma, R. Sethi","doi":"10.55229/ijbs.v26i1.04","DOIUrl":"https://doi.org/10.55229/ijbs.v26i1.04","url":null,"abstract":"Background: \u0000It has been seen that negative affective states (e.g., depression, anxiety, anger), social isolation, and social insecurity are specific psychosocial determinants that adversely influence ischemic heart diseases, and these patients experience higher levels of death anxiety. Hence, studying death anxiety, perceived stress, sleep quality, and illness acceptance among myocardial infarction (MI) patients will give insight into their psychosocial management. \u0000Method: \u0000The study will be conducted on patients (18-60 years) with a diagnosis of Acute MI hospitalized in the Cardiology Unit of King Georges' Medical University and clinically stable at the time of assessment. The participants will be assessed via semi-structured proforma for sociodemographic and clinical details, the scale of Death Anxiety (SDA), perceived Stress scale, single Item Sleep quality Index, Cardiac Denial of Impact Scale and WHO wellbeing index- 5. \u0000Result: \u0000This study will measure death anxiety, perceived stress, sleep quality, Cardiac Denial of Impact Scale and subjective wellbeing among stable patients with acute Myocardial Infarction (MI), to study their association with acute Myocardial Infarction (MI), and their change with time during follow up (10-12 weeks after the initial event). \u0000Conclusion: \u0000It is expected that death anxiety and perceived stress will be high among patients with acute myocardial infarction, affecting their sleep quality and subjective wellbeing.","PeriodicalId":253024,"journal":{"name":"Indian Journal of Behavioural Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130440503","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}

{"title":"Persisting Delirium as a Presenting Feature of an Underlying Myeloproliferative Neoplasm in Elderly","authors":"Dr. Suresh Heijebu, Dr. Akanksha Sonal, Dr. Shrikant Srivastava","doi":"10.55229/ijbs.v26i1.09","DOIUrl":"https://doi.org/10.55229/ijbs.v26i1.09","url":null,"abstract":"A 71 year old female presented with an unusually long course of persisting delirium and a rapid downhill functional decline. She presented with progressive symptoms over a course of year with confused behaviour, sleep disturbances, irrelevant talk and restlessness followed by difficulty in walking, falls, speech disturbances, generalized weakness of six months duration and decreased appetite with urinary and stool incontinence of 2 week duration. Her lab reports had shown consistently abnormal blood counts for 4 years before hospitalisation. The abnormalities from peripheral blood smear and GBP (general blood picture) showed elevated platelet count, total leucocyte count and decreased red blood cell count and haemoglobin level. Investigations for myeloproliferative neoplasm (MPN) included the Reflex profile (JAK mutations on qualitative RT-PCR), and bone marrow biopsy (increased megakaryocytes suggestive of Essential thrombocythemia). Patient was started on Oral Hydroxyurea along with oral anti platelet and hypolipidemic drugs. Six months post chemotherapy initiation remained asymptomatic. \u0000  \u0000Keywords: elderly, delirium, myeloproliferative, neoplasia.","PeriodicalId":253024,"journal":{"name":"Indian Journal of Behavioural Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123944542","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}

{"title":"Atypical Presentation of Anxiety in a patient with Intellectual Disability: A case report and brief review of literature","authors":"Shivangi Singh, A. Tripathi, Tripathi Singh S","doi":"10.55229/ijbs.v26i1.08","DOIUrl":"https://doi.org/10.55229/ijbs.v26i1.08","url":null,"abstract":"OBJECTIVE: The diagnosis of psychiatric illness in patients with Intellectual Disability remains clinically challenging in several clinical situations owing to the patient’s limited intellectual functioning and adaptive behavior. Hence, this may lead to different and atypical manifestation of psychiatric symptoms and signs in these patients. \u0000METHOD: We present a case of a 17-year-old boy with moderate intellectual disability who presented to us with chief complaints of dysphagia for 2 months. Personal history indicative of delayed milestones and difficulty in learning simple tasks. Premorbid temperament revealed anxious traits in the child. On MSE affect was distressed, speech was decreased in volume, psychomotor activity was increased and thinking revealed pre-occupation with symptom. Intelligence revealed poor general fund of knowledge and poor arithmetic ability. Insight was absent (Grade I). \u0000RESULTS AND DISCUSSION: On the basis of history and MSE a provisional diagnosis of anxiety disorder, unspecified (F41.9) was kept. The patient was started on treatment Tab Mirtazapine 7.5mg ½ BD. The patient showed significant improvement following initiation of treatment. Patients with intellectual disability have difficulty in expressing their psychological symptoms in words at times and present with atypical symptoms of the underlying disorder. This delays their diagnosis and appropriate management. Due to lack of reporting of psychological symptoms patient often continues seeking treatment from general practitioners which leads to loss of time as well as money. \u0000CONCLUSION: Physicians and psychiatrists themselves need to be more watchful when evaluating a patient with intellectual disability due to the atypical presentation of symptoms.","PeriodicalId":253024,"journal":{"name":"Indian Journal of Behavioural Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128243186","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}

{"title":"Perspective of Teachers on the Mental Health of Students: A Mental Health Literacy Survey","authors":"Shilpa Aggarwal, Palasha Parikh","doi":"10.55229/ijbs.v26i1.07","DOIUrl":"https://doi.org/10.55229/ijbs.v26i1.07","url":null,"abstract":"Improving mental health literacy in teachers can help in early identification of mental health problems in children and adolescents and facilitate help-seeking behaviour. Objective: A mental health literacy survey was undertaken in a school located in Bijnor district, Uttar Pradesh to assess baseline knowledge and beliefs about mental health issues in teachers. Method: A questionnaire based on Mental Health Literacy and Capacity Survey For Educators was administered in 39 teachers in an English medium school in Bijnor, Uttar Pradesh. Results: Impulse control difficulties, family and stress related issues, anger issues and bullying were the most common problems that teachers faced with the students in three months preceding the survey. The four commonest measures teachers used to deal with the problems included meeting with the parents (82%), talking with the students to understand the problem and offering support (75%), changing their style of interaction with the student (75%) and reaching out to the administration of the school for support (33%). Increased training opportunities and promotion of collaborative problem solving techniques were some of the measures suggested by teachers to improve mental health literacy. Additional measures such as encouraging students’ to participate in extracurricular activities were suggested to support the mental health needs of the students better. Conclusion: Mental health literacy evaluation in teachers and structured programmes to improve mental health literacy can help teachers in supporting the mental health needs of students.","PeriodicalId":253024,"journal":{"name":"Indian Journal of Behavioural Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133291835","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}

{"title":"A Randomized Controlled Single-blind Trial of Transcranial Direct Current Stimulation as Early Augmentation in Major Depressive Disorder: Protocol of a Proof-of-Concept Study","authors":"B. Kumari, Sujita Kumar Kar, Ashutosh Kumar Singh, A. Tripathi, V. Agarwal","doi":"10.55229/ijbs.v26i1.05","DOIUrl":"https://doi.org/10.55229/ijbs.v26i1.05","url":null,"abstract":"Background: Transcranial direct current stimulation (tDCS) used for augmentation improves depressive symptoms in patients who have a partial or poor response to antidepressant medications. However, its role and effectiveness as an early intervention have not been studied much. This study aims to determine the efficacy and safety of add-on tDCS as an early augmentation strategy in drug-naive patients with major depressive disorder.Methods: A total of 40 patients will be enrolled in the study, randomized into two groups (active and sham), and receive uniform medication Escitalopram 10 mg per day. A total of 10 sessions of tDCS will be given within 2 weeks. Assessments will be done using scales Hamilton Anxiety Rating Scale (HAM-A), Hamilton Depression Rating Scale (HAM-D) and Beck’s Depression Inventory (BDI) at baseline, week 2, and week 4 of the study. After each session of tDCS, a side effects checklist will be applied to monitor side effects. The trial has been registered in the Clinical Trials Registry, India(CTRI/2022/01/039123).Result: After data collection, statistical analysis will be done using a computerized statistical program, Statistical Package for Social Sciences. Mean changes in the rating scale scores will be compared after each assessment and between the groups. Conclusion: The findings will help to assess the efficacy of tDCS in the early augmentation of depressive disorder","PeriodicalId":253024,"journal":{"name":"Indian Journal of Behavioural Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117184959","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}

{"title":"Utility of Brief Illness Perception Questionnaire for Assessing the Acute Impact of COVID-19 Infection: A Psychometric Study","authors":"A. Lahiri, R. Sutar, Gaurav Singh","doi":"10.55229/ijbs.v26i1.03","DOIUrl":"https://doi.org/10.55229/ijbs.v26i1.03","url":null,"abstract":"Background: The coronavirus disease-19 (COVID-19) pandemic has created mental health repercussions in the lives of many individuals. It is important to understand emergent perceptions of this illness among patients with a recent diagnosis of COVID-19. Due to its good psychometric properties, the brief illness perception questionnaire (BIPQ) has been widely used for various illnesses and in different languages. Its application in recently diagnosed COVID-19 patients is an area worth exploring in an Indian setting.\u0000Aim We aim to understand the patient’s perception of COVID-19 illness using the hindi adaptation of BIPQ and validate for its further use in a similar type of acute setting.Method This tool was customized by three subject experts for its application in recently diagnosed COVID-19 patients. A customized tool was circulated to nine subject matter specialists for the computation of the content validity index. The tool link was shared with patients. A total of 112 patients responded. Factor analysis and reliability analysis were also conducted.Result Item content validity index for all items in the BIPQ scale was in the acceptable range (value above 70%). Scale-content validity index/universal agreement was 88.8%. Bartlett’s test was significant (p < 0.001) and the Kaiser-Meier-Olkin measure of sampling adequacy was 0.777. The factor loading threshold was fixed at a value above 0.40. Eight Likert scale items of BIPQ based on factor analysis were regrouped in two. Items one, two, four, five, and eight were in group one, which depicted “concrete perception,” and items three, six, and seven were in group two which depicted “gestalt perception” of recently diagnosed COVID-19 patients. Cronbach’s alpha of the scale was found to be high at 0.808.Conclusion Results depicted a two-factor structure of BIPQ with satisfactory validity and reliability. We suggest regrouping of existing items of BIPQ into two domains, namely “concrete perception” and “gestalt perception” for recently diagnosed patients with COVID-19.\u0000 ","PeriodicalId":253024,"journal":{"name":"Indian Journal of Behavioural Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127767564","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}

{"title":"District Mental Health Program: Inception, Evolution and Challenges","authors":"Vipul Singh","doi":"10.55229/ijbs.v26i1.02","DOIUrl":"https://doi.org/10.55229/ijbs.v26i1.02","url":null,"abstract":"In 1982, National Mental Health Program (NMHP) was launched in India. In order to suffice its aim and objectives and effective coverage of mental health care, a district level program was suggested and for which NIMHANS did a pilot project in between 1985-90 and finally District Mental Health Program (DMHP) was started in Bellary district of Karnataka. Since then, the DMHP has been running in entire nation for fulfilling its aim and objectives and delivering mental health care services. In the span of almost three decades, the Program has been monitored and assessed periodically in terms of its effectiveness by keeping the vision of fulfillment of its goals. In this article we are reviewin  theachievements of DMHP and how far we have reached to achieve the goals.","PeriodicalId":253024,"journal":{"name":"Indian Journal of Behavioural Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129438249","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}

{"title":"Perceived Social Support and Attitude towards Modernization among Performing Arts Students","authors":"Pramod R Gupta, Lokesh Kumar Ranjan, Nilesh Maruti Gujar","doi":"10.55229/ijbs.v25i2.05","DOIUrl":"https://doi.org/10.55229/ijbs.v25i2.05","url":null,"abstract":"Abstract\u0000Background: The effect of modernization can be different aspects of a person`s life. Modernization has been seen through education, communication and social support of individuals in the community. Young adults especially college students approach modernization from experiences during the academic period.\u0000Aim: To study the perceived social support and attitude towards modernization among performing arts students.\u0000Materials and Methods: A cross-sectional study was conducted among college students of Indira Kala Sangit Vishwavidyalaya, Khairagarh, Chhattisgarh, India. A total of 540 students were selected for the study through the enumeration method. Students were assessed through the semi-structured socio-demographic datasheet, the modernization scale, and multidimensional scale of perceived social support.\u0000Results: Perceived social support found a significant positive correlation with attitude towards modernization. In regression analysis, overall perceived social support (family, friend and other support) strongly contributes to the variance on attitude towards modernization among performing arts students. Family support, other support, overall perceived social support and attitude towards modernization were more in female as compared to male with performing arts students.\u0000Conclusions: Perceived social support strongly contributes and positive significant correlation to the variance on attitude towards modernization.","PeriodicalId":253024,"journal":{"name":"Indian Journal of Behavioural Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126906333","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}