Journal of Psychiatry Spectrum最新文献

{"title":"Are there any learnings from the faith healers' approach?","authors":"V. Harbishettar","doi":"10.4103/jopsys.jopsys_38_22","DOIUrl":"https://doi.org/10.4103/jopsys.jopsys_38_22","url":null,"abstract":"","PeriodicalId":262035,"journal":{"name":"Journal of Psychiatry Spectrum","volume":"100 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121749647","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":"Telepsychiatry-Based on-consultation training: Acceptability and feasibility from primary care doctors and psychiatrists","authors":"Apurva Mittal, H. Suchandra, P. Nirisha, H. Shashidhara, Puttaswamy Ashwath, Rajani Parthasarathy, N. Manjunatha, C. Kumar, S. Math","doi":"10.4103/jopsys.jopsys_31_22","DOIUrl":"https://doi.org/10.4103/jopsys.jopsys_31_22","url":null,"abstract":"Background: There is a gross mismatch between the available psychiatry services and the prevalence of psychiatric disorders in our country, leading to a large treatment gap. Integrating mental health into primary care through innovative methods to combat the same is imperative. The traditional classroom training fails to translate into adequate clinical skills, which led to the design and development of the Telepsychiatry-based On-Consultation Training (Tele-OCT) method for Primary Care Doctors (PCDs). This paper assesses this model's ease, feasibility, advocacy, and acceptability. Methodology: This study was conducted in the Mandya district of Karnataka, 100 km southwest of the training hub. The institutional ethical committee approved the study. Tele-OCT was conducted with a pair of PCDs in each session at the Spoke side, tagged with a tele-psychiatrist at Hub center. Patients were randomly selected from their general outpatient clinic for video live streaming screening, diagnosing, and managing mental illnesses. After the training, trainees and trainers filled out their respective online feedback forms created to assess the levels of acceptability and technical feasibility of the Tele-OCT program. A total of 27 PCDs and seven psychiatrists completed their separate feedback forms. Results: The mean age of the PCDs and psychiatrists was 37.67 ± 9.46 years and 31.63 ± 4.66 years, respectively. The majority of the participants were male. The PCDs reported the audiovisual clarity and comfort of using the technology as easy. They preferred the one-to-one technology-based sessions over traditional classroom training, with a high recommendation to their colleagues. The psychiatrists also quickly chose continuous handholding and technology-based learning at the primary care level. However, tele-psychiatrists rated rapport levels with patients the least compared to other domains. Conclusion: Despite a few internet connectivity-related hurdles, the acceptability and feasibility of Tele-OCT are high among trainees PCDs and trainer tele-psychiatrists. This Tele-OCT method of training PCDs by a tele-psychiatrist on a virtual platform may help overcome hurdles in human resources development, decentralize expertise in mental health and successful integration of mental health in primary health care and reduce the treatment gap.","PeriodicalId":262035,"journal":{"name":"Journal of Psychiatry Spectrum","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130716281","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":"Relapse enrichment program: An innovative, brief, pragmatic, low-cost, educational intervention for distress-free and shortest relapses in alcohol dependence","authors":"N. Manjunatha","doi":"10.4103/jopsys.jopsys_17_21","DOIUrl":"https://doi.org/10.4103/jopsys.jopsys_17_21","url":null,"abstract":"The current practice of managing the relapses of alcohol dependence with available options is distressful for patients and their families and leading therapeutic nihilism among treating physicians. There are two current realities about substance addiction: first, relapses are the rule rather than the exception, and second, there is a need for four to six relapses/abstinence attempts for the complete recovery of most patients. Considering these realities, the author proposes an innovative, brief, low-cost, educational intervention called a relapse enrichment program (REP), which can be used routinely in busy clinical practice. The crux of REP is enriching patients and their families about the two realities mentioned above of alcohol dependence to aim for distress-free and shortest possible relapses toward complete recovery from alcohol dependence. This proposed REP needs further extensive research in the Indian context.","PeriodicalId":262035,"journal":{"name":"Journal of Psychiatry Spectrum","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130147918","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":"Electronic medical records – A review of cost-effectiveness, efficiency, quality of care, and usability","authors":"Balaji Gopidasan, S. Amanullah, A. Adebowale","doi":"10.4103/jopsys.jopsys_17_22","DOIUrl":"https://doi.org/10.4103/jopsys.jopsys_17_22","url":null,"abstract":"Electronic medical records (EMRs), as they are more popularly known, are rapidly being accepted globally to ensure timely access to notes and a safer and quicker way to transfer information. It is an efficient way of delivering patient care. However, existing literature needs to be interpreted objectively, keeping in mind its many drawbacks. Different countries have different needs and health-care delivery models. Due to this, EMR systems vary worldwide. With giant strides being made every day in the use of software for various fields, the medical field has had to adapt to changes rapidly. The COVID-19 pandemic has pushed this to even greater levels of adaption. This article extensively reviews the existing literature on its usability and key areas that one needs to pay attention to. Key areas considered in this review include cost-effectiveness, efficiency, quality improvement, and usability. The cost-effectiveness, efficiency, and usability may depend on the design and implementation of the EMR. EMR can improve the quality of documentation. The workflow becomes inefficient when both EMR and paper documentation are simultaneously used. Usability scores improve if end users are involved in the early stages of designing and implementing EMR.","PeriodicalId":262035,"journal":{"name":"Journal of Psychiatry Spectrum","volume":"274 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133069883","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":"Attitude toward Plagiarism among Postgraduate Students of a Medical Institute in South IndiaAttitude toward Plagiarism among Postgraduate Students of a Medical Institute in South India","authors":"S. Kattimani, A. Kujur, Padmavathi Nagarajan, Zayapragassarazan Zayabalaradjane","doi":"10.4103/jopsys.jopsys_35_22","DOIUrl":"https://doi.org/10.4103/jopsys.jopsys_35_22","url":null,"abstract":"Background: Academic integrity is an essential quality to uplift the standards of higher education and plagiarism destroys it. Aims: This study aimed to explore the attitude toward plagiarism (ATP) and its association with gender, hours of Internet use among postgraduate (PG) students in a tertiary care teaching and research institute in South India. Methods: PG students from different disciplines (N = 383) formed the study participants for cross-sectional study and we used the ATP questionnaire (ATP-Q) that consisted of 29 statements measuring three attitudinal factors: positive, negative attitude, and subjective norms. Participants were given pro forma to fill the ATP-Q and data collected immediately. Results: Female students formed 58.7% of the participants and 41% were in their 1st year of the course. Our study noted that only 19.58% had the attitude that seems to approve plagiarism. Their scores on the questionnaire fell in the low-score category of positive attitude factor, low-score category of subjective norms factor, and high-score category of negative attitude factor. We did not see any association between approving ATP (categorized as Yes or No) with gender or hours of Internet use. However, a significant proportion of students in the 3rd year had approving ATP compared to those in the preceding years (Chi-square (df), p: 18.05(2), < .001). Participants stated that increasing awareness and training on scientific writing skills as the most common ways to reduce plagiarism. Conclusion: Nearly one-fifth of PG students in the medical college seem to have attitude of approval of plagiarism, with majority having showed mixed ATP. Internet use and gender did not show any association with ATP. Increasing awareness and improving scientific literacy are suggested to minimize plagiarism among PG students in a medical institute.","PeriodicalId":262035,"journal":{"name":"Journal of Psychiatry Spectrum","volume":"200 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114982610","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":"E-sanjeevani: A pathbreaking telemedicine initiativefrom India","authors":"S. Suhas, C. Kumar, S. Math, N. Manjunatha","doi":"10.4103/jopsys.jopsys_8_21","DOIUrl":"https://doi.org/10.4103/jopsys.jopsys_8_21","url":null,"abstract":"COVID-19 is the most unprecedented challenging health-care crisis faced by our generation. The World Health Organization declared the outbreak a Public Health Emergency of International Concern on January 30, 2020 and a pandemic on March 11, 2020, following which countries worldwide had to rapidly accommodate the health-care needs of the pandemic in an already overburdened health-care infrastructure. This has led to a demand for an alternative safe mode of health-care delivery for physical and mental illnesses barring emergencies. Telemedicine is the remote delivery of health-care using digital technology. Several countries adopted a virtual telemedicine platform to favor an alternate health-care delivery model, to provide care related to addressing the needs of the pandemic, and also to simultaneously ensure uninterrupted healthcare delivery for other illnesses. This paper highlights the growth and evolution of the e-Sanjeevani telemedicine service in India.","PeriodicalId":262035,"journal":{"name":"Journal of Psychiatry Spectrum","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128855265","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":"Economic burden of nicotine dependence during COVID-19","authors":"Jesu Dass, M. Kishor","doi":"10.4103/jopsys.jopsys_4_22","DOIUrl":"https://doi.org/10.4103/jopsys.jopsys_4_22","url":null,"abstract":"Tobacco kills more than 8 million people globally every year. Tobacco adversely affects the individual and family, adding to the economic burden. More than 7 million deaths are directly related to nicotine use and around 1.2 million are due to passive smoking, which is exposure by nonsmokers. Tobacco smoking is a known risk factor for numerous physical health diseases particularly respiratory diseases and psychiatric conditions. COVID-19 pandemic has caused an additional burden on people's health and economic life across the world. There is hardly any data about the economic impact of tobacco use during the pandemic. Here, we report a case to estimate the economic cost of nicotine use during COVID-19 and treatment expenditure at tertiary care hospitals.","PeriodicalId":262035,"journal":{"name":"Journal of Psychiatry Spectrum","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131658870","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":"The good, bad, and ugly about netflix series “After life\"","authors":"S. Suhas","doi":"10.4103/jopsys.jopsys_22_22","DOIUrl":"https://doi.org/10.4103/jopsys.jopsys_22_22","url":null,"abstract":"After Life is a British dark comedy series streaming on Netflix, created by Ricky Gervais, that deals with the bitter reality of grief experience and its consequences upon a person and his environment, and realistic portrayal of caregiver burden in dementia. The series has several positives. There is, however, a dangerous portrayal of psychiatrists and their role in helping people in need. This subtle message may lead to persons with psychological distress not to seek help which may subsequently lead to potentially deleterious consequences. This calls for advocacy favoring responsible entertainment where the show makers could perhaps encourage persons in distress to seek help. This article aims to discuss the many positives and few negatives about the series and the complexity of grief and mourning through the eyes of a fictional middle-aged newspaper journalist.","PeriodicalId":262035,"journal":{"name":"Journal of Psychiatry Spectrum","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128791534","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":"Coping with COVID-19: What can we learn from patanjali yoga sutras?","authors":"S. Bhide, Hemant Bhargav, S. Varambally, G. Desai","doi":"10.4103/jopsys.jopsys_34_22","DOIUrl":"https://doi.org/10.4103/jopsys.jopsys_34_22","url":null,"abstract":"Patanjali Yoga Sutra (PYS) is considered as the most comprehensive compendium of human psychology from the ancient yoga perspective. The text fundamentally focuses on providing a systematic model for the application of yoga as a tool to reduce agitations of the mind (Chitta vritti nirodhaha). Apart from the systematic description of the eight limbs of yoga (Ashtanga Yoga), the text also provides several useful psychological concepts and mind-body techniques to overcome grief, suffering, and pain. These techniques may serve as useful coping strategies as an add-on to conventional psychotherapy in facing the challenge of the ongoing COVID-19 pandemic. The current paper provides the details of these techniques and calls for more research in future to explore the psychotherapeutic potential of PYS.","PeriodicalId":262035,"journal":{"name":"Journal of Psychiatry Spectrum","volume":"99 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121601913","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":"Inhalant Abuse in Adolescents in North Karnataka: A Case Series","authors":"R. Patil, Meghamala S. Tavaragi, C. Sushma","doi":"10.4103/jopsys.jopsys_1_22","DOIUrl":"https://doi.org/10.4103/jopsys.jopsys_1_22","url":null,"abstract":"The vulnerable adolescent population frequently struggle with psychoactive inhalant abuse, having experimented with inhalant at some time during early childhood. Inhalant abuse is more prevalent among youth, especially from socially and economically backward communities, presenting with episodic waxing and waning course. Inhalant use can result in physical and mental health issues namely, addiction to other substances, depression, memory disturbances, psychosis, suicidal thoughts, decreased learning, and physical conditions such as anemia, cardiac, pulmonary, and renal issues. This case series aims to raise awareness among the general public and medical professionals about the growing problem of inhalant addiction and the need for treatment in North Karnataka.","PeriodicalId":262035,"journal":{"name":"Journal of Psychiatry Spectrum","volume":"108 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121731146","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}