{"title":"Summary Report: World Association of Social Psychiatry Asia Pacific Hybrid Congress 2021","authors":"R. Rao, A. Dhawan, R. Chadda","doi":"10.4103/wsp.wsp_47_21","DOIUrl":"https://doi.org/10.4103/wsp.wsp_47_21","url":null,"abstract":"","PeriodicalId":285109,"journal":{"name":"World Social Psychiatry","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133916074","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}
Manabu Yasuda, Toshiyuki Kobayashi, Kengo Sato, N. Saito, Shiro Suda
{"title":"Age at Death and Causes of Death of Patients Dying in Psychiatric Hospitals: Survey at 15 Hospitals in Tochigi Prefecture, Japan","authors":"Manabu Yasuda, Toshiyuki Kobayashi, Kengo Sato, N. Saito, Shiro Suda","doi":"10.4103/wsp.wsp_64_21","DOIUrl":"https://doi.org/10.4103/wsp.wsp_64_21","url":null,"abstract":"Background: Japan entered an aging society in the late 1990s. The aging of inpatients in psychiatric hospitals has increased the need for medical care, but the actual situation has not been fully investigated. Objectives: We investigated the actual situation of in-hospital deaths through death certificates. Methods: The survey was conducted at 15 of 26 psychiatric hospitals in Tochigi Prefecture, Japan that consented to the survey. We examined the death certificates of patients who died between 1996 and 2015 at these 15 hospitals. The number of the certificates was 2441 (1443 males and 998 females). The number of deaths and the average age of death per year were calculated. Then, we surveyed the data regarding the diagnosis of death described in the death certificates based on the International Classification of Diseases-10. Results: The average age of death was in the 60s from 1996 to 2000 in the first 5 years, but since 2001, it has exceeded 70 years. Respiratory diseases accounted for 40% of the total, cardiovascular diseases for 26%, and malignant neoplasms for 11%. On the other hand, extrinsic death such as suffocation was 4%, and suicide was 1%. Conclusions: The reason of the elevation of death age might be related to the implementation of novel antipsychotics in Japan since 1996 and the establishment of the long-term care insurance system for the elderly in 2000. It is considered that the reasons why respiratory diseases, cardiovascular diseases, and malignant neoplasms occupy the top ranks of death are that these diseases have a high risk of death in the elderly.","PeriodicalId":285109,"journal":{"name":"World Social Psychiatry","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123932824","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":"Fear and Information-Seeking Behavior Related to COVID-19 in Older Indian Adults","authors":"S. Vaidyanathan, S. Jaiswal","doi":"10.4103/wsp.wsp_69_21","DOIUrl":"https://doi.org/10.4103/wsp.wsp_69_21","url":null,"abstract":"Background: Elderly, a high-risk population for COVID-19, are further vulnerable to mental health sequelae due to several pandemic-related restrictions. This study aimed to assess fear and information-seeking behavior related to COVID-19 among older Indian adults. Methodology: It was an online, observational cross-sectional study. An open-access e-invite to the questionnaire (on Google forms) was circulated through social media. The form contained sociodemographic details, fear of COVID-19 scale (FCV-19S), and an original questionnaire on information-seeking behavior in COVID-19. Responses of adults ≥60 years of age were noted. Analyses were done with SPSS v20, and Mann–Whitney U test was used to compare the FCV-19S scores among information-seeking variables. Results: A total of 150 completed responses were obtained. Mean age of respondents was 67 ± 5.44 years; median FCV-19S score was 11; 9.33% of respondents had significant fear of COVID-19. TV/Radio (55.3%) followed by newspaper/magazines (40.7%) were the most preferred source of information. Preventive measures (75.3%) and symptoms of disease (70%) were the most sought-after information. Those who spent more time than intended searching for information have significantly higher fear scores (P = 0.025). There was no significant difference in fear score for other parameters of information-seeking behavior and its consequences. Conclusion: Less than 10% of study population of older adults had a significant fear of COVID-19. Information sought is mostly on symptoms of disease, preventive measures, and guidelines and sought through passive sources rather than active searching or in-person. Those with higher fear scores are likely to spend more time searching for information than intended and are less likely to perceive any dysfunction due to said behavior.","PeriodicalId":285109,"journal":{"name":"World Social Psychiatry","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116055857","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}
I. Domun, A. Sidana, Subhash Das, S. Tyagi, Jasmin Garg, N. Gupta
{"title":"Human Rights and Adherence to Treatment in Patients with Severe Mental Illness: Mental Healthcare Act 2017 Perspective","authors":"I. Domun, A. Sidana, Subhash Das, S. Tyagi, Jasmin Garg, N. Gupta","doi":"10.4103/wsp.wsp_71_21","DOIUrl":"https://doi.org/10.4103/wsp.wsp_71_21","url":null,"abstract":"Background: Mental Healthcare Act (MHCA) has been implemented on May 29, 2018. Patients with mental illness show high rates of medication nonadherence as well as human rights violation. Hence, it is important to study the impact of this new law on persons with mental illnesses (PMI) and the human rights awareness with emphasis on the two modes of admissions, i.e., supported and independent. Aim: Influence of MHCA, 2017 on medication adherence in patients with severe mental illness (SMI) admitted under-supported and independent category and its correlation with human rights awareness of PMI. Material and Methods: Patients diagnosed with SMI (NIMH definition, 2006) were admitted to the psychiatry ward. Baseline sociodemographic, psychopathology severity, global functioning, adherence rates, insight, and human rights awareness were assessed. Patients were divided into independent and supported groups. Weekly assessments were done during admission, subsequent assessments were done post discharge at week 1 and week 6. It was a prospective follow-up in design. Results: A total of 65 patients were included. The emotional needs dimension of human rights showed P < 0.01 at baseline as well as final follow-up. Statistically significant correlation was seen in human rights awareness and adherence at baseline in the independent admission group (IAG). Medication Adherence Rating Scale (MARS) score and Clinician Rating Scale score were lower (4.29 ± 2.13; 4.06 ± 1.73 and 3.38 ± 1.98; 3.26 ± 1.91) in supported admission group (SAG). Insight showed a statistically significant higher value in IAG than SAG (12.80 ± 7.26 and 8.18 ± 6.96) at baseline. Conclusion: No significant difference could be seen in illness specifiers and adherence patterns between the two groups. Findings reflect statistically lower fulfillment of emotional needs in SAG and positive correlation between medication adherence and human rights awareness. Therefore, adherence is an important determinant of human rights awareness.","PeriodicalId":285109,"journal":{"name":"World Social Psychiatry","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132179541","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":"“Narratives of Mothering”: Lived Experiences of Child-Rearing in Mothers with Severe Mental Illness","authors":"D. Banerjee, R. Arasappa, P. Chandra, G. Desai","doi":"10.4103/wsp.wsp_51_21","DOIUrl":"https://doi.org/10.4103/wsp.wsp_51_21","url":null,"abstract":"Background: Motherhood is a unique phenomenon and not uncommon in women with severe mental illness (SMI). However, little attention has been paid to the voices of these mothers with SMI as to how they navigate it. A qualitative exploration with a social constructivist paradigm was used to understand lived experiences of mothers with SMI during the child-rearing period. Methods: The study used a qualitative design with social constructivist paradigm to obtain data from 30 mothers with SMI who had children <5 years of age. One-to-one in-depth semi-structured interviews were conducted with transcription, and inductive thematic analysis was used to explore transcripts using Charmaz's grounded theory. Triangulation and respondent validation were used to ensure rigor. Results: Emergent categories (themes) were thoughts/feelings about childbearing (considering children as prized and long-awaited possession, motherhood as “therapeutic,” concerns about child's mental health), the impact of mental illness (problems in emotional bonding, separation from children, improved healthcare to serve the maternal role), unmet needs (support groups, empathy, responsibility-sharing, home-based treatment), and caregivers' reactions (blame, discrimination, institutionalization for mental healthcare, custody-related threats). Motherhood as a central part of their identity and burden of balancing “childcare and mental illness” was the overarching categories. Conclusion: The complex emotional journey of a mother with SMI from child-bearing to child-rearing is fraught with many challenges. Developing sensitive and tailored mental health care interventions and policies for them needs to include their own voices, which will improve maternal-child bonding as well as service utilization.","PeriodicalId":285109,"journal":{"name":"World Social Psychiatry","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127243609","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":"Learnings from Ancient India: Relevance to Contemporary Psychiatry","authors":"R. Chadda, Pallavi Rajhans","doi":"10.4103/wsp.wsp_50_21","DOIUrl":"https://doi.org/10.4103/wsp.wsp_50_21","url":null,"abstract":"India is one of the oldest civilizations in the world and has a rich cultural heritage. Ancient Indian scriptures (Vedas, Upanishads, and Bhagavad Gita) and epics (Ramayana and Mahabharata) are a great source of knowledge. Some of the principles, described in these texts, have applicability to the discipline of psychiatry in the contemporary scene. Ayurveda, the Indian system of medicine with history dating back to the Vedic period, also recognizes mental disorders, giving their descriptions, and explaining their etiology and management. Bhagavad Gita has given detailed description of crisis management and dealing with anxiety, stress, and depression and elucidated the principles of psychotherapy. Buddhism, one of the religions with origin in India, describes the principles of meditation and ways of dealing with stress and anxiety. Yoga, an important gift of ancient India, has been found to be effective in the management of anxiety and psychosomatic disorders. Various meditation techniques practiced today make the use of principles that date back to ancient India. Epics such as Ramayana and Mahabharata include multiple descriptions of dealing with stress and mental health issues which have relevance in the contemporary psychiatry. The methods of stress and crisis management as described in the ancient Indian literature have also applicability in dealing with certain mental health issues during the crisis situations such as the COVID-19 pandemic.","PeriodicalId":285109,"journal":{"name":"World Social Psychiatry","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115063894","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":"Psychological Trauma Through Mass Media: Implications for a Current “Pandemic-Infodemic” Situation (A Narrative Review)","authors":"V. Rozanov, W. Rutz","doi":"10.4103/wsp.wsp_90_20","DOIUrl":"https://doi.org/10.4103/wsp.wsp_90_20","url":null,"abstract":"There is evidence from earlier studies that the probability to be traumatized by pictures of disasters is associated with a high level of exposure, the traumatic significance of the pictured event, prior exposure to similar real-life events, and personality variables. Preexisting symptoms of posttraumatic stress disorder, depression, and anxiety are predictors of the higher impact of mass media (MM) and social media (SM) contributing to a vicious cycle. We aimed to discuss mechanisms through which MM and SM may cause massive indirect traumatization of populations and that may be relevant for the psychosocial conditions that emerged during COVID-19 pandemic news bombardment. The current pandemic is an example of a serious and deadly disease with extremely enhanced representation in the MM and SM and high rates of unverified, false, and sometimes apocalyptic information. Both mass as well as social medial tendencies to select their news according to their controversial and often negatively affective load contribute to this. This phenomenon is characterized as “infodemic” – a situation that may have profound consequences for mental health due to undermining feelings of personal safety, corroding social cohesion, and inducing conflicts and bitterness. Pandemic-infodemic situation has shown that complicated but inevitable turn to higher transparency including ethically motivated restrictions of anonymity and the contents of the web– measures that, however, have to be sensitively balanced with the demands guaranteeing the freedom of opinion, the freedom of speech and the avoidance of censorship. In general, there is a need for complex solutions, difficult decisions, and intricate balances.","PeriodicalId":285109,"journal":{"name":"World Social Psychiatry","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129677769","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":"Obituary: Fred Kigozi","authors":"J. Nakku, R. Kallivayalil, D. Ndetei","doi":"10.4103/wsp.wsp_39_21","DOIUrl":"https://doi.org/10.4103/wsp.wsp_39_21","url":null,"abstract":"","PeriodicalId":285109,"journal":{"name":"World Social Psychiatry","volume":"336 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131512320","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 Global Relevance of Social Links with Mental Health, from a Luminary in Social Psychiatry","authors":"N. Gupta, D. Basu","doi":"10.4103/wsp.wsp_38_21","DOIUrl":"https://doi.org/10.4103/wsp.wsp_38_21","url":null,"abstract":"","PeriodicalId":285109,"journal":{"name":"World Social Psychiatry","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123677710","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":"Loneliness in Older People: From Analysis to Action","authors":"R. Murthy, D. Banerjee","doi":"10.4103/wsp.wsp_37_21","DOIUrl":"https://doi.org/10.4103/wsp.wsp_37_21","url":null,"abstract":"","PeriodicalId":285109,"journal":{"name":"World Social Psychiatry","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125137437","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}