R. Bhatt, Parveen Kumar, D. Vasavada, V. Shah, L. Nerli, D. Tiwari
{"title":"Impact of electroconvulsive education module on knowledge and attitude of caregivers of mentally ill patients toward electroconvulsive therapy","authors":"R. Bhatt, Parveen Kumar, D. Vasavada, V. Shah, L. Nerli, D. Tiwari","doi":"10.4103/jmhhb.jmhhb_36_22","DOIUrl":"https://doi.org/10.4103/jmhhb.jmhhb_36_22","url":null,"abstract":"Background: Electroconvulsive therapy (ECT) is a process of passage of an electric current to the patient's brain which induces a grand mal seizure. It is an effective and safe treatment option for many psychiatric disorders. There are a lot of stigmas associated with the use of ECT, which further undermines its acceptance by the general public. Relatives of patients who have more knowledge about ECT and its process of administration have a more positive attitude. Aims and Objective: The current study was used to assess the impact of brief ECT education module on knowledge and attitude toward ECT. Material and Methods: An interventional study was carried out from November 2021 to January 2022 among caregivers of mentally ill patients at a tertiary care center in Jamnagar, Gujarat, India. Consenting caregivers of 18–60 years without any history of psychiatric illness were included in the study. All participants were approached and requested to fill a semistructured pro forma containing demographic details and “knowledge and attitude toward ECT”, before and after the completion of the oral education session. Results: A total of 400 participants participated in the study. Participant's age ranged from 18 to 60 years. Participants have poor knowledge about the mechanism of ECT, its efficacy, and side effects related to it (<50% response). A positive correlation was observed between knowledge and attitude (r = 0.625, P < 0.001). Education has a statistically significant impact on changing attitude. Conclusion: Participants having higher educational qualifications or those having previous history of ECT among close friends or relatives had a positive perception toward ECT. Educational or counseling sessions among caregivers are effective in changing attitude toward ECT.","PeriodicalId":31679,"journal":{"name":"Journal of Mental Health and Human Behaviour","volume":"27 1","pages":"113 - 118"},"PeriodicalIF":0.5,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48731968","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":"Mental health issues among medical students","authors":"S. Grover","doi":"10.4103/jmhhb.jmhhb_297_22","DOIUrl":"https://doi.org/10.4103/jmhhb.jmhhb_297_22","url":null,"abstract":"","PeriodicalId":31679,"journal":{"name":"Journal of Mental Health and Human Behaviour","volume":"27 1","pages":"71 - 74"},"PeriodicalIF":0.5,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46174892","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}
Shailja Anand, J. Khandekar, S. Rasania, Dinesh Kataria
{"title":"Effect of electronic media on adolescents' psychosocial health","authors":"Shailja Anand, J. Khandekar, S. Rasania, Dinesh Kataria","doi":"10.4103/jmhhb.jmhhb_253_21","DOIUrl":"https://doi.org/10.4103/jmhhb.jmhhb_253_21","url":null,"abstract":"Background: In the last decade, electronic media usage in world and India has seen dramatic increase. Electronic media is demonstrating potentially profound effects, especially on children and adolescents, like a double-edged sword. Electronic media is the media that uses electronics or electromechanical means for the audience to access the content. Many studies documenting relationship of electronic media on adolescents' physical and psychosocial health have been carried out in developed countries, in contrast; very few studies have been carried out in India. Therefore, this study was planned with the objective of finding out the extent and pattern of electronic media usage and its effect on psychosocial health of adolescents. Aims: The aim of the study is to assess the prevalence of electronic media usage among adolescents and to study the relationship of electronic media usage with psychosocial health of adolescents (10–17 years). Materials and Methods: This is a descriptive, community-based, cross-sectional study conducted in Mehrauli area of Delhi. Results: The mean age of 450 adolescents in the current study was a 13.85 ± 2.92 years, with majority (80%) belonging to nuclear families. Use of electronic media among study subjects was found to be 100%. Most of the psychosocial problems were reported more in subjects belonging to middle and late adolescent age groups. Aggression (42.89%), irritability (42.44%), and change in sleep pattern (39.33%) were commonly prevalent psychosocial problems among study subjects. Nearly 23% of adolescents reported with violent behavior, 17% feeling of loneliness, 13% peer problem, 10% had emotional problem, 10% were hyperactive, nearly 8% had conduct problem, nearly 7% reported with stress, anxiety, and low prosocial behavior, and 9% scored more than average for SDQ score. Only 4% had mild to moderate depression. Conclusion: Adolescents who spent the most overall time using electronic media had more behavioral problems. Duration of gadget use in our study was higher than the recommended, which is a matter of concern as it may have a detrimental effect on physical and psychosocial health of the adolescents.","PeriodicalId":31679,"journal":{"name":"Journal of Mental Health and Human Behaviour","volume":"27 1","pages":"100 - 104"},"PeriodicalIF":0.5,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42481844","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}
S. Jaswal, A. Sidana, Shivangi Mehta, Seema A. Gupta, Gurjit Kaur
{"title":"Comparative effects of clozapine and risperidone monotherapy on levels of immunoglobulins in patients with schizophrenia – A 12 weeks' longitudinal study","authors":"S. Jaswal, A. Sidana, Shivangi Mehta, Seema A. Gupta, Gurjit Kaur","doi":"10.4103/jmhhb.jmhhb_24_22","DOIUrl":"https://doi.org/10.4103/jmhhb.jmhhb_24_22","url":null,"abstract":"Background: Schizophrenia is among the most puzzling yet disabling of all brain diseases. The finding of immunity-related genes seems to vindicate theories about the involvement of neuroimmunological processes in the pathogenesis of schizophrenia. Moreover, antipsychotics used in the treatment of schizophrenia have been shown to have effects on serum immunoglobulin levels. Aim: The aim of this study was to assess and compare the effect of risperidone and clozapine on the immunoglobulins at 6 weeks and 12 weeks in patients with schizophrenia and its clinical correlation. Materials and Methods: It was an open-label, randomized, comparative, and prospective study. Patients with International Classification of Diseases-11th Revision diagnosis of schizophrenia who were not on any antipsychotic drug for more than 2 weeks, were randomized to two groups, i.e., A (risperidone) and B (clozapine) after baseline assessment of sociodemographic and clinical parameters on the Positive and Negative Syndrome Scale (PANSS). Baseline blood investigations (complete hemogram, liver and renal function tests, lipid profile, and fasting blood sugar) and immunoglobulin estimation were done. Patients were followed at 6 weeks and 12 weeks and levels of immunoglobulin were reassessed at 6 weeks and 12 weeks along with PANSS and Glasgow Antipsychotic Side-Effect checklist. Results: A total of 32 patients were inducted into the study – 16 in the risperidone group and 16 in the clozapine group. There was no statistically significant difference in terms of the duration of illness or period of exacerbation between the two groups though the baseline total PANSS score was significantly higher in the clozapine group. In both the groups, there was no statistically significant difference in the baseline immunoglobulin levels at baseline and over 12 weeks in terms of the immunoglobulin G (IgG), IgM, and IgE levels. Within the clozapine group, a significant difference over 12 weeks was noted in IgG level. Conclusion: It can be concluded from the index study that the immunoglobulin levels in the patients with schizophrenia do not differ much concerning the effect of risperidone and clozapine. Clozapine is associated with a significant increase in IgG levels indicating the immunologic response of clozapine in schizophrenia.","PeriodicalId":31679,"journal":{"name":"Journal of Mental Health and Human Behaviour","volume":"27 1","pages":"119 - 125"},"PeriodicalIF":0.5,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44596315","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":"Psychosocial roots of stress during pregnancy: A cross sectional study","authors":"K. Asha","doi":"10.4103/jmhhb.jmhhb_188_21","DOIUrl":"https://doi.org/10.4103/jmhhb.jmhhb_188_21","url":null,"abstract":"Background: Pregnancy being an epoc of transition demanding heaps of remodeling and at the same time imbalance of which give rise to antenatal stress. As gestational stress is a considerable antecedent of detrimental pregnancy outcome, it is noteworthy to identify its contributing factors. The objective of the study was to determine the psychosocial factors associated with antenatal stress. Materials and Methods: Quantitative approach with a cross-sectional design was used to study the association between psychosocial factors and stress of pregnancy. Setting of the investigation was antenatal clinics of government hospitals at Thiruvananthapuram district of Kerala. The data were collected from 704 women in the gestational span of 20–24 weeks using Antenatal Psychosocial Stress Scale and structured interview schedule. Results: Bivariate analysis revealed that there is a statistically significant association between high stress and high fear of labor pain (odds ratio [OR] = 1.85, 95% confidence interval [CI]: 1.12–3.08) as well as anxiety regarding gender of baby (OR = 2.12, CI: 1.31–3.41). Conclusion: The present study revealed that heightened fear of labor pain and anxiety regarding gender of baby are the significant factors associated with antenatal stress. The study highlights the need of childbirth preparation classes attached to antenatal clinics. It also suggests the demand for abolishing gender preferences prevailing in the community.","PeriodicalId":31679,"journal":{"name":"Journal of Mental Health and Human Behaviour","volume":"27 1","pages":"82 - 86"},"PeriodicalIF":0.5,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48397923","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":"Effectiveness of adjunctive telemode mindfulness-based cognitive therapy on symptom severity and quality of life in patients with depression","authors":"Diksha Sachdeva, H. Kaur, A. Avasthi, S. Grover","doi":"10.4103/jmhhb.jmhhb_28_22","DOIUrl":"https://doi.org/10.4103/jmhhb.jmhhb_28_22","url":null,"abstract":"Background: Mindfulness-based cognitive therapy (MBCT) is reported to improve depression. However, little information is available about the effectiveness of MBCT interventions online. The aim of this study was to evaluate the effect of adjunctive telemode MBCT on the symptom severity and quality of life in patients with depression. Methods: 15 adult patients aged 18–55 years diagnosed with depression received 8-week adjunctive MBCT intervention to the ongoing treatment as usual for all (TAU) delivered through online mode. 12 participants completed the therapy and were reassessed. Patients were assessed at the baseline on Beck Depression Inventory (BDI), Five Facet Mindfulness Questionnaire, and World Health Organization-Quality of life BREF scale. Results: There was statistically significant reduction in the severity of depressive symptoms (P < 0.003) as assessed on the BDI. It led to remission in two-thirds of the patients partially responding to antidepressants. On the World Health Organization Quality of Life, there was statistically significant improvement on the domains of physical (P < 0.002), psychological (P < 0.002), social (P < 0.002), and environment (P < 0.005) domains. There was a significant improvement in the total Five Facet Mindfulness Questionnaire score. Conclusions: Adjunctive online MBCT appears to be a feasible adjunct to TAU in reducing severity of depression, improving mindfulness, and improving quality of life in patients with depression.","PeriodicalId":31679,"journal":{"name":"Journal of Mental Health and Human Behaviour","volume":"27 1","pages":"126 - 131"},"PeriodicalIF":0.5,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46927653","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":"Parenting styles and mental health of adolescents: A cross-sectional study in South India","authors":"N. Ramesh, C. Vijay, Kavita Gonsalves","doi":"10.4103/jmhhb.jmhhb_176_20","DOIUrl":"https://doi.org/10.4103/jmhhb.jmhhb_176_20","url":null,"abstract":"","PeriodicalId":31679,"journal":{"name":"Journal of Mental Health and Human Behaviour","volume":"1 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70804169","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":"Premenstrual syndrome among college students and its relation to their study activities","authors":"Nurnahar Ahmed, Pallavi Talukdar, Subhra Sarkar","doi":"10.4103/jmhhb.jmhhb_113_21","DOIUrl":"https://doi.org/10.4103/jmhhb.jmhhb_113_21","url":null,"abstract":"","PeriodicalId":31679,"journal":{"name":"Journal of Mental Health and Human Behaviour","volume":"1 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70804131","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":"Prevalence of delirium and predictors of longer intensive care unit stay: A prospective analysis of 207 mechanical ventilated patients","authors":"Rajesh Kumar, H. Haokip, Tamanna, M. Bairwa","doi":"10.4103/jmhhb.jmhhb_228_21","DOIUrl":"https://doi.org/10.4103/jmhhb.jmhhb_228_21","url":null,"abstract":"","PeriodicalId":31679,"journal":{"name":"Journal of Mental Health and Human Behaviour","volume":"1 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70804220","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":"Demoralization: Implications in practice of medicine","authors":"S. Grover","doi":"10.4103/jmhhb.jmhhb_3_22","DOIUrl":"https://doi.org/10.4103/jmhhb.jmhhb_3_22","url":null,"abstract":"","PeriodicalId":31679,"journal":{"name":"Journal of Mental Health and Human Behaviour","volume":"26 1","pages":"89 - 91"},"PeriodicalIF":0.5,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48452080","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}