Journal of Indian Association for Child and Adolescent Mental Health最新文献

{"title":"Assessment of Nomophobia and Loneliness in Rural Turkish Adolescents: A Cross-Sectional Study","authors":"A. Kılınç, C. Çam, A. Ünsal, Didem Arslantas¸","doi":"10.1177/09731342231162198","DOIUrl":"https://doi.org/10.1177/09731342231162198","url":null,"abstract":"Background: Nomophobia, short for “no mobile phone phobia,” is defined as having an involuntary and unreasonable fear when the mobile device is unreachable or uncommunicable. Aims: The study aimed to evaluate nomophobia and loneliness levels of high school (HS) students from a rural region. Methods: This cross-sectional study was conducted between November 5 and December 28, 2018, on 850 HS students in Sivrihisar, Eskis¸ehir, Turkey. Nomophobia Questionnaire (NMP-Q) and UCLA Loneliness Scale were used. Mann-Whitney U, Kruskal-Wallis, Spearman Correlation analysis, and Multiple Linear Regression were performed. Results: In the study group, 429 (50.5%) were female. Their ages ranged from 13 to 19, and their mean age (standard deviation [SD]) was 15.66 (1.18) years. The mean score (SD) from NMP-Q was 54.92 (14.87), while the mean score (SD) from the UCLA loneliness scale was 13.95 (4.60). Multivariate analysis showed that being a female, having first smartphone use before the age of 13, having high daily smartphone usage, having a high frequency of checking phones, and having more friends on social media than in real life were associated with higher nomophobia levels (F = 28.424, P < .001, R² = 0.213). There was a positive weak correlation between nomophobia and loneliness levels (r = 0.353, P = .001). Conclusions: Factors such as phone usage habits and loneliness, which can be changed by providing education and creating appropriate environments in schools, are important determinants of nomophobia among HS students in rural areas, suggesting that interventions to combat nomophobia are possible.","PeriodicalId":42760,"journal":{"name":"Journal of Indian Association for Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46150162","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":"Learning Disability Certification in India: Quo Vadis","authors":"Nitin Gupta, N. Goyal, E. Sharma","doi":"10.1177/09731342231166431","DOIUrl":"https://doi.org/10.1177/09731342231166431","url":null,"abstract":"Learning disorder (LD), one of the most common neurodevelopmental disorders, affects 3% to 10% of children. It is characterized by poor academic skills that are quantifiably below those expected for an individual’s chronological age (at least 1.5 standard deviation below the age-wise population mean). Significant interference with academic and/or occupational performance or with activities of daily living is observed. LD is confirmed with standardized achievement measures and comprehensive clinical assessments. Learning difficulties are usually noticed during school years; however, they may not manifest till later, whenever demands in academics exceed an individual’s capacity.","PeriodicalId":42760,"journal":{"name":"Journal of Indian Association for Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46711937","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":"Diagnostic and Therapeutic Challenges in an Adolescent with Comorbid Oppositional Defiant Disorder and Bipolar Disorder","authors":"T. Panda, Kartik Singhai, N. Nebhinani, V. Pareek, Shreyance Jain","doi":"10.1177/09731342231156497","DOIUrl":"https://doi.org/10.1177/09731342231156497","url":null,"abstract":"Oppositional defiant disorder (ODD) is often found to be comorbid with bipolar disorder (BD) in children and adolescents. Both disorders are characterized by chronic irritability, emotional dysregulation, and behavioral problems. These overlapping symptoms often lead to diagnostic difficulty. In addition, ODD-BD comorbidity also presents multiple therapeutic challenges. Here, we describe the case of an adolescent male, who presented with comorbid ODD and BD, along with multiple diagnostic and therapeutic challenges.","PeriodicalId":42760,"journal":{"name":"Journal of Indian Association for Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44707212","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":"Correlation of Screen Time With Eating Behavior Among School-Going Children Aged 8 to 10 Years in East Delhi, India","authors":"Riya Semar, Neha Bakshi","doi":"10.1177/09731342221144877","DOIUrl":"https://doi.org/10.1177/09731342221144877","url":null,"abstract":"Background and aim: Excessive screen time (ST) negatively impacts physical activity and eating behavior among children <5 years. There is a dearth of data on older Indian children; hence, the present study aimed to assess the effect of ST on eating behavior among older children. Methods: The present cross-sectional study purposively recruited 100 school-going children. E-questionnaire was prepared to gather information regarding the demographic profile and self-reported weight and height. For the assessment of ST, the SCREENS questionnaire was used. Eating behavior was assessed using the Children Eating Behavior Questionnaire, and for physical activity, the PAQ-C was used. The nutrition status of children was assessed using body mass index (BMI) for age cut-offs. Results: The results revealed that 52% of the children were using screens for > 4 hours per day excluding school-related activities and online classes. ST of children was directly proportional to the parent’s ST (P < .05). There was a negative correlation between ST and the physical activity of children (P < .01). A positive correlation was observed between ST and emotional overeating, desire to drink, slow eating, satiety responsiveness, food fussiness, and emotional undereating (P < .01). BMI was positively associated with ST and negatively associated with physical activity, though the results were not significant. Satiety responsiveness (a food-avoiding subscale) was negatively associated with BMI (P < .05). Conclusion: The present study concludes that excessive ST among 8 to 10 years old school-going children has been associated with physical inactivity and poor eating behavior which could lead to an increased risk of being overweight and obese.","PeriodicalId":42760,"journal":{"name":"Journal of Indian Association for Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43688529","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":"Impulsivity and Aggression Among Male Delinquent Adolescents Residing in Observation Homes—A Descriptive Correlation Study from East India","authors":"P. Srinivasan, S. Rentala, Pragya Kumar","doi":"10.1177/09731342231171305","DOIUrl":"https://doi.org/10.1177/09731342231171305","url":null,"abstract":"Background: Aggression and crime are connected and highly reported among juveniles in recent times as compared to adults, which ends up in delinquency. It is not just aggression that dominates but the associated impulsiveness also plays a vital role. This study was intended to assess impulsivity and aggression, and their relationship among male delinquent adolescents residing in observation homes. Methods: A quantitative research approach with the nonexperimental descriptive correlation design was adopted. One hundred and seventy-nine male delinquent adolescents residing in 2 observation homes in the state of Bihar, India, were selected by convenience sampling technique. The standardized Buss & Perry Aggression questionnaire, and Barratt Impulsiveness scale were used for collecting the data regarding impulsivity and aggression among male delinquent adolescents. Results: The data were analyzed with descriptive statistics for a description of sample characteristics, and research variables, inferential statistics such as Pearson correlation for correlation, t-test, and ANOVA for the association, and stepwise regression for predictors. Aggression and impulsivity were significantly correlated, there was a significant association of impulsivity with educational status and history of substance use, and the mother’s occupation, educational status, and substance use had predicted the impulsivity. Conclusion: The study concluded that impulsivity and aggression are measurable constructs among male delinquent adolescents, and both were found to be positively correlated. This study had provided initial evidence by filling the gap in the literature to understand the relationship between impulsivity and aggression among juvenile delinquents.","PeriodicalId":42760,"journal":{"name":"Journal of Indian Association for Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46771123","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":"Severe Microcytic Hypochromic Anemia Masquerading as Conversion Disorder: A Case Report","authors":"Mohd Ahsan, Rashmi Shukla","doi":"10.1177/09731342231169633","DOIUrl":"https://doi.org/10.1177/09731342231169633","url":null,"abstract":"Conversion disorder is a psychiatric illness in which an affected person experiences signs and symptoms of voluntary motor or sensory dysfunction in absence of any underlying neurological or medical condition. According to recent studies, fewer people initially labelled with a diagnosis of conversion have subsequently been found to have an organic disorder. We report a case of 13-year-old female, with a provisional diagnosis of conversion disorder later on, after detailed evaluation came out to be a case of severe anemia. Patient was transferred to the Psychiatry Department in view of the possibility of conversion symptoms. Detailed assessment of routine blood work (complete blood count with general blood picture) yielded severe microcytic hypochromic anemia (hemoglobin = 4.1 gm/dL). The patient was advised accordingly and an urgent blood transfusion was advised. It is mandatory that before labelling someone as having conversion disorder, rule out all essential and possible organic etiologies which can explain the clinical presentation, as it can be life-threatening.","PeriodicalId":42760,"journal":{"name":"Journal of Indian Association for Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44729530","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":"Risk of Disordered Eating Among a Sample of Indian Adolescents: The Role of Online Activity, Social Anxiety and Social Support","authors":"B. Piko, Kosha Patel, Hedvig Kiss","doi":"10.1177/09731342231163391","DOIUrl":"https://doi.org/10.1177/09731342231163391","url":null,"abstract":"Background: Although the concept of a slim body was first introduced in Western societies, body dissatisfaction and disordered eating became a globalized issue, and appeared in India and other Asian cultures as well. However, we know much less about the background variables in this region. Aim: To further examine potential risk and protective factors for disordered eating, we aimed to detect the role of online activity (smartphone addiction, time spent online), social anxiety and social support as well as Body Mass Index (BMI), academic performance, and sociodemographics in elevating the risk of disordered eating among a sample of Indian adolescents. Methods: This study employed 112 high school students (aged between 14–18 years; mean age = 16.01 years; SD = 1.08; 47.3% females) from a private high school located in Vadodara, India. Besides sociodemographics, weight and height (Body Mass Index, BMI), academic performance, and average screen time on weekdays/weekends) were asked. We used four different instruments for exploring the psychological variables: Eating Attitudes Test (EAT-26), Smartphone Addiction Scale – Short Version (SAS-SV), The Kutcher Generalized Social Anxiety Scale for Adolescents (K-GSADS-A), and Multidimensional Scale of Perceived Social Support (MSPSS). Results: Using a cut-off score of 20 points, 9.8% of the students were evaluated as being at risk for disordered eating. Besides time spent online on weekdays, smartphone addiction, social anxiety and avoidance, and higher BMI scores elevated the risk of disordered eating in bivariate logistic regressions, while social support served as a protection. In the final multivariate model, only two factors remained significant contributors: being online on weekdays (risk) and being online on weekends (protection). Conclusion: These findings highlight the different roles of Internet use in the risk of disordered eating (weekdays: risky, weekend: protective) among this sample of Indian adolescents which can be explained by a possible shift in students’ social connections (from peers to family) during the different period of the week.","PeriodicalId":42760,"journal":{"name":"Journal of Indian Association for Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45880038","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":"Clinical Profile of Patients Visiting a Private Child and Adolescent Psychiatric Clinic in Delhi","authors":"Deepak K. Gupta, N. Sengupta","doi":"10.1177/09731342231162201","DOIUrl":"https://doi.org/10.1177/09731342231162201","url":null,"abstract":"Background: Mental disorders continue to be a concern for everyone as the prevalence rate of disorders varies from study to study and sample to sample. As most of the statistics come from Government setups in India, data from private psychiatric clinics/setups are missing. Aim: The current study puts forth the data from a private psychiatric child and adolescent center located in New Delhi, India. Method: The data from approximately 15 years (2004-2019) were extracted from the record files and analyzed for the most prevalent disorders among different age groups of children and adolescents. Results: ASD and ADHD were found to be most prevalent among others along with multiple diagnoses. Most of the patients who visited the setup were from Delhi NCR only.","PeriodicalId":42760,"journal":{"name":"Journal of Indian Association for Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46995023","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 New Millennium Family Functioning and Health of Generation Z: From a Socioconstructivist Perspective","authors":"Saumya Sharma, Seema Singh, Navin Kumar","doi":"10.1177/09731342231161473","DOIUrl":"https://doi.org/10.1177/09731342231161473","url":null,"abstract":"Background: From whichever culture a family belongs to, scientific evidence shows the role of family functioning and relationships on the child’s health and well-being. A family can either be a source of an issue or a resource for preventing the problem, especially in a diverse country like India. The foremost step to understanding these aspects is to develop an awareness of the transitional nature of family functioning in the new millennium. Objectives: The study proposes to explore the dynamics of family functioning from the conceptualization of parents of Generation Z and intents to analyze the subsequent outcomes on the health of children and adolescents, presenting it as qualitative network construction. Methods: Rich descriptive data was collected from 60 parents by a semi-structured interview schedule consisting of 4 predecided questions. The analyses were done by ATLAS.ti7 version 7.5.16, Computer-Assisted Qualitative Data Analysis Software (CAQDAS). Results: As an upshot, 2 structural networks were constructed. One network depicts the 3 aspects of family functioning, cohesion, flexibility, and communication, studied according to Indian families of the new millennium. The psychological, socioemotional, and physical impact of the functioning accumulated in the second network. The study revealed the underlying aspects, the level, and quality of all the 3 dimensions and the thought-provoking aftermath for Generation Z. Conclusion: The study offers intriguing information about the Indian family functioning of the new millennium and its descriptive association with the health of children and adolescents.","PeriodicalId":42760,"journal":{"name":"Journal of Indian Association for Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42589214","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":"Association of Screen Time with Physical and Mental Health Among Children: A Cross-Sectional Study","authors":"R. Donthu, Raghava Badabagni, A. Mohammed, Krishna Varsha Vuddandam, Veena Saraswathi Chatti","doi":"10.1177/09731342231168495","DOIUrl":"https://doi.org/10.1177/09731342231168495","url":null,"abstract":"Background: The effects of digital screen use on the physical and mental health of a child are a debated area of research. Studies have established few harmful effects, but the usage among children remains to be high. There is less understanding of the pattern of the digital screen and application usage and its impact on physical and mental health in our population. Aims: To study the pattern of digital screen use among children (5-15 years) and its impact on their physical and mental health. Setting and design: Cross-sectional study conducted in a tertiary care hospital. Materials and Methods: Sociodemographic details of parents and their children, screen time-related questions, pediatric symptom checklist (PSC) for screening of mental health issues, and questions regarding physical health issues in children due to screen use. Statistical Analysis: Data was analyzed using R language. Results: There is a significant association between parents’ education, gender, and the number of children with screen time. YouTube followed by WhatsApp are the commonly used digital applications and smartphones followed by Smart TVs are the commonly used digital gadgets. The physical issues are less than the clinical cut-off values but significantly associated with screen time. Sleep disturbance and avoiding outdoor activity are frequently reported due to screen use. Conclusion: The study highlights the common usage pattern of various digital gadgets and applications among children and their parents; also the demographic factors of parents relating to increased screen time in children. There are no significant clinical mental health issues reported by parents, but a significant association is found between digital screen use with physical and mental health issues.","PeriodicalId":42760,"journal":{"name":"Journal of Indian Association for Child and Adolescent Mental Health","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43031325","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}