Annals of Indian Psychiatry最新文献

{"title":"Rape survivors: Need for multifaceted rehabilitation program","authors":"Anu Teotia","doi":"10.4103/aip.aip_31_23","DOIUrl":"https://doi.org/10.4103/aip.aip_31_23","url":null,"abstract":"","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47780270","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":"Do patients diagnosed with schizophrenia and their biological parents have concurrent signs suggestive of Marfan's syndrome? A cross sectional study","authors":"Kuldeep Saneja, Devavrat G. Harshe, Ankit Halder, N. Ravindran, Gurudas Harshe","doi":"10.4103/aip.aip_131_22","DOIUrl":"https://doi.org/10.4103/aip.aip_131_22","url":null,"abstract":"Background: The prevalence of Marfan's syndrome (MFS) is 2–3/10,000 people, whereas the prevalence of schizophrenia is 100/10,000 people. Although existing literature does not have robust scientific evidence to support such an association, the possibility of such should be explored because patients suffering from MFS do have higher degree of psychiatric comorbidities than the general population. Materials and Methods: The cross-sectional study randomly recruited 50 patients with schizophrenia and both their biological parents. All patients and controls were examined clinically for mental status examination, ophthalmological evaluation with refraction and slit-lamp examination, anthropometric evaluation for skeletal deformities, and two-dimensional echocardiographic assessment. Results: All the patients had a normal upper segment/lower segment ratio, arm span/height span, slit-lamp examination results, refraction, and aortic root Z score. There was no significant difference in anthropometric measurements and Z scores between genders and between patients and control groups. Conclusion: The study found no co-occurrence of marfanoid features in schizophrenic patients and their biological parents.","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49441072","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":"Screening for psychosocial morbidity in children with type 1 diabetes mellitus in an urban setting","authors":"Mazher Ali, Syed Mateen, Arifuddin Ahmed, Ayesha Vaseem, M. Nasirabadi, B. Sethi, Ateeq Rahman","doi":"10.4103/aip.aip_164_22","DOIUrl":"https://doi.org/10.4103/aip.aip_164_22","url":null,"abstract":"Background: Type 1 diabetes mellitus (T1DM) is an autoimmune disease caused by absolute insulin deficiency. As per 2015 estimates, the number of affected children (<15 years) in India is estimated to be 70,200 children,[1] contributing almost 8% of the global burden. It poses additional challenges in the form of emotional stress and psychosocial adjustment problems. Materials and Methods: This was a cross-sectional study on 101 subjects. The Strengths and Difficulties Questionnaire (SDQ) was used to survey mental health symptoms and positive attitudes. The Quality of Life (QoL) Questionnaire was used to assess the QoL. Results: The prevalence of Total difficulties score (TDS) with clinically significant problems was seen in 17.6% of the children. A statistically significant positive correlation was found between HbA1c levels and parent-reported TDS scores (r = 0.692, P < 0.0001). As the HbA1c levels increase, the peer problems (r = 0.322, P = 0.008) and prosocial behavior problems (r = −0.254, P = 0.028) significantly increased. Conclusion: The most common abnormal SDQ scores were found in conduct problems (38.2%) and emotional problems (35.3%). Regular monitoring of lipid profile, blood pressure, and renal indices is important to observe the effects of T1DM on end organs, along with timely screening of children and adolescents for diabetes and psychosocial illness, educating the caregivers about diabetes, monitoring of diet, psychosocial illness, and means to cope with them, which can also improve the psychological well-being and in turn QoL of children and adolescents.","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47103789","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 of socio-economic, biochemical and clinical predictors of alcohol withdrawal and delirium tremens in patients of alcohol dependence in Indian Population","authors":"Ankit Halder, Parth Nagda, Devavrat G. Harshe, N. Ravindran","doi":"10.4103/aip.aip_193_22","DOIUrl":"https://doi.org/10.4103/aip.aip_193_22","url":null,"abstract":"","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70649421","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":"Dermatitis Artefacta in the Patients of Obsessive Compulsive Disorder: A Case Series","authors":"Arijit Mondal, Ranjan Das, Abhijit Chattopadhyay, Soumi Ghosh","doi":"10.4103/aip.aip_14_23","DOIUrl":"https://doi.org/10.4103/aip.aip_14_23","url":null,"abstract":"Abstract Dermatitis artefacta or factitious dermatitis is a psychodermatological disorder commonly found in dermatology and psychiatric departments. Comorbid psychiatric disorders are frequently seen with this conditions and proper meticulous history and evaluation both from dermatology and psychiatric point of view is needed to make this diagnosis of exclusion. There are no definite diagnostic criteria or treatment protocols for the above conditions and a combination of psychiatric dermatological and psychological approach is needed to manage this. Lack of proper clinical knowledge and awareness regarding the condition may lead to misdiagnosed the cases frequently. Here we have reported the three cases of dermatitis artefacta with comorbid obsessive compulsive disorder.","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134980704","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":"Stress, Anxiety, and Depression among the Health-care Workforce during the COVID-19 Pandemic: A Cross-Sectional Study","authors":"Pawan V Khot, Vishal Ganpati Patil, Krutika Ainapur, Sneha Harshe, Sagar Karia, Avinash De Sousa, Devavrat Harshe","doi":"10.4103/aip.aip_125_22","DOIUrl":"https://doi.org/10.4103/aip.aip_125_22","url":null,"abstract":"Abstract Aim: The study was aimed at calculating the levels of stress, anxiety, and depression among medical and health-care workers working in hospitals that catered to COVID-19 patients. Methodology: A total of 471 healthcare and medical personnel filled up an online socio-demographic pro forma and answered the Depression, Anxiety, and Stress scale. The data were analyzed using descriptive statistics and Chi-square test where appropriate. Results: The sample consisted of medical personnel and nurses. Majority were married and male. The levels of anxiety and stress were reported to be higher in males while depression was reported higher in females. Being unmarried and not having children were factors that showed higher depression levels while no socio-demographic factors showed a trend with anxiety and stress. Conclusion: Depression, anxiety, and stress are common in medical personnel and health-care workers working in the COVID-19 pandemic. Sound mental health interventions for these workers and large studies in specific populations are needed to corroborate these findings.","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134980714","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 between markers of oxidative stress and cognitive functioning in schizophrenia","authors":"V. Menon, Ilambaridhi Balasubramanian, R. Rajkumar","doi":"10.4103/aip.aip_174_22","DOIUrl":"https://doi.org/10.4103/aip.aip_174_22","url":null,"abstract":"High levels of oxidative stress have been implicated in the pathogenesis of schizophrenia. Our objectives were to review the association between oxidative stress markers and neurocognitive functioning in schizophrenia. Electronic search of MEDLINE, ProQuest, Scopus, and Google Scholar databases was carried out in September 2022 to identify relevant English language articles. Articles identified were grouped under the following themes: comparison of oxidative stress or antioxidant biomarkers between patients with schizophrenia and general population, association between biomarkers of oxidative stress and cognitive dysfunction in schizophrenia, and clinical trials evaluating the effect of antioxidant compounds on cognitive functioning in schizophrenia. We reviewed 36 eligible papers: 30 observational studies and 6 intervention trials. Marked heterogeneity was noted in patient population, oxidative stress markers examined, and cognitive measures. Majority (83.3%) of the observational studies were cross-sectional in design; half of them (50%) were conducted on chronic, stable, medicated patients. Most of the observational studies showed increased levels of oxidative stress biomarkers and decreased antioxidant activity in schizophrenia compared to controls. A significant positive association was noted between markers of antioxidant activity and cognitive performance in this group. Treatment trials of antioxidant agents showed positive but inconsistent evidence for benefits on cognitive measures and clinical symptomatology in schizophrenia. Our findings are broadly consistent with the redox imbalance hypothesis in schizophrenia. The significant associations noted between antioxidant markers and cognitive functioning may have key neurobiological and therapeutic implications.","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46219806","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":"Impact of COVID-19 pandemic on treatment seeking in opioid users: A retrospective comparative study","authors":"Mini Sharma, Dinesh Kataria, Nitin B. Raut, O. Ramesh, Sajjadur Rehman, B. Gracy","doi":"10.4103/aip.aip_11_22","DOIUrl":"https://doi.org/10.4103/aip.aip_11_22","url":null,"abstract":"Background: The planet has been hit by the novel coronavirus since December 2019, which has not only affected the day-to-day activities but has also affected the health-seeking approach of the general population. The reports from the National Institute on Drug Abuse survey hint toward a rise in opioid use in the states. Even in India, the utilization of health services, especially the outpatient department (OPD) and opioid substitution clinics have been affected due to the impact of COVID-19 and subsequent national and regional lockdowns. The Indian studies reflect upon the experience and measures to continue the treatment facilities in substance users, yet none are available to reflect upon the impact of COVID-19 on the pattern of opioid use or functionality of OPD services. Objective: The objective of this study is to study the impact of COVID-19 pandemic on treatment seeking among opioid users from OPD-based opioid treatment centers: a retrospective study. Methodology: A retrospective study was done in an OPD-based opioid treatment center of a tertiary care hospital to analyze the impact of COVID-19 on treatment-seeking opioid users by comparing the data of pre-COVID-19 (April 2019–March 2020) and during COVID-19 (April 2020–March 2021) OPD visits by opioid users. The OPD visits data were collected, including the number of visits, the total number of buprenorphine tablets dispensed, and the dose of buprenorphine consumed per month. The data collected were further analyzed for the descriptive and analytic statistics using the SPSS software version 23.0. Results: During the pre-COVID-19 (April 2019–March 2020) duration, there were a total of 1104 (average 92/month) OPD visits and 4818 (Average 401/month) buprenorphine tablets were dispensed; whereas during the COVID-19 year (April 2020–March 2021), it was 980 (average 81.66/month) visits and 5174 (431/month) tablets. The results were further compared using the paired t-test, which was found to be statistically significant for the number of tablets dispensed, whereas not statistically significant for the number of OPD visits and doses. Conclusion: Although the COVID-19 pandemic has affected the feasibility to seek treatment in opioid users, it has not significantly affected OPD visits for opioid treatment at our center. Although the policy changes such as Indian Psychiatry Society (IPS) interim guidelines for opioid substitution therapy have been beneficial to facilitate the harm reduction and treatment-seeking attitude and have not affected the treatment seeking as expected due to lockdown and transportation which have been a hurdle. Further regulations on opioid treatment OPD, Tele-consultation services and mobile mental health services may be helpful to ensure continuity of treatment and harm reduction among the opioid users.","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49005463","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":"Social media fatigue during the lockdown phase of the COVID-19 pandemic","authors":"P. Lodha, Anoushka Thakkar, Ankita Gupta, R. Appasani, E. Essien, Alex Audu","doi":"10.4103/aip.aip_15_22","DOIUrl":"https://doi.org/10.4103/aip.aip_15_22","url":null,"abstract":"Background: The coronavirus pandemic has led to deleterious effects on health, physical, and mental. The pandemic, onset since the end of 2019, has negatively impacted individuals across all sociodemographic variables. The widespread pandemic pushed global governments to enforce sanitizing, masking, and maintaining physical distancing. This lockdown meant that everyone was restricted at home, pushing academic, and work activities to take virtual means. Furthermore, this implicated excessive screen use due to increased virtual means of working. Methodology: The present study investigates social media fatigue (SMF) and the psychological effect of the same among participants of India and Nigeria. The study deploys 299 participants (males and females) for the same. Results: The findings from the study indicate that though SMF exists, it is not a prominent effect seen, considering that social media use helped people emotionally connect to their loved ones. Conclusion: This study provides data on SMF in participants from India and Nigeria during the lockdown period of the pandemic, an area of research that has not been looked into much. The study builds a scope for further research to delve into the impact of SMF at a global level, studying it with more robust statistical methods.","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41730229","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":"Implication of online-based brief psychotherapy in anxiety spectrum disorder during COVID-19 pandemic","authors":"Susmita Halder, A. Mahato, Shinjini Samajdar","doi":"10.4103/aip.aip_38_22","DOIUrl":"https://doi.org/10.4103/aip.aip_38_22","url":null,"abstract":"Background: The rapid, ongoing and progressive nature of corona virus pandemic situation is representing global public health disquiet. The uneasiness, apprehension or worry regarding the current circumstances is leading to mental health concern and the quality of life and functioning are being affected and leading to mental health problems. Excessive worry and tension could elevate negative emotions and consternation regarding necessities of daily life, preventive and control measures, life and health threats are the risk factors of aggravation of somatic symptoms. Supportive psychotherapy is an evidenced based therapeutic measure to manage negative emotions and feelings. Aims and Objectives: The present study aimed to explore the application of brief online based brief psychotherapy in the pandemic situation to intervene symptoms of anxiety, somatic concern, and associated negative emotions in daily life. Method: It is a case series of 5 adults with anxiety and somatic symptoms, aggravated in post COVID19 situation therapeutically intervened through brief online based brief psychotherapy. Results: Significant changes in symptom pattern and severity suggest positive indications of online brief therapy for anxiety and related symptoms in pandemic situation.","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48175056","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}