Annals of Indian Psychiatry最新文献

{"title":"Organic brain disorders manifesting as psychiatric symptoms","authors":"Beejal M. Patel, Sanjukta S Ghosh, Vaishal N. Vora, Bhaveshkumar M. Lakdawala","doi":"10.4103/aip.aip_182_22","DOIUrl":"https://doi.org/10.4103/aip.aip_182_22","url":null,"abstract":"Organic brain disorders (OBD) may present with multiple psychiatric symptoms which may mimic as primary psychiatric disorder. We present three cases such as astrocytoma, cerebellar cyst, and hypothalamic hamartoma presented to our psychiatric outpatient department with psychotic, manic, and headache symptoms with no physical neurological signs and symptoms. Treatment resistance and relapse motivated us for seeking neuroimaging that subsequently revealed space occupying lesions. Some patients with neurologically silent OBD may present with psychiatric symptoms only. Therefore, we should consider of neuroimaging in patients with a change in mental status regardless of a lack of neurological symptoms.","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":"1 1","pages":"375 - 377"},"PeriodicalIF":0.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139326275","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":"Medical students' attitudes toward psychiatry at a teaching institute in North India: A qualitative pilot study","authors":"Nitisha Verma, Mokshika Yadav, Sudhir Kumar, S. Kar","doi":"10.4103/aip.aip_22_23","DOIUrl":"https://doi.org/10.4103/aip.aip_22_23","url":null,"abstract":"Background: Medical students must embrace psychiatry and psychiatric illnesses with a positive outlook if we are to bridge the massive treatment gap for psychiatric illnesses. The opinions of medical students toward psychiatry have been investigated in several quantitative research carried out in India. Qualitative research is lacking, making it difficult to comprehend students' perspectives. Hence, we created this qualitative study. Methods: We conducted online one-on-one in-depth interviews with three final-year students and two interns in this pilot study. The data were examined using content analysis. In addition, the most frequent codes were found using word cloud analysis. Results: Participants reported that students would get more knowledge about psychiatry if it is made a compulsory examination subject in the MBBS. Conclusion: The preliminary findings suggest that medical graduates mostly perceive psychiatry as a promising branch and feel that psychiatry as a branch will get its due importance if it is made a major subject in the medical curriculum.","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":"10 1","pages":"366 - 370"},"PeriodicalIF":0.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139327212","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":"Has quality of suicide reporting by print media changed in India? A re-examination of previous findings","authors":"Devavrat G. Harshe, A. Nair, Dashleen Kaur, N. Ravindran, Ankit Halder, P. Behere","doi":"10.4103/aip.aip_196_22","DOIUrl":"https://doi.org/10.4103/aip.aip_196_22","url":null,"abstract":"Background: Suicide is a serious mental health problem in India, and suicide rates in India have risen over the past decades. Reporting of suicide by the media is a common cause for spurts of suicides that may occur. Methodology: Suspected suicide by the renowned actor Sushant Singh Rajput was selected as the reference case. The top two Indian daily newspapers published in English having the highest circulation as per data provided by the Registrar of Newspapers, Government of India, were selected to be part of the study. The authors screened all news stories in the two newspapers within a 6-month period (3 months prior and 3 months post the date of the reference suicide case), and these news reports were evaluated as per the suicide reporting guidelines for media laid down by the Indian Psychiatric Society. The data were analyzed using Chi-square test and descriptive statistics where appropriate. Results: Our search yielded 158 articles from a period of 6 months, with 50 articles published before the suspected celebrity suicide and 108 published after. 29.7% had the word suicide in headline, 14.6% of them had news printed on the first page, 17.7% had a suicide note mentioned, whereas 1.9% mentioned prior attempts by victim. Conclusions: There is no change in media trend toward reporting suicide as noted following postcelebrity suicide, and so it is essential that media follow guidelines stringently when reporting a serious problem like suicide.","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":"1 1","pages":"330 - 333"},"PeriodicalIF":0.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70649525","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":"Assessment of prevalence and risk factors of delirium in kidney disease patients undergoing renal dialysis: A prospective observational study","authors":"Vishwas Yadawad, S. Chate, Sandeep Patil, Bheemsain V. Tekkalaki, Punit Mutalik","doi":"10.4103/aip.aip_85_22","DOIUrl":"https://doi.org/10.4103/aip.aip_85_22","url":null,"abstract":"Context: Studies have shown that delirium is common in intensive care unit settings, postsurgery, and in elderly. There are various predisposing risk factors for same. There is evidence of delirium occurring after dialysis. Aims: The aim of this study was to assess the prevalence and risk factor of delirium in kidney disease (both acute and chronic) patients undergoing dialysis. Settings and Design: A 1-year prospective observational study in a tertiary care hospital. Subjects and Methods: The study included admitted patients of kidney disease (acute and chronic) requiring dialysis, aged 18 years or more. All patients who were already in delirium before dialysis were excluded. Mental status examination was done, and Confusion Assessment Method (CAM) scale was applied on the included patients to make a diagnosis of delirium. Statistical Analysis Used: For risk factors, sociodemographic data, past history of delirium, number of dialysis received, and blood investigations were collected. P value for all parameters was calculated using Chi-square, Fisher's exact, and unpaired t-test. Results: The prevalence of delirium was 20% after dialysis. Risk factors identified were past history of delirium, >3 dialysis received, the presence of hypertension, increased urea, creatinine, hemoglobin, white blood cells levels, and increased LFT's (significant P value). Conclusions: The prevalence of delirium in dialysis group patients is high. There are multiple risk factors for same and can be predicted and taken care of to reduce the long-term consequences of delirium.","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":"1 1","pages":"316 - 319"},"PeriodicalIF":0.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70653435","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":"Topographic theory of mind through Ramayana: A comparison between Freud's conceptualization of the mind and Valmiki's characters in the Ramayana","authors":"Prashant Sunil Chaudhari","doi":"10.4103/aip.aip_1_21","DOIUrl":"https://doi.org/10.4103/aip.aip_1_21","url":null,"abstract":"","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":"29 1","pages":"392 - 394"},"PeriodicalIF":0.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139331220","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":"Challenges in management of a patient presenting with obsessive–Compulsive disorder after head injury","authors":"Chandrima Naskar, Surabhi Gupta, Swapnajeet Sahoo, A. Mehra, Sandeep Grover","doi":"10.4103/aip.aip_141_21","DOIUrl":"https://doi.org/10.4103/aip.aip_141_21","url":null,"abstract":"In a subgroup of patients, obsessive–compulsive disorder (OCD) is associated with organic conditions such as head injury. In general, different studies evaluating the efficacy and effectiveness of nonpharmacological and pharmacological interventions in patients with OCD exclude patients with OCD associated with organic conditions. Hence, there is little information about the difficulties faced in managing these patients. In this report, we present a young male who presented with OCD after the head injury, in whom it was not possible to carry out exposure and response prevention (ERP) therapy, as recommended due to the poor insight and associated cognitive impairment. We managed the patient with a combination of psychoeducation, ERP, using positive reinforcement and supportive therapy.","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":"93 1","pages":"386 - 388"},"PeriodicalIF":0.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139331224","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":"Perceived impact of the COVID-19 pandemic on postgraduate residents","authors":"Ajay Solanki, Hrishikesh Solunke, T. S. Sathyanarayana Rao, M. Kishor","doi":"10.4103/aip.aip_47_22","DOIUrl":"https://doi.org/10.4103/aip.aip_47_22","url":null,"abstract":"Introduction: COVID-19 has led to an increase in burden on health-care workers. Postgraduate residents are at the forefront of the pandemic. Understanding its impact and the perspectives of postgraduate residents could provide better solutions to their problems. Objectives: 1. To assess the psychological impact of the COVID-19 pandemic on postgraduate doctors. 2. To assess the perception of postgraduate doctors regarding the medical profession and its association to the psychological impact of the COVID-19 pandemic. Methodology: This cross-sectional study recruited 65 postgraduate medical resident doctors working in teaching hospitals involved in the care of COVID-19 patients. They were requested to complete the questionnaire consisting of qualitative as well as quantitative questions. For an objective assessment of anxiety, the Generalized Anxiety Disorder-7 (GAD-7) scale was used. Relevant statistical methods were employed and statistical analysis was done using IBM SPSS software version 20.0. Results: The qualitative data showed themes of concern regarding social awareness about COVID-19 (hygiene, masks, and social distancing), working conditions of doctors, and increased stress and burnout. 47.54% (n = 29) of respondents said that they would reconsider their profession/specialty, out of which 21 said that they would switch to another profession. The resident doctors who would reconsider their choice of profession/specialty had significantly higher (P < 0.05) scores for anxiety (GAD-7). Conclusion: Owing to the significant association between anxiety and desire to change their profession altogether, greater psychological support for doctors appears to be a pressing need. It is important that the concerns of the postgraduate residents are addressed promptly and holistically.","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":"10 1","pages":"310 - 315"},"PeriodicalIF":0.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139325318","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":"Intensity and density of stressful life events in first suicide attempters with psychiatric morbidity and comorbidity: A case–control study","authors":"Ranganath R. Kulkarni, K. Rao, Shamshad Begum","doi":"10.4103/aip.aip_134_22","DOIUrl":"https://doi.org/10.4103/aip.aip_134_22","url":null,"abstract":"Background: Stressful life events (LEs) have been pivotal to suicidal behavior in vulnerable individuals, although its quantum and clustering have remained unclear. This study aimed to estimate and compare the quantum and clustering of LEs across three time periods, three suicide intentionality–lethality categories, and three diagnostic groups in survivors of first suicide attempt (SoFSA). Materials and Methods: One hundred SoFSA were compared to 100 age- and sex-matched controls for LEs across psychiatric and/or personality comorbidity. Presumptive Stressful LE Scale, Risk-Rescue Rating Scale, Hamilton Depression- and Anxiety-Rating Scales, and structured and semi-structured clinical interviews were administered for comprehensive mental health evaluation. Results: SoFSA with age ≥30 years, male gender, schooling <10 years, middle-lower socioeconomic class, married, extended/joint family living, family history of psychiatric disorders/suicide, and concomitant depression–anxiety exhibit significantly higher undesirable, ambiguous, and total LEs across time periods. One-way analysis of variance with post hoc analysis revealed SoFSA who attempted medically serious suicide suffered higher undesirable (F[2,97] = 4.43; P = 0.014) and total (F[2,97] = 3.39; P = 0.038) LEs during recent 6 months compared to medically nonlethal group. SoFSA diagnosed with comorbid psychiatric and personality disorders experienced higher undesirable, ambiguous, and total LEs across all time periods (P < 0.0001), compared to either disorder alone. Desirable LE did not significantly differ across all time periods and diagnostic categories, but ambiguous LE was the only significant finding among SoFSA with personality disorders. Conclusion: This study sheds newer insights that quantitative estimation (intensity and density) of LEs has a potential role in suicide-risk evaluation, with clustering of total or undesirable LE (>3 within 1 year or >10 lifetimes) and ambiguous LE (≥1 within 1 year or > 3 lifetimes) posing risk for psychiatric morbidity and medically serious suicidal behavior (especially, if lifetime total LE > 10). SoFSA with comorbid psychiatric and personality disorders experience higher intensity and density of LEs than either disorder alone, across all time periods.","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":"153 1","pages":"320 - 329"},"PeriodicalIF":0.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139327927","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":"Online support group: Ways to care for the caregivers during the pandemic","authors":"Z. Maritska, Latifah Nudhar, B. Prananjaya, Raden Mulya Liansari, Nita Parisa, P. Suryani, Miranti Dwi Hartanti, Rizka Fathia, Muhammad Adam Triyoga, Mohammad Atthariq Ramadhan, F. Anggraini, J. Salim, S. Putri","doi":"10.4103/aip.aip_189_22","DOIUrl":"https://doi.org/10.4103/aip.aip_189_22","url":null,"abstract":"The current world situation has put many at risk of having mental health issues, with the caregivers of mental disorders patients no exception. The pandemic has limited their access to the support they need in providing care for people with mental illnesses. Thus, a group of lecturers and students from the faculty of medicine at Universitas Sriwijaya assist families/caregivers of people with mental disorders during the pandemic through an online platform. The team screened for potential families/caregivers of mental disorder patients who went to Ernaldi Bahar Mental Hospital in Palembang, Indonesia. Twenty-four families of mental disorder patients consented to join the WhatsApp group with the doctors, who took a turn sharing varied topics weekly for 4 months (June–September 2021) through the WhatsApp messaging platform. Families found it helpful to join the group because they could interact and ask questions directly to doctors who are experts in their field, signifying that this activity is beneficial for families of people with mental disorders to increase resilience during the pandemic.","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":"124 1","pages":"395 - 398"},"PeriodicalIF":0.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139329376","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":"Melatonin revisited: Clinically relevant facts","authors":"Shorouq Motwani, A. De Sousa","doi":"10.4103/aip.aip_196_23","DOIUrl":"https://doi.org/10.4103/aip.aip_196_23","url":null,"abstract":"","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":"94 1","pages":"299 - 302"},"PeriodicalIF":0.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139330053","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}