Annals of Indian Psychiatry最新文献

{"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":"A study of psychological impact on adolescent children of parents with alcohol use disorder","authors":"Shwetali Gholap, Vivek Bapurao Chavan, A. Karad, Manjeet Santre","doi":"10.4103/aip.aip_26_22","DOIUrl":"https://doi.org/10.4103/aip.aip_26_22","url":null,"abstract":"Context: Children of alcoholics face risks of problem behavior during childhood and mental health problems in adult life. Identifying these problems at the earliest can significantly reduce the problems in future. Aim: We aimed to study psychological impact on adolescent children of parents with alcohol use disorder. Settings and Design: This is a cross-sectional study done at a tertiary care hospital in Maharashtra. Materials and Methods: Convenience sampling technique was used. One hundred adolescent children of alcohol use disorder patients were evaluated for problem behavior and perceived stress using the Child Behavior Checklist (CBCL) and Perceived Stress Scale, respectively. Current status of severity of alcohol use in parents was assessed using the Severity of Alcohol Dependence Questionnaire. Statistical Analysis Used: Data were analyzed using the Statistical Package for the Social Sciences Software Package (version 20.0). Results: In our study, we found that children whose fathers had severe alcohol dependence were exhibiting more externalizing behavior on CBCL and higher perceived stress and it was statistically significant. Conclusion: A positive correlation was found between severity of alcohol use in fathers and problem behavior in children.","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":"179 1","pages":"345 - 350"},"PeriodicalIF":0.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139328016","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":"A case of steroid induced psychosis","authors":"Ashish Narvariya, Surbhi Batra, M. Kandpal","doi":"10.4103/aip.aip_116_21","DOIUrl":"https://doi.org/10.4103/aip.aip_116_21","url":null,"abstract":"Corticosteroids are one of the widely used drugs in medicine; however, the use of steroids is associated with undesirable side effects. We present here a case of 18-year-old girl with nephrotic syndrome who developed auditory hallucinations, muttering to self, social withdrawal, and fearfulness after she was given steroids for her treatment. Steroids were tapered and stopped, and she was started on olanzapine after which she improved completely. Although a relationship between hypothalmic–pitutary axis and psychosis has been clearly established, still there is a dearth of literature in the area of steroid-induced psychosis and its management.","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":"1 1","pages":"277 - 279"},"PeriodicalIF":0.4,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70646945","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":"Risperidone-induced maculopapular rashes in a child","authors":"Enub Ali, Ankur Sachdeva, Shanta Passi","doi":"10.4103/aip.aip_135_21","DOIUrl":"https://doi.org/10.4103/aip.aip_135_21","url":null,"abstract":"We report the case and the literature focusing on dermatological problems as a possible side effect of risperidone. A 10-year-old boy with attention deficit hyperactivity disorder, who was maintaining well on atomoxetine, developed rashes on addition of risperidone for behavioral problems. This prompted us to evaluate the relationship between skin rashes and risperidone. Maculopapular rashes resolved after risperidone was stopped following 3 days of treatment and resurfaced after rechallenge. These dermatological side effects were possibly induced by risperidone. Possible association of antipsychotics with dermatological side effects was explored and discussed. Antipsychotic use may present with maculopapular rashes as a side effect.","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":"1 1","pages":"280 - 282"},"PeriodicalIF":0.4,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70647451","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":"Severity, etiology, and outcome of delirium in indoor patients referred to consultation-liaison psychiatry","authors":"Veji K Odedara, Mahesh Suthar, Chintan Savani, Shivangi Aggarwal","doi":"10.4103/aip.aip_199_22","DOIUrl":"https://doi.org/10.4103/aip.aip_199_22","url":null,"abstract":"Background: Delirium is a complex neuropsychiatric syndrome characterized by an acute decline in the level of consciousness, cognition, and impairment in attention, with adverse physical, cognitive, and psychological outcomes. Aims: This study aimed to assess the severity, etiology, and outcome of delirium in indoor patients referred to consultation-liaison psychiatry. Settings and Design: A prospective observational study was conducted on 200 indoor patients diagnosed with delirium at a tertiary care hospital in Gujarat, India. Materials and Methods: The Delirium Rating Scale-Revised-98 (DRS-R-98) was used for the severity and delirium etiological checklist for the cause of delirium. Statistical Analysis Used: Data were entered in an Excel sheet and analyzed with Epi Info. Continuous variables were expressed as mean and standard deviation while categorical variables were expressed as percentages. The association between categorical variables was tested with a Chi-square test. P < 0.05 was considered statistically significant. Results: As per the DRS-R-98 score, 45.4%, 38%, and 16.5% of patients had less severe, severe, and nonsevere delirium, respectively. The most common etiology was metabolic and endocrine disturbances (66.5%) followed by systemic infection (41.5%), drug withdrawal (38.5%), and organ insufficiency (31.5%). The mean duration of the delirium episode was 3.7 days and length of the hospital stay was 8.6 days. Delirium was reversible in 91% and irreversible in 9% of patients and mortality was 9%. Conclusions: Delirium is reported commonly in middle-aged males. Metabolic and endocrine disturbances, systemic infection, and drug withdrawal are common causes of delirium. Delirium severity is related to a longer hospital stay, a low discharge rate, and higher mortality.","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":"7 1","pages":"152 - 158"},"PeriodicalIF":0.4,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45425433","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":"Exploring various factors of major self-mutilation in psychosis: A case series from North India","authors":"Rohit Gondwal, Robin Victor, Priyaranjan Avinash, Arghya Pal","doi":"10.4103/aip.aip_128_22","DOIUrl":"https://doi.org/10.4103/aip.aip_128_22","url":null,"abstract":"Self-injurious behavior can be seen in various physical and psychiatric illnesses. Violence toward self is higher as compared toward others in psychotic illness. This relationship is complex and is associated with various clinical factors such as nature and severity of delusion and hallucinations, frequency of hallucinations, certain positive symptoms, duration of untreated psychosis, social isolation, substance use, age and gender of the patient, poor compliance to treatment and lack of follow up, and sociocultural factors such as lack of insight regarding mental illness in attendants of patients, the stigma associated with mental illness and treatment, the belief of supernatural causation of psychotic symptoms, and having more faith on indigenous alternative/complementary method of treatment. Here, we present case series of people who were suffering from some form of psychosis and presented to us with a severe self-inflicted injury. We emphasize on the potential benefit of early identification and redressal of the abovementioned clinical and sociocultural factors associated with higher MSM in patients with psychotic illness and prompt intervention and treatment in such types of cases for a better outcome.","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":"7 1","pages":"180 - 184"},"PeriodicalIF":0.4,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49447016","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}