Annals of Indian Psychiatry最新文献

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Diagnostic challenges in the assessment of psychiatric illness among persons with speech and hearing impairments in India 印度言语和听力障碍者精神疾病评估中的诊断难题
IF 0.4
Annals of Indian Psychiatry Pub Date : 2023-10-01 DOI: 10.4103/aip.aip_8_23
Sincy Treesa Joseph, Aishwarya Rao, Shalini Perugu, Bhuvaneshwari Sethuraman
{"title":"Diagnostic challenges in the assessment of psychiatric illness among persons with speech and hearing impairments in India","authors":"Sincy Treesa Joseph, Aishwarya Rao, Shalini Perugu, Bhuvaneshwari Sethuraman","doi":"10.4103/aip.aip_8_23","DOIUrl":"https://doi.org/10.4103/aip.aip_8_23","url":null,"abstract":"The prevalence of psychiatric illness among the hearing impaired does not vary from the general population. This case series highlights two different presentations of psychiatric illness in speech and hearing-impaired patients. The first case describes a patient that was diagnosed to have unspecified nonorganic psychosis after a detailed assessment and observation. The second case describes the challenges in diagnosing depression versus organicity. Difficulties in communication act as a barrier to psychiatric assessment, and there are no clear guidelines for the same. Both of these cases summarize the challenges faced in assessment, mental status examination, the lack of knowledge of linguistics hindering assessment, and the paucity of literature on psychiatric problems in speech and hearing impaired, especially in India. We found that these may be overcome by consistent ward observation, assessment of psychomotor activity, affect, functional analysis of aggression, and course and duration of the presenting illness.","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":"8 1","pages":"378 - 381"},"PeriodicalIF":0.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139331425","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}
引用次数: 0
A study of psychological impact on adolescent children of parents with alcohol use disorder 父母酗酒对青少年子女心理影响的研究
IF 0.4
Annals of Indian Psychiatry Pub Date : 2023-10-01 DOI: 10.4103/aip.aip_26_22
Shwetali Gholap, Vivek Bapurao Chavan, A. Karad, Manjeet Santre
{"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}
引用次数: 0
Intracranial arachnoid cysts presenting with first-episode mania and subsequent hyperammonemic encephalopathy: A case report 颅内蛛网膜囊肿表现为首发躁狂和随后的高氨血症脑病:1例报告
IF 0.4
Annals of Indian Psychiatry Pub Date : 2023-07-01 DOI: 10.4103/aip.aip_101_21
S. Kantipudi, Navina Suresh
{"title":"Intracranial arachnoid cysts presenting with first-episode mania and subsequent hyperammonemic encephalopathy: A case report","authors":"S. Kantipudi, Navina Suresh","doi":"10.4103/aip.aip_101_21","DOIUrl":"https://doi.org/10.4103/aip.aip_101_21","url":null,"abstract":"Intracranial arachnoid cysts are often an incidental discovery in the course of neuroimaging for other conditions. While often asymptomatic, cysts which enlarge can cause mass or pressure effects on adjacent structures. We report a 33-year-old male patient who presented with first episode of manic symptoms. Following treatment with sodium valproate patient developed altered sensorium and was subsequently diagnosed with middle cranial fossa arachnoid cysts and valproic acid-induced hyperammonemic encephalopathy that was successfully treated with enteric lactulose. There are several case reports of arachnoid cysts presenting in patients with psychiatric disorders and debating whether these cysts are a cause or co-occurrence. In 16 reported patients, who had arachnoid cysts with psychiatric symptoms, 9 had cysts exerting mass/pressure effects. Three patients had surgical intervention and showed significant improvement following surgery. So did 1 patient who was treated with mannitol infusion. Intracranial arachnoid cysts may also present with atypical psychiatric symptoms or complicate the treatment process by way of poor response or treatment emergent adverse effects. There is an important role for thorough neurological examination, neuroimaging, and vigilant use of psychotropics in such patients.","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":"1 1","pages":"267 - 273"},"PeriodicalIF":0.4,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70646590","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}
引用次数: 0
A case of steroid induced psychosis 类固醇性精神病1例
IF 0.4
Annals of Indian Psychiatry Pub Date : 2023-07-01 DOI: 10.4103/aip.aip_116_21
Ashish Narvariya, Surbhi Batra, M. Kandpal
{"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}
引用次数: 0
Risperidone-induced maculopapular rashes in a child 利培酮致儿童黄斑丘疹1例
IF 0.4
Annals of Indian Psychiatry Pub Date : 2023-07-01 DOI: 10.4103/aip.aip_135_21
Enub Ali, Ankur Sachdeva, Shanta Passi
{"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}
引用次数: 0
Family functioning in psychogenic nonepileptic seizures: Qualitative study 心因性非癫痫性发作的家庭功能:定性研究
IF 0.4
Annals of Indian Psychiatry Pub Date : 2023-07-01 DOI: 10.4103/aip.aip_153_21
S. Haritsa, K.Ashok Reddy, Meghna Gupta
{"title":"Family functioning in psychogenic nonepileptic seizures: Qualitative study","authors":"S. Haritsa, K.Ashok Reddy, Meghna Gupta","doi":"10.4103/aip.aip_153_21","DOIUrl":"https://doi.org/10.4103/aip.aip_153_21","url":null,"abstract":"Background: Psychogenic nonepileptic seizures (PNES) are understood as epileptic presentations without a neurological basis. PNES has underlying psychological stressors that manifest physiologically. However, family functioning has been poorly studied despite its potential to be one of the major stressors. Few studies on family functioning have focused on differences between PNES and epileptic seizures than an in-depth inquiry into family functioning in PNES. Methods: Patients diagnosed with PNES by a psychiatrist or neurologist through home videos were chosen to participate in the study. Participants had at least one seizure in the previous week before the interview, and those who had physical disabilities or comorbid epilepsy were excluded from the study. In-depth interviews were developed and conducted. Determined data was analyzed through latent thematic analysis. Results: Based on the determined data, nine themes were identified. They included interaction and attachment, communication, structure and system, distressful family factors, expressed emotions, cultural aspects, maladaptive coping, adaptive coping, and negative emotional experience. Approach avoidance and hints of ending relationships were the types of communication among PNES patients, attachment has been inconclusive, transgenerational trauma, disengaged boundaries, coalition, and maladaptive triangles are prevalent among families of PNES patients. Over-involvement and hostility are the expressed emotions that were found. Both maladaptive and adaptive coping strategies are found among PNES patients. Finally, superstitions and beliefs in possession exist among families of PNES patients. Conclusion: Family dysfunction is prevalent among families of PNES patients, and hence, family-based interventions are necessary.","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":"1 1","pages":"226 - 230"},"PeriodicalIF":0.4,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70649150","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}
引用次数: 0
Severity, etiology, and outcome of delirium in indoor patients referred to consultation-liaison psychiatry 严重程度,病因,和结果谵妄的室内病人转介咨询-联络精神病学
IF 0.4
Annals of Indian Psychiatry Pub Date : 2023-04-01 DOI: 10.4103/aip.aip_199_22
Veji K Odedara, Mahesh Suthar, Chintan Savani, Shivangi Aggarwal
{"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}
引用次数: 0
Exploring various factors of major self-mutilation in psychosis: A case series from North India 探讨精神病患者主要自残的各种因素:来自北印度的一系列病例
IF 0.4
Annals of Indian Psychiatry Pub Date : 2023-04-01 DOI: 10.4103/aip.aip_128_22
Rohit Gondwal, Robin Victor, Priyaranjan Avinash, Arghya Pal
{"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}
引用次数: 0
Psychosis and its linear outcomes: Huntington's disease 精神病及其线性结果:亨廷顿舞蹈症
IF 0.4
Annals of Indian Psychiatry Pub Date : 2023-04-01 DOI: 10.4103/aip.aip_195_22
Dimple Gupta, Akansha Bhardwaj, Abhinav Ankur, Chirag Ambaliya
{"title":"Psychosis and its linear outcomes: Huntington's disease","authors":"Dimple Gupta, Akansha Bhardwaj, Abhinav Ankur, Chirag Ambaliya","doi":"10.4103/aip.aip_195_22","DOIUrl":"https://doi.org/10.4103/aip.aip_195_22","url":null,"abstract":"Huntington's disease (HD) is a rare chronic neurodegenerative disease, characterized by a triad of abnormal choreatic movements and cognitive and psychotic disorders. Interestingly, in spite of the typical triad characteristic of HD, a very small group presents with psychotic features. In this article, we present a 40-year-old female patient with a confirmed diagnosis of HD after molecular evidence of cytosine-adenosine-guanine whose initial symptoms were psychiatric in origin and comprised full-blown psychotic presentation.","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":"7 1","pages":"170 - 172"},"PeriodicalIF":0.4,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44532070","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}
引用次数: 0
Comparison of intelligence in children with autism and controls: Raven's progressive matrices and wechsler intelligence scale-III 自闭症儿童和对照儿童智力的比较:Raven的渐进矩阵和韦氏智力量表III
IF 0.4
Annals of Indian Psychiatry Pub Date : 2023-04-01 DOI: 10.4103/aip.aip_22_22
Ashish Chepure, Priyanka Jog, Apurva Ungratwar, A. Subramanyam, Ravindra Kamath
{"title":"Comparison of intelligence in children with autism and controls: Raven's progressive matrices and wechsler intelligence scale-III","authors":"Ashish Chepure, Priyanka Jog, Apurva Ungratwar, A. Subramanyam, Ravindra Kamath","doi":"10.4103/aip.aip_22_22","DOIUrl":"https://doi.org/10.4103/aip.aip_22_22","url":null,"abstract":"Introduction: Intelligence in children with autism has been underestimated for long. Previous studies have reported an uneven performance on intelligence tests. Better performance on Raven's Progressive Matrices (RPM) as compared to Wechsler Intelligence Scale for Children and Adults (WISC-III) has been found in some studies. RPM is quick and easy to administer. Hence there is a need to understand if RPM is a comparable test to tap the intelligence in children with autism. Aims and Objectives: To find the percentile IQ scores of children with autism and controls using RPM and WISC and to compare the performance of the two groups using the IQ tests. Materials and Methods: A cross-sectional study including 15 children with autism and normal controls was done. The children were subjected to WISC-III and RPM. Results: The study shows that normal children perform better on intelligence tests than children with autism. Both tests can be used to measure intelligence in children with autism fairly owing to their correlation. However, RPM showed better scores than WISC-III for children with autism. Conclusions: Matrices can be used as an alternative and an even better test to measure intelligence in children with autism just as the standard WISC-III. Further studies in a larger population of children with autism are warranted to validate our findings.","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":"7 1","pages":"130 - 139"},"PeriodicalIF":0.4,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47400917","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}
引用次数: 0
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