Priyanka Jog, S. Shelke, Ashish Chepure, A. Subramanyam, Mansi P. Somaiya, Surabhi Rathi, A. Kondekar
{"title":"A pilot study on comparison of intelligence in children with autism and controls: Raven's progressive matrices and wechsler intelligence scale-III","authors":"Priyanka Jog, S. Shelke, Ashish Chepure, A. Subramanyam, Mansi P. Somaiya, Surabhi Rathi, A. Kondekar","doi":"10.4103/aip.aip_34_22","DOIUrl":"https://doi.org/10.4103/aip.aip_34_22","url":null,"abstract":"Introduction: Intelligence in children with autism has been a challenge for long. Previous studies have reported an uneven performance on intelligence tests. Better performance on Raven's Progressive Matrices (RPM) as compared to Wechsler's intelligence scale for children III (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 intelligence quotient (IQ) scores of children with autism and neurotypical children using RPM and WISC III and to compare the performance of these two groups on IQ tests. Materials and Methods: A cross-sectional study including 15 children with autism and normal (neurotypical) children was done after institutional ethics committee approval. The subjects were subjected to WISC-III and RPM. Results: The study shows that neurotypical 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: RPM 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":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139326516","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}
Shawn Serrao, Suhas Chandran, Avinash Kamath, G. K Sarma
{"title":"Pediatric anti-NMDA receptor autoimmune encephalitis masquerading as depression: A case report from a tertiary care center in South India","authors":"Shawn Serrao, Suhas Chandran, Avinash Kamath, G. K Sarma","doi":"10.4103/aip.aip_170_22","DOIUrl":"https://doi.org/10.4103/aip.aip_170_22","url":null,"abstract":"Autoimmune disorders are now widely recognized as playing a larger role in encephalitis than previously thought. The most common disorder appears to be anti-N-methyl-d-aspartate receptor (NMDAR) encephalitis. Psychological symptoms, memory difficulties, and autonomic instability are all part of the complicated presentation and are being considered an important differential diagnosis for children presenting with acute behavioral disturbances. We present the case of a 17-year-old girl, who presented with a 1.5-year history of psychiatric symptoms such as pervasive low mood, decreased ability to concentrate on her studies, academic decline, memory disturbances along with poor social interaction, decreased self-esteem, and ideas of guilt. This was accompanied by altered biological functions. Within a week, the symptoms changed dramatically, with labile mood, over familiarity, over identification, déjà vu, auditory hallucinations and anxiety symptoms, nonspecific somatic symptoms such as fever, vomiting, and neurological symptoms including seizures and dyskinesia. Diagnosis of anti-NMDAR encephalitis was made by electroencephalography and serum antibody testing. Symptom improvement was noted with five cycles of plasmapheresis and injection of rituximab. Psychiatric manifestations are common, and child and adolescent psychiatrists are frequently the first to be contacted for patients with anti-NMDAR encephalitis. There is, therefore, an increasing need for them to become aware of the disorder and consider it in their differential diagnosis. A better prognosis can be achieved with appropriate evaluation by a multi-disciplinary team.","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139330862","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 series of noncatatonic mutism with poor response to conventional treatment approach","authors":"Jagriti Yadav, Akansha Bhardwaj, Purushottam Jangid, Priti Singh, Rajiv Gupta","doi":"10.4103/aip.aip_108_21","DOIUrl":"https://doi.org/10.4103/aip.aip_108_21","url":null,"abstract":"Mutism is the absence or marked paucity of verbal output due to functional or organic causes. Selective mutism is commonly seen in children with anxiety disorder. In psychiatric literature, long-standing mutism is most commonly associated with catatonic syndrome in adults. Although less commonly reported, long-standing mutism has also been associated with noncatatonic schizophrenia and posits a treatment challenge. Here, we describe two cases of long-standing noncatatonic mutism secondary to Schneiderian first rank symptoms, which were poorly responsive to conventional antipsychotic treatment and had good response to the combination of antipsychotics and electroconvulsive therapy (ECT). ECT is an underutilized treatment modality in patients with schizophrenia and is usually limited to catatonic states. The case series, thus, highlights the need for the development of an evidence base for the use of ECT in patients with noncatatonic mutism.","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139326148","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}
Beejal M. Patel, Sanjukta S Ghosh, Vaishal N. Vora, Bhaveshkumar M. Lakdawala
{"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":null,"pages":null},"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}
Nitisha Verma, Mokshika Yadav, Sudhir Kumar, S. Kar
{"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":null,"pages":null},"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}
Devavrat G. Harshe, A. Nair, Dashleen Kaur, N. Ravindran, Ankit Halder, P. Behere
{"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":null,"pages":null},"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}
Vishwas Yadawad, S. Chate, Sandeep Patil, Bheemsain V. Tekkalaki, Punit Mutalik
{"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":null,"pages":null},"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":null,"pages":null},"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}
Chandrima Naskar, Surabhi Gupta, Swapnajeet Sahoo, A. Mehra, Sandeep Grover
{"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":null,"pages":null},"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}
Ajay Solanki, Hrishikesh Solunke, T. S. Sathyanarayana Rao, M. Kishor
{"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":null,"pages":null},"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}