Annals of Indian Psychiatry最新文献

{"title":"The role of inflammation in children with specific learning disorders","authors":"Busra Oz, Berkan Ardiç","doi":"10.4103/aip.aip_129_22","DOIUrl":"https://doi.org/10.4103/aip.aip_129_22","url":null,"abstract":"Background: Specific learning disorder (SLD) is a common neurodevelopmental disorder in childhood with a delay in reading, writing, and/or mathematics. The etiology of SLD is not known exactly. Aim: In our study, we aimed to evaluate the effect of inflammation in the etiology of SLD. Materials and Methods: In our study, patients aged 7–14 years who applied to the child psychiatry outpatient clinic between November 2019 and November 2020 were retrospectively screened. The hemoglobin (Hb), red cell distribution width (RDW), platelet (PLT), plateletcrit (PCT), platelet distribution width (PDW), and white blood cell (WBC) values of the children were recorded. Neutrophil/lymphocyte ratio (NLR) and PLR values were calculated. Comparisons were carried out on different variables using SPSS version 22. Results: There was no significant difference in terms of age and gender in the SLD and control groups. When blood parameters were evaluated, there was no significant difference between the groups in terms of Hb, RDW, PCT, PDW, and WBC values. The PLT count was significantly higher in the patient group than in the control group (P = 0.049). There was no significant difference between the groups in terms of TLR and NLR values. Conclusion: The results of our study showed that Hb, RDW, PCT, PDW, WBC, NLR, and TLR values were similar in SLD and healthy control groups. This does not support the hypothesis that an increased inflammatory response may be responsible for the etiology of SLD. Considering the heterogeneity in the clinical symptoms and etiopathogenesis of SLD, more extensive studies are needed in this area.","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43363003","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":"Prescription patterns of benzodiazepines and Z drugs in psychiatry outpatient department of a tertiary care hospital","authors":"Subhash Das, Nidhika Chauhan, S. Jaswal, Nethi Walia","doi":"10.4103/aip.aip_20_23","DOIUrl":"https://doi.org/10.4103/aip.aip_20_23","url":null,"abstract":"Background: Benzodiazepines are routinely prescribed for various psychiatric disorders. They are effective for short term management but commonly seen to be prescribed for long term against the recommended guidelines leading to various adverse effects in patients. There is dearth of Indian literature pertaining to prescription as well as deprescribing of benzodiazepines and Z drugs. Aims and Objectives: To assess the prescription pattern of benzodiazepines and Z drugs among patients visiting the department of psychiatry in a tertiary care hospital. Material and Methods: Case record files of patients visiting the inpatient and outpatient setting from 1st January 2017 to 31st December 2017 were retrieved and analysed for sociodemographic and clinical details and prescription of benzodiazepines. Results: A total of 975 records of patients were included in the study. The mean age group was 36.79 + 13.05years. Benzodiazepines prescription was maximum in patients with anxiety spectrum disorders (38.4%). Clonazepam was the most commonly prescribed benzodiazepine (47.%). More than 50 percent of the patients continued to consume benzodiazepines for more than 3 months). There was significant positive association of long term benzodiazepine usage with duration of illness, diagnosis, type of benzodiazepines received and length of outpatient treatment. Conclusion: The study concludes that majority of patients continue to consume benzodiazepines beyond the recommended period of usage. Thus there is a need for structured guidelines for prescribing and deprescribing of benzodiazepines and Z drugs.","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42770476","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":"Schizoid personality disorder: Process and outcome in psychotherapy","authors":"Archana Kashyap, Aarzoo Gupta, A. Sidana","doi":"10.4103/aip.aip_138_21","DOIUrl":"https://doi.org/10.4103/aip.aip_138_21","url":null,"abstract":"Schizoid personality disorder (SzPD) is characterised by flattened affect, limited capacity to express feeling, indifferent or disinterested attitude towards others with preference for solitary activities. It's east researched and hence most confusing personality disorder, both in terms of assessment and management leading to dropout or low engagement in the treatment process. The authors have attempted to propose a working model for SzPD ensuing their endeavour in management of a case. It's single case study design of a male presented with aimless behaviour, decreased social interaction, poor hygiene, daily alcohol consumption and feeling of boredom. CBT was initiated for depressive symptoms and alcohol dependence with occasional use of substances. The process and response to therapy indicated underlying psychopathology in personality after 13 sessions. Once diagnosis of SzPD was confirmed various techniques were used in therapy with total more than 65 sessions before termination was introduced. The outcome was significant reduction in alcohol intake, identifying triggers and its consequences. The sequel of social withdrawal and benefit of social interaction in occupational functioning. It's helpful to validate patient's unpleasantness and avoidance associated with social involvement as a milestone to build insight into the resulting consequences. The intervention helps in accepting as well as altering one's actions and appraisal of events. The indifferent attitude and limitation of establishing rapport in SzPD can induce burn-out in clinician. Briefing-debriefing sessions with a fellow clinical psychologist is beneficial to stay objective.","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47707309","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":"Organizing world schizophrenia day group meeting for patients and the caregivers on an online platform: An experience","authors":"Sandeep Grover, Chandrima Naskar, S. Kathiravan, Aarzoo Suman","doi":"10.4103/aip.aip_89_21","DOIUrl":"https://doi.org/10.4103/aip.aip_89_21","url":null,"abstract":"","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41606544","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 cross-sectional analysis of mothers' ability to recognize expressed facial emotions in children and its association with maternal alexithymia, depression, parenting styles, and practices","authors":"Henal Shah, A. Subramanyam, Natasha Kate, Sreelakshmi Vaidyanathan, Allauki Dani, Pooja Misal","doi":"10.4103/aip.aip_87_23","DOIUrl":"https://doi.org/10.4103/aip.aip_87_23","url":null,"abstract":"Background: The ability to recognize emotional facial expressions (EFEs) is an important skill for a mother and may impact her parenting. This ability is innate but affected by multiple factors. Aims: This study aims to study the mother's ability to recognize a child's facial emotions and its association with present depressive symptoms, alexithymia, parenting practices, and styles. Materials and Methods: Seventy-five mothers of children being evaluated for academic problems were assessed through purposive sampling at a tertiary care child guidance clinic. The mothers completed the National Institute for Mental Health Child Emotional Faces Picture test, Patient Health Questionnaire-9 (PHQ), Toronto Alexithymia Scale (TAS), Coping with children's negative emotions scale, and Parenting style questionnaire. Statistical Analysis: Statistical Program for Social Science (SPSS Version 21) for Windows was used. Descriptive analysis was carried out using mean and standard deviation. Other tests used for analysis were Student's t-test, ANOVA, Pearson's Product Moment, and Spearman's rho. Results: The proportion of EFEs correct responses (PC) was 0.776. The happy EFE had the highest PC and neutral the least. PC of happy EFE correlated positively with emotion-focused reactions and inversely with TAS score and authoritative parenting. PC of sad EFE correlated inversely with TAS subscale of difficulty identifying emotions and positively with expressive encouragement and authoritative style of parenting. PC of angry EFE correlated with expressive encouragement and inversely with distress and minimization reactions. PC of afraid EFE inversely correlated with TAS score, PHQ-9 total score, punitive and distress reactions, and authoritarian parenting and positively with expressive encouragement. PC of neutral EFE correlated with TAS score, minimization reactions, and authoritative parenting style. Conclusions: Impairments in EFE recognition affect mother's parenting styles and practices. Alexithymia and depressive symptoms can affect the ability to correctly identify EFEs.","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41830348","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":"Role of cariprazine in first episode psychosis","authors":"Rupali Rohatgi, Priyaranjan Avinash","doi":"10.4103/aip.aip_130_22","DOIUrl":"https://doi.org/10.4103/aip.aip_130_22","url":null,"abstract":"A newer atypical antipsychotic molecule, cariprazine has been approved by Food and Drug Administration for the treatment of schizophrenia and bipolar depression. The use of atypical antipsychotics has been the primary mode of intervention in the management of psychotic disorder in adolescents, adults, and geriatric population. For a better outcome in prognosis, this newer drug has now been playing an important role for the treatment of first episode psychosis.","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42469260","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 randomized control trial of mindfulness-based intervention in relief of symptoms of anxiety and quality of life in gastroesophageal reflux disease","authors":"Suhas Chandran, Rajesh Raman, M. Kishor, H. Nandeesh","doi":"10.4103/aip.aip_82_22","DOIUrl":"https://doi.org/10.4103/aip.aip_82_22","url":null,"abstract":"Background and Aims: Gastroesophageal reflux disease (GERD) is a common disorder encountered in clinical practice. Anxiety is common in GERD and intensifies symptoms and lowers quality of life. In this study, we looked at the feasibility of mindfulness-based stress reduction (MBSR) in relieving symptoms of anxiety and health-related quality of life (HRQL) of these patients using a randomized control trial design. Materials and Methods: A single-center, randomized control trial was conducted to serve as a comparison between MBSR added to treatment as usual (TAU) and to TAU alone in patients with GERD. Pre- and postassessment were done with Zung Self-Rating Anxiety Scale (ZSAS) for assessing anxiety symptoms. GERD-HRQL questionnaire to assess the HRQL and the Freiburg Mindfulness Inventory to quantify mindfulness cultivated and correlations analyzed. Results: Compared to the group not receiving MBSR, the MBSR group showed a greater decrease in anxiety levels indicated by changes in ZSAS (P < 0.001) and a greater improvement in HRQL indicated by the GERD-HRQL questionnaire (P < 0.001). Conclusion: The change in anxiety scores in the MBSR group was more than that in the control group. MBSR can therefore be effective in alleviation of anxiety symptoms and reducing the levels of distress in GERD patients.","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48139668","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":"Rise of the robo-authors: Are chatbots threatening scientific integrity?","authors":"Gopal Charan, Raman Kalia, Hardeep Kaur","doi":"10.4103/aip.aip_122_23","DOIUrl":"https://doi.org/10.4103/aip.aip_122_23","url":null,"abstract":"","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70647219","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":"Role of perceived illness and self-blame on psychosocial and physical adjustments among cancer patients, India: Moderating effect of type D personality","authors":"Kinnari Kashyap, Satynanada Panda","doi":"10.4103/aip.aip_45_23","DOIUrl":"https://doi.org/10.4103/aip.aip_45_23","url":null,"abstract":"Introduction: Head-and-neck cancer patients are at a greater risk of suffering, yet little is known about the factors contributing to psychosocial and physical adjustments. Objective: The present study examined the association of cognitive attribute such as illness perception and self-blame with psychosocial adjustment and positive health changes (PHCs), with type D personality as a moderating variable. Methods: A survey of 66 eligible patients (34 males and 32 females with mean = 51.68 and standard deviation [SD] = 15.26) was recruited from 2 different hospitals in Assam, India. The purposive sampling technique was used to select the patients from early Stages I and II. The selected participants were divided into two groups: patients below 45 years and above 45 years. The participants were assessed by using the Brief Illness Perception Questionnaire, Self-blame Questionnaire, Type D Personality Questionnaire, Psychosocial Adjustment to Illness Scale, and PHC Questionnaire. Results: The result of the study indicated patients experiencing overall poorer psychosocial adjustment (mean = 55.17 and SD = 14.26). In addition, self-blame, illness perception, and type D personality were found to significantly relating to psychosocial and physical adjustments (P < 0.05). While assessing the moderating effect, negative affectivity (NA) was found to moderate the relationship between illness perception and physical health changes (β = 1.09, P < 0.001). The finding suggested that illness perception and NA had a statistically significant effect on outcome (β = 0.14, P < 0.001; β = 1.08, P < 0.001). Furthermore, gender differences and age-wise differences were revealed regarding adjustment among the patients. Conclusion: Therefore, encouraging positive beliefs and thoughts among the cancer survivors, with interventions to manage negative emotions at a very initial stage, would promote them to have a healthier future.","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":"47743135","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":"Body image concern, quality of life, and psychological reaction among breast cancer patients: A cross-sectional study in a tertiary care hospital of Western India","authors":"Chintan Savani, Anu Patel, Rajat M. Oswal","doi":"10.4103/aip.aip_166_22","DOIUrl":"https://doi.org/10.4103/aip.aip_166_22","url":null,"abstract":"Background: Breast cancer causes a wide range of physical and psychological issues. Breast cancer treatment affects woman's body image and sexuality which can impact psychological well-being and quality of life (QOL). Aims: This study aimed to assess body image concern among breast cancer patients and to compare it with healthy women and to assess QOL and psychological reaction among breast cancer patients. Settings and Design: This was a comparative cross-sectional study, conducted at a tertiary care hospital on breast cancer patients compared to age-matched healthy women taken as controls. Materials and Methods: Data were collected using a semi-structured questionnaire, Body Image Scale, European Organization for Research and Treatment of Cancer Breast Cancer-Specific QOL Questionnaire, Hamilton Anxiety Rating Scale, and Hamilton Depression Rating Scale. Statistical Analysis Used: Data were analyzed with Epi Info 7. Mean and standard deviation for continuous variables and percentages and Chi-square test for categorical variables were used. P < 0.05 was considered statistically significant. Results: Breast cancer patients were having high body image concern as compared to healthy women. On QOL assessment, scores of body image and future perspective were comparatively low-low level of functioning and scores were high for breast symptoms and hair loss-high level of symptomatology. More patients had significant anxiety and depressive symptoms. Conclusions: Breast cancer patients were having high body image concern and poor QOL as compared to age-matched healthy women, associated with significant depression and anxiety.","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":"46490888","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}