Annals of Indian Psychiatry最新文献

{"title":"Attitudes and perception of nursing students towards suicide: An exploratory survey","authors":"P. Lodha, A. De Sousa, R. Appasani, S. Karia, Nilesh Shah","doi":"10.4103/aip.aip_149_21","DOIUrl":"https://doi.org/10.4103/aip.aip_149_21","url":null,"abstract":"Background: Patients with suicide attempts usually present to the emergency department of hospitals, and the attitude of nursing staff and medical personnel plays a major role in their recovery. There is a negative perception and stigma associated with suicide among the public and hospital staff. This study aimed to assess the attitudes and perceptions toward suicide and suicide attempters among 2nd and 3rd year nursing students at a government hospital in Mumbai, India. Methodology: One hundred and eighty-eight nursing students studying in the 2nd and 3rd year of their courses were administered the suicide stigma scale, attitudes to suicide prevention scale and the exposure to suicidal behavior scale. The data were analyzed using descriptive statistics. Results: Sixty-eight (36%) of respondents agreed that those who attempt/commit suicide/take their life (lose their life to suicide) are pathetic while 35% believed that these persons were shallow and 44% of nursing students reported them to be immoral. Seventy six (40%) agreed that if someone is serious about committing suicide, they do not tell anyone about it. Eighty-nine (47%) of the respondents knew someone who made a suicide attempt and 108 (57%) of the students knew someone who had attempted suicide. Majority of the sample found seeking help from mental health professionals to be useful, important, and empowering. Conclusion: Further studies are needed to generalize the findings of this survey and to determine the methods of incorporating suicide assessment and management as an integral part of the nursing curriculum.","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":"49566177","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 adverse drug reactions identified in the outpatient department of psychiatry","authors":"Joyceline Dsouza, J. Joel, S. Bhat, C. Deepak","doi":"10.4103/aip.aip_148_22","DOIUrl":"https://doi.org/10.4103/aip.aip_148_22","url":null,"abstract":"Context: Adverse drug reactions (ADRs) are “any response to a drug which is noxious and unintended, and which occurs at doses normally used in man for prophylaxis, diagnosis, or disease therapy.” Antipsychotics used for treating mental illnesses are highly vulnerable to ADRs due to the need for lifelong therapy. Early detection and regular monitoring of ADRs can minimize complications and improve patient's quality of life. Aims: The study aims to identify ADRs in patients with psychiatric disorders and determine the cause of ADRs. Settings and Design: A prospective cross-sectional study conducted in the outpatient department of psychiatry at a tertiary care teaching hospital. Materials and Methods: Patients were approached to identify ADRs at the psychiatry outpatient department. Informed consent was obtained from the participants before enrollment. Data collected from patients were documented in the patient data collection forms and suspected ADR reporting forms have been used to record ADRs. Statistical Analysis Used: Chi-square test was used for statistical analysis. Results: Among 190 recruited, 60 ADRs were reported from 39 outpatients. A significant multiple psychotropic drug usage was found in the patients (P ≤ 0.005). Both the genders showed an equal propensity toward ADRs. The antipsychotic drug sodium valproate held responsible for most of the ADRs. Tremor an extrapyramidal side effect was the most common adverse effect identified. Most of the patients required dose alteration to manage their symptoms. Conclusions: Regular observation is necessary for psychiatry patients to ensure safety and compliance with the therapy. Spontaneous reporting and regular monitoring are necessary to avoid ADR occurrence and its severity.","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":"48945307","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":"Unknown to known: Family reintegration of a person with severe mental illness: A psychosocial perspective","authors":"Kannappa V. Shetty, S. Manikappa, A. Hamza, A. Srivastava","doi":"10.4103/aip.aip_13_22","DOIUrl":"https://doi.org/10.4103/aip.aip_13_22","url":null,"abstract":"A 45-year-old wandering female diagnosed with severe mental illness was brought by the public to the tertiary government mental health hospital for treatment, and she was later successfully reunited with her family through a psychosocial approach.","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":"46727365","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":"“Mephentermine Abuse” an Age-old Concern with New Challenges: Review of Literature with Case Series","authors":"Yogender Kumar Malik, Akansha Bhardwaj, Adwitiya Ray, Bhumika Malik, Rajiv Gupta","doi":"10.4103/aip.aip_59_23","DOIUrl":"https://doi.org/10.4103/aip.aip_59_23","url":null,"abstract":"Abstract Mephentermine, a stimulant drug, is used as vasoconstrictor to maintain blood pressure in hypotensive states and shock, but due to its stimulant effects on the central nervous system, it has also been used for performance enhancement by athletes. Here, we discuss three cases where the patients had used mephentermine to enhance their work performance. Case 1: A male in his 30’s, presented with palpitation, headache, and hypertension after 1 year of use of mephentermine which he had started using with the purpose of increasing his work performance. Case 2: A 22-year-old male presented with depressive symptoms following a 3-year history of use of mephentermine after being suggested by peers to enhance performance at gym. Case 3: A 22-year-old male with 2-year history of mephentermine, presented with withdrawal symptoms, after being introduced to mephentermine by his peers to improve physical performance and difficulty stopping its use on his own. It was found that the purpose of mephentermine abuse in all three discussed cases was to enhance performance, either at sports or workplace, which gradually lead to physical or mental complications or withdrawal symptoms. It thus seems imperative to create awareness about the harmful and addictive effects of mephentermine to masses, and simultaneously limiting its easy availability.","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134980107","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":"Telemedicine in India: COVID-19 and beyond?","authors":"Shivakumar Kumar, G. Pranathi","doi":"10.4103/aip.aip_73_22","DOIUrl":"https://doi.org/10.4103/aip.aip_73_22","url":null,"abstract":"","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":"45501347","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":"Psychological consequences and coping strategies of health-care workers in COVID section of a tertiary hospital: A qualitative study","authors":"Kashish Thaper, M. Datar, J. Shetty, Anshumi Bhattacharya","doi":"10.4103/aip.aip_125_21","DOIUrl":"https://doi.org/10.4103/aip.aip_125_21","url":null,"abstract":"Background: Health-care workers (HCWs) working in COVID care are vulnerable to various psychological stressors. The novel nature of infection and exponential increase in cases add to the workload and psychological distress. Hence, assessing the psychological consequences and methods of coping in these HCWs is important. The detection can help in devising appropriate psychological interventions for them. Aim: The aim of this study was to assess the psychological reactions, symptoms, and coping strategies of HCWs in COVID section of a tertiary hospital. Objectives: The objectives of this study were as follows: (1) to explore various psychological reactions, stressors, psychological symptoms, and coping skills of doctors, nurses, and support staff working in COVID section of a tertiary care hospital and (2) to correlate the psychological reactions, stressors, and psychological symptoms with sociodemographic factors. Methodology: This was a qualitative study. A total of 100 HCWs including doctors, nurses, and support staff working in COVID section of hospital were interviewed for psychological consequences and their coping strategies. Their narratives were coded into themes and analyzed. Statistical Analysis: Frequency and percentages for quantitative variables were used for statistical analysis. Chi-square test was used for correlation of qualitative variables. Results: The HCWs reported various psychological reactions of worries about their own health which was significant in HCWs in intensive care unit (χ2 = 12.35, P = 0.002) and had concern of nature of work, which was a significant concern in doctors (χ2 = 9.59, P = 0.008). The stressor of uncomfortable personal protective equipment was found to be reported more significantly by support staff (chi2 = 11.1, P = 0.03), and that of long and burdensome work reported more significantly by females (chi2 = 4.64, P = 0.03). They had prominent psychological symptoms of irritability significantly reported by doctors (χ2 = 9.91, P = 0.007), sleep disturbances significantly reported by unmarried (χ2 = 6.76, P = 0.009), and by nurses (χ2 = 9.7, P = 0.008). The most common coping strategies used were acceptance, problem-solving strategies, and communicating with family members and colleagues. Conclusion: The HCWs in COVID section had stressors with psychological reactions and symptoms and used various coping strategies to deal with them.","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":"48693335","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":"Chronic Mania: A Case Series","authors":"Priyanka Hooda, Bhupendra Khobragade, Ananya Mahapatra, Shipra Singh","doi":"10.4103/aip.aip_109_21","DOIUrl":"https://doi.org/10.4103/aip.aip_109_21","url":null,"abstract":"Abstract Chronic mania is a known but underexplored entity and still lacks nosological status. Earlier reports of chronic mania have found distinct symptomatology, course, outcome, and treatment challenges. Three cases of chronic mania are presented with challenges in treatment, variable response to drugs and different outcomes along with a synopsis of review of literature in this context. There is a need for longitudinal follow-up studies of patients with diagnosis suggestive of chronic mania for better understanding of treatment response and outcome.","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134980351","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":"Efficacy of Clozapine in Patients with Schizophrenia – A 3-Month follow-up Study from North India","authors":"Paramvir Singh, Yesh Chandra Singh, Abhinav Pandey, Chitrakshee Singh, Nirali Muchhala, Sagar Karia","doi":"10.4103/aip.aip_89_23","DOIUrl":"https://doi.org/10.4103/aip.aip_89_23","url":null,"abstract":"Abstract Background: Treatment-resistant schizophrenia (TRS) is one of the most disabling forms of schizophrenia. The Indian population being different in its sociodemographic factors, clinical profiles, and family structures, the experience of the efficacy of clozapine here is insufficient. Aim: The aim of the study is to explore the efficacy of clozapine in TRS over 3 months of drug use. Materials and Methods: It was an open-label interventional 12-week follow-up study, with 30 consenting adults with TRS determined as per modified Conley and Kelly’s criteria of treatment resistance. The patient’s sociodemographic and clinical details were recorded. Oral clozapine was initiated with gradual up-titration after preclozapine workup. The Positive and Negative Syndrome Scale (PANSS) score was assessed at baseline and reviewed at 4 weekly intervals. Results: By the end of 12 weeks, on an average dose of 494 ± 113.83 mg/day, 36.67% of patients reported 25%–50% improvement in PANSS score. The maximum improvement was seen in the positive symptoms subscale followed by the general and negative symptoms subscale. Conclusion: This study enlightens the dosage differences and efficacy of clozapine in the management of TRS in the Indian population.","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134980358","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 Psychiatric Comorbidities and Disability in Patients with a Complaint of Headache Attending Psychiatric Outpatient Department at Tertiary Care Center","authors":"Shri Gopal Goyal, Prem Prakash, Suresh Parihar, K. K. Verma","doi":"10.4103/aip.aip_146_21","DOIUrl":"https://doi.org/10.4103/aip.aip_146_21","url":null,"abstract":"Abstract Background: Headache is one of the most common complaints seen among the patients attending the psychiatric outpatient department. Psychiatric comorbidities worsen the headache and there is a vicious cycle of headache and psychiatric symptoms, aggravating each other. This further complicates headache management so it is better to explore psychiatric symptoms whenever we come across a headache patient. Aims and Objectives: The aim and objective of the study are to assess the psychiatric comorbidities and disability among the patients complaining of headaches. Materials and Methods: This was a cross-sectional study carried out at a tertiary care center. Patients attending the outpatient department with complaints of headaches were enrolled. Psychiatric comorbidities were assessed by using patient health questionnaire-9, generalized anxiety disorder-7 scale, depression, anxiety, and stress 21 scale along with allodynia symptom checklist-12. Disability in the past 3 months was assessed by Migraine Disability Assessment Scale (MIDAS) scale. A semi-structured Performa was used to record sociodemographic details and clinical variables. Results: Majority of the patients (69%) were of the age group 20–40 years. Females (75%) predominated in the study. The average severity of headaches reported by 63% of patients was moderate over Likert’s scale. Temple area (73%) was the main location. Throbbing (81%) was the main type of headache. One-third of the patients got compelled to wake at night due to headache attacks. The main premonitory symptoms were depression, irritability, and sensitivity to sound. Other associated symptoms during headache attacks were sensitivity to sound, anxiety, and irritability. Psychological stress was the main provoking factor. The majority of patients (75%) show mild disability in the past 3 months over the MIDAS scale. 25% of the patient-reported moderate depression over the patient health questionare-9 scale. The majority of the patients (85%) reported moderate-to-severe anxiety and nearly half of the patients reported severe stress. Conclusion: Patients with headaches have high chances of associated psychiatric comorbidities that make worse outcomes of each other so it is better to do detailed psychiatric workup and treat them efficiently keeping in view of psychiatric symptoms.","PeriodicalId":52916,"journal":{"name":"Annals of Indian Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134980343","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":"Guilt: The concept and facets seen in clinical practice","authors":"A. De Sousa","doi":"10.4103/aip.aip_81_23","DOIUrl":"https://doi.org/10.4103/aip.aip_81_23","url":null,"abstract":"","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":"45158877","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}