Sri Lanka Journal of Psychiatry最新文献

{"title":"Brain drain among Sri Lankan psychiatrists","authors":"M. Chandradasa, A. L. A. Kuruppuarachchi, Sri Lanka, Kala Kuruppuarachchi","doi":"10.4038/sljpsyc.v14i2.8529","DOIUrl":"https://doi.org/10.4038/sljpsyc.v14i2.8529","url":null,"abstract":"No abstract available","PeriodicalId":53403,"journal":{"name":"Sri Lanka Journal of Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140683706","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":"Coeditor Dulshika Waas meets Professor Samudra Kathriarachchi, Emeritus Professor of Psychiatry for the first interview in a series of interviews with eminent psychiatrists in Sri Lanka","authors":"Dulshika A Waas","doi":"10.4038/sljpsyc.v14i2.8531","DOIUrl":"https://doi.org/10.4038/sljpsyc.v14i2.8531","url":null,"abstract":"No abstract available","PeriodicalId":53403,"journal":{"name":"Sri Lanka Journal of Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140682517","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 study of the relationship between mental disorders and dating violence victimisation in university undergraduates","authors":"A. Lebimoyo, M. Sanni","doi":"10.4038/sljpsyc.v14i2.8485","DOIUrl":"https://doi.org/10.4038/sljpsyc.v14i2.8485","url":null,"abstract":"Background: In many climes, dating violence is quite prevalent among young persons, and contemporary research has demonstrated that Nigerian youths are not exempted from this menace. Beyond the physical impact of violence, victims of dating violence could also experience common mental health problems like; depression, anxiety, and suicidality.Aims: To determine the pattern and magnitude of dating violence victimisation, and the relationship between dating violence victimisation, depression, anxiety, and suicidality among undergraduate students.Methods: This was a cross-sectional descriptive study of 118 undergraduate students recruited using convenience sampling. The questionnaires used were; the Dating Violence Questionnaire (DVQ), Suicide Behaviour Questionnaire-Revised (SBQ-R), Hospital Anxiety  and Depression Scale (HADS), and a Socio-Demographic Questionnaire.Results: Humiliation and sexual abuse were the commonest, and least common forms of dating violence victimization respectively. Humiliation was predictive of depression (P=0.04) and suicidality (P=0.04), physical abuse was predictive of anxiety (P=0.02), and sexual abuse was predictive of suicidality (P=0.03).Conclusions: There is a need for better advocacy for prevention programs against dating violence, and scaling up of mental health services for youths suffering from dating violence-related mental health problems.","PeriodicalId":53403,"journal":{"name":"Sri Lanka Journal of Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140683111","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 the effects of the past civil war in terms of the prevalence and associating factors of PTSD","authors":"R. M. M. Monaragala","doi":"10.4038/sljpsyc.v14i2.8465","DOIUrl":"https://doi.org/10.4038/sljpsyc.v14i2.8465","url":null,"abstract":"The Sri Lanka Army experienced a civil war, which ended in 2009. PTSD is a chronic psychological complication following trauma associated with war, and this study intends to explore the extent of PTSD ten years after the civil war in the Army.Aims:This study aimed at describing the prevalence of PTSD and its associated factors among armed personnel with combat experience.Methods: This was a cross-sectional study, conducted in 2019, in the East of Sri Lanka with a total sample of 3365. The other ranks were selected from 71 clusters by multi-stage cluster sampling method whilst the officers were selected by systematic random sampling method from the Officers’ Seniority List. The locally validated PTSD checklist military version (PCL-M) questionnaire was used to screen PTSD. A standard questionnaire was used to obtain data on sociodemographics, aggression, smoking, and cannabis usage, whereas locally validated tools (PHQ-9, Chalder fatigue scale, and AUDIT) were used to gather information on psycho-logical and behavioral factors. Data were analyzed with SPSS-20, and the significance of factors associated with PTSD (p≤0.05) was determined by the Chi-Square test. Multiple logistic regression was used to exclude confounders. The study was conducted after the ethical clearance from the Ethical Review Committee of the Faculty of Medicine, KDU.Results: Of the sample, 1845 (75 officers and 1772 other ranks) had combat exposure and were chosen for this study.  The prevalence of PTSD was 3.9%. Battle events and consequences, probable depression, fatigue, high-risk drinking (HRD), childhood abuse, expression of aggression, psychiatric family history, inward admission, absenteeism, and psychosocial dysfunction were significantly associated with PTSD. After adjusting the odds ratios, probable depression, fatigue, aggression, and family history of mental disorder, were predictive of PTSD.Conclusions: Even after ten years, the psychological effect of the civil war persists. Early exposure to childhood abuse, psychiatric family history, and younger age at combat exposure could be risk factors for PTSD, and HRD, depression, fatigue, psychosocial dys-function, absenteeism, aggression, and tendency to seek medical treatment can be outcomes of PTSD. Screening and psychosocial intervention are recommended in the field.","PeriodicalId":53403,"journal":{"name":"Sri Lanka Journal of Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140685187","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":"Towards the same goal from different ends: the use of arts in psychiatric practice","authors":"N. Liyanage","doi":"10.4038/sljpsyc.v14i2.8489","DOIUrl":"https://doi.org/10.4038/sljpsyc.v14i2.8489","url":null,"abstract":"Various artistic modalities are used as an alternative or supplementary treatment method in modern-day psychiatric practice. It has been shown that artistic activities are beneficial to patients as they provide a platform to open up and share the experiences, feelings, perceptions, views, and expectations of their lives with mental illnesses. Artistic activities can be used as a powerful tool to improve empathy not only in clinicians but also in patients by allowing them to view the world from a different perspective. Artistic modalities can be effectively used in mental health promotion and prevention when adopted by cultures. The ultimate goal of biologically driven psychiatric practice is to reduce the suffering due to mental illnesses, and the incorporation of non-pharma-cological treatment modalities like artistic activities can complement achieving the same target.","PeriodicalId":53403,"journal":{"name":"Sri Lanka Journal of Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140682662","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":"Tertiary care de-addiction centre patients with substance dependence syndrome: A study of sociodemographic profile, sero prevalence of hepatitis B, hepatitis C, human immuno deficiency virus, and psychiatric co-morbidity","authors":"A. Jhajharia, P. Arora","doi":"10.4038/sljpsyc.v14i2.8488","DOIUrl":"https://doi.org/10.4038/sljpsyc.v14i2.8488","url":null,"abstract":"Objective: In India, the epidemic of substance misuse among young people has grown alarmingly severe over the past few years. These patients continue to spread the human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV) at an alarming pace on a global scale. Co-morbidity between psychiatric diseases and substance use disorders has recently gained significant policy attention. The current study sought to determine the prevalence of psychiatric co-morbidity, HIV, HBV, and HCV infection among individuals with substance use disorders.Material and methods: The present cross-sectional study was tertiary care Drug De-addiction Centre based study in which their sero-prevalence of anti-HCV, anti-HIV antibodies and HBsAg antigen were determined along with psychiatric co-morbidity among 100 consenting patients of substance dependence syndrome. Pre structured psychiatric thesis, socio demographic performa, self reporting questionare 20 and MINI were applied to study the abovesaid factors. The data was evaluated using Microsoft Office Excel worksheet.Results: The majority 60.0% of patients had single substance dependence. Out of that maximum had opioid dependence 86.7% followed by alcohol dependence 8.3%. 30 (30.0%) patients were reactive for any of three viral markers and 70 (70%) patients were non-reactive. Regarding psychiatric co-morbidity 29.0% patients of substance dependence syndrome had co-morbid psychiatric illness as per MINI scale.Conclusions: Thus, the findings of this study will contribute to the development of effective intervention programs to stop the spread of  HIV, HBV, HCV, and psychiatric disorder among this population.","PeriodicalId":53403,"journal":{"name":"Sri Lanka Journal of Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140684858","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":"Cognitive impairment and functional outcomes in schizophrenia: a narrative review","authors":"N. U. Wanniarachchi, S. M. Senanayake","doi":"10.4038/sljpsyc.v14i2.8498","DOIUrl":"https://doi.org/10.4038/sljpsyc.v14i2.8498","url":null,"abstract":"No abstract available","PeriodicalId":53403,"journal":{"name":"Sri Lanka Journal of Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140684074","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":"Psychiatry, caught in the web of the internet","authors":"L. Amarakoon, R. Fernando","doi":"10.4038/sljpsyc.v14i2.8532","DOIUrl":"https://doi.org/10.4038/sljpsyc.v14i2.8532","url":null,"abstract":"No abstract available","PeriodicalId":53403,"journal":{"name":"Sri Lanka Journal of Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140682593","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":"The association between serum BDNF levels, BDNF polymorphisms, and tardive dyskinesia: A review of current evidence","authors":"K. Uludag","doi":"10.4038/sljpsyc.v14i2.8487","DOIUrl":"https://doi.org/10.4038/sljpsyc.v14i2.8487","url":null,"abstract":"Background: Tardive Dyskinesia (TD) is a movement disorder that can be potentially permanent and is commonly found among psychiatric patients who are taking antipsychotics or lithium. Studies have investigated the association between TD and genetics, particularly the impact of Brain-Derived Neurotrophic Factor (BDNF) polymorphisms on TD occurrence and cognitive changes. Among the BDNF polymorphisms studied, Val66Met has been investigated extensively. Nevertheless, the extent to which genetic approaches can contribute to comprehending the susceptibility to TD remains uncertain.Methods: PubMed was used to search articles systematically. Twenty-seven articles published in the last ten years (2012-2022) were retrieved. Review, meta-analysis, retracted, animal studies, and comment articles were excluded. In addition, only articles in English language were included.Results: Preliminary results of the study suggest an association between TD occurrence and cognition with specific BDNF polymorphisms and serum BDNF levels.Conclusions: In conclusion, our study findings suggest a potential relationship between TD and BDNF polymorphisms as well as serum BDNF levels.","PeriodicalId":53403,"journal":{"name":"Sri Lanka Journal of Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140685595","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 peculiar case of neurosyphilis presenting with general paresis of the insane with concurrent untreated HIV infection","authors":"O. T. D. Perera, K. Ranasinghe, B. Gk, M. Wimalarathna, G. D. K. N. Karunarathna, S. C. Wijesiriwardena, Senior Consultant Psychiatrist C K Ranasinghe, T. D. Perera","doi":"10.4038/sljpsyc.v14i2.8495","DOIUrl":"https://doi.org/10.4038/sljpsyc.v14i2.8495","url":null,"abstract":"General paresis of insane or dementia paralytica is a rare conventional manifestation of neurosyphilis. In the era of penicillin and HIV it is a challenge to observe and diagnose typical presentations of neurosyphilis.42-year-old single male presented with an acute behavioural disturbance with hearing voices in a background of rapidly progressing forgetfulness and functional deterioration to the extent of needing support for his activities of daily living with urine incontinence for nine months duration. His beha-vioural change had first started with distressing insomnia leading to consumption of alcohol 30 units a day. Gradually displayed disorganised and dis-inhibited behaviour with some overactivity and was treated as a mood disorder with poor response and rapid deterioration of functioning.Investigations revealed marked impairment of frontal lobe and dominant parietal lobe functions in extended cognitive assessment. Blood investigations revealed normocytic normochromic anaemia with raised inflammatory markers: CRP, ESR, CPK with normal thyroid function. Syphilis serology was positive. Subsequently the examination carried out by an eye surgeon detected ocular syphilis. CSF analysis was negative for syphilis and the changes were most likely related to the untreated HIV infection with a CD4 count of 104 cells/μL. Neuroimaging showed generalized cortical atrophy with enlarged ventricles. He was treated for neurosyphilis as well as and treatment for HIV was initiated, but there was minimal improvement.Conclusions: Neurosyphilis remains as an important aetiology to be considered in rapidly progressing dementia in young patients. Comorbid HIV infection worsens the severity and prognosis.","PeriodicalId":53403,"journal":{"name":"Sri Lanka Journal of Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140685645","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}