Sri Lanka Journal of Psychiatry最新文献_第10页

A qualitative study of mealtime difficulties in patients with dementia who feed themselves 痴呆症患者进食困难的定性研究

Sri Lanka Journal of Psychiatry Pub Date : 2020-06-18 DOI: 10.4038/sljpsyc.v11i1.8242

D. Damayanthi, A. M. N. L. D. Silva, I. Gunathilake, C. Suraweera

引用次数: 0

Sexual desire, sexual functioning and well-being in married males: a community based study 已婚男性的性欲、性功能和幸福感:一项基于社区的研究

Sri Lanka Journal of Psychiatry Pub Date : 2020-06-18 DOI: 10.4038/sljpsyc.v11i1.8221

G. Lakshmana, F. Mohd, A. Panda

引用次数: 0

Non-invasive brain stimulation – a new way forward for psychiatric disorders? 非侵入性脑刺激——治疗精神疾病的新方法？

Sri Lanka Journal of Psychiatry Pub Date : 2020-06-18 DOI: 10.4038/sljpsyc.v11i1.8245

A. Hapangama, S. Perera

{"title":"Non-invasive brain stimulation – a new way forward for psychiatric disorders?","authors":"A. Hapangama, S. Perera","doi":"10.4038/sljpsyc.v11i1.8245","DOIUrl":"https://doi.org/10.4038/sljpsyc.v11i1.8245","url":null,"abstract":"Repetitive transcranial magnetic stimulation (rTMS) is the focal application of a localized, pulsed magnetic field to the cerebral cortex, resulting in the induction of a small electrical currents that stimulate nerve cells in the region of the brain involved in mood regulation and depression. Similar to electroconvulsive therapy (ECT), it is noninvasive, however unlike ECT it does not involve use of an anaesthetic, seizure induction or loss of consciousness. The Professional Practice Guidelines (PPG 16) of the Royal Australian and New Zealand College of Psychiatrists as well as the Interventional procedures guidance [IPG542] of the National Institute of Clinical Excellence (NICE) of the United Kingdom both list depression as the primary clinical indication for rTMS. The PPG 16 also states that there is accumulating evidence for use of rTMS in obsessive compulsive disorder, but given the wide variety of treatment targets and paradigms used in different studies, it is still difficult to make an overall conclusion. The guideline highlights that the evidence for use of rTMS in schizophrenia is less substantive, with lack of multi-centre trials, but may be considered for patients with persistent auditory hallucinations despite optimal medication, to be delivered with specialist training.","PeriodicalId":53403,"journal":{"name":"Sri Lanka Journal of Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49331276","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

Betel-quid use and its effects on symptoms of schizophrenia and extrapyramidal symptoms among a group of patients in a tertiary care hospital in Sri Lanka 在斯里兰卡一家三级保健医院的一组患者中，槟榔液的使用及其对精神分裂症和锥体外系症状的影响

Sri Lanka Journal of Psychiatry Pub Date : 2020-06-18 DOI: 10.4038/sljpsyc.v11i1.8244

A. Isuru, D. Ediriweera, A. Pathmeswaran, A. Embuldeniya, H. Narammalage, S. Warnakulasuriya, K. Kuruppuarachchi, A. Hapangama

{"title":"Betel-quid use and its effects on symptoms of schizophrenia and extrapyramidal symptoms among a group of patients in a tertiary care hospital in Sri Lanka","authors":"A. Isuru, D. Ediriweera, A. Pathmeswaran, A. Embuldeniya, H. Narammalage, S. Warnakulasuriya, K. Kuruppuarachchi, A. Hapangama","doi":"10.4038/sljpsyc.v11i1.8244","DOIUrl":"https://doi.org/10.4038/sljpsyc.v11i1.8244","url":null,"abstract":"Background There is limited research regarding the prevalence of betel quid use and its effects on symptoms of patients with schizophrenia. Available studies suggest an association between betel chewing and positive symptoms among males with schizophrenia. Aims This study aimed to compare the prevalence of betel quid chewing between patients with and without mental illness, and to explore the association between betel quid use, symptoms of schizophrenia and side effects of psychotropic medication. Methods A cross sectional descriptive study was carried atoutpatient clinics at a tertiary care hospital in Sri Lanka. A structured interview schedule was administered to all participants. Results Out of 1000 participants, 20.9% chewed betel quid (95%CI: 18.4% - 23.4%). The rate of betel chewing among patients with and without a mental illness was 20.7% (95% CI: 17.0% - 24.4%) and 21.0% (95% CI: 17.6% - 24.5%) respectively and there was no significant difference between the two groups. There was no statistically significant difference between the occurrence of positive or negative symptoms and extra pyramidal side effects in patients with schizophrenia who did and did not chew betel. Female gender (p=0.004) and betel quid chewing (0.002) were associated with more anticholinergic side effects. Conclusions There was no association between betel quid usage and the occurrence of positive or negative symptoms of schizophrenia or extra pyramidal side effects.","PeriodicalId":53403,"journal":{"name":"Sri Lanka Journal of Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48649659","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: 1

Association between obesity and attention deficit hyperactivity disorder in children at a tertiary care outpatient setting: A comparative study 三级保健门诊儿童肥胖与注意缺陷多动障碍的关系:一项比较研究

Sri Lanka Journal of Psychiatry Pub Date : 2020-06-18 DOI: 10.4038/sljpsyc.v11i1.8226

A. Ellepola, G. S. Wijethunge, N. Gunawardena

引用次数: 1

Psychological effects of boarding students in schools far away from home – a qualitative study of a sample of students referred to a psychiatry clinic from Central Sri Lanka 离家很远的寄宿学生的心理影响——对斯里兰卡中部一家精神病学诊所转诊学生样本的定性研究

Sri Lanka Journal of Psychiatry Pub Date : 2020-06-18 DOI: 10.4038/sljpsyc.v11i1.8223

A. Malalagama

引用次数: 0

Party drug to mainstream medicine; the transition of ketamine 党药走向主流医学；氯胺酮的转变

Sri Lanka Journal of Psychiatry Pub Date : 2020-06-18 DOI: 10.4038/sljpsyc.v11i1.8240

N. Ravindran, A. Ravindran

{"title":"Party drug to mainstream medicine; the transition of ketamine","authors":"N. Ravindran, A. Ravindran","doi":"10.4038/sljpsyc.v11i1.8240","DOIUrl":"https://doi.org/10.4038/sljpsyc.v11i1.8240","url":null,"abstract":"A significant proportion of patients with major depressive disorder are refractory to approved interventions. The first report of significant and rapid benefit of intravenous (IV) ketamine for treatment resistant depression (TRD) appeared in 2000. Since then, there have been multiple reports on the efficacy and tolerability of ketamine formulations for TRD, in particular for single-dose IV administration, which is supported by meta-analyses. The benefit for oral and other non-IV forms remains preliminary. There is preliminary evidence that ketamine has anti-suicidal properties. The adverse effects of ketamine are often mild, brief, and not clinically significant, and include dissociation, sedation, and changes in blood pressure and heart rate. Recently, the S-enantiomer esketamine has been developed, evaluated, and approved for use in North America as adjunct to antidepressants for TRD. Intranasal esketamine has ease of use but the IV form has the advantage of cost. Both are equally effective and tolerable with few drug interactions, and are indicated for adult patients with TRD. Informed consent, medical assessment, supervised setting and monitoring by trained personnel are mandatory. The increased risk of misuse, diversion, and addiction has been recognized with the need for education, responsible practice, and ongoing research.","PeriodicalId":53403,"journal":{"name":"Sri Lanka Journal of Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45617375","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

Prevalence and factors associated with mental health problems among children with asthma: a hospital-based study 哮喘儿童心理健康问题的患病率及相关因素:一项基于医院的研究

Sri Lanka Journal of Psychiatry Pub Date : 2020-06-18 DOI: 10.4038/sljpsyc.v11i1.8237

D. Dahanayake, G. S. Wijethunge, V. A. D. Silva

引用次数: 0

Expressed emotion, medication adherence and association with disease prognosis in patients with schizophrenia at Teaching Hospital, Anuradhapura 阿努拉德普勒教学医院精神分裂症患者的情绪表达、药物依从性与疾病预后的关系

Sri Lanka Journal of Psychiatry Pub Date : 2020-06-18 DOI: 10.4038/sljpsyc.v11i1.8225

A. Ellepola, C. Abayaweera

引用次数: 1

Sri Lanka Journal of Psychiatry Pub Date : 2020-06-18 DOI: 10.4038/sljpsyc.v11i1.8243

U. Attygalle, H. Perera, B. D. W. Jayamanne

引用次数: 1