Background:Competency-based medical education (CBME) offers avenues for effective psychiatry teaching to medical students. However, data concerning the feasibility, effectiveness, and students’ perspectives on CBME-based clinical rotation, including psychiatry, needs to be explored in India. Therefore, this research aims to evaluate the student’s learning effectiveness and feedback on the CBME-informed psychiatry posting.Methods:This cross-sectional retrospective research evaluated the 7th-semester MBBS students (n = 101, 39 [38.6%] females and 62 [71.4%] males), from a tertiary-care teaching hospital in central India, perceived change in Knowledge, Attitude, and Skill and feedback on the CBME-based clinical rotation (July-December 2023) using a mixed-method approach through an online feedback form.Results:A “considerable or marked perceived change,” ranging from 70% to 97%, in the knowledge, attitude, ethical aspects, psychomotor skills, and soft skills were noted. 84%–91% of students were “satisfied/quite satisfied (or rated it good to very good)” with the pattern and content of the program, including the assessment. 37% expressed their desire to take psychiatry as an elective. Descriptive responses showed that participants felt improvement in their communication skills, knowledge about non-pharmacological interventions, opportunity to observe and present cases in the Outpatient Department, and satisfaction with the teaching and assessment methods. The need for minor changes regarding case-based formative assessment and the opportunity for more case workups were also cited.Conclusion:The CBME-informed psychiatry clinical rotation can be instrumental in improving psychiatry training and promoting mental health among students. Research involving a comparison arm, longitudinal design, and validated assessment tools can bring greater insights into the subject.
{"title":"Perceived Learning and Feedback of Students Following the Competency-based Clinical Rotation in Psychiatry: A Retrospective Review From Tertiary-care Teaching Institute in Central India","authors":"Akash Kumar, Snehil Gupta, Jyotsna Jain, Sanjukta Ghosh, Devendra Basera, Ashish Pakhre, Tamonud Modak","doi":"10.1177/02537176241277518","DOIUrl":"https://doi.org/10.1177/02537176241277518","url":null,"abstract":"Background:Competency-based medical education (CBME) offers avenues for effective psychiatry teaching to medical students. However, data concerning the feasibility, effectiveness, and students’ perspectives on CBME-based clinical rotation, including psychiatry, needs to be explored in India. Therefore, this research aims to evaluate the student’s learning effectiveness and feedback on the CBME-informed psychiatry posting.Methods:This cross-sectional retrospective research evaluated the 7th-semester MBBS students (n = 101, 39 [38.6%] females and 62 [71.4%] males), from a tertiary-care teaching hospital in central India, perceived change in Knowledge, Attitude, and Skill and feedback on the CBME-based clinical rotation (July-December 2023) using a mixed-method approach through an online feedback form.Results:A “considerable or marked perceived change,” ranging from 70% to 97%, in the knowledge, attitude, ethical aspects, psychomotor skills, and soft skills were noted. 84%–91% of students were “satisfied/quite satisfied (or rated it good to very good)” with the pattern and content of the program, including the assessment. 37% expressed their desire to take psychiatry as an elective. Descriptive responses showed that participants felt improvement in their communication skills, knowledge about non-pharmacological interventions, opportunity to observe and present cases in the Outpatient Department, and satisfaction with the teaching and assessment methods. The need for minor changes regarding case-based formative assessment and the opportunity for more case workups were also cited.Conclusion:The CBME-informed psychiatry clinical rotation can be instrumental in improving psychiatry training and promoting mental health among students. Research involving a comparison arm, longitudinal design, and validated assessment tools can bring greater insights into the subject.","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142253578","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}
Pub Date : 2024-09-14DOI: 10.1177/02537176241273918
Swati Saxena, Bhanupriya Rathore
Background:One of the noblest professions is medicine, which comprises ancillary services, medical students, and other paramedics. The challenges faced by the medical fraternity are infinite and uncertain.Aim:This study aims to thoroughly understand the professional challenges faced by medical professionals that can lead to mental health issues.Methods:A content analysis of 64 news articles and online blogs was done. The articles and blogs that addressed mental health issues among medical professionals were shortlisted. The data retrieved was accessed digitally between 2016 and 2024. Frequency analysis was done using QDA Miner Lite (free version).Results:The findings were summarized into six themes and 17 sub-themes, showing a high frequency of rising mental health issues among medicos, lack of organizational support, poor work-life balance, violence, and sacrificed health, with other less frequent codes like toxic seniority, hostile work culture, negative consequences of reporting mental health problems and hiding vulnerability to protect self-efficacy.Conclusion:The data retrieved from various news articles and blogs presents the personal experiences and real-life struggles of medical professionals. The outcome of this study is to understand the key issues affecting medicos at personal, professional, social, emotional, and spiritual levels.
{"title":"Striving Through Adversities of Professional Life to Provide Better Care: A Content Analysis of News Articles and Online Blogs on Deteriorating Mental Health of Medicos","authors":"Swati Saxena, Bhanupriya Rathore","doi":"10.1177/02537176241273918","DOIUrl":"https://doi.org/10.1177/02537176241273918","url":null,"abstract":"Background:One of the noblest professions is medicine, which comprises ancillary services, medical students, and other paramedics. The challenges faced by the medical fraternity are infinite and uncertain.Aim:This study aims to thoroughly understand the professional challenges faced by medical professionals that can lead to mental health issues.Methods:A content analysis of 64 news articles and online blogs was done. The articles and blogs that addressed mental health issues among medical professionals were shortlisted. The data retrieved was accessed digitally between 2016 and 2024. Frequency analysis was done using QDA Miner Lite (free version).Results:The findings were summarized into six themes and 17 sub-themes, showing a high frequency of rising mental health issues among medicos, lack of organizational support, poor work-life balance, violence, and sacrificed health, with other less frequent codes like toxic seniority, hostile work culture, negative consequences of reporting mental health problems and hiding vulnerability to protect self-efficacy.Conclusion:The data retrieved from various news articles and blogs presents the personal experiences and real-life struggles of medical professionals. The outcome of this study is to understand the key issues affecting medicos at personal, professional, social, emotional, and spiritual levels.","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142253579","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}
Pub Date : 2024-09-14DOI: 10.1177/02537176241281951
Dinesh Bhugra
{"title":"Narratives of Psychiatric Illnesses","authors":"Dinesh Bhugra","doi":"10.1177/02537176241281951","DOIUrl":"https://doi.org/10.1177/02537176241281951","url":null,"abstract":"","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142253575","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}
Pub Date : 2024-09-14DOI: 10.1177/02537176241276827
Muazzez Çiğdem Oba, Özden Orhan, Mehmet Kemal Arıkan
{"title":"A Case-report of Olanzapine-induced Urticaria","authors":"Muazzez Çiğdem Oba, Özden Orhan, Mehmet Kemal Arıkan","doi":"10.1177/02537176241276827","DOIUrl":"https://doi.org/10.1177/02537176241276827","url":null,"abstract":"","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142253576","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}
Pub Date : 2024-09-14DOI: 10.1177/02537176241276749
Kelly Cotton, Shaji Kunnukattil Sivaraman, Sanish Sathyan, Emmeline Ayers, Dristi Adhikari, Mirnova E. Ceïde, Alben Sigamani, Pradeep Kumar, Joe Verghese
Background:The apathy evaluation scale (AES) measures apathy, but its usefulness as a screening tool in diverse populations is limited without translation into more languages. To date, there is no reported translation of the AES into Malayalam, a language spoken by over 32 million people in the southern Indian state of Kerala. In the present study, we aimed to validate the Malayalam version of the AES.Methods:Six hundred sixty-one community-dwelling older adults without dementia participating in the Kerala Einstein study completed the Malayalam AES. We assessed the internal consistency and the validity of the Malayalam AES, using another measure of apathy, as well as measures of depression and anxiety. We also used principal component analysis (PCA) to determine the dimensionality of the Malayalam AES. Finally, we assessed possible sex differences in apathy.Results:The Malayalam AES demonstrated high internal consistency and good validity, and the results of our PCA indicate that it has a three-component structure, as in the original English version and other translated versions. We found that while overall apathy scores were similar, the relationship with other neuropsychiatric symptoms differed by sex, with stronger relationships found in male participants compared to female participants.Conclusion:Our study provides another tool to screen for apathy in non-English-speaking populations, an important early risk factor for cognitive and functional decline, and enables future research across diverse cultures.
{"title":"Validation of a Malayalam Version of the Apathy Evaluation Scale","authors":"Kelly Cotton, Shaji Kunnukattil Sivaraman, Sanish Sathyan, Emmeline Ayers, Dristi Adhikari, Mirnova E. Ceïde, Alben Sigamani, Pradeep Kumar, Joe Verghese","doi":"10.1177/02537176241276749","DOIUrl":"https://doi.org/10.1177/02537176241276749","url":null,"abstract":"Background:The apathy evaluation scale (AES) measures apathy, but its usefulness as a screening tool in diverse populations is limited without translation into more languages. To date, there is no reported translation of the AES into Malayalam, a language spoken by over 32 million people in the southern Indian state of Kerala. In the present study, we aimed to validate the Malayalam version of the AES.Methods:Six hundred sixty-one community-dwelling older adults without dementia participating in the Kerala Einstein study completed the Malayalam AES. We assessed the internal consistency and the validity of the Malayalam AES, using another measure of apathy, as well as measures of depression and anxiety. We also used principal component analysis (PCA) to determine the dimensionality of the Malayalam AES. Finally, we assessed possible sex differences in apathy.Results:The Malayalam AES demonstrated high internal consistency and good validity, and the results of our PCA indicate that it has a three-component structure, as in the original English version and other translated versions. We found that while overall apathy scores were similar, the relationship with other neuropsychiatric symptoms differed by sex, with stronger relationships found in male participants compared to female participants.Conclusion:Our study provides another tool to screen for apathy in non-English-speaking populations, an important early risk factor for cognitive and functional decline, and enables future research across diverse cultures.","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142253581","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":"Reply to the Comments on “The Use of tDCS in a Patient with MECP2 Gene Mutation Presenting with Recurrent Catatonia: A Case Report”","authors":"Himani Adarsh, Namita Sharma, Akhilesh Sharma, Sankie Swer, Shubh Mohan Singh","doi":"10.1177/02537176241279818","DOIUrl":"https://doi.org/10.1177/02537176241279818","url":null,"abstract":"","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142175444","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}
Pub Date : 2024-09-12DOI: 10.1177/02537176241280044
Josef Finsterer
{"title":"Comments on “The Use of tDCS in a Patient with MECP2 Gene Mutation Presenting with Recurrent Catatonia: A Case Report”","authors":"Josef Finsterer","doi":"10.1177/02537176241280044","DOIUrl":"https://doi.org/10.1177/02537176241280044","url":null,"abstract":"","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142175445","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}
Pub Date : 2024-09-10DOI: 10.1177/02537176241276741
Saeid Komasi
Background:The revision and updating of questionnaires are part of the list of comprehensive guidelines for using psychological questionnaires. The present study aimed to test the construct and convergent validity of the Persian versions of six personality questionnaires including the Temperament Evaluation of Memphis, Pisa, Paris, and San Diego-Autoquestionnaire (TEMPS-A: 35 items), the Affective and Emotional Composite Temperament Scale (AFECTS: 48 items), the Temperament and Character Inventory (TCI: 125 items), the Positive Affect and Negative Affect Schedule (PANAS: 20 items), the NEO-Five-Factor Inventory (NEO-FFI: 60 items), and Personality Diagnostic Questionnaire-4 (PDQ-4: 99 items).Methods:The data from four independent samples of Iranian adults ( N1 = 1137, N2 = 558, N3 = 496, N4 = 478; total N = 2669, 70% female, 32.8 ± 10.7 old years) were analyzed by exploratory structural equation modeling (ESEM). Pearson correlations between constructs of the Personality Inventory for DSM-5-Short Form (PID-5-BF: 25 items) or the ICD-11 compatible Personality Inventory for DSM-5–Brief Form Plus, Modified (PID5BF+M: 36 items) and the personality measures were used to evaluate convergent validity.Results:Although the number of factors of TEMPS-A and PDQ-4 were slightly different from the original structures, the results supported the factor structure and reliability (all α between 0.68 and 0.92) of all measures. Most factors of all measures were significantly related to either the PID-5-BF or the PID5BF+M constructs (all P <.05).Conclusion:The findings supported both construct validity and convergent validity of all personality measures in Iranian samples. Mental health professionals can use the Persian version of all valid personality measures to draw personality profiles of adult populations.
{"title":"An Updated Validation of Persian Versions of Six Personality Questionnaires: TEMPS-A, AFECTS, TCI, PANAS, NEO-FFI, PDQ-4","authors":"Saeid Komasi","doi":"10.1177/02537176241276741","DOIUrl":"https://doi.org/10.1177/02537176241276741","url":null,"abstract":"Background:The revision and updating of questionnaires are part of the list of comprehensive guidelines for using psychological questionnaires. The present study aimed to test the construct and convergent validity of the Persian versions of six personality questionnaires including the Temperament Evaluation of Memphis, Pisa, Paris, and San Diego-Autoquestionnaire (TEMPS-A: 35 items), the Affective and Emotional Composite Temperament Scale (AFECTS: 48 items), the Temperament and Character Inventory (TCI: 125 items), the Positive Affect and Negative Affect Schedule (PANAS: 20 items), the NEO-Five-Factor Inventory (NEO-FFI: 60 items), and Personality Diagnostic Questionnaire-4 (PDQ-4: 99 items).Methods:The data from four independent samples of Iranian adults ( N1 = 1137, N2 = 558, N3 = 496, N4 = 478; total N = 2669, 70% female, 32.8 ± 10.7 old years) were analyzed by exploratory structural equation modeling (ESEM). Pearson correlations between constructs of the Personality Inventory for DSM-5-Short Form (PID-5-BF: 25 items) or the ICD-11 compatible Personality Inventory for DSM-5–Brief Form Plus, Modified (PID5BF+M: 36 items) and the personality measures were used to evaluate convergent validity.Results:Although the number of factors of TEMPS-A and PDQ-4 were slightly different from the original structures, the results supported the factor structure and reliability (all α between 0.68 and 0.92) of all measures. Most factors of all measures were significantly related to either the PID-5-BF or the PID5BF+M constructs (all P <.05).Conclusion:The findings supported both construct validity and convergent validity of all personality measures in Iranian samples. Mental health professionals can use the Persian version of all valid personality measures to draw personality profiles of adult populations.","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142175448","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}
Background:The pathogenesis of depression remains elusive and uncertain. The literature suggests that low-grade systemic inflammation might contribute to the etiology of depression. Other markers that are studied are serum magnesium and serum cortisol. The association between these factors might help understand the etiology.Methods:This was a cross-sectional study conducted on a sample of 40 participants. Socio-demographic data was noted, and the Hamilton depression rating scale was applied to rate the severity of depression. Blood samples were drawn at 8 a.m. to record a complete blood picture (to derive the neutrophil–lymphocyte ratio (NLR)), C-reactive protein, serum magnesium, and serum cortisol.Results:In this study, conducted on a sample size of 40, inflammatory markers such as C-reactive protein (CRP: mg/dl) and NLR were significantly increased to 15.52 ± 13.10 and 6.46 ± 2.92, respectively, showing an underlying inflammatory pathology. Serum cortisol (µg/dl) was also raised to 22.30 ± 5.46, and there was a fall in serum magnesium. Also, it is noteworthy that all these markers were significantly associated with the severity of depression, as the Pearson correlation between the Hamilton depression rating scale-21 item (HAM-D-21) score and CRP, NLR, and serum cortisol was positive and statistically significant ( r = 0.55, p < .01; r = 0.51, p = .01; r = 0.46, p = .002). The Pearson correlation between the HAM-D score and serum magnesium was negative and statistically significant ( r = -0.82, p < .01)Conclusion:There is a state of systemic inflammation, hypercortisolemia, and hypomagnesemia in depressive disorders.
{"title":"Association of Biomarkers with the Severity of Depression","authors":"Shruti Agnihotri, Suresh Daripelly, Shirley Keerthana Cherla, Ajay Kumar Jopaka, Umashankar Molanguri","doi":"10.1177/02537176241264609","DOIUrl":"https://doi.org/10.1177/02537176241264609","url":null,"abstract":"Background:The pathogenesis of depression remains elusive and uncertain. The literature suggests that low-grade systemic inflammation might contribute to the etiology of depression. Other markers that are studied are serum magnesium and serum cortisol. The association between these factors might help understand the etiology.Methods:This was a cross-sectional study conducted on a sample of 40 participants. Socio-demographic data was noted, and the Hamilton depression rating scale was applied to rate the severity of depression. Blood samples were drawn at 8 a.m. to record a complete blood picture (to derive the neutrophil–lymphocyte ratio (NLR)), C-reactive protein, serum magnesium, and serum cortisol.Results:In this study, conducted on a sample size of 40, inflammatory markers such as C-reactive protein (CRP: mg/dl) and NLR were significantly increased to 15.52 ± 13.10 and 6.46 ± 2.92, respectively, showing an underlying inflammatory pathology. Serum cortisol (µg/dl) was also raised to 22.30 ± 5.46, and there was a fall in serum magnesium. Also, it is noteworthy that all these markers were significantly associated with the severity of depression, as the Pearson correlation between the Hamilton depression rating scale-21 item (HAM-D-21) score and CRP, NLR, and serum cortisol was positive and statistically significant ( r = 0.55, p < .01; r = 0.51, p = .01; r = 0.46, p = .002). The Pearson correlation between the HAM-D score and serum magnesium was negative and statistically significant ( r = -0.82, p < .01)Conclusion:There is a state of systemic inflammation, hypercortisolemia, and hypomagnesemia in depressive disorders.","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142175447","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}
Background:Managing psychiatric emergencies during pregnancy is often challenging, as the safety of both the mother and the unborn fetus needs to be considered. This study aimed to examine the nature of psychiatric emergencies in pregnancy, their management, and clinical outcomes in women presenting to a psychiatry emergency room (ER).Methods:Charts of perinatal women consulting psychiatry ER between January 2016 and June 2021 were reviewed for the nature of the psychiatric emergency, pregnancy details, psychiatric symptoms, sociodemographic information, medical comorbidities, clinical diagnosis, and care plan.Results:Among 286 perinatal women who attended psychiatry ER, 57 (19.9%) patients were pregnant. Over half ( n = 30, 52.6%) women were multiparous and in their second trimester ( n = 29, 50.9%). Bipolar disorder ( n = 22, 38.6%) was the most common diagnosis. Agitation/aggression ( n = 34, 59.6%) was the most common reason for visiting ER, with risk of self-harm ( n = 14, 24.6%) and risk of harm to the fetus ( n = 7, 12.3%) being other reasons. Emergency psychotropic medications were used in 32 (56.1%) women, with the use of haloperidol in combination with promethazine ( n = 12, 37.5%) or lorazepam ( n = 8, 25%) being the most common.Conclusion:One-fifth of women in the perinatal period presenting to the ER were pregnant. Agitation and aggression were the most common reasons. Parenteral medications were commonly used, and more than a fifth required inpatient care, emphasizing the seriousness of risk.
{"title":"Pregnant Women Presenting to Psychiatric Emergency Services: A Retrospective Chart Review from India","authors":"Manisha Murugesan, Sundarnag Ganjekar, Harish Thippeswamy, Geetha Desai, Prabha S Chandra","doi":"10.1177/02537176241273921","DOIUrl":"https://doi.org/10.1177/02537176241273921","url":null,"abstract":"Background:Managing psychiatric emergencies during pregnancy is often challenging, as the safety of both the mother and the unborn fetus needs to be considered. This study aimed to examine the nature of psychiatric emergencies in pregnancy, their management, and clinical outcomes in women presenting to a psychiatry emergency room (ER).Methods:Charts of perinatal women consulting psychiatry ER between January 2016 and June 2021 were reviewed for the nature of the psychiatric emergency, pregnancy details, psychiatric symptoms, sociodemographic information, medical comorbidities, clinical diagnosis, and care plan.Results:Among 286 perinatal women who attended psychiatry ER, 57 (19.9%) patients were pregnant. Over half ( n = 30, 52.6%) women were multiparous and in their second trimester ( n = 29, 50.9%). Bipolar disorder ( n = 22, 38.6%) was the most common diagnosis. Agitation/aggression ( n = 34, 59.6%) was the most common reason for visiting ER, with risk of self-harm ( n = 14, 24.6%) and risk of harm to the fetus ( n = 7, 12.3%) being other reasons. Emergency psychotropic medications were used in 32 (56.1%) women, with the use of haloperidol in combination with promethazine ( n = 12, 37.5%) or lorazepam ( n = 8, 25%) being the most common.Conclusion:One-fifth of women in the perinatal period presenting to the ER were pregnant. Agitation and aggression were the most common reasons. Parenteral medications were commonly used, and more than a fifth required inpatient care, emphasizing the seriousness of risk.","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142175451","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}
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