Pub Date : 2024-09-01Epub Date: 2024-09-02DOI: 10.1177/02537176241273919
Arghya Pal, Arpit Parmar, Santanu Nath, Nishtha Chawla, Snehil Gupta, Vinay H R, M Kishor
Background: Several institutes of national importance (INI) have been established in the last few years to improve the quality of medical education in the country. Most INIs are autonomous and outside the purview of the National Medical Commission (NMC). Little is known about the needs of the psychiatry teachers working in INIs. The current study was planned to obtain feedback from the psychiatry teachers in INIs about the various issues pertaining to training in psychiatry.
Methods: This was an online survey conducted using Google Forms involving psychiatry teachers working in autonomous INIs outside the purview of NMC. The questionnaire had mandatory items (which provided quantitative data) and optional questions (which were used for thematic analysis).
Results: Our study's response rate was estimated at 48.73%. About 92.7% of respondents appreciated the need for training in undergraduate psychiatry. Though fewer residents were trained in medical education, the felt need for training among residents was comparable to that among faculty members. The major themes of targeted training, as reported, were found to be in sync with the current demands of the curriculum.
Conclusion: There is a substantial need for training among the teachers of psychiatry in the INIs. This study provided with some groundwork regarding the strengths and weaknesses of teaching psychiatry in INIs. Further studies on this topic, using a qualitative design, should be planned to understand the nuances of working in an autonomous institute.
背景：在过去几年中，为提高本国医学教育的质量，成立了几所具有全国重要性的研究所（INI）。大多数 INI 都是自治的，不在国家医学委员会（NMC）的管辖范围内。人们对在 INI 工作的精神病学教师的需求知之甚少。本研究计划从 INIs 的精神科教师那里获得有关精神科培训的各种问题的反馈意见：这是一项使用谷歌表格进行的在线调查，调查对象是在国家医学委员会管辖范围之外的自治 INI 中工作的精神科教师。问卷包括必填项目（提供定量数据）和选填问题（用于主题分析）：本研究的回复率估计为 48.73%。约 92.7% 的受访者认为有必要对本科生进行精神病学培训。虽然接受医学教育培训的住院医师人数较少，但住院医师对培训需求的感受与教职员工相当。所报告的有针对性培训的主要主题与当前课程的要求一致：结论：国际精神病院的精神病学教师非常需要培训。本研究为了解国际精神病院精神病学教学的优缺点提供了一些基础。应计划采用定性设计对这一主题进行进一步研究，以了解在独立学院工作的细微差别。
{"title":"Survey of Felt Needs Among Teachers of Psychiatry in Institutes of National Importance (INI) to Improve the Quality of Undergraduate and Postgraduate Training.","authors":"Arghya Pal, Arpit Parmar, Santanu Nath, Nishtha Chawla, Snehil Gupta, Vinay H R, M Kishor","doi":"10.1177/02537176241273919","DOIUrl":"10.1177/02537176241273919","url":null,"abstract":"<p><strong>Background: </strong>Several institutes of national importance (INI) have been established in the last few years to improve the quality of medical education in the country. Most INIs are autonomous and outside the purview of the National Medical Commission (NMC). Little is known about the needs of the psychiatry teachers working in INIs. The current study was planned to obtain feedback from the psychiatry teachers in INIs about the various issues pertaining to training in psychiatry.</p><p><strong>Methods: </strong>This was an online survey conducted using Google Forms involving psychiatry teachers working in autonomous INIs outside the purview of NMC. The questionnaire had mandatory items (which provided quantitative data) and optional questions (which were used for thematic analysis).</p><p><strong>Results: </strong>Our study's response rate was estimated at 48.73%. About 92.7% of respondents appreciated the need for training in undergraduate psychiatry. Though fewer residents were trained in medical education, the felt need for training among residents was comparable to that among faculty members. The major themes of targeted training, as reported, were found to be in sync with the current demands of the curriculum.</p><p><strong>Conclusion: </strong>There is a substantial need for training among the teachers of psychiatry in the INIs. This study provided with some groundwork regarding the strengths and weaknesses of teaching psychiatry in INIs. Further studies on this topic, using a qualitative design, should be planned to understand the nuances of working in an autonomous institute.</p>","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":"46 5","pages":"439-444"},"PeriodicalIF":1.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11503696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01Epub Date: 2024-09-21DOI: 10.1177/02537176241284945
Sundarnag Ganjekar, Rashmi Arasappa, Preethi V Reddy, Harish Thippeswamy, Veena Satyanarayana, M Thomas Kishore, Kimneihat Vaiphei, Geetha Desai, Prabha S Chandra
{"title":"Women's Mental Health (WMH) Post-doctoral Fellowship Program: A Potential to Increase Trained Human Resources in WMH in India.","authors":"Sundarnag Ganjekar, Rashmi Arasappa, Preethi V Reddy, Harish Thippeswamy, Veena Satyanarayana, M Thomas Kishore, Kimneihat Vaiphei, Geetha Desai, Prabha S Chandra","doi":"10.1177/02537176241284945","DOIUrl":"https://doi.org/10.1177/02537176241284945","url":null,"abstract":"","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":"46 5","pages":"489-493"},"PeriodicalIF":1.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11459656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01Epub Date: 2024-09-21DOI: 10.1177/02537176241280284
Shehan S Williams
{"title":"Fine-tuning Postgraduate Psychiatry Training in South Asia.","authors":"Shehan S Williams","doi":"10.1177/02537176241280284","DOIUrl":"10.1177/02537176241280284","url":null,"abstract":"","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":"46 5","pages":"380-381"},"PeriodicalIF":1.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11444317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142365139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.1177/02537176241275537
Anshu Prasad, Priyaranjan Avinash, Robin Victor, Kiran Bhat
Background:Inflammatory response plays a pivotal role in the pathophysiology of depression. With this background, we planned this study to see if immune markers, interleukin 6 (IL-6), and erythrocyte sedimentation rate (ESR) are raised in subjects with major depressive disorder (MDD) and compare its level with healthy controls and first-degree relatives of subjects. We also explored if variation in the level of these markers was related to the severity of depression.Methods:This comparative observational study included 120 subjects, who were divided into three groups of 40 individuals each. Group 1 was the MDD group, group 2 was the healthy first-degree relative group, and group 3 was the healthy control group. All the subjects were then made to undergo estimation of IL-6 (pg/mL) and ESR (mm/h) from our hospital biochemistry lab. The patients in group 1 were additionally screened for the severity of depression.Results:The mean IL-6 and ESR measure within the MDD group was 9.20 ± 13.40 (pg/mL) and 5.90 ± 5.35 (mm/h), respectively. We found that the mean and median values of both IL-6 and ESR were highest in the MDD group as compared to other groups, which were statistically significant ( p <0.05). A pairwise comparison found no significant difference in the IL-6 and ESR scores among the healthy controls and healthy first-degree relatives. The mean of IL-6 was highest in individuals with moderate severity of depression, while the mean of ESR was highest in individuals with severe depression.Conclusion:The immune markers, IL-6 and ESR, were significantly raised in the MDD group; however, the levels did not correlate significantly with the differential severity of the depressive disorder as per Hamilton depression rating scale (HAM-D) scores.
{"title":"The Relationship of Immune Markers with Severity and Heritability of Depressive Disorder: A Cross-Sectional Hospital-Based Study from North India","authors":"Anshu Prasad, Priyaranjan Avinash, Robin Victor, Kiran Bhat","doi":"10.1177/02537176241275537","DOIUrl":"https://doi.org/10.1177/02537176241275537","url":null,"abstract":"Background:Inflammatory response plays a pivotal role in the pathophysiology of depression. With this background, we planned this study to see if immune markers, interleukin 6 (IL-6), and erythrocyte sedimentation rate (ESR) are raised in subjects with major depressive disorder (MDD) and compare its level with healthy controls and first-degree relatives of subjects. We also explored if variation in the level of these markers was related to the severity of depression.Methods:This comparative observational study included 120 subjects, who were divided into three groups of 40 individuals each. Group 1 was the MDD group, group 2 was the healthy first-degree relative group, and group 3 was the healthy control group. All the subjects were then made to undergo estimation of IL-6 (pg/mL) and ESR (mm/h) from our hospital biochemistry lab. The patients in group 1 were additionally screened for the severity of depression.Results:The mean IL-6 and ESR measure within the MDD group was 9.20 ± 13.40 (pg/mL) and 5.90 ± 5.35 (mm/h), respectively. We found that the mean and median values of both IL-6 and ESR were highest in the MDD group as compared to other groups, which were statistically significant ( p <0.05). A pairwise comparison found no significant difference in the IL-6 and ESR scores among the healthy controls and healthy first-degree relatives. The mean of IL-6 was highest in individuals with moderate severity of depression, while the mean of ESR was highest in individuals with severe depression.Conclusion:The immune markers, IL-6 and ESR, were significantly raised in the MDD group; however, the levels did not correlate significantly with the differential severity of the depressive disorder as per Hamilton depression rating scale (HAM-D) scores.","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":"384 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142175453","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 : 2024-09-01Epub Date: 2024-09-14DOI: 10.1177/02537176241281885
Vibha K V
{"title":"Experiences and Perspectives of a Fellowship Course in Consultation-Liaison Psychiatry.","authors":"Vibha K V","doi":"10.1177/02537176241281885","DOIUrl":"https://doi.org/10.1177/02537176241281885","url":null,"abstract":"","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":"46 5","pages":"476-479"},"PeriodicalIF":1.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11483725/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142464272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01Epub Date: 2024-09-17DOI: 10.1177/02537176241283372
Ajay Kumar, Naresh Nebhinani, Vikas Menon, M Kishor, Mohan Isaac
{"title":"An Overview of Different Clinical Rotation Styles and Organizational Strategies for Postgraduate Psychiatry Training Adopted in General Hospital Psychiatry Units-A Critical Viewpoint from India.","authors":"Ajay Kumar, Naresh Nebhinani, Vikas Menon, M Kishor, Mohan Isaac","doi":"10.1177/02537176241283372","DOIUrl":"https://doi.org/10.1177/02537176241283372","url":null,"abstract":"","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":"46 5","pages":"471-475"},"PeriodicalIF":1.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11467988/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142464271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-31DOI: 10.1177/02537176241264772
D Keerthana, M Arun, Gargi S Kumar, Geetha Desai, Priya Treesa Thomas, M Netravathi
{"title":"Self-management Interventions in Multiple Sclerosis: Case Series from a Tertiary Neuroscience Hospital.","authors":"D Keerthana, M Arun, Gargi S Kumar, Geetha Desai, Priya Treesa Thomas, M Netravathi","doi":"10.1177/02537176241264772","DOIUrl":"10.1177/02537176241264772","url":null,"abstract":"","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":" ","pages":"02537176241264772"},"PeriodicalIF":1.9,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11572388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142675656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background:People with alcohol use disorders (AUDs) have varied needs while they seek treatment. Understanding and focusing on the needs will improve treatment outcomes. The objective of the study is to qualitatively assess the treatment-related needs of patients with AUDs admitted to a tertiary care treatment center.Methods:A semi-structured questionnaire with anchor questions was developed based on a literature review and key informant interviews. All the interviews were audio recorded, transcribed, and color-coded manually. Two reviewers reviewed the codes. Themes and subthemes were generated using thematic inductive analysis.Results:Among 15 patients interviewed, all the patients had severe AUD (100%), were married (100%), were primarily males (86.6%), and more than half below the poverty line (53.4%), with a mean age of 41.1 years (SD = 9.5). Four major themes of treatment needs were identified: (a) individual, (b) family-related, (c) hospital-related, and (d) community-related. Among individual needs-medication-related, psychological, and occupational were prominent. Addressing family conflict and supporting the family are the significant subthemes for family-related needs. The behavior of the treating team, environmental needs, and diverse services were significant hospital-related needs. Awareness, accessibility, availability, and affordability of treatment services were the major community-related needs.Conclusion:The study highlights diverse needs extending from individual to community among people with AUDs. A holistic treatment model to address these needs will improve the quality of care and treatment outcomes.
{"title":"Treatment Needs of Patients With Severe Alcohol Use Disorders","authors":"Venkata Lakshmi Narasimha, Arvind BA, Ramana Tadepalli, Arun Kandasamy, Pratima Murthy","doi":"10.1177/02537176241276151","DOIUrl":"https://doi.org/10.1177/02537176241276151","url":null,"abstract":"Background:People with alcohol use disorders (AUDs) have varied needs while they seek treatment. Understanding and focusing on the needs will improve treatment outcomes. The objective of the study is to qualitatively assess the treatment-related needs of patients with AUDs admitted to a tertiary care treatment center.Methods:A semi-structured questionnaire with anchor questions was developed based on a literature review and key informant interviews. All the interviews were audio recorded, transcribed, and color-coded manually. Two reviewers reviewed the codes. Themes and subthemes were generated using thematic inductive analysis.Results:Among 15 patients interviewed, all the patients had severe AUD (100%), were married (100%), were primarily males (86.6%), and more than half below the poverty line (53.4%), with a mean age of 41.1 years (SD = 9.5). Four major themes of treatment needs were identified: (a) individual, (b) family-related, (c) hospital-related, and (d) community-related. Among individual needs-medication-related, psychological, and occupational were prominent. Addressing family conflict and supporting the family are the significant subthemes for family-related needs. The behavior of the treating team, environmental needs, and diverse services were significant hospital-related needs. Awareness, accessibility, availability, and affordability of treatment services were the major community-related needs.Conclusion:The study highlights diverse needs extending from individual to community among people with AUDs. A holistic treatment model to address these needs will improve the quality of care and treatment outcomes.","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":"46 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142175454","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 : 2024-08-28DOI: 10.1177/02537176241262868
Anirudh Bakam, Sai Krishna Tikka, Abhishek J. Arora, Vishakha Jain, B. C. Malathesh, Sai Spoorthy Mamidipalli, Tekupalli Sushank Tej
{"title":"A Local Vernacular Variant of the Foreign Accent Syndrome Associated with Wernicke’s Aphasia Masquerading as Dissociative Neurological Symptom Disorder: A Case Report","authors":"Anirudh Bakam, Sai Krishna Tikka, Abhishek J. Arora, Vishakha Jain, B. C. Malathesh, Sai Spoorthy Mamidipalli, Tekupalli Sushank Tej","doi":"10.1177/02537176241262868","DOIUrl":"https://doi.org/10.1177/02537176241262868","url":null,"abstract":"","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":"38 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142175455","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 : 2024-08-26DOI: 10.1177/02537176241268993
Aditya Somani, Bheemsain Tekkalaki, Mirza Jahanzeb Beg, Gurvinder Pal Singh, Yugesh Rai, Vasudeo Paralikar, Amal Jolly, Chittaranjan Andrade
{"title":"Comments on “Stress, Anxiety, and Depression Before and Twelve Months After Bariatric Surgery: Repeated Cross-sectional Study”","authors":"Aditya Somani, Bheemsain Tekkalaki, Mirza Jahanzeb Beg, Gurvinder Pal Singh, Yugesh Rai, Vasudeo Paralikar, Amal Jolly, Chittaranjan Andrade","doi":"10.1177/02537176241268993","DOIUrl":"https://doi.org/10.1177/02537176241268993","url":null,"abstract":"","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":"562 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142175456","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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