Background:Substance use disorder is a complex bio-psycho-social phenomenon affecting the intimate relationship of substance users with their wives. Marital adjustment may be affected due to the ongoing substance use involving the family unit.Aim:The present study aimed to compare marital adjustment between alcohol- or opioid-dependent patients and their spouses.Methods:The present cross-sectional observational study compared 25 dyads each of alcohol- and opioid-dependence syndrome taken from the outpatient department of an addiction treatment center in north India. Marital adjustment was compared using the Marital Adjustment Questionnaire (MAQ). Maudsley Addiction Profile and Eysenck’s Personality Questionnaire were also applied to the patients, and Social Support Questionnaire was applied to both patients and spouses.Results:There was no significant difference in the sexual, social, and emotional domains and total MAQ scores between patients with alcohol- and opioid-dependence syndrome or their spouses. There was a significant positive correlation between the sexual domain score of MAQ of alcohol-dependent patients and their spouses ( r = 0.655, p < .001). The Maudsley Addiction Profile parameters, personality profile, and social support did not differ significantly across the two groups.Conclusion:Marital adjustment are probably equal in patients and spouses of alcohol and opioid dependence syndrome. A small sample size is a limitation of this study.
{"title":"Comparing Marital Adjustment in Couples Having Alcohol- or Opioid-dependent Husbands","authors":"Sayani Bisoi, Gauri Shanker Kaloiya, Anju Dhawan, Siddharth Sarkar","doi":"10.1177/02537176241253389","DOIUrl":"https://doi.org/10.1177/02537176241253389","url":null,"abstract":"Background:Substance use disorder is a complex bio-psycho-social phenomenon affecting the intimate relationship of substance users with their wives. Marital adjustment may be affected due to the ongoing substance use involving the family unit.Aim:The present study aimed to compare marital adjustment between alcohol- or opioid-dependent patients and their spouses.Methods:The present cross-sectional observational study compared 25 dyads each of alcohol- and opioid-dependence syndrome taken from the outpatient department of an addiction treatment center in north India. Marital adjustment was compared using the Marital Adjustment Questionnaire (MAQ). Maudsley Addiction Profile and Eysenck’s Personality Questionnaire were also applied to the patients, and Social Support Questionnaire was applied to both patients and spouses.Results:There was no significant difference in the sexual, social, and emotional domains and total MAQ scores between patients with alcohol- and opioid-dependence syndrome or their spouses. There was a significant positive correlation between the sexual domain score of MAQ of alcohol-dependent patients and their spouses ( r = 0.655, p < .001). The Maudsley Addiction Profile parameters, personality profile, and social support did not differ significantly across the two groups.Conclusion:Marital adjustment are probably equal in patients and spouses of alcohol and opioid dependence syndrome. A small sample size is a limitation of this study.","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141189032","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 : 2024-06-01DOI: 10.1177/02537176241253335
Vikas Menon
{"title":"The Narrative-crisis Model of Suicide as an Emerging Framework for Suicide Risk Stratification, Management, and Prevention","authors":"Vikas Menon","doi":"10.1177/02537176241253335","DOIUrl":"https://doi.org/10.1177/02537176241253335","url":null,"abstract":"","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141189108","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 : 2024-05-30DOI: 10.1177/02537176241249375
Nikapitiye Nandarathana, Jay Kumar Ranjan
Background:There is a dearth of meta-analytical studies measuring the durability of mindfulness-based cognitive therapy (MBCT) in the treatment of anxiety and depressive disorders. Therefore, the present study was conducted to evaluate both the effectiveness and durability of MBCT in the treatment of depression and anxiety disorders.Methods:We systematically searched six databases from June 11, 2023 to September 16, 2023 for randomized control trials (RCTs) of adults diagnosed with anxiety or depressive disorders as per the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision or the Tenth Revision of the International Classification of Diseases and Related Health Problems diagnostic criteria; the treatment group received the complete form of MBCT, whereas the control group received other interventions or treatment as usual; the treatment outcome focused on symptoms of depression or anxiety. Two independent reviewers included studies, assessed quality, and extracted data. The Cochrane Risk-of-Bias 2.0 tool was applied to appraise the methodological quality of the included studies. R 4.2.1 software and the “metafor” package were used to estimate the effect sizes based on mean and standard deviation of anxiety and depressive disorders at baseline and postintervention, and at postintervention and follow-up periods for both the treatment and control groups.Result:A total of 1,470 studies were reviewed, and 21 RCTs met the inclusion criteria. The meta-analysis showed an overall standardized mean difference of −0.4806 [CI: −0.7185; −0.2428] and −0.3817 [CI: −0.5407; −0.2228] for reducing anxiety and depression symptoms, respectively indicating the effectiveness of MBCT. Comparison between postintervention and follow-up or follow-up measurement showed a small and nonsignificant effect size for depression (0.0130 [CI: −0.2109; 0.2369]) and anxiety (0.0198 [CI: −0.0660; 0.1057]), suggesting that recovered symptoms in the treatment group were maintained until the follow-up evaluation.Conclusion:MBCT produces long-term treatment effects in the management of both depressive and anxiety disorders.Protocol preregistration:The current meta-analysis followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and got registered with PROSPERO (CRD42023465494).
{"title":"The Efficacy and Durability of Mindfulness-Based Cognitive Therapy in the Treatment of Anxiety and Depressive Disorders: A Systematic Review and Meta-analysis","authors":"Nikapitiye Nandarathana, Jay Kumar Ranjan","doi":"10.1177/02537176241249375","DOIUrl":"https://doi.org/10.1177/02537176241249375","url":null,"abstract":"Background:There is a dearth of meta-analytical studies measuring the durability of mindfulness-based cognitive therapy (MBCT) in the treatment of anxiety and depressive disorders. Therefore, the present study was conducted to evaluate both the effectiveness and durability of MBCT in the treatment of depression and anxiety disorders.Methods:We systematically searched six databases from June 11, 2023 to September 16, 2023 for randomized control trials (RCTs) of adults diagnosed with anxiety or depressive disorders as per the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision or the Tenth Revision of the International Classification of Diseases and Related Health Problems diagnostic criteria; the treatment group received the complete form of MBCT, whereas the control group received other interventions or treatment as usual; the treatment outcome focused on symptoms of depression or anxiety. Two independent reviewers included studies, assessed quality, and extracted data. The Cochrane Risk-of-Bias 2.0 tool was applied to appraise the methodological quality of the included studies. R 4.2.1 software and the “metafor” package were used to estimate the effect sizes based on mean and standard deviation of anxiety and depressive disorders at baseline and postintervention, and at postintervention and follow-up periods for both the treatment and control groups.Result:A total of 1,470 studies were reviewed, and 21 RCTs met the inclusion criteria. The meta-analysis showed an overall standardized mean difference of −0.4806 [CI: −0.7185; −0.2428] and −0.3817 [CI: −0.5407; −0.2228] for reducing anxiety and depression symptoms, respectively indicating the effectiveness of MBCT. Comparison between postintervention and follow-up or follow-up measurement showed a small and nonsignificant effect size for depression (0.0130 [CI: −0.2109; 0.2369]) and anxiety (0.0198 [CI: −0.0660; 0.1057]), suggesting that recovered symptoms in the treatment group were maintained until the follow-up evaluation.Conclusion:MBCT produces long-term treatment effects in the management of both depressive and anxiety disorders.Protocol preregistration:The current meta-analysis followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and got registered with PROSPERO (CRD42023465494).","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141197487","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 : 2024-05-30DOI: 10.1177/02537176241251616
Anil Kumar M. Nagaraj, Rashmi Vishwanath, Narayana Manjunatha
Background:Delusional procreation syndrome (DPS) consists of sequential delusions related to human procreation. It was first coined in a case series in 2010. The most common delusion among DPS is related to pregnancy. It will be interesting to look into its further research and impact on the scientific community.Aim and methodology:We performed a citation analysis using the search term “delusional procreation syndrome.” For the citation, we searched Google Scholar, Web of Science, and Scopus.Results and conclusion:Citation analysis found that 12 other articles have cited the original publication in different contexts and were published on all continents except South America. Apart from the primary article, the subsequent citations reported the delusion of delivery, the delusions of polygamy in proxy, twin delivery, and triplet pregnancy. Thus, DPS remains an interesting and active area of research.
{"title":"Delusional Procreation Syndrome: A Citation Analysis and Review from the First 12 Years of Publication","authors":"Anil Kumar M. Nagaraj, Rashmi Vishwanath, Narayana Manjunatha","doi":"10.1177/02537176241251616","DOIUrl":"https://doi.org/10.1177/02537176241251616","url":null,"abstract":"Background:Delusional procreation syndrome (DPS) consists of sequential delusions related to human procreation. It was first coined in a case series in 2010. The most common delusion among DPS is related to pregnancy. It will be interesting to look into its further research and impact on the scientific community.Aim and methodology:We performed a citation analysis using the search term “delusional procreation syndrome.” For the citation, we searched Google Scholar, Web of Science, and Scopus.Results and conclusion:Citation analysis found that 12 other articles have cited the original publication in different contexts and were published on all continents except South America. Apart from the primary article, the subsequent citations reported the delusion of delivery, the delusions of polygamy in proxy, twin delivery, and triplet pregnancy. Thus, DPS remains an interesting and active area of research.","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141189163","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 : 2024-05-30DOI: 10.1177/02537176241253338
Ravina Ranjan, Jeetendra Yadav, Vandita Ranjan, Chitra Venkateswaran, Denny John
Background:Little information exists about the association between alcohol and tobacco use and self-reported depressed mood, such as feeling sad, blue, or depressed days (SBDD), among older adults in IndiaAim:The aim of this study was to examine the association between alcohol and tobacco use and self-reported depressed mood with SBDD among older adults in India.Methods:This study uses the Longitudinal Aging Study India (LASI) Wave 1 dataset of 10,487 respondents identified with self-reported mood disorders with SBDD. Descriptive statistics, bivariate, and multivariate models were performed.Results:In total, 19.7% of persons above 45 years of age experienced SBDD for 2 weeks during the last 12 months. Compared to nonusers, those who used tobacco or alcohol reported higher symptoms of SBDD. Several factors related to alcohol (e.g., illicit alcohol) and tobacco (e.g., smokeless tobacco) indicate a statistically significant association with the prevalence of prolonged sadness or depression.Conclusion:Analysis of LASI Wave 1 shows that lifestyle choices such as alcohol and tobacco use play a role in the burden and association of negative emotions such as SBDD among older adults in India.
{"title":"Association of Self-reported Depressed Mood and Alcohol or Tobacco Use Among Older Adults in India: A Study Based on Longitudinal Aging Study India Wave-1","authors":"Ravina Ranjan, Jeetendra Yadav, Vandita Ranjan, Chitra Venkateswaran, Denny John","doi":"10.1177/02537176241253338","DOIUrl":"https://doi.org/10.1177/02537176241253338","url":null,"abstract":"Background:Little information exists about the association between alcohol and tobacco use and self-reported depressed mood, such as feeling sad, blue, or depressed days (SBDD), among older adults in IndiaAim:The aim of this study was to examine the association between alcohol and tobacco use and self-reported depressed mood with SBDD among older adults in India.Methods:This study uses the Longitudinal Aging Study India (LASI) Wave 1 dataset of 10,487 respondents identified with self-reported mood disorders with SBDD. Descriptive statistics, bivariate, and multivariate models were performed.Results:In total, 19.7% of persons above 45 years of age experienced SBDD for 2 weeks during the last 12 months. Compared to nonusers, those who used tobacco or alcohol reported higher symptoms of SBDD. Several factors related to alcohol (e.g., illicit alcohol) and tobacco (e.g., smokeless tobacco) indicate a statistically significant association with the prevalence of prolonged sadness or depression.Conclusion:Analysis of LASI Wave 1 shows that lifestyle choices such as alcohol and tobacco use play a role in the burden and association of negative emotions such as SBDD among older adults in India.","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141189176","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 : 2024-05-27DOI: 10.1177/02537176241253390
Prabhu James Ranjith, Mysore Narasimaha Vranda, M. Thomas Kishore
Background:Cyberbullying can be a traumatic experience for adolescents. It can affect their psychosocial functioning, development, and mental well-being in the long term. Though mental health support is needed to help adolescents, parents, and schools, they do not seek appropriate support.Aim:This article describes the viewpoint of mental health and cyber experts on the barriers to seeking mental health support among adolescents, parents, and school administrators and identifies approaches to intervention.Methods:The qualitative research study was conducted in Bengaluru Urban, India. Ten specialists were interviewed, including mental health professionals and cyber experts who work with children and adolescents. The data were analyzed using thematic analysis.Results:Seven major themes emerged from the study as follows: (a) knowledge of cyberbullying, (b) negative impact of cyberbullying, (c) attributed factors for cyberbullying, (d) barriers for help-seeking, (e) child-centric intervention, (f) parental intervention, and (g) whole-school approach to cyberbullying.Conclusion:Several factors would affect help-seeking by adolescents, parents, and schools in the context of cyberbullying. These factors need to be considered in developing a comprehensive, school-based intervention on cyberbullying for adolescents.
{"title":"Barriers to Mental Health Support in Cyberbullying: A Thematic Analysis of What Mental Health Professionals and Cyber Experts Think","authors":"Prabhu James Ranjith, Mysore Narasimaha Vranda, M. Thomas Kishore","doi":"10.1177/02537176241253390","DOIUrl":"https://doi.org/10.1177/02537176241253390","url":null,"abstract":"Background:Cyberbullying can be a traumatic experience for adolescents. It can affect their psychosocial functioning, development, and mental well-being in the long term. Though mental health support is needed to help adolescents, parents, and schools, they do not seek appropriate support.Aim:This article describes the viewpoint of mental health and cyber experts on the barriers to seeking mental health support among adolescents, parents, and school administrators and identifies approaches to intervention.Methods:The qualitative research study was conducted in Bengaluru Urban, India. Ten specialists were interviewed, including mental health professionals and cyber experts who work with children and adolescents. The data were analyzed using thematic analysis.Results:Seven major themes emerged from the study as follows: (a) knowledge of cyberbullying, (b) negative impact of cyberbullying, (c) attributed factors for cyberbullying, (d) barriers for help-seeking, (e) child-centric intervention, (f) parental intervention, and (g) whole-school approach to cyberbullying.Conclusion:Several factors would affect help-seeking by adolescents, parents, and schools in the context of cyberbullying. These factors need to be considered in developing a comprehensive, school-based intervention on cyberbullying for adolescents.","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141171852","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 : 2024-05-27DOI: 10.1177/02537176241250162
Shankavi Vivekanandhan, Dhanasekarapandian Ramasamy, Anish V Cherian, Siobhan Hugh-Jones
Background:Suicide attempt is a significant predictor of suicide and occurs more frequently than suicide. Each suicide attempt leaves a significant impact on the family as they take the primary role in providing care and bear the responsibility for supporting them. The prospect of future suicide attempts puts the family in distress and makes them prone to adverse psychosocial circumstances.Methods:The objective of this study is to understand the life experiences of caregivers of suicide attempt survivors after the suicide attempt of their relative. Using the purposive sampling method, we interviewed the primary caregivers ( n = 6) from a tertiary care setting. The in-depth interviews explored their experiences, concerns, and needs. This study used Interpretive Phenomenological Analysis.Results:Four major themes emerged: the reactive affect, changes post the suicide attempt (mental pain, physiological changes, attitude toward the suicide attempt survivor, and social aspects), moving on with the attempt (assuming responsibilities and spiritual beliefs), and the caregivers’ needs.Conclusion:The impact of suicide attempts on families is primarily ignored and under-researched in the country. There is a growing need to recognize the roles and struggles of family members and support them.
{"title":"Lived Experience of Caregivers of Suicide Attempt Survivors: A Qualitative Study with Indian Adults","authors":"Shankavi Vivekanandhan, Dhanasekarapandian Ramasamy, Anish V Cherian, Siobhan Hugh-Jones","doi":"10.1177/02537176241250162","DOIUrl":"https://doi.org/10.1177/02537176241250162","url":null,"abstract":"Background:Suicide attempt is a significant predictor of suicide and occurs more frequently than suicide. Each suicide attempt leaves a significant impact on the family as they take the primary role in providing care and bear the responsibility for supporting them. The prospect of future suicide attempts puts the family in distress and makes them prone to adverse psychosocial circumstances.Methods:The objective of this study is to understand the life experiences of caregivers of suicide attempt survivors after the suicide attempt of their relative. Using the purposive sampling method, we interviewed the primary caregivers ( n = 6) from a tertiary care setting. The in-depth interviews explored their experiences, concerns, and needs. This study used Interpretive Phenomenological Analysis.Results:Four major themes emerged: the reactive affect, changes post the suicide attempt (mental pain, physiological changes, attitude toward the suicide attempt survivor, and social aspects), moving on with the attempt (assuming responsibilities and spiritual beliefs), and the caregivers’ needs.Conclusion:The impact of suicide attempts on families is primarily ignored and under-researched in the country. There is a growing need to recognize the roles and struggles of family members and support them.","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141171845","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 : 2024-05-27DOI: 10.1177/02537176241254722
Kartik K Vangal, Savitha Soman, Rajeshkrishna P Bhandary, Samir Kumar Praharaj
Background:Patients diagnosed with bipolar disorder often have sleep-related problems, even when not in an episode. Poor sleep quality may be related to poor quality of life. The objective of this study was to evaluate sleep quality in remitted bipolar patients and compare it to controls, as well as to study the relationship between quality of sleep and quality of life in euthymic bipolar individuals.Methods:We studied sleep quality and quality of life in 86 remitted bipolar disorder patients and 86 matched healthy controls using the Pittsburgh Sleep Quality Index (PSQI) and World Health Organization Quality of Life Assessment (WHOQOL-BREF).Results:There was significantly poorer sleep quality in euthymic bipolar patients compared to controls, especially in subjective sleep quality and sleep duration. WHOQOL-BREF domain scores were lower among patients than controls, with a large effect size. All domains on the PSQI correlated negatively with the domains on the WHOQOL-BREF, with the physical health domain being affected the most. Lack of generalizability of the results and the cross-sectional design that cannot determine causality are the limitations of our study.Conclusions:Poor sleep quality persists in bipolar patients even in the euthymic phase and correlates with a poor quality of life.
{"title":"Sleep Quality and Quality of Life in Remitted Bipolar Disorder Patients: A Cross-sectional Comparative Study","authors":"Kartik K Vangal, Savitha Soman, Rajeshkrishna P Bhandary, Samir Kumar Praharaj","doi":"10.1177/02537176241254722","DOIUrl":"https://doi.org/10.1177/02537176241254722","url":null,"abstract":"Background:Patients diagnosed with bipolar disorder often have sleep-related problems, even when not in an episode. Poor sleep quality may be related to poor quality of life. The objective of this study was to evaluate sleep quality in remitted bipolar patients and compare it to controls, as well as to study the relationship between quality of sleep and quality of life in euthymic bipolar individuals.Methods:We studied sleep quality and quality of life in 86 remitted bipolar disorder patients and 86 matched healthy controls using the Pittsburgh Sleep Quality Index (PSQI) and World Health Organization Quality of Life Assessment (WHOQOL-BREF).Results:There was significantly poorer sleep quality in euthymic bipolar patients compared to controls, especially in subjective sleep quality and sleep duration. WHOQOL-BREF domain scores were lower among patients than controls, with a large effect size. All domains on the PSQI correlated negatively with the domains on the WHOQOL-BREF, with the physical health domain being affected the most. Lack of generalizability of the results and the cross-sectional design that cannot determine causality are the limitations of our study.Conclusions:Poor sleep quality persists in bipolar patients even in the euthymic phase and correlates with a poor quality of life.","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141172085","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 : 2024-05-27DOI: 10.1177/02537176241254515
Priyanka P. Nambiar, Kavita V. Jangam, Shekhar P. Seshadri
Background:Divorce has become a common contemporary phenomenon in India. In this context, the child is pulled into the vortex of parental disputes over the child’s custody. The spiteful and protracted nature of these legal cases adversely affects the child’s mental health. Despite the growing research in the Western context, the understanding of this phenomenon and its psychosocial impact on children in India is still in its infancy. In this background, this study aimed to explore key child mental health and related psychosocial issues in the context of child custody cases in urban India.Method:The study explored the psychosocial complexities of child custody cases by interviewing 24 key informants using a semi-structured interview guide. The key informants comprised seven mental health professionals and seven legal professionals working in the area of child custody and access. It also included 10 parents who were contesting parties in child custody cases. They were selected using a purposive sampling method over a period of 6 months.Results:Seven themes identified using thematic analysis were: (a) parent–child relationship and interaction; (b) parenting dynamics; (c) parental mental health issues; (d) malicious acts by parents; (e) child’s adjustment to changes in life; (f) issues in the school context; and (g) child mental health issues.Conclusion:This study highlighted the potential risk factors in the familial context that adversely affect the child’s well-being and mental health in custody disputes. Therefore, interventions at the family level in the legal setting are crucial in the mitigation of these risks. In child custody cases, the coordination and liaison of child mental health professionals with the judicial system is crucial for child mental health promotion and safeguarding the best interests of the child.
{"title":"Psychosocial Perspectives on Child Mental Health in Custody Disputes: A Qualitative Study from Urban Bengaluru","authors":"Priyanka P. Nambiar, Kavita V. Jangam, Shekhar P. Seshadri","doi":"10.1177/02537176241254515","DOIUrl":"https://doi.org/10.1177/02537176241254515","url":null,"abstract":"Background:Divorce has become a common contemporary phenomenon in India. In this context, the child is pulled into the vortex of parental disputes over the child’s custody. The spiteful and protracted nature of these legal cases adversely affects the child’s mental health. Despite the growing research in the Western context, the understanding of this phenomenon and its psychosocial impact on children in India is still in its infancy. In this background, this study aimed to explore key child mental health and related psychosocial issues in the context of child custody cases in urban India.Method:The study explored the psychosocial complexities of child custody cases by interviewing 24 key informants using a semi-structured interview guide. The key informants comprised seven mental health professionals and seven legal professionals working in the area of child custody and access. It also included 10 parents who were contesting parties in child custody cases. They were selected using a purposive sampling method over a period of 6 months.Results:Seven themes identified using thematic analysis were: (a) parent–child relationship and interaction; (b) parenting dynamics; (c) parental mental health issues; (d) malicious acts by parents; (e) child’s adjustment to changes in life; (f) issues in the school context; and (g) child mental health issues.Conclusion:This study highlighted the potential risk factors in the familial context that adversely affect the child’s well-being and mental health in custody disputes. Therefore, interventions at the family level in the legal setting are crucial in the mitigation of these risks. In child custody cases, the coordination and liaison of child mental health professionals with the judicial system is crucial for child mental health promotion and safeguarding the best interests of the child.","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141171814","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 : 2024-05-27DOI: 10.1177/02537176241247150
Janet Allison, Avinash DeSousa, Philip Howlett, Hilary Engward
Background:For almost 60 years, Indian psychiatry literature has called for all medical students to learn psychiatry so that millions of mentally unwell people across India might receive appropriate treatment. Yet for almost 60 years, medical students have disengaged from psychiatry education, resulting in limited learning. The literature has repeatedly cited the solution as one that involves longer exposure on posting and more exam questions, with little impact. This research sought to understand why medical students disengage from psychiatry education so that meaningful change might occur.Methods:The research utilized constructivist grounded theory, initially in one medical college in Mumbai, followed by a quantitative survey to test the findings with a wider group of interns across 10 states of India. An iterative process of data gathering and analysis was undertaken using the constant comparison method and theoretical integration.Results:Findings identified that 98% of interns believe all MBBS (doctors) should “know” psychiatry, with “know” meaning practical skills—how to assess and treat people with mental illness. The majority of students attend psychiatry to learn those skills, but on finding faculty too overworked to teach, they disengage, saying : “there’s nothing in it for me.” The findings indicate that more exam questions would not increase engagement.Conclusion:Medical students want to learn skills to help those in mental distress. Faculty do not have time and, arguably, the training to teach them. To address the nation’s mental health needs, the government needs to prioritize teaching of psychiatry skills by releasing and enabling psychiatry faculty, alongside the certification of psychiatry skills.
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