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Prevalence of internet addiction and its relationship with insomnia, depression, anxiety, and stress among medical students of a tertiary care medical institute of Eastern India 印度东部一所三级医疗机构医学生中网络成瘾的普遍程度及其与失眠、抑郁、焦虑和压力的关系
Pub Date : 2024-02-09 DOI: 10.4103/ipj.ipj_134_23
Shreya Rani, Niska Sinha, Rajesh Kumar
Internet has become an integral part of our daily lives but as the use of internet is increasing, it is important to be aware of the prevalence, context, and impact of its addiction on sleep and the presence of anxiety, depression, and stress in our lives. To assess the prevalence of internet addiction and its association with insomnia, depression, anxiety, and stress among medical students in a tertiary care medical institute in Eastern India. A descriptive cross-sectional questionnaire-based study with a purposive sampling method was conducted among 420 undergraduate medical students of different professional years. Out of 420 medical students, 413 students who gave consent and returned complete performa were taken in the study using a semi-structured performa for sociodemographic details, Young’s Internet Addiction Test, Insomnia Severity Index, and Depression Anxiety Stress Scale. We found 31.2% of students had internet addiction, 24.2% had clinical insomnia, 58.1% had stress, 68.8% had anxiety, and 64.6% had depression. Potential internet addiction was significantly related to average screen time, insomnia, stress, anxiety, and depression. Internet addiction is prevalent among medical students affecting sleep, anxiety, depression, and stress, which needs urgent preventive strategies.
互联网已成为我们日常生活中不可或缺的一部分,但随着互联网使用的日益增多,我们必须了解互联网成瘾的流行程度、背景、对睡眠的影响以及生活中是否存在焦虑、抑郁和压力。 目的:评估印度东部一所三级医疗机构的医学生中网络成瘾的流行程度及其与失眠、抑郁、焦虑和压力的关系。 研究采用描述性横断面问卷调查法,对不同专业年级的 420 名本科医学生进行了有目的的抽样调查。在 420 名医学生中,有 413 名学生同意并交回了完整的问卷,研究采用半结构化问卷调查了他们的社会人口详情、杨氏网络成瘾测试、失眠严重程度指数和抑郁焦虑压力量表。 我们发现 31.2% 的学生有网络成瘾,24.2% 的学生有临床失眠,58.1% 的学生有压力,68.8% 的学生有焦虑,64.6% 的学生有抑郁。潜在的网络成瘾与平均屏幕时间、失眠、压力、焦虑和抑郁有明显关系。 网络成瘾在医学生中很普遍,影响了睡眠、焦虑、抑郁和压力,急需采取预防策略。
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引用次数: 0
Overlap of extrapyramidal syndrome subtypes in a 47-year-old patient with metastatic rectal cancer on prochlorperazine 一名 47 岁的转移性直肠癌患者在服用氯丙嗪后出现锥体外系综合征亚型的重叠
Pub Date : 2024-02-09 DOI: 10.4103/ipj.ipj_146_23
Ximena Cors-Cepeda, Amvrine Ganguly, Monique C. James
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引用次数: 0
Neuropsychological deficit sequelae following domestic violence as precursor to suicide attempt by hanging 家庭暴力后的神经心理缺陷后遗症是企图上吊自杀的前兆
Pub Date : 2024-02-09 DOI: 10.4103/ipj.ipj_144_23
Vikas Kumar, Rajesh Kumar, Hind Beegum, Navin B Prakash
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引用次数: 0
Correlation of behavioral and psychological symptoms of dementia with patients’ sociodemographic & clinical details and caregivers’ distress 痴呆症的行为和心理症状与患者的社会人口学和临床细节以及护理人员的困扰之间的相关性
Pub Date : 2024-01-09 DOI: 10.4103/ipj.ipj_137_23
Vinay Kumar Deo, Krishna Kumar Singh, Niska Sinha, Abhay Kumar, Santosh Kumar
Behavioral and psychological symptoms of dementia (BPSD) influence dementia care significantly. BPSD can be affected by factors related to the patient’s illness and socio-cultural background. This study aimed to find a relationship between BPSD with patients’ socio-demographic and clinical profiles and their caregivers’ distress in a tertiary care center. In this hospital-based cross-sectional study, the purposive sampling technique was used to select 100 dementia patients. A comprehensive record of socio-demographic and clinical details was made on a self-prepared semi-structured data sheet. The Neuropsychiatric Inventory Questionnaire was the principal tool to find the BPSD and related caregivers’ distress. The sample comprised predominantly Hindu (91%) male patients (66%) with Alzheimer’s dementia (76%) coming from rural backgrounds (74%) and joint familial systems (96%), with a mean age of 71.77 ± 7.41 years. Patients’ main caregivers were their children/children-in-law (65%). The severity of an overall BPSD and its variable individual domains were directly related to the duration of dementia, patients’ age, their cognitive decline, and related decline in activities of living, as well as their caregivers’ distress. In comparison to Alzheimer’s disease patients, those with other dementia types had more impairment in cognitive functions and activities of daily living and they had a higher number and severity of BPSD. The advancing age, increased duration of dementia, and decline in cognition and related activities of daily living of the patients, as well as their caregivers’ distress, are important correlates of BPSD. The findings are essential for the better management of dementia patients.
痴呆症的行为和心理症状(BPSD)对痴呆症护理有很大影响。与患者病情和社会文化背景相关的因素也会影响行为和心理症状。 本研究旨在发现 BPSD 与患者的社会人口学和临床特征之间的关系,以及三级护理中心中患者护理者的痛苦。 在这项以医院为基础的横断面研究中,采用目的性抽样技术选取了 100 名痴呆症患者。研究人员在自制的半结构化数据表上全面记录了患者的社会人口学和临床详情。神经精神量表问卷是了解 BPSD 和相关护理人员痛苦的主要工具。 样本主要包括印度教徒(91%)男性阿尔茨海默氏痴呆症患者(66%)(76%),来自农村(74%)和联合家庭系统(96%),平均年龄(71.77 ± 7.41)岁。患者的主要照顾者是其子女/儿媳(65%)。整体 BPSD 及其不同个体领域的严重程度与痴呆症持续时间、患者年龄、认知能力下降、相关生活活动能力下降以及护理人员的痛苦直接相关。与阿尔茨海默氏症患者相比,其他类型痴呆症患者的认知功能和日常生活能力受损程度更严重,其 BPSD 的数量和严重程度也更高。 痴呆症患者的年龄增长、痴呆症病程延长、认知功能和相关日常生活活动能力下降,以及他们的照顾者的痛苦,都是 BPSD 的重要相关因素。这些发现对于更好地管理痴呆症患者至关重要。
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引用次数: 0
Compassion satisfaction, burnout, and secondary traumatic stress among nurses after the second wave of the COVID-19 pandemic COVID-19 第二波大流行后护士的同情心满意度、职业倦怠和二次创伤压力
Pub Date : 2024-01-09 DOI: 10.4103/ipj.ipj_45_23
Priyanshi Dixit, Saumya P Srivastava, Surya Kant Tiwari, Sonia Chauhan, Ravi Bishnoi
Nurses frequently experience compassion fatigue and burnout, which impact their personal lives and patient care. The COVID-19 pandemic additionally caused stress, uncertainty, and fear of death among healthcare professionals. To assess professional quality of life (ProQoL) among nurses after the second wave of the COVID-19 pandemic. A web-based cross-sectional study was conducted among 203 nurses using a purposive sampling technique in the month of September to December 2021. Data were collected using a self-administered ProQoL scale version 5. Descriptive and inferential statistics were used. Kolmogorov–Smirnov test, Mann–Whitney U, and Kruskal–Wallis H test were used. Bivariate correlations were used to correlate the main variables. Multiple linear regression analysis was also performed. The majority of the nurses reported a moderate level of compassion satisfaction (CS) (62.6%), burnout (BO) (66.0%), and secondary traumatic stress (STS) (63.1%). Residence and education emerged as a factor whether the nurses experienced BO or STS, respectively. Additionally, CS negatively correlated with BO (r = -0.732: P < 0.001) and STS (r = -0.141: p-0.04). The majority of the nurses experienced moderate levels of CS, BO, and STS after the second wave of the COVID-19 crisis and nurse patient–ratio emerged as a significant factor to predict CS, BO, or STS. Hence, effective measures need to be implemented by hospital administration to enhance the nurses’ satisfaction and reduce fatigue and burnout.
护士经常会出现同情疲劳和职业倦怠,这影响了他们的个人生活和病人护理。COVID-19 大流行还给医护人员带来了压力、不确定性和对死亡的恐惧。 旨在评估 COVID-19 第二波大流行后护士的职业生活质量(ProQoL)。 在 2021 年 9 月至 12 月期间,采用目的性抽样技术对 203 名护士进行了一项基于网络的横断面研究。数据采用自编的 ProQoL 量表第 5 版进行收集。 采用了描述性和推论性统计方法。使用了 Kolmogorov-Smirnov 检验、Mann-Whitney U 检验和 Kruskal-Wallis H 检验。使用二元相关性对主要变量进行相关分析。还进行了多元线性回归分析。 大多数护士报告了中等程度的同情满意度(CS)(62.6%)、职业倦怠(BO)(66.0%)和继发性创伤压力(STS)(63.1%)。居住地和教育程度分别成为护士是否出现职业倦怠或继发性创伤压力的因素。此外,CS 与 BO(r = -0.732:P < 0.001)和 STS(r = -0.141:P-0.04)呈负相关。 大多数护士在 COVID-19 危机第二波后经历了中等程度的 CS、BO 和 STS,而护患比成为预测 CS、BO 或 STS 的重要因素。因此,医院管理部门需要采取有效措施,提高护士的满意度,减少疲劳和职业倦怠。
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引用次数: 0
Impact of COVID-19 on medical students well-being and psychological distress COVID-19 对医学生幸福感和心理困扰的影响
Pub Date : 2024-01-09 DOI: 10.4103/ipj.ipj_125_23
Kashish Tyagi, Bhushan Chaudhari, Tahoora Ali, Suprakash Chaudhury
Mental well-being is important for medical students to perform effectively. The COVID-19 pandemic posed different stressors to medical students increasing their vulnerability to distress and impaired well-being. To assess the effect of the COVID-19 pandemic on the well-being of medical students and its relation with COVID-related psychological distress and fear as well as sleep quality. We planned a cross-sectional study on medical students with the help of an online Google Form including sociodemographic data, medical students well-being index (MSWBI), Psychological Distress Scale, fear of COVID-19 Scale (FCV-19S), and Pittsburgh Sleep Quality Index (PSQI). 48.13% of students reported higher distress and impaired mental well-being. Impaired well-being is correlated with COVID-related psychological distress, fear of COVID-19, and disturbed sleep quality. Regression analysis showed that joint family and sleep disturbances significantly predicted distress or poor well-being in medical students. Almost half of the medical students revealed impaired mental well-being underlining the role of COVID-related stressors in worsening the psychological health of students. In this situation, it is important to take prompt measures to identify vulnerable students and help them.
心理健康对医科学生的有效工作非常重要。COVID-19 大流行给医学生带来了不同的压力,使他们更容易受到困扰和幸福感受损。 为了评估 COVID-19 大流行对医学生幸福感的影响及其与 COVID 相关的心理困扰、恐惧和睡眠质量之间的关系。 我们利用谷歌在线表格对医学生进行了横断面研究,内容包括社会人口学数据、医学生幸福指数(MSWBI)、心理压力量表、COVID-19恐惧量表(FCV-19S)和匹兹堡睡眠质量指数(PSQI)。 48.13%的学生报告了较高的心理压力和心理健康受损情况。幸福感受损与 COVID 相关的心理困扰、对 COVID-19 的恐惧和睡眠质量紊乱相关。回归分析表明,联合家庭和睡眠障碍可显著预测医学生的苦恼或幸福感受损。 近一半的医学生显示心理健康受损,这凸显了与 COVID 相关的压力因素在恶化学生心理健康方面所起的作用。在这种情况下,及时采取措施识别并帮助易受伤害的学生非常重要。
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引用次数: 0
Chronic consumption of alcohol-based hand sanitizer and its public health implications 长期使用酒精洗手液及其对公共卫生的影响
Pub Date : 2024-01-09 DOI: 10.4103/ipj.ipj_105_23
Tamonud Modak, Zubah Mazood, Abhijit R. Rozatkar
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引用次数: 0
Determinants of delirium in elderly in-patients in a general ward setting in a teaching hospital: A case control study 教学医院普通病房老年住院病人谵妄的决定因素:病例对照研究
Pub Date : 2024-01-09 DOI: 10.4103/ipj.ipj_16_23
Jitha Geetha, Haritha Babu, Christina George
There is a dearth of research on risk factors of delirium among elderly inpatients in nonintensive low resource settings. To determine the risk factors of delirium in elderly inpatients in a nonintensive care unit setting. Sixty two elderly patients with delirium (cases) and 62 patients without delirium (controls) were administered a semi-structured proforma with socio-demographic variables and putative predisposing and precipitating risk factors and the Vellore screening instrument for dementia. On univariate analysis, factors such as past cognitive impairment, history of nocturnal confusion and delirium, diminished daily living activities, severe medical illness, history of psychiatric illness, presence of dementia, infection, fever above 1000F, abnormal electrolytes abnormal RFT, leukocytes in urine, hypoxia, anticholinergics and benzodiazepines, emergency admission, use of physical restraints, bladder catheterization, more than routine investigations, intensive care unit admission, surgery, and duration of hospital stay more than 10 days were found to be significantly associated with delirium. On multivariate analysis with binary logistic regression, bladder catheterization (odds ratio [OR] = 13.85; confidence interval [CI] = 1.44-133.14), abnormal electrolytes (OR = 5.12; CI = 1.11-23.69), and hypoxia (OR = 75.52; CI = 4.64-1.134E3) were detected to be independently associated with delirium. Acute modifiable rather than long-term factors were risk factors for delirium among the elderly. An awareness of modifiable risk factors has the potential of developing targeted interventions for the early mitigation of delirium.
关于非重症监护室低资源环境中老年住院患者谵妄风险因素的研究十分匮乏。 本研究旨在确定非重症监护病房环境中老年住院患者谵妄的风险因素。 对 62 名有谵妄的老年患者(病例)和 62 名没有谵妄的患者(对照组)进行了半结构化问卷调查,其中包括社会人口学变量、可能的诱发和促发风险因素以及韦洛尔痴呆症筛查工具。 缺氧、抗胆碱能药物和苯二氮卓类药物、急诊入院、使用物理约束、膀胱导尿、常规检查以上、入住重症监护室、手术以及住院时间超过 10 天等因素均与谵妄有显著相关性。通过二元逻辑回归进行多变量分析后发现,膀胱导尿(几率比 [OR] = 13.85;置信区间 [CI] = 1.44-133.14)、电解质异常(OR = 5.12;CI = 1.11-23.69)和缺氧(OR = 75.52;CI = 4.64-1.134E3)与谵妄有独立关联。 在老年人中,可改变的急性因素而非长期因素是导致谵妄的风险因素。对可改变的风险因素的认识有可能为早期缓解谵妄制定有针对性的干预措施。
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引用次数: 0
Anxiety, stress, and quality of life in patients with tuberculosis: A systematic review and meta-analysis 肺结核患者的焦虑、压力和生活质量:系统回顾与荟萃分析
Pub Date : 2024-01-09 DOI: 10.4103/ipj.ipj_58_23
Roshan F. Sutar, Anindo Majumdar, Vikas Yadav, D. Basera, Himank Gupta
Anxiety symptoms when coexisting with tuberculosis (TB), can have deleterious effects on treatment continuation that could contribute to the development of treatment resistance in TB. It is essential to understand the prevalence of anxiety in TB to develop clinical recommendations for its management. The primary objective of our review was to estimate the pooled prevalence of anxiety in TB patients along with the estimation of stress and quality of life in such patients. The relevant literature search on observational studies published in the English language till the year 2020 was carried out. A total of 8086 participants from 29 studies were included, of which 24 were cross-sectional studies and the remaining were case–control, and cohort studies. The estimated pooled prevalence of anxiety, comorbid depression, stress, and poor quality of life in TB patients was 32.54% [24.95, 41.18], 32.87% [25.79, 40.82], 52.68% [48.60, 56.72], and 79.51% [45.67, 94.72] respectively. When comparing the prevalence of anxiety across World Health Organization (WHO) regions, there was a statistically significant difference, with the African Region (AFR) having the highest prevalence i.e. 37.87% [29.59, 46.92], and the Western Pacific Region (WPR) having the lowest prevalence i.e. 15.83 % [12.72, 19.53]. The higher prevalence of anxiety in TB in the AFR and South-East Asian Region (SEAR) suggests a strong correlation with the developing status of these regions which calls for efforts to identify and treat the risk factors common to both anxiety and TB.
焦虑症状与肺结核(TB)并存时,会对治疗的持续性产生有害影响,从而导致肺结核耐药性的产生。了解结核病患者焦虑症的发病率对于制定临床治疗建议至关重要。我们综述的主要目的是估算结核病患者焦虑症的总体患病率,同时估算这类患者的压力和生活质量。我们对 2020 年之前发表的英文观察性研究进行了相关文献检索。共纳入了 29 项研究的 8086 名参与者,其中 24 项为横断面研究,其余为病例对照和队列研究。估计结核病患者焦虑、合并抑郁、压力和生活质量低下的合计患病率分别为 32.54% [24.95, 41.18]、32.87% [25.79, 40.82]、52.68% [48.60, 56.72]和 79.51% [45.67, 94.72]。在比较世界卫生组织(WHO)各地区的焦虑症患病率时,非洲地区(AFR)的患病率最高,为 37.87% [29.59, 46.92],而西太平洋地区(WPR)的患病率最低,为 15.83 % [12.72, 19.53],两者之间存在显著的统计学差异。在非洲和东南亚地区,结核病患者的焦虑症发病率较高,这表明焦虑症与这些地区的发展状况密切相关,因此需要努力识别和治疗焦虑症和结核病的共同风险因素。
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引用次数: 0
Prevalence of generalized anxiety disorder among patients attending medicine outpatient department in a tertiary care center: A cross-sectional study 一家三级医疗中心内科门诊病人中广泛性焦虑症的患病率:横断面研究
Pub Date : 2024-01-09 DOI: 10.4103/ipj.ipj_77_23
Gokoul Veloumourougane, Parthasarathy Ramamurthy, Pradeep Thilakan, Preethy Raghuraman, Joseph Vimal
Generalized anxiety disorder is commonly underdiagnosed and undertreated in medical settings. The objectives of this study were to determine the prevalence and correlates of generalized anxiety disorder among patients presenting to medicine outpatient department in a tertiary care centre. A cross-sectional observational study was conducted among the patients visiting the outpatient department of General Medicine in a tertiary care teaching hospital. Sociodemographic and clinical parameters were collected using a structured pro forma. All patients were administered Generalized Anxiety Disorder-7 (GAD-7) to screen for the presence of generalized anxiety disorder. Patients who score 10 or more underwent a semi-structured evaluation using a generalized anxiety disorder module of Structured Clinical Interview for DSM-IV Axis I disorders. Two hundred and fifty patients were recruited for the study. The mean age of the participants was 40.66 ± 12.8 years. More than one-fourth of them had diabetes mellitus and about one-fifth of the participants had systemic hypertension and hypothyroidism. Thirty five (14%) participants screened positive on GAD-7 scale. On detailed evaluation using SCID-I, 19 (7.6%) participants were confirmed to have a generalized anxiety disorder. Female gender was associated with the presence of GAD. One in thirteen patients presenting to the medicine outpatient department were found to have generalized anxiety disorder. Female patients had a greater prevalence of generalized anxiety disorder compared to male patients.
在医疗机构中,广泛性焦虑症通常诊断不足、治疗不力。 本研究旨在确定在一家三级医疗中心内科门诊就诊的患者中广泛性焦虑症的患病率及其相关因素。 本研究对一家三级医疗教学医院全科门诊部的就诊患者进行了横断面观察研究。研究采用结构化表格收集社会人口学和临床参数。所有患者都接受了 "广泛性焦虑症-7"(GAD-7)测试,以筛查是否患有广泛性焦虑症。得分在 10 分或以上的患者将接受半结构化评估,评估使用的是 DSM-IV 轴一疾病结构化临床访谈的广泛性焦虑症模块。 研究共招募了 250 名患者。参与者的平均年龄为 40.66 ± 12.8 岁。超过四分之一的参与者患有糖尿病,约五分之一的参与者患有系统性高血压和甲状腺功能减退症。35名参与者(14%)在 GAD-7 量表中呈阳性。在使用 SCID-I 进行详细评估后,19 名参与者(7.6%)被证实患有广泛性焦虑症。女性与 GAD 的存在有关。 每 13 名到内科门诊就诊的患者中就有一人患有广泛性焦虑症。与男性患者相比,女性患者患广泛性焦虑症的比例更高。
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引用次数: 0
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Industrial Psychiatry Journal
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