Industrial Psychiatry Journal最新文献

Background: There are few studies that highlight the problematic eating behavior of college students; however, similar data on the medical undergraduate population is sparse, especially in India. Awareness among medical students would be considered different compared to other students, owing to their training and education.

Aim: To know the prevalence of problematic eating behavior in medical undergraduate students and to measure the extent of awareness regarding problematic eating behavior present amongst the students.

Materials and methods: The present study was a cross-sectional study conducted over 2 months that included students (1^st -4^th year and interns) aged 17-30 years, studying MBBS. Ethical approval to do the study was taken from the Institutional Ethics Committee. Purposive sampling was done. Those students who gave informed consent to be a part of this study and were not diagnosed with any severe mental and physical illness were included in this study. Socio-demographic data was collected in a semi-structured proforma. The questionnaire was given to the students to fill up. The questionnaire included EAT-26 (Eating Attitudes Test-26) score for screening the students for problematic eating behavior. For objectively assessing awareness amongst the students regarding the same, a few questions of knowledge, attitude, and practice (KAP) on problematic eating were included in the form. The result was analyzed using SPSS- 25 (Statistical Package for Social Sciences) and appropriate statistical tests.

Results: Among Medical undergraduates, 19.9% had EAT-26 score more than or equal to 20, suggesting some problematic eating behavior. A total of 36.7% of students were obese, while 5.6% were underweight. Gender and background do not play any role in the causation of Problematic Eating Behaviour (PEB). There was a significant difference in the EAT score with respect to the education of the head of the family (P < 0.01), positive history of mental illness in the family (P = 0.01), positive history of childhood obesity (P < 0.01), and positive history of bullying (P < 0.01). Awareness or knowledge about eating disorders is high among MBBS graduates, which could be a protective factor in general.

Conclusion: Obesity is a more concerning issue in the medical undergraduate population rather than underweight. Childhood obesity and bullying emerge as important factors affecting the eating attitudes and behavior among medical graduates.

Gaming as an increasingly common phenomenon and is frequently used as a coping mechanism during difficult life situations, such as grief and bereavement. This coping usually takes place as an avoidant, escapist strategy, which can lead to problematic or excessive gaming, with harmful outcomes. The aim of this study was to review and collate findings from literature on gaming use as an escapist coping strategy during difficult life situations. A systematic review was carried out with the use of the databases such as PubMed, Google Scholar, Research Gate, and APA PsycNet, where English language studies published in peer-reviewed journals were perused. The full text of the studies selected were then reviewed and suitability for the present study was checked with the eligibility criteria. Out of the 35 texts fully reviewed, 18 studies were finalised that fit the eligibility criteria, and out of these, three themes were derived - "Problematic online gaming and difficult life situations", "Problematic online gaming, coping and escapism ", and "Types of gaming", which demonstrated the psychosocial perspective on gaming used as a coping mechanism for difficult situations. This association is further affected by the type of gaming, whether Massive Multi-player Online Role Playing Games (MMORPG) or otherwise. The aetiology (life situations as a causative factor) and manifestation (gaming used for coping), along with the type of gaming were significantly affected by personal and social factors. The study showed findings that support the view of gaming as an escapist coping strategy in difficult life situations. It is therefore important to look into provisions for better social support and individuals' psychosocial environment while evolving interventions that enhance coping among gamers.

Background: Many patients attending dermatology clinics have mental health problems which may affect their well-being.

Aims: It was intended to study the influence of anxiety and depression on well-being and quality of life (QOL) in relation to satisfaction of dermatological care in an out-patient setting.

Materials and methods: In a cross-sectional study, dermatological patients were assessed for well-being (WHO-5 Well-Being scale), overall QOL, anxiety (General Anxiety Disorder, GAD-7), and depression (Patient health questionnaire, PHQ-9). Satisfaction of care in the dermatology clinic (1: not at all satisfied to 10: very satisfied) and the likelihood of recommending it (1: not at all likely to 10: very likely) were assessed on a 1 to 10 scale. Demographic and clinical variables were also collected.

Results: The sample (n = 150) covered a range of dermatological diagnoses including allergy/eczema (53.3%), inflammatory/infective diseases (19.3%), sexually transmitted diseases (10.0%), psycho-somatic diseases (9.3%), and auto-immune diseases (7.3%). A clinically relevant level (moderate degree or above) of depression (12.7%) and anxiety (8.0%) was present in considerable proportions of patients, suggesting that overall 18.7% of patients had anxiety, depression, or both. The satisfaction and recommendation scores were at an appreciable level; however, they did not influence the anxiety and depression scores. Anxiety and depression were negatively correlated with well-being and overall QOL.

Conclusion: Anxiety and depression present in a considerable proportion of dermatological patients significantly impaired their well-being and QOL despite high satisfaction and likelihood of recommendation of care in the dermatology clinic. Identifying and supporting psychiatric problems of dermatological patients are needed.

Background: Global alcohol consumption poses a serious threat to humankind. It is estimated that between 5% and 7% of Indian adults struggle with alcohol abuse. Alcoholism is associated with a number of disorders, impacting different organ systems and nutritional status, including symptoms of withdrawal that can vary in severity from moderate symptoms to delirium tremens (DT). An increase in oxidative stress in the body is linked to alcohol withdrawal.

Aim: This study aimed to evaluate the role of vitamins with antioxidant properties on oxidative stress caused by the severe alcohol withdrawal state.

Materials and methods: 60 patients with DT and 30 control subjects were recruited using a purposive sampling method. They were evaluated for liver function test, antioxidant enzyme superoxide dismutase, glutathione peroxidase, and serum vitamin D level on day 0, day 14 and on day 0 of treatment for patients and controls, respectively.

Results: The mean age of the study group was 41.12 years. The mean duration of substance use while coming for treatment was 22 years. Means of liver function test were found to be aspartate transaminase (AST) 196 IU/L, alanine transaminase (ALT) 71 IU/L, and alkaline phosphatase (ALP) 143 IU/L of patients on day 0 of evaluation. When comparisons of liver enzymes and antioxidant enzymes were conducted between cases and controls on day 0, significance was found. Further comparison of day 0 and day 14 levels of liver enzymes and antioxidant enzymes also had shown significant differences. However, no significant correlation was found with vitamin D level and liver enzyme, antioxidant enzyme level.

Conclusion: Oxidative stress evaluated via antioxidant enzyme was found to be at a higher level in patients with DT than in patients with mild withdrawal symptoms. This study has shown an association between antioxidant enzymes with severity of withdrawal; however, no such association with vitamin D level was found.

Background: Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by marked impairments in social interaction and communication accompanied by a pattern of repetitive, stereotyped behaviors and activities. The prevalence rate after COVID-19 is 0.3%. Inferential processing style in parents plays a major role in maintaining the psychopathology in children. Brief reflective parenting intervention has not yet been studied in the context of inferential processing style in parents of young children with ASD.

Aim: To study the effect of brief reflective training on parents of children with Autism spectrum disorder.

Materials and methods: This intervention study was conducted on parents of individuals diagnosed with ASD based on ICD-10 DCR, following certain inclusion and exclusion criteria. Data was collected from various General Hospital Psychiatry Unit in Delhi NCR, using a purposive sampling technique. Cognitive Style Questionnaire-Short Form was administered as an outcome measure to assess inferential negative style. Data was statistically analyzed using the Wilcoxon rank test.

Results: Findings suggested improvement in inferential negative style after parents attended the intervention of brief reflective training workshop, and the improvement was statistically significant.

Conclusion: The study highlights the potential benefits of brief reflective training in enhancing cognitive processing styles among parents of children with ASD.

Background: The types of substances used by psychiatric patients in Iraq and the Middle East vary from other areas of the world. In this region, patients mostly use prescribed drugs.

Aim: This study aimed to investigate the types of substance use disorder (SUD) and their correlates among psychiatric patients in the Kurdistan region.

Materials and methods: The study was conducted on patients, who visited outpatient psychiatric consultation units in the Kurdistan region of Iraq within 6 months. In this study, two hundred fifty (250) adult patients of both genders diagnosed with psychiatric disorders were included.

Results: Alcohol use disorder was diagnosed in 10 (4%) of cases; after that, the most commonly used substances were benzodiazepine and trihexyphenidyl, each of them positive in 7 (2.8%) of cases, followed by opiates in 4 (1.6%) cases and poly substances in 2 (0.8%) of the cases. The correlates of SUDs included male gender, divorced person, higher educational level, and being employed.

Conclusion: Psychiatric patients mostly use prescribed medications, especially benzodiazepines and trihexyphenidyl. Future research will be required to study the comorbidity between psychiatric disorders and SUDs in various groups and different settings.

Background: Suicides are among the leading causes of death in the world and pose a major public health challenge. Mental health issues intensified during the COVID-19 pandemic, causing an increase in the number of suicides globally. Contributory factors included social isolation, loneliness, unemployment, grief due to loss of family, fear of death, and financial stress.

Aim: To assess the pattern of suicide deaths following the COVID-19 pandemic as compared to pre-COVID-19 in the South and South-east districts of Delhi.

Materials and methods: Pre-COVID-19 suicide data were reviewed from April 2017 to March 2020. We collected data from police inquest papers, medical records, and the evaluation of autopsy reports. Post-COVID-19 data for suicide deaths were collected from April 2020 and March 2023. The close relatives of the deceased were interviewed using a standardized proforma. Data were analyzed using STATA version 16.

Results: A total of 1435 and 1462 suicide deaths were reported in the pre- and post-COVID-19 pandemic period, respectively. Suicide deaths among males were significantly higher in the post-COVID-19 period (P = 0.001). The place of suicide was non-residence in a significantly higher number of suicide deaths during the post-COVID-19 period (P = 0.001), while there was no significant difference in terms of alcohol use (P = 0.249), and physical illness (P = 0.28) during pre- and post-COVID-19 period. The most common cause of death was hanging both in the pre-COVID-19 (93.91%) and post-COVID-19 (95.5%) period.

Conclusion: There was no significant difference in the number of suicide deaths pre- and post-COVID pandemic. A significantly higher rate among males, non-residence as the place of suicide, and history of psychiatric illness was found in the post-COVID-19 period.

Background: Headache presents as a common symptom turned disorder ranging from harmless to life threatening. The inconsistent conclusions across various studies or methodological lacunae have resulted in absence of a unified neuropsychological profile. Thus, the efficacy of establishing a holistic picture of deficits and their rehabilitation in Indian context creates a need for comprehensive investigative tools.

Aim: To explore the impact of headache, on the neuropsychological functioning of individuals using AIIMS Comprehensive Neuropsychological Battery.

Materials and methods: This was a cross-sectional and comparative hospital-based study. The sample compared 20 patients with diagnosis of any kind of headache, according to International Classification of Headache Disorders-3 (ICHD-3) criteria with 20 matched healthy controls selected via purposive sampling. Both the groups were subjected to AIIMS Comprehensive Neuropsychological Battery and NEO-Five Factor Inventory-3, and a comprehensive neuropsychological profile was obtained. The profile obtained was further subjected to analysis using the independent samples t-test and product moment correlation using Statistical Package for Social Sciences software (Version 27.0).

Results: The findings indicate no significant impairment in any of the groups for neuropsychological correlates due to all scores being within normal ranges. Higher scores on neuroticism were found in patients with headache, with a higher incidence in females of the clinical group.

Conclusion: The present study underscores neuropsychological deficits as perceived component among the headache population as conducted using a complete battery standardized in the Indian context. A longitudinal approach with greater sample size and randomized sampling might promise better results and generalizability.