Bandana Gupta, T. Bansal, Shweta Singh, A. Nischal
Background and objective: The WHO declared the Chinese outbreak of COVID-19 to be health risk of National and International Concern from 30th January 2020. This has significant implications on mental health , especially for patients of OCD in various ways. This study was aimed to study Psychiatric comorbidity and Fear of Corona virus in patients with obsessive-compulsive disorder (OCD) during COVID-19 pandemic and compare socio-demographic & clinical variables between patients of OCD with or without psychiatric comorbidity during COVID-19 pandemic.Methods: In person interview including 96 old and new symptomatic patients of OCD diagnosed as per ICD 10-DCR, who had onset of illness prior to COVID-19 (march 2020), between the age of 18-60 years was conducted. The disease severity was recorded on D-YBOCS, HAM-A and HAM-D. The two groups of OCD, with comorbidity and without comorbidity were compared. Fear of COVID-19 Scale was used to analyse fear of corona virus.Results: Depression was the most common psychiatric comorbidity. The fear of coronavirus in 59.4% OCD patients was observed to be mild in severity and the mean FCV-19S score to be 14.42 ± 4.19. Positive correlation was found between FCV-19S score and the YBOCS obsession subtotal score, YBOCS compulsion subtotal score, YBOCS total score, HAM-D score and HAM-A score. FCV-19S score also had a statistically significant positive correlation with D-YBOCS severity score for contamination and cleaning, severity score for hoarding and collecting, severity score for symmetry and severity score for aggression. Among the OCD patients with comorbidity, a statistically significant higher YBOCS score, D-YBOCS severity score for Contamination and Cleaning and FCV-19S score were observed when compared to OCD patients without comorbidity.Conclusions: Fear of corona virus was seen in majority of the OCD patients and was associated with increased severity of disease. The OCD patients with comorbidity had significantly higher Y-BOCS score mainly for Contamination and Cleaning.
{"title":"A Study of Psychiatric Comorbidity and Fear of Corona Virus in Patients with Obsessive Compulsive Disorder during Covid-19 Pandemic","authors":"Bandana Gupta, T. Bansal, Shweta Singh, A. Nischal","doi":"10.55229/ijbs.v25i2.02","DOIUrl":"https://doi.org/10.55229/ijbs.v25i2.02","url":null,"abstract":"Background and objective: The WHO declared the Chinese outbreak of COVID-19 to be health risk of National and International Concern from 30th January 2020. This has significant implications on mental health , especially for patients of OCD in various ways. This study was aimed to study Psychiatric comorbidity and Fear of Corona virus in patients with obsessive-compulsive disorder (OCD) during COVID-19 pandemic and compare socio-demographic & clinical variables between patients of OCD with or without psychiatric comorbidity during COVID-19 pandemic.Methods: In person interview including 96 old and new symptomatic patients of OCD diagnosed as per ICD 10-DCR, who had onset of illness prior to COVID-19 (march 2020), between the age of 18-60 years was conducted. The disease severity was recorded on D-YBOCS, HAM-A and HAM-D. The two groups of OCD, with comorbidity and without comorbidity were compared. Fear of COVID-19 Scale was used to analyse fear of corona virus.Results: Depression was the most common psychiatric comorbidity. The fear of coronavirus in 59.4% OCD patients was observed to be mild in severity and the mean FCV-19S score to be 14.42 ± 4.19. Positive correlation was found between FCV-19S score and the YBOCS obsession subtotal score, YBOCS compulsion subtotal score, YBOCS total score, HAM-D score and HAM-A score. FCV-19S score also had a statistically significant positive correlation with D-YBOCS severity score for contamination and cleaning, severity score for hoarding and collecting, severity score for symmetry and severity score for aggression. Among the OCD patients with comorbidity, a statistically significant higher YBOCS score, D-YBOCS severity score for Contamination and Cleaning and FCV-19S score were observed when compared to OCD patients without comorbidity.Conclusions: Fear of corona virus was seen in majority of the OCD patients and was associated with increased severity of disease. The OCD patients with comorbidity had significantly higher Y-BOCS score mainly for Contamination and Cleaning.","PeriodicalId":253024,"journal":{"name":"Indian Journal of Behavioural Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131824583","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}
Neuropsychiatry is an area of medicine that deals with behavioural issues caused by brain dysfunction. It is found at the intersection of neurology and psychiatry. Individuals with congenital and genetic diseases are more likely to experience neuropsychiatric symptoms (particularly mental retardation), which can lead to considerable disability and a lower quality of life. Developmental delay, intellectual disability, autism spectrum disorders (ASDs), and cognitive dysfunction are the most common symptoms of neuropsychiatric illnesses. Many intellectual developmental abnormalities are caused by complex genetic components (such as attention deficit hyperactivity disorder), pregnancy or birth complications, or environmental variables, among other things. Patients with congenital and genetic diseases with neuropsychiatric indications benefit from a multidisciplinary approach to management. Interdepartmental liaisoning may be advantageous in the absence of a multidisciplinary team.
{"title":"Neuropsychiatric Aspects of Congenital and Genetic Disorders","authors":"Sujita Kumar Kar, Jamshed Ahmad, TV Ram Kumar","doi":"10.55229/ijbs.v25i2.07","DOIUrl":"https://doi.org/10.55229/ijbs.v25i2.07","url":null,"abstract":"Neuropsychiatry is an area of medicine that deals with behavioural issues caused by brain dysfunction. It is found at the intersection of neurology and psychiatry. Individuals with congenital and genetic diseases are more likely to experience neuropsychiatric symptoms (particularly mental retardation), which can lead to considerable disability and a lower quality of life. Developmental delay, intellectual disability, autism spectrum disorders (ASDs), and cognitive dysfunction are the most common symptoms of neuropsychiatric illnesses. Many intellectual developmental abnormalities are caused by complex genetic components (such as attention deficit hyperactivity disorder), pregnancy or birth complications, or environmental variables, among other things. Patients with congenital and genetic diseases with neuropsychiatric indications benefit from a multidisciplinary approach to management. Interdepartmental liaisoning may be advantageous in the absence of a multidisciplinary team.","PeriodicalId":253024,"journal":{"name":"Indian Journal of Behavioural Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121144541","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}
In India, the history of psychiatry is approximately 80 years of post-graduate education. The first psychiatrist who received an MD degree from an Indian medical institution was Late Prof. L.P. Verma, who received his degree in 1941 from Patna Medical College, Bihar.1 In India, a post-graduate course in psychiatry is taught in two forms (MD in Psychiatry and DNB in Psychiatry). MBBS is the minimum educational requirement to be eligible for pursuing MD or DNB Psychiatry course. The duration of the post-graduate course in psychiatry is three years in India. A recent study revealed that the post-graduate degree courses in psychiatry are unequally distributed in the country, which might be responsible for the not-so-equitable distribution and generation of mental health manpower in the country.2 In India, general hospital psychiatry units (psychiatry units attached to medical colleges) play an instrumental role in training post-graduate students of psychiatry. Other than this, mental hospitals also provide teaching and training facilities for post-graduate psychiatry trainees.
{"title":"Post-graduate Psychiatry Teaching and Training in India","authors":"Sujita Kumar Kar","doi":"10.55229/ijbs.v25i2.11","DOIUrl":"https://doi.org/10.55229/ijbs.v25i2.11","url":null,"abstract":"In India, the history of psychiatry is approximately 80 years of post-graduate education. The first psychiatrist who received an MD degree from an Indian medical institution was Late Prof. L.P. Verma, who received his degree in 1941 from Patna Medical College, Bihar.1 In India, a post-graduate course in psychiatry is taught in two forms (MD in Psychiatry and DNB in Psychiatry). MBBS is the minimum educational requirement to be eligible for pursuing MD or DNB Psychiatry course. The duration of the post-graduate course in psychiatry is three years in India. A recent study revealed that the post-graduate degree courses in psychiatry are unequally distributed in the country, which might be responsible for the not-so-equitable distribution and generation of mental health manpower in the country.2 In India, general hospital psychiatry units (psychiatry units attached to medical colleges) play an instrumental role in training post-graduate students of psychiatry. Other than this, mental hospitals also provide teaching and training facilities for post-graduate psychiatry trainees.","PeriodicalId":253024,"journal":{"name":"Indian Journal of Behavioural Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130678764","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}
A. I. Bhat, Dr. Manmeet Singh, Dr Raghav Arora, Dr sunny Babber, Dr Rohit Jasrotia, Dr.Parul Gupta
BACKGROUND: Sleep disorders among elderly society constitute a substantial public health problem. It is estimated that nearly 50% of people aged 55years and older have trouble sleeping, including initiating and maintaining sleep. The aim of this study was to determine the prevalence of sleep disorders among elderly patients attending tertiary care hospital. METHODS: The study included a total of 60 people – aged 60 or older 27 women (45%) and 33 men (55%). Data was collected from elderly patients attending tertiary care hospital and were screened for cognitive impairment by using mini mental state examination (MMSE). Patients who had MMSE score more than 24 were studied. The study used two standardized psychometric scales: The Epworth Sleepiness Scale (ESS) and The Insomnia Severity Index (ISI). RESULTS: As per insomnia severity index scale (ISI) out of 60 patients ,n=18(30%) had mild insomnia n=13(21.67) had moderate insomnia and n=1(1.67%) severe insomnia ,where as n=28(46.67%) had no insomnia. As per Epworth sleepiness scale (ESS) out of 60 patients ,n=3(05%) had mild day time sleepiness and n=57(95%) had no sleepiness. As per the study there is significant correlation between ISI and ESS .There was a statistically significant association between increasing age and insomnia in elderly patients. The incidence of comorbidities in the patients complaining of insomnia was analyzed. Cardiovascular disorders were the most common followed by Diabetes mellites and chronic obstructive pulmonary disease. CONCLUSION: Sleep conditions, particularly insomnia, constitute an important social and health problem among elderly people visiting tertiary care hospital. In light of the obtained study results, it is suggested to conduct and improve existing health education plans aimed at the elderly regarding sleep disorders to improve the quality of their sleep, and thus quality of life, and raise the alertness of the elderly about the importance of sleep in everyday life. There is a need for further research in the field of sleep disorders in the elderly to determine the prevalence of these disorders on a nationwide scale.
{"title":"Prevalance of Insomnia Among Elderly Patients Attending Teritiary Care Hospital","authors":"A. I. Bhat, Dr. Manmeet Singh, Dr Raghav Arora, Dr sunny Babber, Dr Rohit Jasrotia, Dr.Parul Gupta","doi":"10.55229/ijbs2022.0307","DOIUrl":"https://doi.org/10.55229/ijbs2022.0307","url":null,"abstract":"BACKGROUND: Sleep disorders among elderly society constitute a substantial public health problem. It is estimated that nearly 50% of people aged 55years and older have trouble sleeping, including initiating and maintaining sleep. The aim of this study was to determine the prevalence of sleep disorders among elderly patients attending tertiary care hospital. \u0000METHODS: The study included a total of 60 people – aged 60 or older 27 women (45%) and 33 men (55%). Data was collected from elderly patients attending tertiary care hospital and were screened for cognitive impairment by using mini mental state examination (MMSE). Patients who had MMSE score more than 24 were studied. \u0000The study used two standardized psychometric scales: The Epworth Sleepiness Scale (ESS) and The Insomnia Severity Index (ISI). \u0000RESULTS: As per insomnia severity index scale (ISI) out of 60 patients ,n=18(30%) had mild insomnia n=13(21.67) had moderate insomnia and n=1(1.67%) severe insomnia ,where as n=28(46.67%) had no insomnia. \u0000As per Epworth sleepiness scale (ESS) out of 60 patients ,n=3(05%) had mild day time sleepiness and n=57(95%) had no sleepiness. As per the study there is significant correlation between ISI and ESS .There was a statistically significant association between increasing age and insomnia in elderly patients. The incidence of comorbidities in the patients complaining of insomnia was analyzed. Cardiovascular disorders were the most common followed by Diabetes mellites and chronic obstructive pulmonary disease. \u0000CONCLUSION: Sleep conditions, particularly insomnia, constitute an important social and health problem among elderly people visiting tertiary care hospital. In light of the obtained study results, it is suggested to conduct and improve existing health education plans aimed at the elderly regarding sleep disorders to improve the quality of their sleep, and thus quality of life, and raise the alertness of the elderly about the importance of sleep in everyday life. There is a need for further research in the field of sleep disorders in the elderly to determine the prevalence of these disorders on a nationwide scale.","PeriodicalId":253024,"journal":{"name":"Indian Journal of Behavioural Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123247402","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}
'Income Generation Programs (IGPs)' for patients are practiced at psychiatric rehabilitation centers for vocational training or productive engagement. IGPs are similar to work programs with the added benefit of the opportunity to generate revenue and contribute to patients' income. Based on our experience and visits to several psychiatric rehabilitation centers running IGPs, we conceptualize how existing work programs can be translated into IGPs and/or new IGPs can be established. We also discuss the benefits of IGPs, the facilitators and challenges, and various stakeholders' roles.
{"title":"'Income Generation Programs' for Patients at Psychiatric Rehabilitation Centers","authors":"A. Roy, T. Sivakumar","doi":"10.55229/ijbs2022.03010","DOIUrl":"https://doi.org/10.55229/ijbs2022.03010","url":null,"abstract":"'Income Generation Programs (IGPs)' for patients are practiced at psychiatric rehabilitation centers for vocational training or productive engagement. IGPs are similar to work programs with the added benefit of the opportunity to generate revenue and contribute to patients' income. Based on our experience and visits to several psychiatric rehabilitation centers running IGPs, we conceptualize how existing work programs can be translated into IGPs and/or new IGPs can be established. We also discuss the benefits of IGPs, the facilitators and challenges, and various stakeholders' roles.","PeriodicalId":253024,"journal":{"name":"Indian Journal of Behavioural Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121575307","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}
Shweta Singh, Aastha Pant, Kriti Sapra, Deblina Roy, S. Bhutani
Background: India is a diverse country with a substantial number of migrants. The COVID-19 outbreak and enforced protocols led to enormous stress in the migrants. The challenges of internal migrants during the COVID-19 pandemic in India have been unique because of the unique socio-politico-economic and cultural aspects. There are various levels of migrants’ pre-existing vulnerability factors ranging from socio-cultural impediments, economic barriers to lower social or legal support. This paper aims to narratively review articles related to the psychosocial and mental health challenges of India’s Internal Migrants amid the COVID-19 pandemic and subsequent nationwide lockdowns.Methodology: A review was conducted by collecting articles related to challenges concerning the psychosocial and mental health of India’s Internal Migrants amid the COVID-19 pandemic. We selected pieces, thematically organized them, and listed their significant findings under the head introduction, pre-existing vulnerability factors, and challenges of India’s internal migrants amid the COVID-19 pandemic, responses, and recommendations.Results and Conclusion: India needs to develop an integrated ‘rights-based approach’ for providing comprehensive care to migrants, including economic support, health care and active labour-market policy. The necessary support to migrants can be done by planning a top-bottom approach involving National Health and Family Welfare Department (NHFWD), State Health and Family Welfare Department (SHRWD), local municipal and corporation councils, mobile medical units, mental health care workers, and municipal bocks and NGOs.
{"title":"Psycho-Socio-Economic Challenges of Internal Migrants of India: A Narrative Review and Recommendations for Integrative Model of Care","authors":"Shweta Singh, Aastha Pant, Kriti Sapra, Deblina Roy, S. Bhutani","doi":"10.55229/ijbs2022.0308","DOIUrl":"https://doi.org/10.55229/ijbs2022.0308","url":null,"abstract":"Background: India is a diverse country with a substantial number of migrants. The COVID-19 outbreak and enforced protocols led to enormous stress in the migrants. The challenges of internal migrants during the COVID-19 pandemic in India have been unique because of the unique socio-politico-economic and cultural aspects. There are various levels of migrants’ pre-existing vulnerability factors ranging from socio-cultural impediments, economic barriers to lower social or legal support. This paper aims to narratively review articles related to the psychosocial and mental health challenges of India’s Internal Migrants amid the COVID-19 pandemic and subsequent nationwide lockdowns.Methodology: A review was conducted by collecting articles related to challenges concerning the psychosocial and mental health of India’s Internal Migrants amid the COVID-19 pandemic. We selected pieces, thematically organized them, and listed their significant findings under the head introduction, pre-existing vulnerability factors, and challenges of India’s internal migrants amid the COVID-19 pandemic, responses, and recommendations.Results and Conclusion: India needs to develop an integrated ‘rights-based approach’ for providing comprehensive care to migrants, including economic support, health care and active labour-market policy. The necessary support to migrants can be done by planning a top-bottom approach involving National Health and Family Welfare Department (NHFWD), State Health and Family Welfare Department (SHRWD), local municipal and corporation councils, mobile medical units, mental health care workers, and municipal bocks and NGOs.","PeriodicalId":253024,"journal":{"name":"Indian Journal of Behavioural Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128592862","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 impostor phenomenon and is an internal experience of intellectual phoniness that those who feel fraudulence and worthlessness have despite outstanding academic or professional accomplishment. Medical students should have less impostor tendencies to become successful medical practitioners. This study was carried out on medical students of batch 2018 and 2019, to determine the prevalence of the impostor phenomenon and its association with depression among MBBS students of Muzaffarnagar Medical College.Methods: The present cross-sectional study was conducted among 150 students. Clance’s impostor phenomenon scale and CES-D were used to assess Impostor characteristics and depression respectively. Data was collected using the offline survey method.Results: This study conducted on 100 students of Muzaffarnagar Medical College and Hospital showed that 39% of students had severe impostor tendencies, out of which 46% were females and 54% were males. Moderate impostor tendencies were found to be 53% (56% in females and 44% in males). The mild impostor tendencies were present in 8% of participants. During the study, it was found that 28% of participants had severe impostor tendencies along with severe depression including 57% females and 43% males.Conclusions: Proper measures are required to be taken to enhance the skill, confidence, and decision-making of medical students to avoid problems of anxiety and depression in their future life. This will also lead to an improvement in the quality of medical services as if a medical student will be healthy, only then they can help in serving people better and building a healthy nation.
{"title":"Prevalence of Impostor Phenomenon and its Association with Depression among MBBS Students of Muzaffarnagar Medical College at Uttar Pradesh state of India","authors":"Vaibhav Verma, N. Singh","doi":"10.55229/ijbs2022.0305","DOIUrl":"https://doi.org/10.55229/ijbs2022.0305","url":null,"abstract":"Background: The impostor phenomenon and is an internal experience of intellectual phoniness that those who feel fraudulence and worthlessness have despite outstanding academic or professional accomplishment. Medical students should have less impostor tendencies to become successful medical practitioners. This study was carried out on medical students of batch 2018 and 2019, to determine the prevalence of the impostor phenomenon and its association with depression among MBBS students of Muzaffarnagar Medical College.Methods: The present cross-sectional study was conducted among 150 students. Clance’s impostor phenomenon scale and CES-D were used to assess Impostor characteristics and depression respectively. Data was collected using the offline survey method.Results: This study conducted on 100 students of Muzaffarnagar Medical College and Hospital showed that 39% of students had severe impostor tendencies, out of which 46% were females and 54% were males. Moderate impostor tendencies were found to be 53% (56% in females and 44% in males). The mild impostor tendencies were present in 8% of participants. During the study, it was found that 28% of participants had severe impostor tendencies along with severe depression including 57% females and 43% males.Conclusions: Proper measures are required to be taken to enhance the skill, confidence, and decision-making of medical students to avoid problems of anxiety and depression in their future life. This will also lead to an improvement in the quality of medical services as if a medical student will be healthy, only then they can help in serving people better and building a healthy nation.","PeriodicalId":253024,"journal":{"name":"Indian Journal of Behavioural Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129006983","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}
In the era of Gender equality, talking about women’s mental health (WMH) seems a regressive approach to many, but considering the underlying neurobiological, physiological, and psychosocial underpinnings still makes this relevant to be discussed. The psychosocial and reproductive factors play differently in the female gender, thus affecting women’s mental health in a specific and different manner than the men
{"title":"Women Mental Health: Resetting the Priorities","authors":"Bandana Gupta, A. Tripathi","doi":"10.55229/ijbs2022.0301","DOIUrl":"https://doi.org/10.55229/ijbs2022.0301","url":null,"abstract":"In the era of Gender equality, talking about women’s mental health (WMH) seems a regressive approach to many, but considering the underlying neurobiological, physiological, and psychosocial underpinnings still makes this relevant to be discussed. The psychosocial and reproductive factors play differently in the female gender, thus affecting women’s mental health in a specific and different manner than the men","PeriodicalId":253024,"journal":{"name":"Indian Journal of Behavioural Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134502216","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}
Vikas Moun, A. Tripathi, P. Dalal, Sujita Kumar Kar, P. Gupta, Shweta Singh, Dr. Mohita Joshi
Background: Cognitive deficits are one of the core symptoms of Schizophrenia that compromises real-world functioning, adversely impacts rehabilitation, and negatively influence the quality of life. Studies evaluating interventions for cognitive remediation in Schizophrenia are scarce in India. This study aimed to evaluate the effectiveness of the add-on home-based cognitive remediation strategy in schizophrenia in comparison to the schizophrenic patients receiving treatment as usual. Methods: The research was carried out in a North Indian tertiary care teaching hospital. Clinically stable patients diagnosed with schizophrenia were randomly assigned to study and control groups. The control group had received treatment as usual, whereas the study group had received 8 weeks of home-based manual-based cognitive remediation in addition to the treatment as usual. Assessment of psychopathology, cognitive functioning, disability, and quality of life was done at baseline, completion at 8 weeks and 16 weeks follow up. Results: A total of 186 patients with schizophrenia were screened based on selection criteria. 74 patients were included in the study. During the intervention, 17 patients were dropped out, making the sample size of the study group to be 28 and the control group to be 29. At the baseline, the socio-demographic, as well as clinical variables, were comparable. After cognitive remediation intervention, the study group had better cognitive functioning, less disability, and better quality of life in comparison to the control group. The benefits were sustained in the study group at the end of two-month follow-up period. The effect size of home-based cognitive remediation was found to be moderate (Cohen’s d 0.4 to 0.69) at the end of the intervention. Conclusion: Home-based cognitive remediation is a feasible and effective strategy of intervention in patients with schizophrenia which has at least a short-lasting effect and it is also useful in limiting the disability and improving the quality of life.
{"title":"The Feasibility and Effectiveness of Home-based Cognitive Remediation in Clinically Stable Schizophrenia Patients Attending a North Indian Tertiary Care Institution","authors":"Vikas Moun, A. Tripathi, P. Dalal, Sujita Kumar Kar, P. Gupta, Shweta Singh, Dr. Mohita Joshi","doi":"10.55229/ijbs2022.0306","DOIUrl":"https://doi.org/10.55229/ijbs2022.0306","url":null,"abstract":"Background: Cognitive deficits are one of the core symptoms of Schizophrenia that compromises real-world functioning, adversely impacts rehabilitation, and negatively influence the quality of life. Studies evaluating interventions for cognitive remediation in Schizophrenia are scarce in India. This study aimed to evaluate the effectiveness of the add-on home-based cognitive remediation strategy in schizophrenia in comparison to the schizophrenic patients receiving treatment as usual. \u0000Methods: The research was carried out in a North Indian tertiary care teaching hospital. Clinically stable patients diagnosed with schizophrenia were randomly assigned to study and control groups. The control group had received treatment as usual, whereas the study group had received 8 weeks of home-based manual-based cognitive remediation in addition to the treatment as usual. Assessment of psychopathology, cognitive functioning, disability, and quality of life was done at baseline, completion at 8 weeks and 16 weeks follow up. \u0000Results: A total of 186 patients with schizophrenia were screened based on selection criteria. 74 patients were included in the study. During the intervention, 17 patients were dropped out, making the sample size of the study group to be 28 and the control group to be 29. At the baseline, the socio-demographic, as well as clinical variables, were comparable. After cognitive remediation intervention, the study group had better cognitive functioning, less disability, and better quality of life in comparison to the control group. The benefits were sustained in the study group at the end of two-month follow-up period. The effect size of home-based cognitive remediation was found to be moderate (Cohen’s d 0.4 to 0.69) at the end of the intervention. \u0000Conclusion: Home-based cognitive remediation is a feasible and effective strategy of intervention in patients with schizophrenia which has at least a short-lasting effect and it is also useful in limiting the disability and improving the quality of life.","PeriodicalId":253024,"journal":{"name":"Indian Journal of Behavioural Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123018747","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}
Sexual medicine is a rapidly developing subspecialty of modern medicine. Yet, there are several uncertainties over its place in contemporary medicine. As of now, this is an interdisciplinary field. Several medical disciplines contribute to the evaluation, management of clients with sexual dysfunctions, research, innovation, and generation of further knowledge and skills. Psychiatry has played an essential role in the historical development of sexual medicine. The brain plays a vital role in sexual functioning during health and disease. Several conceptual understandings of the disorders, assessment strategies, and management techniques have psychological or neural science-related underpinnings.Additionally, sexual disorders have high comorbidity with several mental health conditions. Clients can be the best mange if a biopsychosocial perspective on sexual medicines is utilized in diagnosis and management. A host of newer development and progress is happening in this field, so keeping track and consistent updating is imperative for clinicians desirous of competently practicing sexual medicine
{"title":"Sexual Medicine and Psychiatry: Promises, Potentials, and Pitfalls: Global and Local Perspectives","authors":"A. Tripathi","doi":"10.55229/ijbs2022.0302","DOIUrl":"https://doi.org/10.55229/ijbs2022.0302","url":null,"abstract":"Sexual medicine is a rapidly developing subspecialty of modern medicine. Yet, there are several uncertainties over its place in contemporary medicine. As of now, this is an interdisciplinary field. Several medical disciplines contribute to the evaluation, management of clients with sexual dysfunctions, research, innovation, and generation of further knowledge and skills. Psychiatry has played an essential role in the historical development of sexual medicine. The brain plays a vital role in sexual functioning during health and disease. Several conceptual understandings of the disorders, assessment strategies, and management techniques have psychological or neural science-related underpinnings.Additionally, sexual disorders have high comorbidity with several mental health conditions. Clients can be the best mange if a biopsychosocial perspective on sexual medicines is utilized in diagnosis and management. A host of newer development and progress is happening in this field, so keeping track and consistent updating is imperative for clinicians desirous of competently practicing sexual medicine","PeriodicalId":253024,"journal":{"name":"Indian Journal of Behavioural Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130080411","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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