{"title":"Identification of Bipolar Spectrum Disorder in Patients with Unipolar Depression using Bipolar Spectrum Diagnostic Scale - A Pilot Study for Eastern India","authors":"Varun S. Mehta, B. Das","doi":"10.5005/ejp-15-1--2-57","DOIUrl":"https://doi.org/10.5005/ejp-15-1--2-57","url":null,"abstract":"","PeriodicalId":269968,"journal":{"name":"Eastern Journal of Psychiatry","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114797494","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}
{"title":"Supersensitivity Psychosis: A case report","authors":"V. Sinha, B. Das","doi":"10.5005/ejp-15-1--2-79","DOIUrl":"https://doi.org/10.5005/ejp-15-1--2-79","url":null,"abstract":"","PeriodicalId":269968,"journal":{"name":"Eastern Journal of Psychiatry","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133833400","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 : 2021-10-29DOI: 10.5005/jp-journals-11001-0008
N. Goyal
using TMS has also been helpful in minimizing polypharmacy that often accompanies refractory depression and OCD and serves as an alternative, yet evidence-based, approach to treating patients who have struggled with medication side effects as well. Moving toward the future, we need to continue to build on the current evidence to develop clearly defined, standardized protocols for different neuropsychiatric conditions. Additionally, with the rapid pace at which uses for rTMS are expanding, clinicians can have a hard time keeping up with some of the newer protocols.3
{"title":"Interventional Neuromodulation: What Lies ahead in Psychiatry?","authors":"N. Goyal","doi":"10.5005/jp-journals-11001-0008","DOIUrl":"https://doi.org/10.5005/jp-journals-11001-0008","url":null,"abstract":"using TMS has also been helpful in minimizing polypharmacy that often accompanies refractory depression and OCD and serves as an alternative, yet evidence-based, approach to treating patients who have struggled with medication side effects as well. Moving toward the future, we need to continue to build on the current evidence to develop clearly defined, standardized protocols for different neuropsychiatric conditions. Additionally, with the rapid pace at which uses for rTMS are expanding, clinicians can have a hard time keeping up with some of the newer protocols.3","PeriodicalId":269968,"journal":{"name":"Eastern Journal of Psychiatry","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129814579","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 : 2021-10-29DOI: 10.5005/jp-journals-11001-0007
N. Goyal, A. Yadav, Mohit Shukla, Narendra Singh
Background: Epilepsy is a common childhood neurological disorder with complex symptoms. Family members, especially parents and siblings, experience emotional pain, especially when seizures occur frequently. Stress can be defined as the psychological and physical response of the caregiver as they try to cope with the challenges of caring for their sick child. Therefore to maintain this domain this study is designed to assess the stress of a patient with epilepsy (PWE) and their siblings. Objective: To examine the perceived stress of persons with epilepsy, their siblings and normal controls. Method: This study was a part of a cross-sectional, hospital-based study and the samples were selected through the purposive sampling process. In the study, 60 people were included (20 patients diagnosed with epilepsy according to the International League against Epilepsy (ILAE), 20 siblings of patients with epilepsy, and 20 people with general control). The age range was 20–45 in each group. Age, education, and family income have been compared between siblings and general controls. The perceived stress scale was used for all participants in the stress assessment. For the siblings and normal controls, GHQ-12 was applied and a person who scored less than three in GHQ-12 was included in the study. Result and conclusion: Findings of the present study concluded that patient and their siblings had higher stress in comparison to normal individuals.
{"title":"Perceived Stress in Epilepsy: A Comparative Study across Patients, Their Siblings and Normal Controls","authors":"N. Goyal, A. Yadav, Mohit Shukla, Narendra Singh","doi":"10.5005/jp-journals-11001-0007","DOIUrl":"https://doi.org/10.5005/jp-journals-11001-0007","url":null,"abstract":"Background: Epilepsy is a common childhood neurological disorder with complex symptoms. Family members, especially parents and siblings, experience emotional pain, especially when seizures occur frequently. Stress can be defined as the psychological and physical response of the caregiver as they try to cope with the challenges of caring for their sick child. Therefore to maintain this domain this study is designed to assess the stress of a patient with epilepsy (PWE) and their siblings. Objective: To examine the perceived stress of persons with epilepsy, their siblings and normal controls. Method: This study was a part of a cross-sectional, hospital-based study and the samples were selected through the purposive sampling process. In the study, 60 people were included (20 patients diagnosed with epilepsy according to the International League against Epilepsy (ILAE), 20 siblings of patients with epilepsy, and 20 people with general control). The age range was 20–45 in each group. Age, education, and family income have been compared between siblings and general controls. The perceived stress scale was used for all participants in the stress assessment. For the siblings and normal controls, GHQ-12 was applied and a person who scored less than three in GHQ-12 was included in the study. Result and conclusion: Findings of the present study concluded that patient and their siblings had higher stress in comparison to normal individuals.","PeriodicalId":269968,"journal":{"name":"Eastern Journal of Psychiatry","volume":"194 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115806917","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 : 2021-10-29DOI: 10.5005/jp-journals-11001-0002
Nabil Al-Ruwais, Yassir Alharbi, B. Abalkhail, Y. Ibrahim, Waleed Abounaem, Seham Heweidy, Rafaat Ahmaed, Nevin F W Zaki, John Zaki
an early sign of a further psychotic episode, because dysphoria is a known precursor of psychotic relapse. Studies of depression in Arab and Saudi patients is scanty; hence, the importance of the current descriptive study. Thus, we aimed to study the prevalence of depression and its demographic and clinical correlates in a sample of inpatients with schizophrenia admitted at Qassim Mental Health Hospital.
{"title":"Screening for Depression among Schizophrenia Patients: A Cross-sectional Study","authors":"Nabil Al-Ruwais, Yassir Alharbi, B. Abalkhail, Y. Ibrahim, Waleed Abounaem, Seham Heweidy, Rafaat Ahmaed, Nevin F W Zaki, John Zaki","doi":"10.5005/jp-journals-11001-0002","DOIUrl":"https://doi.org/10.5005/jp-journals-11001-0002","url":null,"abstract":"an early sign of a further psychotic episode, because dysphoria is a known precursor of psychotic relapse. Studies of depression in Arab and Saudi patients is scanty; hence, the importance of the current descriptive study. Thus, we aimed to study the prevalence of depression and its demographic and clinical correlates in a sample of inpatients with schizophrenia admitted at Qassim Mental Health Hospital.","PeriodicalId":269968,"journal":{"name":"Eastern Journal of Psychiatry","volume":"165 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116544531","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 : 2021-10-29DOI: 10.5005/jp-journals-11001-0006
Kangkan Pathak, Suhasini Das
responses as well as chronic and severe mental health disorders. The exiting literatures found that acute events have been associated with elevated levels of anxiety, depression, and post-traumatic stress disorders (PTSDs), and high-risk coping behaviors, such as alcohol use and abuse, aggressive behavior, post-traumatic stress, and domestic violence have also been associated with changing climate. The changes in climates have been directly connected to human activities and not merely due to normal patterns of nature. Thus, this article may act as a quick reference for those interested in studying the various physical and psychological aspects of climate change.
{"title":"Climate Change and Mental Health: Where do We Stand?","authors":"Kangkan Pathak, Suhasini Das","doi":"10.5005/jp-journals-11001-0006","DOIUrl":"https://doi.org/10.5005/jp-journals-11001-0006","url":null,"abstract":"responses as well as chronic and severe mental health disorders. The exiting literatures found that acute events have been associated with elevated levels of anxiety, depression, and post-traumatic stress disorders (PTSDs), and high-risk coping behaviors, such as alcohol use and abuse, aggressive behavior, post-traumatic stress, and domestic violence have also been associated with changing climate. The changes in climates have been directly connected to human activities and not merely due to normal patterns of nature. Thus, this article may act as a quick reference for those interested in studying the various physical and psychological aspects of climate change.","PeriodicalId":269968,"journal":{"name":"Eastern Journal of Psychiatry","volume":"269 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123448449","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 : 2021-10-29DOI: 10.5005/jp-journals-11001-0009
Boby Begam, A. Baruah
Mental illness has an impact on various aspects of living. Expressed emotion is the negative behavior shown by the family member toward the patient.1 Expressed emotion is concurrent with mental illness and found to have a negative impact on the health of a psychiatric patient as well as whole family. It is the bad prognostic factor for patients with schizophrenia. The components of expressed emotion include hostility, critical comments, and emotional over-involvement. The quantification of critical comments and hostility is greatly reliant on the way in which the respondent uses their tone of voice to convey their feelings while the judgment of over-involvement also takes into account on the basis of reported behavior. Family environment plays a crucial role in influencing the onset, as well as course of mental illness particularly that of schizophrenia and other related psychotic disorders.2 Researchers found that relapse rate in high expressed emotion group is much higher than low expressed emotion. Sharif et al. conducted a study and the result showed positive effects in reduction of family burden and patients symptoms immediately 1 month after the intervention.3 Research has shown that adequate psychoeducation program about the mental illness and importance of family support can be taught to family members and patients to increase their knowledge and decreased expressed emotion. It will help the patient in reducing the chances of relapse and rehabilitation cycle and to live an independent life.4–6 Therefore, it is necessary to assess the prevalence of expressed emotion in the families of mentally ill patients and to teach patients 1VKNRL Nursing School, Numaligarh, Golaghat, Assam, India 2Department of Psychiatric Nursing, LGBRIMH, Tezpur, Assam, India Corresponding Author: Arunjyoti Baruah, Department of Psychiatric Nursing, LGBRIMH, Tezpur, Assam, India, Phone: 9854082201, e-mail: arunjyotibaruah@yahoo.co.in How to cite this article: Begam B, Baruah A. Effectiveness of Psychoeducation on Expressed Emotion of Family Members and as Perceived by the Patient with Schizophrenia. East J Psychiatry 2020;23(1):21–26. Source of support: Nil Conflict of interest: None Effectiveness of Psychoeducation on Expressed Emotion of Family Members and as Perceived by the Patient with Schizophrenia Boby Begam1, Arunjyoti Baruah2
{"title":"Effectiveness of Psychoeducation on Expressed Emotion of Family Members and as Perceived by the Patient with Schizophrenia","authors":"Boby Begam, A. Baruah","doi":"10.5005/jp-journals-11001-0009","DOIUrl":"https://doi.org/10.5005/jp-journals-11001-0009","url":null,"abstract":"Mental illness has an impact on various aspects of living. Expressed emotion is the negative behavior shown by the family member toward the patient.1 Expressed emotion is concurrent with mental illness and found to have a negative impact on the health of a psychiatric patient as well as whole family. It is the bad prognostic factor for patients with schizophrenia. The components of expressed emotion include hostility, critical comments, and emotional over-involvement. The quantification of critical comments and hostility is greatly reliant on the way in which the respondent uses their tone of voice to convey their feelings while the judgment of over-involvement also takes into account on the basis of reported behavior. Family environment plays a crucial role in influencing the onset, as well as course of mental illness particularly that of schizophrenia and other related psychotic disorders.2 Researchers found that relapse rate in high expressed emotion group is much higher than low expressed emotion. Sharif et al. conducted a study and the result showed positive effects in reduction of family burden and patients symptoms immediately 1 month after the intervention.3 Research has shown that adequate psychoeducation program about the mental illness and importance of family support can be taught to family members and patients to increase their knowledge and decreased expressed emotion. It will help the patient in reducing the chances of relapse and rehabilitation cycle and to live an independent life.4–6 Therefore, it is necessary to assess the prevalence of expressed emotion in the families of mentally ill patients and to teach patients 1VKNRL Nursing School, Numaligarh, Golaghat, Assam, India 2Department of Psychiatric Nursing, LGBRIMH, Tezpur, Assam, India Corresponding Author: Arunjyoti Baruah, Department of Psychiatric Nursing, LGBRIMH, Tezpur, Assam, India, Phone: 9854082201, e-mail: arunjyotibaruah@yahoo.co.in How to cite this article: Begam B, Baruah A. Effectiveness of Psychoeducation on Expressed Emotion of Family Members and as Perceived by the Patient with Schizophrenia. East J Psychiatry 2020;23(1):21–26. Source of support: Nil Conflict of interest: None Effectiveness of Psychoeducation on Expressed Emotion of Family Members and as Perceived by the Patient with Schizophrenia Boby Begam1, Arunjyoti Baruah2","PeriodicalId":269968,"journal":{"name":"Eastern Journal of Psychiatry","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122308016","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 : 2021-10-29DOI: 10.5005/jp-journals-11001-0001
B. Priyadharshini
On Serial Mental Status Examination The patient had a staring look, did not answer to the questions asked, and was smiling inappropriately at times. Initially he was walking with difficulty, was oriented, and had intact memory. He had persecutory delusion. Initial provisional diagnosis of organic psychosis was made and neurologic evaluation was obtained for his atypical presentation. Three to four days later, he had fever spikes with autonomic instability and gradually his cognitive and neurological status deteriorated significantly. He was transferred to neurology ward. He was disoriented to time, place, and person; became bedridden; progressively stopped taking diet; and became incontinent of bowel and bladder. Mental status waxed and waned. At times, he spoke, identified family members, and at other times he remained mute. He began to develop symptoms consistent with worsening catatonia, waxy flexibility, posturing, active negativism, and blank staring. He received lorazepam injection 1 mg IV for catatonia, he became drowsier, and no response was noted, hence stopped. in t r o d u c t i o n
{"title":"Anti-N-methyl-D-aspartate Receptor Antibody Encephalitis: A Psychiatric Presentation","authors":"B. Priyadharshini","doi":"10.5005/jp-journals-11001-0001","DOIUrl":"https://doi.org/10.5005/jp-journals-11001-0001","url":null,"abstract":"On Serial Mental Status Examination The patient had a staring look, did not answer to the questions asked, and was smiling inappropriately at times. Initially he was walking with difficulty, was oriented, and had intact memory. He had persecutory delusion. Initial provisional diagnosis of organic psychosis was made and neurologic evaluation was obtained for his atypical presentation. Three to four days later, he had fever spikes with autonomic instability and gradually his cognitive and neurological status deteriorated significantly. He was transferred to neurology ward. He was disoriented to time, place, and person; became bedridden; progressively stopped taking diet; and became incontinent of bowel and bladder. Mental status waxed and waned. At times, he spoke, identified family members, and at other times he remained mute. He began to develop symptoms consistent with worsening catatonia, waxy flexibility, posturing, active negativism, and blank staring. He received lorazepam injection 1 mg IV for catatonia, he became drowsier, and no response was noted, hence stopped. in t r o d u c t i o n","PeriodicalId":269968,"journal":{"name":"Eastern Journal of Psychiatry","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124769165","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 : 2021-10-29DOI: 10.5005/jp-journals-11001-0005
H. Nachane
attributes of depression Results : Twenty-five percent of the women with depression had self-harm thoughts (10 out of 40). Psychosocial factors assessed were significantly correlated with maternal self-harm thoughts (F = 5.92, adjusted R 2 = 0.54, p < 0.01). Significant factors were maternal age (β = - 0.43, p < 0.01), education status (β = 0.80, p < 0.01), employment status (β = - 0.30, p = 0.02), and history of physical abuse (β = 0.35, p = 0.01). Conclusions : Psychosocial factors are associated significantly with self-harm thoughts in puerperal women.
结果:25%的女性抑郁症患者有自残的想法(10 / 40)。被测心理社会因素与母亲自残念头显著相关(F = 5.92,校正r2 = 0.54, p < 0.01)。影响因素为母亲年龄(β = - 0.43, p < 0.01)、教育程度(β = 0.80, p < 0.01)、就业状况(β = - 0.30, p = 0.02)、身体虐待史(β = 0.35, p = 0.01)。结论:社会心理因素与产褥期妇女的自残思想有显著关系。
{"title":"Psychosocial Attributes of Maternal Thoughts of Self-harm during Puerperium","authors":"H. Nachane","doi":"10.5005/jp-journals-11001-0005","DOIUrl":"https://doi.org/10.5005/jp-journals-11001-0005","url":null,"abstract":"attributes of depression Results : Twenty-five percent of the women with depression had self-harm thoughts (10 out of 40). Psychosocial factors assessed were significantly correlated with maternal self-harm thoughts (F = 5.92, adjusted R 2 = 0.54, p < 0.01). Significant factors were maternal age (β = - 0.43, p < 0.01), education status (β = 0.80, p < 0.01), employment status (β = - 0.30, p = 0.02), and history of physical abuse (β = 0.35, p = 0.01). Conclusions : Psychosocial factors are associated significantly with self-harm thoughts in puerperal women.","PeriodicalId":269968,"journal":{"name":"Eastern Journal of Psychiatry","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123596689","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 : 2021-10-29DOI: 10.5005/jp-journals-11001-0003
C. Narayan
{"title":"Civil Responsibilities of Psychiatrists","authors":"C. Narayan","doi":"10.5005/jp-journals-11001-0003","DOIUrl":"https://doi.org/10.5005/jp-journals-11001-0003","url":null,"abstract":"","PeriodicalId":269968,"journal":{"name":"Eastern Journal of Psychiatry","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134303699","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}