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Eastern Journal of Psychiatry最新文献

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Identification of Bipolar Spectrum Disorder in Patients with Unipolar Depression using Bipolar Spectrum Diagnostic Scale - A Pilot Study for Eastern India 用双相情感障碍诊断量表鉴别单极抑郁症患者的双相情感障碍-一项在东印度的试点研究
Pub Date : 2021-11-26 DOI: 10.5005/ejp-15-1--2-57
Varun S. Mehta, B. Das
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引用次数: 0
Supersensitivity Psychosis: A case report 超敏性精神病1例
Pub Date : 2021-11-26 DOI: 10.5005/ejp-15-1--2-79
V. Sinha, B. Das
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引用次数: 0
Interventional Neuromodulation: What Lies ahead in Psychiatry? 介入神经调节:精神病学的未来是什么?
Pub Date : 2021-10-29 DOI: 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
使用经颅磁刺激也有助于减少经常伴随难治性抑郁症和强迫症的多种药物治疗,并作为治疗与药物副作用作斗争的患者的另一种循证方法。展望未来,我们需要继续建立在现有证据的基础上,为不同的神经精神疾病制定明确定义的标准化协议。此外,随着rTMS应用的快速扩展,临床医生可能很难跟上一些较新的治疗方案
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引用次数: 0
Perceived Stress in Epilepsy: A Comparative Study across Patients, Their Siblings and Normal Controls 癫痫患者的感知压力:患者及其兄弟姐妹和正常对照的比较研究
Pub Date : 2021-10-29 DOI: 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.
背景:癫痫是一种常见的儿童神经系统疾病,症状复杂。家庭成员,尤其是父母和兄弟姐妹,会经历情感上的痛苦,尤其是当癫痫发作频繁时。压力可以定义为照顾者在试图应对照顾生病孩子的挑战时的心理和生理反应。因此,为了保持这一领域,本研究旨在评估癫痫患者(PWE)及其兄弟姐妹的压力。目的:探讨癫痫患者及其兄弟姐妹和正常对照的应激感知。方法:本研究是一项以医院为基础的横断面研究的一部分,通过有目的的抽样过程选择样本。在这项研究中,包括60人(20名根据国际抗癫痫联盟(ILAE)诊断为癫痫的患者,20名癫痫患者的兄弟姐妹,以及20名一般对照组)。各组患者年龄在20 ~ 45岁之间。年龄、教育程度和家庭收入在兄弟姐妹和一般对照组之间进行了比较。所有被试均采用感知压力量表进行压力评估。对于兄弟姐妹和正常对照,GHQ-12被应用,GHQ-12得分低于3分的人被纳入研究。结果与结论:本研究结果表明,患者及其兄弟姐妹的压力高于正常人。
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引用次数: 0
Screening for Depression among Schizophrenia Patients: A Cross-sectional Study 精神分裂症患者抑郁筛查:一项横断面研究
Pub Date : 2021-10-29 DOI: 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.
这是进一步精神病发作的早期征兆,因为烦躁不安是精神病复发的先兆。对阿拉伯和沙特阿拉伯抑郁症患者的研究很少;因此,当前描述性研究的重要性。因此,我们旨在研究卡西姆精神病院收治的精神分裂症住院患者中抑郁症的患病率及其人口学和临床相关性。
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引用次数: 0
Climate Change and Mental Health: Where do We Stand? 气候变化与心理健康:我们在哪里?
Pub Date : 2021-10-29 DOI: 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.
反应以及慢性和严重精神健康障碍。现有文献发现,急性事件与焦虑、抑郁和创伤后应激障碍(ptsd)水平升高有关,而高风险应对行为,如酒精使用和滥用、攻击行为、创伤后应激和家庭暴力也与气候变化有关。气候的变化与人类活动直接相关,而不仅仅是由于自然的正常模式。因此,对于那些对研究气候变化的各种生理和心理方面感兴趣的人来说,这篇文章可以作为一个快速参考。
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引用次数: 0
Effectiveness of Psychoeducation on Expressed Emotion of Family Members and as Perceived by the Patient with Schizophrenia 心理教育对精神分裂症患者家属表达情绪及感知情绪的影响
Pub Date : 2021-10-29 DOI: 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
精神疾病对生活的各个方面都有影响。情绪表达是指家庭成员对患者表现出的消极行为情绪的表达是与精神疾病同时发生的,并且对精神病人和整个家庭的健康都有负面影响。它是精神分裂症患者预后不良的因素。表达情绪的成分包括敌意、批评性评论和情绪过度投入。批评评论和敌意的量化在很大程度上依赖于被调查者使用他们的语气来传达他们的感受的方式,而过度介入的判断也考虑到报告行为的基础上。家庭环境对精神疾病特别是精神分裂症和其他相关精神障碍的发病和病程起着至关重要的影响作用研究人员发现,高表达情绪组的复发率远高于低表达情绪组。Sharif等人的研究结果显示,干预后1个月,对减轻家庭负担和患者症状有积极作用研究表明,适当的心理教育项目,关于精神疾病和家庭支持的重要性,可以教给家庭成员和患者,以增加他们的知识和减少表达的情绪。它将帮助患者减少复发和康复周期的机会,并过上独立的生活。4-6因此,有必要评估精神疾病患者家庭中表达情绪的患病率,并对患者进行教育1VKNRL护理学校,印度,阿萨姆邦,努马利加尔,戈拉加特,阿萨姆邦,提斯普尔,阿萨姆邦,精神科护理部,LGBRIMH,提斯普尔,阿萨姆邦,通讯作者:Arunjyoti Baruah,精神科护理部,LGBRIMH,提斯普尔,阿萨姆邦,电话:9854082201,电子邮件:arunjyotibaruah@yahoo.co.in张晓明,张晓明。心理教育对精神分裂症患者家庭成员情绪表达的影响。中华精神病学杂志2020;23(1):21-26。支持来源:无利益冲突:心理教育对精神分裂症患者的家庭成员和感知的情绪表达没有效果[m], Arunjyoti Baruah2
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引用次数: 1
Anti-N-methyl-D-aspartate Receptor Antibody Encephalitis: A Psychiatric Presentation 抗n -甲基- d -天冬氨酸受体抗体脑炎:一种精神病学表现
Pub Date : 2021-10-29 DOI: 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
连续精神状态检查病人目光呆滞,不回答询问的问题,并不时露出不适当的微笑。起初,他行走困难,定向,记忆完整。他有被害妄想。初步诊断为器质性精神病,并对其非典型表现进行神经学评估。3 - 4天后,患者出现发热高峰并伴有自主神经不稳定,逐渐认知和神经功能明显恶化。他被转到神经科病房。他对时间、地点和人都失去了方向感;成为卧床不起;逐渐停止节食;最后变成了大小便失禁。精神状态时好时坏。有时,他会说出家人的名字,有时则保持沉默。他开始出现的症状与紧张症恶化、蜡状柔韧性、姿势、积极消极和茫然凝视一致。因紧张症给予劳拉西泮静脉注射1 mg,患者逐渐嗜睡,无反应,故停药。在这段时间里,我做了一件很有趣的事
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引用次数: 0
Psychosocial Attributes of Maternal Thoughts of Self-harm during Puerperium 产褥期母亲自残思想的社会心理属性
Pub Date : 2021-10-29 DOI: 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。
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引用次数: 0
Civil Responsibilities of Psychiatrists 精神科医生的民事责任
Pub Date : 2021-10-29 DOI: 10.5005/jp-journals-11001-0003
C. Narayan
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引用次数: 0
期刊
Eastern Journal of Psychiatry
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