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Psychiatric morbidity and its impact on quality of life in patients of chronic kidney disease undergoing hemodialysis 慢性肾脏病血液透析患者的精神病发病率及其对生活质量的影响
IF 0.5 Q4 PSYCHIATRY Pub Date : 2023-01-01 DOI: 10.4103/jmhhb.jmhhb_6_22
Himanshu Singla, A. Avasthi, K. Gupta, S. Grover
Aim: This study aims to evaluate the prevalence of psychiatric morbidity and suicidal behavior by using a structured diagnostic interview in patients of chronic kidney disease currently on dialysis. An additional aim of the study was to evaluate the impact of psychiatric morbidity on quality of life (QOL). Methodology: One hundred and ten patients undergoing hemodialysis were evaluated, at least 24 h after the last dialysis on Mini International Neuropsychiatric Interview PLUS (MINI PLUS), Columbia Suicide Severity Rating Scale (C-SSRS), and Beck Depression Inventory Second Edition. Results: On MINI-PLUS, about two-thirds (67.3%) of the study sample fulfilled at least one-lifetime psychiatric diagnosis and half of the study participants fulfilled a current psychiatric diagnosis. More than one-fourth (29.1%) of the study participants had more than one psychiatric diagnosis. Among various psychiatric disorders, depressive disorders were the most common (45.5%). About one-third of the participants had suicidality, as assessed on MINI-PLUS and C-SSRS. Compared to those without psychiatric morbidity, those with psychiatric morbidity had a poor QOL. Conclusions: In view of the high psychiatric morbidity and its negative impact on the QOL of patients undergoing hemodialysis, there is a need for close liaison between nephrologists, transplant surgeons and mental health professionals.
目的:本研究旨在通过对正在透析的慢性肾病患者进行结构化诊断访谈,评估精神疾病发病率和自杀行为的患病率。研究的另一个目的是评估精神疾病对生活质量(QOL)的影响。方法:采用Mini国际神经精神病学访谈PLUS (Mini PLUS)、哥伦比亚自杀严重程度评定量表(C-SSRS)和Beck抑郁量表第二版对110例接受血液透析的患者进行最后一次透析后至少24小时的评估。结果:在MINI-PLUS上,大约三分之二(67.3%)的研究样本至少完成了一次精神病学诊断,一半的研究参与者完成了当前的精神病学诊断。超过四分之一(29.1%)的研究参与者有一种以上的精神病诊断。在各种精神障碍中,抑郁症最为常见(45.5%)。根据MINI-PLUS和C-SSRS的评估,大约三分之一的参与者有自杀倾向。与无精神疾病者相比,有精神疾病者的生活质量较差。结论:鉴于血液透析患者精神疾病的高发病率及其对生活质量的负面影响,肾脏科医生、移植外科医生和精神卫生专业人员需要密切联系。
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引用次数: 0
Psychosocial intervention for harm reduction of alcohol use among school-going adolescents from North India 减少北印度在校青少年饮酒危害的心理社会干预
IF 0.5 Q4 PSYCHIATRY Pub Date : 2023-01-01 DOI: 10.4103/jmhhb.jmhhb_182_22
G. Singh, Suman Gehlot, Manpreet Kaur
Aims and Objectives: It was to evaluate the usefulness of psychosocial intervention in promoting knowledge and awareness about the harmful effects of alcohol use in a sample of adolescents. Materials and Methods: The research design was a prospective, interventional nonrandomized control group design with two groups, one experimental group (interventional) and another control group. Ethical clearance was obtained from the institutional ethical committee. Samples were selected using the nonprobability convenience sampling technique in two schools district of Patiala, Punjab. The assessment instruments were as follows: (a) semi-structured sociodemographic pro forma, (b) alcohol use pro forma, (c) semi-structured interventional knowledge questionnaire, and (d) psychosocial intervention package. A psychosocial intervention package for the prevention of alcohol use among adolescents was provided to the experimental group. Results: The target intervention population consisted of adolescents in the age group (14–18) years. Nearly half of the subjects (47.5%) in the experimental and more than half of the subjects (57.5%) in the control group had a trend of alcohol use during family functions and social gatherings. The study's results revealed that in the preintervention baseline assessment, the adolescents had an average level of knowledge regarding the ill effects of alcohol use, and the mean score (±standard deviation [SD]) was 12.43 ± 2.645. After postintervention, an average level of knowledge was found to be improved regarding the ill effect of alcohol use, and the mean (±SD) knowledge level score was 19.60 ± 2.599. Discussion: The findings of this study showed that after psychosocial intervention among the experimental group, the knowledge level for minimizing alcohol consumption increased significantly. The participants reported abstinence from alcohol consumption in the experimental group after intervention. Conclusions: The salient findings from this study can be utilized to develop and implement effective psychosocial prevention strategies to tackle alcohol use in various parts of India. Further research is warranted to replicate the findings of the present study.
目的和目的:评估心理社会干预在促进青少年对饮酒有害影响的认识和认识方面的有用性。材料和方法:研究设计为前瞻性、介入性非随机对照组设计,分为两组,一组为实验组(介入组),另一组为对照组。获得了机构道德委员会的道德许可。在旁遮普邦Patiala的两个学区,使用非概率便利抽样技术选择样本。评估工具如下:(a)半结构化的社会人口学形式,(b)酒精使用形式,(c)半结构化干预知识问卷,以及(d)心理社会干预包。向实验组提供了一套预防青少年饮酒的心理社会干预方案。结果:目标干预人群包括年龄组(14-18)的青少年。实验组中近一半的受试者(47.5%)和对照组中超过一半的受测者(57.5%)在家庭活动和社交聚会中有饮酒的趋势。研究结果显示,在干预前的基线评估中,青少年对饮酒不良影响的知识水平平均,平均分(±标准差[SD])为12.43±2.645。干预后,发现关于饮酒不良影响的平均知识水平有所提高,平均(±SD)知识水平得分为19.60±2.599。讨论:本研究结果表明,在实验组进行心理社会干预后,最大限度减少饮酒的知识水平显著提高。参与者报告说,干预后,实验组戒酒。结论:本研究的显著发现可用于制定和实施有效的心理社会预防策略,以解决印度各地的饮酒问题。有必要进行进一步的研究以复制本研究的发现。
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引用次数: 0
Utilization of telepsychiatry network services during COVID-19: A retrospective observational study COVID-19期间远程精神病学网络服务的利用:一项回顾性观察研究
IF 0.5 Q4 PSYCHIATRY Pub Date : 2023-01-01 DOI: 10.4103/jmhhb.jmhhb_54_22
A. Sidana, Varun Goel, Sanya Sharma, Gurneet Kaur
Background: The impact of the COVID-19 pandemic on the mental health of the individuals and treatment seekers has been immense. Telepsychiatry services were thus undertaken to continue the availability of services and maintain follow-up to reduce in-person outpatient visits. Aims and Objectives: (1) To study the sociodemographic and clinical variables of telepsychiatry service users and (2) To assess the compliance to telepsychiatry services in outpatient practice during the COVID-19 pandemic. Materials and Methods: The case details including sociodemographic variables and clinical variables of telepsychiatry service users from June 1, 2020, to May 31, 2021, were collected from the telemedicine pro forma approved by the institute. A comparison was drawn between the diagnosis of individuals seeking psychiatric help for the first time and old follow-up patients. The overall improvement and number of follow-ups were also analyzed. The data collected were tabulated and analyzed as per coding system using statistical analysis system software. Results: The data were analyzed and were studied retrospectively for a total of 300 patients. More patients were in the age group of 18–30 years (35.7%), males (70.3%), and were from an urban background (87.3%). The predominant reason for consultation was renewal of prescriptions (53.66%). Patients with International Classification of Disease diagnoses of F10–19, F30–39, and F40–49 were proportionately high. The maximum number of patients were followed up on 3–6 occasions (49.16%). 86.6% of the patients showed a significant improvement. Conclusion: The study concludes that telepsychiatry is very useful as a mode of treatment and its significant role in the enrollment of new patients with mental health issues as well as continuing follow-up, especially when physical consultations are difficult.
背景:新冠肺炎大流行对个人和寻求治疗者的心理健康产生了巨大影响。因此,开展了远程精神病学服务,以继续提供服务,并保持后续行动,减少亲自门诊就诊。目的:(1)研究远程心理服务使用者的社会人口学和临床变量;(2)评估新冠肺炎大流行期间门诊对远程心理服务的依从性。材料和方法:从该研究所批准的远程医疗形式中收集2020年6月1日至2021年5月31日远程医疗服务用户的病例详情,包括社会人口学变量和临床变量。对首次寻求精神科帮助的患者和老年随访患者的诊断进行了比较。还分析了总体改善情况和随访次数。将收集的数据制成表格,并使用统计分析系统软件按照编码系统进行分析。结果:对300例患者的数据进行了回顾性分析和研究。更多的患者年龄段为18-30岁(35.7%),男性(70.3%),来自城市背景(87.3%)。咨询的主要原因是续订处方(53.66%)。国际疾病分类诊断为F10-19、F30-39和F40-49的患者比例较高。随访次数最多的患者有3-6次(49.16%),86.6%的患者病情有明显好转。结论:该研究得出的结论是,远程精神病学作为一种治疗模式非常有用,它在招募有心理健康问题的新患者以及持续随访中发挥着重要作用,尤其是在身体咨询困难的情况下。
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引用次数: 0
Psychosocial health and stigma among health-care workers involved in COVID19 management during the first wave of the pandemic in Mumbai: A qualitative study 孟买第一波疫情期间参与新冠肺炎管理的医护人员的心理社会健康和耻辱感:一项定性研究
IF 0.5 Q4 PSYCHIATRY Pub Date : 2023-01-01 DOI: 10.4103/jmhhb.jmhhb_162_22
R. Prusty, Ragini Kulkarni, Priyanka Gawai, G. Velhal, Deepika Sadawarte, Swapnil Kharnare, Beena Thomas, G. Menon, S. Aggarwal, T. Chakma
Background: The unprecedented onset of coronavirus disease 2019 (COVID-19) had a huge impact on health-care facilities, leading to different psychosocial challenges among health-care workers (HCWs) during this pandemic. Aim: This study aimed to explore the impact of COVID-19 on the work, family, and personal life of HCWs engaged in COVID-19 duties during the first wave in India and gain insights on the coping strategies. Materials and Methods: The findings from 12 qualitative in-depth interviews were analyzed and presented in this article. This study is a part of a mix-method design study conducted at two hospitals and one community site in Mumbai, Maharashtra. The present qualitative sample was drawn conveniently from the randomly selected quantitative sample chosen from the three sites. Results: This study highlights that in the early stage of the COVID-19 pandemic, HCWs experienced transition in work life, burnout, disruption in family life, negative emotions such as fear, and experiences of stigma. The findings also reveal that while institutional workers faced discrimination and stigma outside their workplace, noninstitutional workers faced discrimination at multiple sites during traveling and at in their residential places and additionally faced harassment while working in the community. The findings also suggest that despite numerous challenges faced by HCWs, they were driven by a sense of responsibility and displayed resilience. Conclusion: Considering the HCWs as the backbone of the health-care system, it is crucial to boost and maintain the mental well-being of HCWs by providing timely and tailored interventions to sustain their resilience and build better responses to future pandemic.
背景:2019冠状病毒病(COVID-19)前所未有的暴发对卫生保健设施产生了巨大影响,导致卫生保健工作者在此次大流行期间面临不同的心理社会挑战。目的:本研究旨在探讨COVID-19对印度第一波COVID-19值班医护人员的工作,家庭和个人生活的影响,并了解应对策略。材料与方法:本文对12个定性深度访谈的结果进行分析和呈现。本研究是在马哈拉施特拉邦孟买的两家医院和一个社区进行的混合方法设计研究的一部分。目前的定性样本是从三个地点随机抽取的定量样本中方便抽取的。结果:本研究强调,在COVID-19大流行的早期阶段,医护人员经历了工作生活的转变、倦怠、家庭生活的破坏、恐惧等负面情绪以及污名化的经历。调查结果还显示,虽然机构工作者在工作场所之外面临歧视和污名,但非机构工作者在旅行和居住地的多个地点面临歧视,并且在社区工作时还面临骚扰。调查结果还表明,尽管卫生保健工作者面临许多挑战,但他们受到责任感的驱使,并表现出适应力。结论:考虑到卫生保健工作者是卫生保健系统的支柱,必须通过提供及时和有针对性的干预措施来增强和维持卫生保健工作者的心理健康,以维持他们的复原力,并建立更好的应对未来大流行的措施。
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引用次数: 0
Book Review: Izydorczyk, bernadetta (2022). body image in eating disorders: clinical diagnosis and integrative approach to psychological treatment. Oxon, UK: Routledge. pp. 157. £120 (Hard Cover). Doi: 10.4324/9781003251088 书评:Izydorczyk, bernadetta(2022)。进食障碍中的身体意象:临床诊断及综合心理治疗方法。英国牛津:劳特利奇出版社。157页。120英镑(精装版)。Doi: 10.4324 / 9781003251088
IF 0.5 Q4 PSYCHIATRY Pub Date : 2022-07-01 DOI: 10.4103/jmhhb.jmhhb_96_22
F. Cheng
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引用次数: 0
Efficacy of online mental health program “EmoAid” during the COVID-19 pandemic COVID-19大流行期间在线心理健康项目“EmoAid”的效果
IF 0.5 Q4 PSYCHIATRY Pub Date : 2022-07-01 DOI: 10.4103/jmhhb.jmhhb_252_21
Shilpa S. Gupta, Deepak K. Gupta, Eti Goel, Usama Rehman
Background: COVID-19 has triggered public health crises all around the globe. It has caused mental health issues not only in infected cases but also in uninfected cases. The world was put under strict/restricted lockdown to contain the transmission of COVID-19 diseases. All important aspects of life including therapies and counseling went online. “EmoAid” is one such online mental health program started during the COVID-19 to ease psychological distress. Aim: The current study assessed the efficacy of “EmoAid” program. Methods: One hundred and twenty-two participants completed depression, anxiety, and stress scale-21 online at three time periods; before the program (T1), after the program (T2), and 3 weeks after the program to study the maintenance effect (T3). Results: The results suggested that the program was successful in decreasing symptoms of depression, anxiety, and stress among participants. The maintenance effect of the program was also observed. Conclusion: The results highlight the importance of “EmoAid,” an online mental health program in lowering the levels of psychological distress during the pandemic, however, a randomized controlled study is required to validate the results.
背景:新冠肺炎在全球范围内引发了公共卫生危机。它不仅在感染病例中也在未感染病例中造成了心理健康问题。为了遏制新冠肺炎疾病的传播,世界被严格/限制封锁。生活的所有重要方面,包括治疗和咨询都上线了。“EmoAid”是新冠肺炎期间启动的一个在线心理健康计划,旨在缓解心理压力。目的:本研究评估“EmoAid”项目的疗效。方法:122名参与者在三个时间段在线完成了抑郁、焦虑和压力量表21;程序前(T1)、程序后(T2)和程序后3周研究维持效果(T3)。结果:研究结果表明,该项目成功地减轻了参与者的抑郁、焦虑和压力症状。还观察了该程序的维护效果。结论:研究结果强调了“EmoAid”的重要性,这是一个在线心理健康项目,在疫情期间降低心理困扰水平,然而,还需要一项随机对照研究来验证结果。
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引用次数: 1
A survey of patient satisfaction with telepsychiatry services delivered at a tertiary care hospital in western punjab during the COVID-19 pandemic 新冠肺炎大流行期间,患者对旁遮普西部一家三级护理医院提供的远程心理服务的满意度调查
IF 0.5 Q4 PSYCHIATRY Pub Date : 2022-07-01 DOI: 10.4103/jmhhb.jmhhb_191_22
J. Aneja, G. Kaur, Bharat Udey
Background: Previous research has shown promising results of telepsychiatry in the form of patient satisfaction. However, its utilization in the wake of the COVID-19 pandemic and with bare minimum resources in the Indian context is scarcely studied. Aim: To evaluate patient satisfaction with telepsychiatry services delivered at a tertiary care hospital in Western Punjab. Methods: This study was done among 114 patients who had availed of telepsychiatry services between September and November 2021. The patients were interviewed telephonically using a pretested semi-structured tool that measured patient satisfaction on a 5-point Likert Scale. Results: The satisfaction rate was very high for various aspects of telepsychiatry services such as ease of seeking appointments, video quality, attending doctor's concern for the patient, time given, ability to procure medicines using the e-prescription and so on. Conclusion: Telepsychiatry services delivered through an easy medium encourage us to further strengthen and undertake more research into this aspect of health-care delivery.
背景:先前的研究表明,以患者满意度的形式进行远程心理治疗的结果很有希望。然而,在新冠肺炎大流行之后,在印度背景下,以最低限度的资源对其利用的研究很少。目的:评估患者对旁遮普省西部一家三级护理医院提供的远程心理服务的满意度。方法:这项研究是在2021年9月至11月期间使用远程心理服务的114名患者中进行的。使用预先测试的半结构化工具对患者进行电话采访,该工具以5分Likert量表测量患者满意度。结果:远程心理服务的各个方面,如预约方便性、视频质量、主治医生对患者的关心、给予的时间、使用电子处方获取药物的能力等,满意度都很高。结论:通过一种简单的媒介提供的远程精神病学服务鼓励我们进一步加强并对医疗服务的这一方面进行更多的研究。
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引用次数: 0
Nonsuicidal self-injury and family environment among college students in Kolkata, West Bengal: Mixed method explanatory sequential design 西孟加拉邦加尔各答大学生非自杀性自伤与家庭环境:混合方法解释序列设计
IF 0.5 Q4 PSYCHIATRY Pub Date : 2022-07-01 DOI: 10.4103/jmhhb.jmhhb_11_22
Arkita Pal, Paramita Roy
Background: Nonsuicidal self-injury (NSSI) refers to intentional, deliberate, and socially unexpected harming acts to oneself without any intention to die. It is a growing concern among recent mental health professionals. NSSI behaviors have an impact primarily on the individual, family, and ultimately on society. This problem is prevalent among the clinical population, but it has also become a threat to the general population, specifically adolescents and the young population. Aim: In this present study, we have explored the relationship between family environment and NSSI and investigated the predictable family factor for NSSI. Materials and Methods: Mixed method sequential research design was used for this research work. First, we did quantitative data collection; a total of 535 college students aged 18–26 years were selected and assessed using the Family Environment Scale and Functional Assessment of Self-Mutilation Scale. Second, thematic analysis was performed, followed by interviews with six participants. Results: There is a significant relationship between family conflict and NSSI χ2 = 33.47 (P < 0.001). Family conflict can be most reliable to predict NSSI, χ2 (16, n = 499) = 57.78, P < 0.001. In addition, the Thematic Analysis highlighted family interpersonal relationship, lack of expressiveness, and lack of sense of belongingness in the role of NSSI. Conclusion: Family conflict can be a crucial factor in detecting NSSI. This study can be a good source of information for clinicians and social scientists, but more studies should be conducted to control and prevent NSSI.
背景:非自杀性自伤(NSSI)是指在没有任何死亡意图的情况下,故意、蓄意和社会意想不到的伤害行为。这是近来心理健康专业人士日益关注的问题。NSSI行为主要影响个人、家庭,最终影响社会。这个问题在临床人群中很普遍,但它也对普通人群,特别是青少年和年轻人构成了威胁。目的:在本研究中,我们探讨了家庭环境与NSSI之间的关系,并探讨了NSSI的可预测家庭因素。材料与方法:本研究采用混合法序贯研究设计。首先,我们进行了定量数据收集;共选择535名18-26岁的大学生,采用家庭环境量表和自我切割功能评估量表进行评估。其次,进行了专题分析,随后对六名参与者进行了访谈。结果:家庭冲突与NSSI有显著相关性,χ2=33.47(P<0.001),家庭冲突是预测NSSI最可靠的因素,χ2=57.78,P<0.001。此外,主位分析强调了家庭人际关系、缺乏表现力和缺乏归属感在NSSI中的作用。结论:家庭冲突可能是检测NSSI的一个重要因素。这项研究可以为临床医生和社会科学家提供很好的信息来源,但应该进行更多的研究来控制和预防NSSI。
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引用次数: 0
A study of impulsivity, compulsivity, and dysfunctional belief among medical undergraduate students with problematic internet use 医学生网络使用问题的冲动性、强迫性和功能失调信念的研究
IF 0.5 Q4 PSYCHIATRY Pub Date : 2022-07-01 DOI: 10.4103/jmhhb.jmhhb_201_21
Pallavi Abhilasha, Aneesha Haryal, Meha Malhotra, Mrinalini Reddy, Thenmozhi Moorthy, M. Singla
Background: Internet addiction has been described as an emerging behavior related to the development of new technologies. Impulsivity is a risk factor for addictive behaviors. Maladaptive use of the Internet has been coined as compulsive Internet use. Dysfunctional belief is an irrational thinking pattern where there is a negative view of self, the outer world, and future. Aim: The present study aims to assess the role of impulsivity, compulsivity, and dysfunctional belief leading to problematic Internet use. Materials and Methods: A total of 300 undergraduate medical students were assessed on this cross-sectional scale. Demographic details, Internet Addiction Test, Urgency Perseveration Premediation Sensation Seeking Positive Urgency Scale, Compulsive Internet Use Scale, and Dysfunctional Attitude Scale were filled by the participants using Google Forms. One hundred students could not be assessed due to nonresponse. Results: This study had a response rate of 66.6%, and of the respondents, 74.4% were mild, 25.2% were moderate, and 0.76% were severe in nature. A positive correlation was observed between Internet addiction and compulsive Internet use. There was a positive correlation between Internet addiction and lack of perseverance and positive urgency. There is an overall significance between level of dependency, achievement, and self-control in problematic and nonproblematic users. Conclusions: In the emerging era of Internet use, we must learn to differentiate excessive Internet use from addiction and be vigilant about psychopathology.
背景:网络成瘾被描述为一种与新技术发展相关的新兴行为。冲动是成瘾行为的危险因素。适应不良使用互联网被称为强迫性使用互联网。功能障碍信念是一种非理性思维模式,对自我、外部世界和未来都有负面看法。目的:本研究旨在评估冲动、强迫和功能失调的信念在导致网络使用问题中的作用。材料与方法:采用横断面量表对300名医学本科生进行了评估。参与者使用谷歌表格填写人口统计学详细信息、网络成瘾测试、紧迫性坚持性中介前感觉寻求积极紧迫性量表、强迫性互联网使用量表和功能障碍态度量表。100名学生因无回应而无法接受评估。结果:本研究的有效率为66.6%,在受访者中,74.4%为轻度,25.2%为中度,0.76%为重度。网络成瘾与强迫性网络使用呈正相关。网络成瘾与缺乏毅力和积极紧迫感呈正相关。问题用户和非问题用户的依赖程度、成就和自制力之间存在总体显著性。结论:在新兴的网络使用时代,我们必须学会区分过度网络使用和成瘾,并警惕精神病理学。
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引用次数: 0
Can telepsychiatry bridge the treatment gap? 远程精神病学能弥补治疗差距吗?
IF 0.5 Q4 PSYCHIATRY Pub Date : 2022-07-01 DOI: 10.4103/jmhhb.jmhhb_157_22
S. Goyal
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引用次数: 0
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Journal of Mental Health and Human Behaviour
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