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Effect of nurse-led screening linked brief psycho-education for improving adherence to antipsychotic medications among clients with mental illness: A quasi-experimental study 护士主导的筛查与简短的心理教育对提高精神疾病患者抗精神病药物依从性的影响:一项准实验研究
IF 0.5 Q4 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.4103/jmhhb.jmhhb_175_20
Hemlata Ghatwal, J. Joseph, Purushottam Jangid
Background: Despite the significant improvements in pharmacotherapy, nonadherence to antipsychotic medication is consistently reported in the literature. Many studies evaluated the side effects of antipsychotic medications but there is scanty evidence regarding screening linked intervention. Aim: The study investigated the effect of nurse-led screening linked brief psycho-education in improving adherence to antipsychotic medication among treatment-seeking clients with mental illness. Materials and Methods: This study is a quasi-experimental study in which a total of 80 subjects were consecutively recruited as per the sampling criteria. The side effect of antipsychotic medication was measured using the Udvalg for Kliniske Undersøgelser Side Effect Rating Scale (UKU-SERS). A trained nurse delivered a 30-minute individual-based screening linked brief psychoeducation for the management of side effects as per the standard module. The outcome measures were changes in adherence to medication measured as per the medication adherence rating scale (MARS-5©Professor Rob Horne) during a 1-month follow-up. Results: Anxiety (40%), reduced duration of sleep (40%), reduced salivation (36%) were the most common moderate-to-severe side effects as per UKU-SERS. Overall, the study observed a significant improvement of self-reported medication adherence in the intervention group as compared to the control group during the 1-month follow-up (F = 46.49; P < 0.001). Conclusion: The nurse-led screening linked brief psychoeducation may be an effective strategy for improving adherence to antipsychotic medication in this setting. More studies should be conducted in similar settings for an evidence base to advocate the role of the nurse as a brief intervention therapist in the routine mental health care setting.
背景:尽管药物治疗有了显著的改善,但文献中一直报道抗精神病药物的不依从性。许多研究评估了抗精神病药物的副作用,但很少有证据表明筛查相关的干预措施。目的:研究护士主导的筛查与简短的心理教育在提高精神疾病患者抗精神病药物依从性方面的作用。材料与方法:本研究为准实验研究,按抽样标准连续招募80名受试者。采用Udvalg for Kliniske Undersøgelser副作用评定量表(UKU-SERS)测量抗精神病药物的副作用。一名训练有素的护士进行了30分钟的个人筛查,并根据标准模块进行了简短的心理教育,以管理副作用。结果测量是在1个月的随访期间,根据药物依从性评定量表(MARS-5©Rob Horne教授)测量药物依从性的变化。结果:根据UKU-SERS,焦虑(40%)、睡眠时间缩短(40%)、唾液分泌减少(36%)是最常见的中重度副作用。总体而言,在1个月的随访中,研究观察到干预组与对照组相比,自我报告的药物依从性有显著改善(F = 46.49;P < 0.001)。结论:在这种情况下,护士主导的筛查与简短的心理教育可能是提高抗精神病药物依从性的有效策略。应该在类似的环境中进行更多的研究,以作为证据基础,倡导护士在常规精神卫生保健环境中作为简短干预治疗师的作用。
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引用次数: 1
History of Indian psychiatric society-north zone 印度精神病学社会史——北部地区
IF 0.5 Q4 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.4103/jmhhb.jmhhb_139_21
S. Goyal, A. Gani, S. Grover, B. Shekhawat, Rajesh K. Gupta, R. Chadda, A. Avasthi
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引用次数: 0
Binge gaming and COVID-19: A looming crisis 沉迷游戏和COVID-19:迫在眉睫的危机
IF 0.5 Q4 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.4103/jmhhb.jmhhb_26_21
Subhasmita Mahapatra, M. Sharma, S. Amudhan, Nitin Anand
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引用次数: 1
COVID-19 outbreak: Impact on psychological well-being of the health-care workers of a designated COVID-19 hospital 新冠肺炎疫情:对新冠肺炎定点医院医护人员心理健康的影响
IF 0.5 Q4 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.4103/jmhhb.jmhhb_179_20
V. Patel, Sunayna Pandey, A. Jani, D. Tiwari, Falguni Patel, Rajendra Amritlal Thakrar
Context: COVID-19 outbreak has had a huge impact on health-care facilities, and challenges of health-care providers would compromise their physical and mental well-being during this epidemic. Aims: This study aimed to find out stress, anxiety, insomnia, and depression among the health-care workers during COVID-19 outbreak. Settings and Design: This was a 3-month, cross-sectional, observational, single-center study of health-care workers of designated COVID-19 hospital. Subjects and Methods: Study objectives were explained to health-care workers, and written consent was obtained. Participants were approached in their department as per their convenience and requested to fill the pro forma. Depression, Anxiety, and Stress Scale-21 and Insomnia Severity Index were used to detect psychological issues in the form of stress, anxiety, insomnia, and depression. Statistical Analysis: Descriptive statistics and Chi-square test were used for analysis of variables in the study. Results: Overall 27.41% and 29.18% of the health-care workers reported stress and anxiety symptoms, respectively, while 18.78% reported clinically significant insomnia and depression. Among them, being female, married, elderly, presence of medical illness, frontline workers, frequently watching COVID news, and excessive fear of COVID emerged as statistically significant variables associated with stress, anxiety, insomnia, and depression. Conclusions: Health-care workers experienced many mental health issues while performing duties during COVID-19 outbreak. Such issues are alarming and need to be addressed with appropriate health-care policy.
背景:COVID-19疫情对卫生保健设施产生了巨大影响,在疫情期间,卫生保健提供者面临的挑战将损害他们的身心健康。目的:本研究旨在了解COVID-19疫情期间医护人员的压力、焦虑、失眠和抑郁状况。背景和设计:这是一项为期3个月、横断面、观察性的单中心研究,研究对象是指定的COVID-19医院的卫生保健工作者。研究对象和方法:向卫生保健工作者解释研究目的,并获得书面同意。根据方便的情况,在他们所在的部门与参与者接触,并要求他们填写表格。抑郁、焦虑和压力量表-21和失眠严重程度指数用于检测压力、焦虑、失眠和抑郁形式的心理问题。统计分析:采用描述性统计和卡方检验对研究变量进行分析。结果:共有27.41%和29.18%的医护人员报告了压力和焦虑症状,18.78%的医护人员报告了临床上明显的失眠和抑郁。其中,女性、已婚、老年、患有疾病、一线工作人员、频繁观看新冠新闻、对新冠病毒的过度恐惧是与压力、焦虑、失眠和抑郁相关的统计显著变量。结论:在COVID-19疫情期间,卫生保健工作者在履行职责时出现了许多心理健康问题。这些问题令人震惊,需要通过适当的保健政策加以解决。
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引用次数: 6
Views of medical students about online classes started during the COVID-19 pandemic: An online exploratory survey from India 2019冠状病毒病大流行期间医学生对在线课程的看法:来自印度的在线探索性调查
IF 0.5 Q4 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.4103/jmhhb.jmhhb_43_21
S. Grover, S. Goyal, Swapnajeet Sahoo, S. Goyal, A. Mehra
Aim of the Study: To evaluate the views of medical students about online classes started in view of COVID-19 pandemic. Methodology: An online survey was conducted using Survey monkey platform®. A survey link which was sent through the WhatsApp platform® to the MBBS/BDS students across the country. The survey questionnaire evaluated the views about the various aspects of the online classes. Results: A total of 1059 students completed the survey, of which 1033 entries were analyzed. The participants' mean age was 20.8 years with nearly equal male-to-female ratio, majority being MBBS students who were taking part in online classes mostly from home (95.4%), by using smart phones (85%). When asked to compare the experience of online classes with regular in-person classes, a majority of the participants reported having poor attention and concentration, poor retention of knowledge, poor learning of theoretical aspects of subject, poor learning of practical aspects of the subject, poor questions/answers sessions, and only 38.9% and 10.6% rated online theory and online practical classes as 'good' or 'very good,' respectively. The most common advantages of online classes reported by the students were that they do not have to travel (69%) and do not have to dress up (69.9%), while the most commonly reported disadvantages included poor learning of practical aspects (75%), followed by strain on eyes (73.4%) and difficulties with internet connectivity (64.8%). A small proportion of students 'occasionally' or more often indulged in surfing Internet, Chatting on WhatsApp/Telegram/FB Messenger, and using Social Media (Facebook, Instagram, We Chat, Snap Chat, and Telegram) while attending online classes. Conclusions: This study suggests that although various colleges are running online classes, as a substitute for the regular in person classes in view of the need for social distancing, these classes are not well received by the students and are possibly does not fulfilling the desired needs of the students. Further, the present study suggests that students still prefer in-person classes.
研究目的:了解医学生对新冠肺炎疫情背景下开设在线课程的看法。方法:使用surveymonkey平台®进行在线调查。通过WhatsApp平台®发送给全国MBBS/BDS学生的调查链接。调查问卷评估了人们对在线课程各个方面的看法。结果:共有1059名学生完成调查,其中1033项被分析。参与者的平均年龄为20.8岁,男女比例几乎相等,大多数是MBBS学生,他们主要在家(95.4%)参加在线课程,使用智能手机(85%)。当被要求将在线课程的体验与常规的面对面课程进行比较时,大多数参与者报告注意力和注意力不集中,知识保留能力差,学科理论方面的学习能力差,学科实践方面的学习能力差,问题/回答环节差,分别只有38.9%和10.6%的人将在线理论和在线实践课程评为“好”或“非常好”。学生们认为在线课程最常见的优点是不用出门(69%)和不用打扮(69.9%),而最常见的缺点是实际学习效果不佳(75%),其次是眼睛疲劳(73.4%)和上网困难(64.8%)。一小部分学生“偶尔”或更经常地沉迷于上网,在WhatsApp/Telegram/FB Messenger上聊天,并在参加在线课程时使用社交媒体(Facebook, Instagram, We Chat, Snap Chat和Telegram)。结论:本研究表明,尽管各高校出于保持社交距离的需要,开设了网络课程来替代常规的面对面课程,但这些课程并不受学生的欢迎,可能无法满足学生的预期需求。此外,目前的研究表明,学生仍然更喜欢面对面的课程。
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引用次数: 0
A holistic psychotherapeutic approach for the management of obsessive-compulsive disorder with poor insight 一个整体的心理治疗方法的管理与洞察力差的强迫症
IF 0.5 Q4 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.4103/jmhhb.jmhhb_56_20
Rituporn Gogoi, B. Sharma
An individual with obsessive-compulsive disorder (OCD) and poor insight has a significant impact on the person, thinking clearly about his obsessive thought and compulsive behavior. Cognitive-behavior therapy is an evidence-based therapy for the treatment of OCD patients. However, the need felt to incorporate other therapeutic approaches such as supportive, mindfulness-based therapy to treat OCD. This case study tried to discuss the efficacy of a holistic intervention approach in an individual with OCD who had poor insight. The result showed that the holistic approach decreased distress, intrusive thought and reassurance-seeking behavior and improved his insight. At the end of the psychotherapy session, the Y-BOCS score decreased to 15.
一个患有强迫症(OCD)且缺乏洞察力的人对他有重大影响,他会清楚地思考他的强迫思想和强迫行为。认知行为疗法是治疗强迫症的循证疗法。然而,需要结合其他治疗方法,如支持性、正念疗法来治疗强迫症。本案例研究试图讨论整体干预方法对一个缺乏洞察力的强迫症患者的疗效。结果表明,整体方法减少了痛苦,侵入性思维和寻求安慰的行为,并提高了他的洞察力。在心理治疗结束时,Y-BOCS得分下降到15分。
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引用次数: 0
Prevalence and diagnostic tools predictability of common mental disorders among Indian children and adolescent population: A systematic review and meta-analysis 印度儿童和青少年常见精神障碍的患病率和诊断工具的可预测性:一项系统综述和荟萃分析
IF 0.5 Q4 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.4103/jmhhb.jmhhb_127_20
G. Radhika, R. Sankar, R. Rajendran
The objective of this systematic review was to examine the pooled prevalence of common mental disorder (CMD) and to evaluate the predictability of screening instruments to detect CMD in the children and adolescent population in India. Data sources included the MEDLINE, PubMed, PyschEXTRA, and PyschINFO up to 2020, with additional studies identified from a search of reference lists to examine the diagnostic utility of tools carried out in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines, PRISMA within parentheses after the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines (PRISMA). Only studies involving children and adolescents with an independent measure of depression and anxiety in India were included. Random effects meta-analyses were employed to calculate a pooled estimate of depression prevalence. Twenty studies met all inclusion and exclusion criteria for the systematic review. The analysis showed that several tools were used in different regions of the nation to measure CMD such as the beck depression inventory (BDI), Children's Depression Rating Scale-Revised (CDRS-R), and Depression Anxiety Stress Scale. The pooled prevalence of depression was 19% (95% confidence interval (CI) = 12.57–27.12), 15% (95% CI = 4.67–30.90) for anxiety, and 11% (95% CI = 4.37–19.77) for any depressive disorder. In terms of BDI had the highest sensitivity (61%) while CDRS-R had the highest specificity (75%). Given the high heterogeneity of the studies, there is insufficient evidence that any tool accurately screens for CMD and likely to underestimate the true prevalence.
这项系统综述的目的是检查常见精神障碍(CMD)的合并患病率,并评估筛查工具在印度儿童和青少年人群中检测CMD的可预测性。数据来源包括截至2020年的MEDLINE、PubMed、PyschEXTRA和PyschINFO,以及根据系统评价和荟萃分析首选报告项目指南搜索参考文献列表中确定的其他研究,以检查工具的诊断效用,系统评价和荟萃分析指南(PRISMA)首选报告项目后括号内的PRISMA。只有涉及印度抑郁和焦虑程度独立的儿童和青少年的研究才被纳入。随机效应荟萃分析用于计算抑郁症患病率的汇总估计。20项研究符合系统审查的所有纳入和排除标准。分析表明,在全国不同地区使用了几种工具来测量CMD,如贝克抑郁量表(BDI)、儿童抑郁评定量表修订版(CDRS-R)和抑郁-焦虑-压力量表。抑郁症的合并患病率为19%(95%置信区间(CI)=12.57–27.12),焦虑症为15%(95%CI=4.67–30.90),任何抑郁障碍为11%(95%CI=4.37–19.77)。BDI的敏感性最高(61%),CDRS-R的特异性最高(75%)。鉴于研究的高度异质性,没有足够的证据表明任何工具都能准确筛查CMD,并且可能低估了真实的患病率。
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引用次数: 2
The interaction of COVID-19 pandemic and schizophrenia COVID-19大流行与精神分裂症的相互作用
IF 0.5 Q4 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.4103/jmhhb.jmhhb_133_21
S. Grover
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引用次数: 0
Eating disorders research in India: A bibliometric assessment of publications output during 2000–2019 印度饮食失调研究:2000-2019年出版物产出的文献计量评估
IF 0.5 Q4 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.4103/jmhhb.jmhhb_145_20
S. Grover, B. Gupta
Aim: The paper examines quantitative and qualitative dimensions of India's research output on Eating Disorders. Methodology: Scopus database was searched for the publications on eating Disorder from India during the years 2000 to 2019, and then the articles were screened to select the relevant articles. Results: The study included 132 publications. India's cumulative research in this area registered 328% absolute growth and averaged 6.87 citations per paper. The distribution of output by type of research revealed that anorexia nervosa and pica (31.82% and 28.79% share) contributed the largest shares of publications on eating disorders during 2000–2019. All India Institute of Medical Sciences, New Delhi; National Institute of Mental Health and Neurosciences, Bengaluru; and Postgraduate Institute of Medical Education and Research, Chandigarh, lead the country as the most productive organizations (with 14, 11, and 7 papers each). Indian Journal of Psychological Medicine and Indian Journal of Pediatrics formed the most common journals publishing research on eating disorder, with largest contribution of 9 papers each. Conclusion: There is meager research on eating disorders from India.
目的:本文考察了印度饮食失调研究成果的数量和质量维度。方法:检索Scopus数据库中2000年至2019年印度关于饮食失调的出版物,然后筛选文章以选择相关文章。结果:该研究包括132篇出版物。印度在这一领域的累计研究记录了328%的绝对增长,平均每篇论文被引用6.87次。按研究类型划分的产出分布显示,2000-2009年期间,神经性厌食症和异食癖(分别占31.82%和28.79%)在饮食失调出版物中所占份额最大。新德里全印度医学科学研究所;班加罗尔国家心理健康和神经科学研究所;昌迪加尔医学教育与研究研究生院是该国生产力最高的组织(各有14篇、11篇和7篇论文)。《印度心理医学杂志》和《印度儿科杂志》是发表饮食失调研究最常见的期刊,各有9篇论文贡献最大。结论:印度对饮食失调的研究很少。
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引用次数: 4
A study of mental health status in relatives of COVID-19 inpatients in a tertiary care hospital 新冠肺炎住院病人家属心理健康状况研究
IF 0.5 Q4 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.4103/jmhhb.jmhhb_184_20
M. Parikh, Kartik Valipay, Mehul Brahmbhatt, Pragna Sorani, Vrunda Patel, Kesha Khetani, Nirav Patel, Harvee Shah, Aatman Parikh
Introduction: The global scale of COVID-19 has been enormous, with the disease affecting 20 million people worldwide and resulting in 751,154 deaths by August 14, 2020. An increase in mental health problems is expected with an event of such scale, given past experience with epidemics such as severe acute respiratory syndrome and Ebola, among various vulnerable populations. One such population may be the family members of patients affected with COVID-19. Methods: This was a cross-sectional study. Five hundred and forty-one relatives of patients admitted in the COVID-19 wing of a tertiary care hospital were studied. Sociodemographic details were recorded and a Gujarati version of General Health Questionnaire-28 (GHQ-28) was applied. A total score of ≥4 on GHQ-28 was considered indicative of “caseness” or psychiatric morbidity and the population was divided into two groups based on whether the score was <4 or ≥4. The groups were analyzed for any differences with respect to variables like age, gender. Conclusion: 5.17% of the study population had a GHQ-28 total score of ≥4 indicative of “psychiatric morbidity.” The most common symptoms were fatigue, stress, sleep disturbance, and anxiety. Male gender and advanced age were statistically significantly more likely to have a GHQ-28 total score ≥4.
简介:新冠肺炎的全球规模巨大,截至2020年8月14日,该疾病影响了全球2000万人,导致751154人死亡。鉴于过去在各种弱势人群中流行严重急性呼吸系统综合征和埃博拉等流行病的经验,预计这种规模的事件会增加心理健康问题。其中一个群体可能是新冠肺炎患者的家庭成员。方法:这是一项横断面研究。对一家三级护理医院新冠肺炎病房收治的541名患者亲属进行了研究。记录社会形态详细信息,并采用古吉拉特邦版的《一般健康问卷-28》(GHQ-28)。GHQ-28总分≥4被认为是“个案性”或精神病发病率的指标,根据评分是否<4或≥4将人群分为两组。分析各组在年龄、性别等变量方面的差异。结论:5.17%的研究人群GHQ-28总分≥4,表明“精神病发病率”。最常见的症状是疲劳、压力、睡眠障碍和焦虑。男性和高龄在统计学上更容易出现GHQ-28总分≥4的情况。
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引用次数: 0
期刊
Journal of Mental Health and Human Behaviour
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