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The association between body image, self-esteem, and body mass index in patients with schizophrenia at a tertiary care unit: A case–control study 三级护理单位精神分裂症患者身体形象、自尊和体重指数之间的关系:一项病例对照研究
Q4 Psychology Pub Date : 2022-01-01 DOI: 10.4103/amh.amh_194_21
R. Pindikura, SwethaKrishna Javangula, K. Kumar
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引用次数: 0
A pilot open-label study of oral acetazolamide for sodium valproate-associated weight gain in bipolar affective disorder 口服乙酰唑胺治疗双相情感障碍丙戊酸钠相关体重增加的试验性开放标签研究
Q4 Psychology Pub Date : 2022-01-01 DOI: 10.4103/amh.amh_61_21
Mathews Panicker, A. Kakunje, V. Nimgaonkar, S. Deshpande, T. Bhatia, Shashwath Sathyanath
Background: Bipolar affective disorder (BD) is a chronic recurrent disorder having a definite link with metabolic abnormalities, including obesity, dyslipidemia, and insulin resistance. Drugs approved for the treatment of BD include sodium valproate but have weight gain as a metabolic side effect. An increase in weight is one of the common reasons for discontinuation of mood stabilizers. There is a need for a weight loss agent which will not increase mood symptoms in bipolar disorder. This study looks at the effect of acetazolamide on weight when combined with sodium valproate in patients diagnosed with BD in remission. Materials and Methods: This pilot quasi-experimental open-label 8-week follow-up study was conducted in a tertiary care teaching hospital following clearance from the institutional ethics committee. Thirteen outpatients with BD who reported weight gain on sodium valproate monotherapy received oral acetazolamide 500 mg/day. A specialized pro forma was used to record demographic and physical data with side effects. Results: The mean baseline weight was 70.15 ± 8.75 kg and the mean baseline body mass index was 25.09 ± 2.61. The mean sodium valproate dose of the study population was 692 mg/day. Ten of 11 individuals who completed the study showed some reduction in weight and nine showed a slight decrease in abdominal girths. Conclusion: There was a nonsignificant decrease in weight and abdominal circumferences at the end of 8 weeks, however, since it is a small pilot study, we need more evidence.
背景:双相情感障碍(BD)是一种慢性复发性疾病,与代谢异常(包括肥胖、血脂异常和胰岛素抵抗)有明确联系。被批准用于治疗BD的药物包括丙戊酸钠,但由于代谢副作用,体重增加。体重增加是停用情绪稳定剂的常见原因之一。需要一种不会增加双相情感障碍患者情绪症状的减肥剂。这项研究观察了乙酰唑胺与丙戊酸钠联合应用对病情缓解的BD患者体重的影响。材料和方法:在获得机构伦理委员会的批准后,在一家三级护理教学医院进行了为期8周的试点准实验性开放标签随访研究。13名BD门诊患者报告丙戊酸钠单药治疗后体重增加,接受口服乙酰唑胺500mg/天。一种专门的形式被用来记录有副作用的人口统计和物理数据。结果:平均基线体重为70.15±8.75kg,平均基线体重指数为25.09±2.61。研究人群的平均丙戊酸钠剂量为692 mg/天。在完成研究的11个人中,有10个人的体重有所减轻,9个人的腹部周长略有下降。结论:在8周结束时,体重和腹围没有显著下降,然而,由于这是一项小型的试点研究,我们需要更多的证据。
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引用次数: 1
Depression in a case of cerebral venous sinus thrombosis 脑静脉窦血栓形成1例
Q4 Psychology Pub Date : 2022-01-01 DOI: 10.4103/amh.amh_68_22
Therissa Benerji, Shailaja Bandla, K. Parvathaneni
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引用次数: 0
Anxiety and depression among elderly tribal population of H.D. Kote, Mysuru, India: Prevalence and factors associated with it 印度迈苏尔H.D. Kote老年部落人群的焦虑和抑郁:患病率及其相关因素
Q4 Psychology Pub Date : 2022-01-01 DOI: 10.4103/amh.amh_103_21
K. Sindhu, S. Chandrashekarappa, M. Thambad, Prakash Boralingiah, A. Gopi, M. N. Narayan Murthy
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引用次数: 1
Wounded healers? Exploring body image perceptions and the need for psychosocial intervention among undergraduate medical students 受伤的治疗?医学生身体形象认知与心理社会干预需求之探讨
Q4 Psychology Pub Date : 2022-01-01 DOI: 10.4103/amh.amh_14_21
M. Simon, C. Divecha, Hassan Tayyab, Alhassan Asaad
Background: Body image issues are on the rise and affect people of all ages. It is one of the top-ranked issues of concern for young people. The present study aims to explore the body image perceptions and concerns of medical students, in particular their body esteem. Materials and Methods: The present study was conducted among the medical students at the College of Medicine and Health Sciences, National University of Science and Technology, Sultanate of Oman. Students across the 6 years in the medical program were invited to be part of the study. Self-report of body mass index and body weight satisfaction were obtained. Participants were also required to complete items corresponding to the Appearance and Attribution sub-scales of the Body Esteem Scale for Adolescents and Adults. Results: Results from 351 participants indicate that medical students in Oman experience low body esteem, especially related to the self-perception of their appearance and evaluations of others. Bodyweight dissatisfaction and behavioral attempts to change weight, though associated, are not very strong predictors for body esteem. Conclusions: Results indicate that psychosocial and cultural factors may play a major contributory role in body image perceptions. Exposure to medical training that instills knowledge and awareness of body composition, eating habits and eating disorders does not seem to positively impact higher body esteem in students. It is recommended that awareness modules and psychoeducation sessions focusing on body image issues be planned and initiated for medical students in Oman.
背景:身体形象问题正在上升,并影响到所有年龄段的人。这是年轻人最关心的问题之一。本研究旨在探讨医学生对身体形象的认知和关注,特别是他们对身体的尊重。材料与方法:本研究在阿曼苏丹国国立科技大学医学与健康科学学院的医学生中进行。在这所医学院学习了6年的学生都被邀请参加了这项研究。获得自述体重指数和体重满意度。参与者还被要求完成与青少年和成人身体自尊量表的外观和归因子量表相对应的项目。结果:来自351名参与者的结果表明,阿曼的医学生对身体的尊重程度较低,尤其是在对自己外表的自我认知和对他人的评价方面。体重不满和试图改变体重的行为虽然相关,但并不是身体自尊的有力预测因素。结论:研究结果表明,社会心理和文化因素可能在身体形象感知中起主要作用。接受灌输关于身体组成、饮食习惯和饮食失调的知识和意识的医学培训,似乎对学生提高对身体的尊重没有积极影响。建议为阿曼的医科学生规划和发起以身体形象问题为重点的认识模块和心理教育课程。
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引用次数: 0
Predictors of posttraumatic growth in oncology patients in a tertiary care hospital in rural background 农村背景三级医院肿瘤患者创伤后生长的预测因素
Q4 Psychology Pub Date : 2022-01-01 DOI: 10.4103/amh.amh_90_22
K.V.M Sailahari, R. Abhinaya, Venkataramana Mutnuru
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引用次数: 0
Community perceptions with regard to mental illness in urban, rural, and tribal areas in Mysuru 社区对迈苏尔城市、农村和部落地区精神疾病的认知
Q4 Psychology Pub Date : 2022-01-01 DOI: 10.4103/amh.amh_107_21
S. Hegde, S. Chandrashekarappa, Shabeena Akbar, M. N. Narayana Murthy
Background: Mental illness is multifactorial in its occurrence varying from place to place, thereby listing different opinions among communities. Religious, cultural beliefs play an important role in the perception of mental illness. This study aims to understand the community perceptions of urban, rural, and tribal areas and associate with sociodemographic factors. Aims: (1) To explore the knowledge, attitude, cultural beliefs, and practices with regard to mental illness among urban, rural, and tribal population of Mysuru. (2) To compare the knowledge, attitude, cultural beliefs, and practices with regard to mental illness among urban, rural and tribal population of Mysuru. Materials and Methods: Study design: It was a cross-sectional study conducted between January 2021 and March 2021 in urban (n = 100), Rural (n = 100), and Tribal (n = 100) field practise areas in Mysuru district among participants aged >18 years. A semi-structured questionnaire regarding their attitude, beliefs, and understanding about mental illness was drafted, and data were obtained from participants after taking their informed consent. Ethical clearance was obtained from the institute. Statistics: Chi-square analysis was done to see the association between sociodemographic variables and perceptions. Results: Participants held different opinions across three different zones. A significant association was seen between their age, place, education, occupation, and type of family with their perception about mental illness. Conclusion: We can conclude that age, place, education, and occupation play an important role in the varied perception regarding mental illness. Continuous and focused interventions have to be done among the community for a positive acceptance and reducing stigma toward mental illness.
背景:精神疾病是多因素的,其发生因地而异,从而在社区中列出了不同的意见。宗教、文化信仰在感知精神疾病方面发挥着重要作用。本研究旨在了解社区对城市、农村和部落地区的看法,并将其与社会人口因素联系起来。目的:(1)探讨迈苏鲁城市、农村和部落人口对精神疾病的知识、态度、文化信仰和实践。(2) 比较迈苏鲁城市、农村和部落人口对精神疾病的知识、态度、文化信仰和实践。材料和方法:研究设计:这是一项横断面研究,于2021年1月至2021年3月在迈苏鲁区的城市(n=100)、农村(n=100。起草了一份关于他们对精神疾病的态度、信念和理解的半结构化问卷,并在获得参与者的知情同意后从他们那里获得数据。获得了该研究所的道德许可。统计学:卡方分析是为了观察社会人口统计学变量和认知之间的关系。结果:参与者在三个不同的区域持有不同的意见。他们的年龄、地点、教育程度、职业和家庭类型与他们对精神疾病的看法之间存在显著关联。结论:我们可以得出结论,年龄、地点、教育程度和职业在对精神疾病的不同认知中起着重要作用。必须在社区中进行持续和有针对性的干预,以积极接受并减少对精神疾病的污名。
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引用次数: 0
A case report on escitalopram-induced galactorrhea with euprolactinemia 艾司西酞普兰致溢乳伴泌乳素血症1例报告
Q4 Psychology Pub Date : 2022-01-01 DOI: 10.4103/amh.amh_83_21
S. Pasupula, Rajeshwari Pasupula, D. Satyamurthy G, S. Meghana
Galactorrhea is defined as the spontaneous flow of a milky or colorless fluid-like discharge from the nipple. The condition occurs most often in women but can also develop in men and children. Galactorrhea is more common with antipsychotics when compared to antidepressants. Limited literature is available regarding escitalopram-induced galactorrhea on which the current case report focuses. The current study advances the earlier studies in presenting galactorrhea with normal prolactin levels. The following case report depicts the development of galactorrhea by the use of escitalopram at a low dose when compared to other studies.
溢乳是指乳头自发流出乳白色或无色液体状分泌物。这种情况最常发生在女性身上,但也可能发生在男性和儿童身上。与抗抑郁药相比,抗精神病药物更常见的是腹泻。关于艾司西酞普兰引起的溢乳的文献有限,目前的病例报告重点关注这些文献。目前的研究推进了早期关于泌乳素水平正常的溢乳的研究。以下病例报告描述了与其他研究相比,低剂量使用艾司西酞普兰导致溢乳的发展。
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引用次数: 0
Assessment of social functioning, quality of life, and social support in persons with schizophrenia: A gender difference 精神分裂症患者的社会功能、生活质量和社会支持评估:性别差异
Q4 Psychology Pub Date : 2022-01-01 DOI: 10.4103/amh.amh_81_21
S. Dahuja, Upendra Singh, R. Beniwal
Context: The outcome of schizophrenia (SZ) is impaired psychosocial functioning and poor quality of life (QOL) which is associated with burdens and societal expenditure to the caregivers. Aims: This study was aimed to access the difference in social occupational functioning, QOL, and social support between male and female patients with SZ. Settings and Design: This is a cross-sectional observational study conducted on persons with SZ visiting the psychiatry outpatient department in a tertiary care teaching institute. Materials and Methods: The sample consisted of N = 200 persons with SZ (International Classification of Diseases-10) aged 21–45 years of both genders. The assessment of socio-occupational functioning, QOL, and social support with administering the Social Occupational Functioning Scale (SOFS), World Health Organization Quality of Life-BREF Scale, and PGI Social Support questionnaire. Statistical Analysis: A Chi-square test was applied for discrete variables and a t-test for continuous variables. An independent sample t-test was used to assess differences between the males and females. Results: Overall, males were more educated than females. Occupationally, there was a significant difference between males and females (P = 0.000). A significant difference (P = 0.000) was found between males and females on total socio-occupational functioning and social support (P = 0.000). The difference between males and females on QOL was observed on perceived physical health (P = 0.000) and psychological health (P = 0.039). Conclusions: This study confirms that there is a definite gender difference in SZ on psychosocial and QOL. Males were physically, psychologically healthier and had better socio-occupational functions as well as strong social support compared to females.
背景:精神分裂症(SZ)的结果是心理社会功能受损和生活质量差,这与照顾者的负担和社会支出有关。目的:本研究旨在了解男性和女性SZ患者在社会职业功能、生活质量和社会支持方面的差异。设置和设计:这是一项横断面观察性研究,对在三级护理教学机构精神科门诊就诊的SZ患者进行。材料和方法:样本包括N=200名年龄在21-45岁之间的SZ(国际疾病分类-10)患者。使用社会职业功能量表(SOFS)、世界卫生组织生活质量BREF量表和PGI社会支持问卷对社会职业功能、生活质量和社会支持进行评估。统计分析:离散变量采用卡方检验,连续变量采用t检验。使用独立样本t检验来评估男性和女性之间的差异。结果:总体而言,男性受教育程度高于女性。在职业上,男性和女性之间存在显著差异(P=0.000)。男性和女性在总体社会职业功能和社会支持方面存在显著差异,男性和女性的生活质量在感知身体健康和心理健康方面存在差异(P=0.009)SZ在心理社会和生活质量方面存在明显的性别差异。与女性相比,男性在身体、心理上更健康,具有更好的社会职业功能和强大的社会支持。
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引用次数: 0
Prevalence of sexual dysfunction in the patients suffering from depression: A cross-sectional study 抑郁症患者性功能障碍的患病率:一项横断面研究
Q4 Psychology Pub Date : 2022-01-01 DOI: 10.4103/amh.amh_23_21
Prosenjit Ghosh, Gulshan Narula, Anweshan Ghosh
Background: A significant number of patients suffering from depression experience various sexual dysfunctions like decreased sexual interest, erectile disorders, premature ejaculation and anorgasmia. The evaluation of the prevalence of sexual dysfunction in depression is complicated by the fact that both medications as well as the depressive state itself may affect sexual desire and arousal. This study aimed to assess the prevalence of sexual dysfunction in cases of depression, and to check the correlation of severity of depression with severity of sexual dysfunction. Methods: This study was a cross-sectional non-interventional hospital based study. Diagnosis of depressive disorder was made according to ICD-10. The severity of depression was assessed using Beck Depression Inventory (BDI-II) and the severity of sexual dysfunction was assessed using Arizona Sexual Experience scale (ASEX). The data obtained was analysed using SPSS Version 23. Results: A total of 100 depressed patients diagnosed as per the International Classification of diseases 10 criteria were recruited after their informed consent. Majority of the participants were young lower middle class female; most of the participants were married (50%), homemakers by profession (34%), belonging to a semiurban area (43%). 50% of them (n=50) reported having sexual dysfunction. The mean BDI-II total score was 17.08±4.206. The mean ASEX total score was 28.28±11.312. The BDI-II score was found to be significantly correlated with the ASEX total score (r=0.686, p<0.001). Conclusion: A significant correlation was found between severity of depression and severity of sexual dysfunction.
背景:相当多的抑郁症患者会经历各种性功能障碍,如性欲减退、勃起障碍、早泄和性高潮障碍。由于药物和抑郁状态本身都可能影响性欲和性唤起,对抑郁症患者性功能障碍患病率的评估变得复杂。本研究旨在评估抑郁症患者性功能障碍的患病率,并检查抑郁症严重程度与性功能障碍严重程度的相关性。方法:本研究为横断面非介入性医院研究。根据ICD-10诊断抑郁症。采用贝克抑郁量表(BDI-II)评定抑郁程度,采用亚利桑那性经验量表(ASEX)评定性功能障碍程度。所得数据使用SPSS Version 23进行分析。结果:经知情同意,按照国际疾病分类10项标准诊断的抑郁症患者共100例。大多数参与者是年轻的中下阶层女性;大多数参与者已婚(50%),职业是家庭主妇(34%),属于半城市地区(43%)。其中50% (n=50)报告有性功能障碍。BDI-II平均总分为17.08±4.206分。平均ASEX总分为28.28±11.312分。BDI-II评分与ASEX总分显著相关(r=0.686, p<0.001)。结论:抑郁症的严重程度与性功能障碍的严重程度有显著的相关性。
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引用次数: 0
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Archives of Mental Health
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