Background: It is common among medical students to incorrectly believe that they have contracted certain diseases they have recently studied. This belief can be seen in the form of health anxiety and investigating health-related information via the Internet. Cyberchondria denotes repeated online searches for health-related information that are associated with increasing levels of health anxiety. Aims: We aimed to study the prevalence and severity of cyberchondria among medical students and its correlation with sociodemographic and clinical data. Materials and Methods: A cross-sectional study was conducted on 400 consented medical students using online Google Forms. The form included demographic and clinical details and the Cyberchondria Severity Scale-15 (CSS-15) questionnaire. Means and standard deviations were calculated for continuous variables and percentages for categorical variables. The k-means clustering was done for grouping the participants. Spearman correlation and linear regression were done for analyzing the data. Results: The mean age of the participants was 19.28 ± 1.75 years. Females constituted 54.3% of the sample. About 24.5% of the students had previously diagnosed (medical/surgical/psychiatric) illness. The mean score of the CSS was 30.86 ± 9.44. Three clusters with 28%, 66%, and 6% of the students represented the CSS cluster center scores of 19.22 (mild), 34.10 (moderate), and 49.63 (severe), respectively. There was a significant positive correlation between total CSS score and previously diagnosed illness (r = 0.233, P = 0.000) and negative correlation with age (r = −0.151, P = 0.003) and year of study (r = −0.254, P = 0.000). Conclusion: The increasing prevalence of cyberchondria is an example of how digital technology may play an important role in facilitating the development of psychopathology.
背景:在医学生中，错误地认为自己感染了最近学过的某些疾病是很常见的。这种信念可以通过健康焦虑和通过互联网调查健康相关信息的形式看到。网络疑病症指的是反复在网上搜索与健康相关的信息，这与健康焦虑程度的增加有关。目的:研究医学生网络疑病症的患病率、严重程度及其与社会人口学和临床资料的相关性。材料和方法:采用在线谷歌表格对400名同意的医学生进行横断面研究。该表格包括人口统计和临床细节以及网络疑病症严重程度量表-15 (CSS-15)问卷。计算连续变量的均值和标准差，计算分类变量的百分比。k-均值聚类对参与者进行分组。采用Spearman相关和线性回归对数据进行分析。结果:参与者平均年龄为19.28±1.75岁。女性占样本的54.3%。约24.5%的学生曾被诊断患有(内科/外科/精神病)疾病。CSS评分平均为30.86±9.44分。CSS聚类中心得分分别为19.22分(轻度)、34.10分(中度)和49.63分(重度)，占28%、66%和6%。CSS总分与既往诊断疾病呈正相关(r = 0.233, P = 0.000)，与年龄(r = - 0.151, P = 0.003)、学习年限(r = - 0.254, P = 0.000)呈负相关(r = - 0.254, P = 0.000)。结论:网络疑病症的日益流行是数字技术如何在促进精神病理学发展中发挥重要作用的一个例子。
{"title":"Cyberchondria: An emerging form of health anxiety","authors":"SujanaDevi Gandla, PrasanthP Dayala, Pavan Kumar Kadiyala","doi":"10.4103/amh.amh_49_21","DOIUrl":"https://doi.org/10.4103/amh.amh_49_21","url":null,"abstract":"Background: It is common among medical students to incorrectly believe that they have contracted certain diseases they have recently studied. This belief can be seen in the form of health anxiety and investigating health-related information via the Internet. Cyberchondria denotes repeated online searches for health-related information that are associated with increasing levels of health anxiety. Aims: We aimed to study the prevalence and severity of cyberchondria among medical students and its correlation with sociodemographic and clinical data. Materials and Methods: A cross-sectional study was conducted on 400 consented medical students using online Google Forms. The form included demographic and clinical details and the Cyberchondria Severity Scale-15 (CSS-15) questionnaire. Means and standard deviations were calculated for continuous variables and percentages for categorical variables. The k-means clustering was done for grouping the participants. Spearman correlation and linear regression were done for analyzing the data. Results: The mean age of the participants was 19.28 ± 1.75 years. Females constituted 54.3% of the sample. About 24.5% of the students had previously diagnosed (medical/surgical/psychiatric) illness. The mean score of the CSS was 30.86 ± 9.44. Three clusters with 28%, 66%, and 6% of the students represented the CSS cluster center scores of 19.22 (mild), 34.10 (moderate), and 49.63 (severe), respectively. There was a significant positive correlation between total CSS score and previously diagnosed illness (r = 0.233, P = 0.000) and negative correlation with age (r = −0.151, P = 0.003) and year of study (r = −0.254, P = 0.000). Conclusion: The increasing prevalence of cyberchondria is an example of how digital technology may play an important role in facilitating the development of psychopathology.","PeriodicalId":36181,"journal":{"name":"Archives of Mental Health","volume":"22 1","pages":"148 - 152"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42977967","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":"The use of essential oils may be a trigger for seizures in India: Implications for the practice of sociocultural neuropsychiatry","authors":"C. Andrade","doi":"10.4103/amh.amh_162_21","DOIUrl":"https://doi.org/10.4103/amh.amh_162_21","url":null,"abstract":"","PeriodicalId":36181,"journal":{"name":"Archives of Mental Health","volume":"22 1","pages":"85 - 86"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42556791","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}
Wilson's disease is an uncommon genetic disorder, in which abnormal copper accumulation occurs in various parts of the body. Approximately 30% of patients debut with neuropsychiatric symptoms posing a diagnostic challenge in the initial phase. In this report, we present a case of a middle-aged woman with Wilson's disease who initially developed neurological symptoms such as shaking of hands and jerky movements of the head and later developed psychotic symptoms. We discuss the unique features of our case. Most patients with Wilson's disease develop psychiatric symptoms at some stage. The index case presented with psychosis, which is less commonly described compared to other psychiatric manifestations in patients with Wilson's disease. Currently, there are no treatment guidelines for the management of the same.
{"title":"Psychosis in Wilson's disease: A rare case presentation","authors":"Kota Sumedha, Anitha Rayirala, R. Bipeta","doi":"10.4103/AMH.AMH_38_20","DOIUrl":"https://doi.org/10.4103/AMH.AMH_38_20","url":null,"abstract":"Wilson's disease is an uncommon genetic disorder, in which abnormal copper accumulation occurs in various parts of the body. Approximately 30% of patients debut with neuropsychiatric symptoms posing a diagnostic challenge in the initial phase. In this report, we present a case of a middle-aged woman with Wilson's disease who initially developed neurological symptoms such as shaking of hands and jerky movements of the head and later developed psychotic symptoms. We discuss the unique features of our case. Most patients with Wilson's disease develop psychiatric symptoms at some stage. The index case presented with psychosis, which is less commonly described compared to other psychiatric manifestations in patients with Wilson's disease. Currently, there are no treatment guidelines for the management of the same.","PeriodicalId":36181,"journal":{"name":"Archives of Mental Health","volume":"22 1","pages":"165 - 167"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47578660","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":"Integrating technology into 21st century psychiatry","authors":"B. Babu","doi":"10.4103/amh.amh_117_21","DOIUrl":"https://doi.org/10.4103/amh.amh_117_21","url":null,"abstract":"","PeriodicalId":36181,"journal":{"name":"Archives of Mental Health","volume":"22 1","pages":"87 - 91"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47778791","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}
Background: Existing literature around pandemics suggests that preventive measures during lockdown have an adverse impact on psychological well-being across different demographic groups. In particular, parents' stress is somewhat complex and influenced by the demands of looking after children, homeschooling, and an increase in domestic chores and needs exploration and timely attention. Aims: The aim is to study the psychological impact of the COVID-19 pandemic and various associated factors on parents. Settings and Design: This was a cross-sectional study done online using Google Forms sent to WhatsApp groups in an urban setting in Andhra Pradesh, on a purposive sampling basis. Materials and Methods: A purposive sampling approach using a survey questionnaire through WhatsApp produced data from 159 parents who completed the Depression, Anxiety and Stress Scale (DASS-21) short version and the Parental Stress Scale (PSS). Results and Conclusions: Criteria for severe stress on the DASS-21 were met in 47% of parents. Severe anxiety and depression were noted in 39% and 40% of the sampled parents, respectively. Mean parental stress scale score significantly correlated with the depression, anxiety, and stress subscales of the DASS-21. These findings indicate that pandemics and subsequent disease-containment responses such as lockdown may create a condition that parents may find overwhelming and one that could have a negative impact on parents and children. Pandemic planning must address these needs within the disease-containment measures.
{"title":"Psychological effects of the COVID-19 pandemic on parents in an urban setting in Andhra Pradesh","authors":"Shvetha Chilukuri, Srinivas Singisetti, S. Nukala, Archana Vinnakota, Abhilash Garapati, Vidya Sanapala, Laxman Nambaru","doi":"10.4103/amh.amh_3_21","DOIUrl":"https://doi.org/10.4103/amh.amh_3_21","url":null,"abstract":"Background: Existing literature around pandemics suggests that preventive measures during lockdown have an adverse impact on psychological well-being across different demographic groups. In particular, parents' stress is somewhat complex and influenced by the demands of looking after children, homeschooling, and an increase in domestic chores and needs exploration and timely attention. Aims: The aim is to study the psychological impact of the COVID-19 pandemic and various associated factors on parents. Settings and Design: This was a cross-sectional study done online using Google Forms sent to WhatsApp groups in an urban setting in Andhra Pradesh, on a purposive sampling basis. Materials and Methods: A purposive sampling approach using a survey questionnaire through WhatsApp produced data from 159 parents who completed the Depression, Anxiety and Stress Scale (DASS-21) short version and the Parental Stress Scale (PSS). Results and Conclusions: Criteria for severe stress on the DASS-21 were met in 47% of parents. Severe anxiety and depression were noted in 39% and 40% of the sampled parents, respectively. Mean parental stress scale score significantly correlated with the depression, anxiety, and stress subscales of the DASS-21. These findings indicate that pandemics and subsequent disease-containment responses such as lockdown may create a condition that parents may find overwhelming and one that could have a negative impact on parents and children. Pandemic planning must address these needs within the disease-containment measures.","PeriodicalId":36181,"journal":{"name":"Archives of Mental Health","volume":"22 1","pages":"118 - 124"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43830057","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}
Background: The Internet has pervaded our daily lives and is well known to lead to addictive behaviors. Internet addiction (IA) and its influence on quality of sleep have not gained much attention from researchers in India. Aims: We aimed to study the rates of IA and its association with quality of sleep in medical undergraduates. Settings and Design: It was a cross-sectional study evaluating 158 final-year medical undergraduate students at a university in southern India. Materials and Methods: The Internet Addiction Test (IAT) and the Pittsburgh Sleep Quality Index (PSQI) were applied on consenting participants after recruitment using purposive sampling. Statistical Analysis Used: Independent samples t-test was done to evaluate the association of gender with sleep quality. Analysis of variance was done to compare sleep quality in various degrees of IA. Pearson's bivariate correlation was done to see the relationship between the severity of IA and the global sleep quality. Results: More than half of the participants, i.e. 90 (57.0%), had IA, with 2 (1.3%) having severe IA. The rates of IA were similar in both genders. Forty (25.3%) participants were having poor sleep quality as measured by global PSQI cutoff score >5. Participants with moderate-to-severe IA had significantly poor sleep quality compared to participants with mild IA (P = 0.042*). A positive correlation was seen between IAT scores and global PSQI scores (P = 0.012*). Conclusions: IA is prevalent in medical undergraduates and has a negative impact on quality of sleep. Severity of IA predicts global sleep quality in the participants.
{"title":"Internet addiction and sleep quality in medical undergraduates of a university in southern India","authors":"M. Shettar, R. Karkal, A. Kakunje, R. Mendonsa","doi":"10.4103/amh.amh_53_21","DOIUrl":"https://doi.org/10.4103/amh.amh_53_21","url":null,"abstract":"Background: The Internet has pervaded our daily lives and is well known to lead to addictive behaviors. Internet addiction (IA) and its influence on quality of sleep have not gained much attention from researchers in India. Aims: We aimed to study the rates of IA and its association with quality of sleep in medical undergraduates. Settings and Design: It was a cross-sectional study evaluating 158 final-year medical undergraduate students at a university in southern India. Materials and Methods: The Internet Addiction Test (IAT) and the Pittsburgh Sleep Quality Index (PSQI) were applied on consenting participants after recruitment using purposive sampling. Statistical Analysis Used: Independent samples t-test was done to evaluate the association of gender with sleep quality. Analysis of variance was done to compare sleep quality in various degrees of IA. Pearson's bivariate correlation was done to see the relationship between the severity of IA and the global sleep quality. Results: More than half of the participants, i.e. 90 (57.0%), had IA, with 2 (1.3%) having severe IA. The rates of IA were similar in both genders. Forty (25.3%) participants were having poor sleep quality as measured by global PSQI cutoff score >5. Participants with moderate-to-severe IA had significantly poor sleep quality compared to participants with mild IA (P = 0.042*). A positive correlation was seen between IAT scores and global PSQI scores (P = 0.012*). Conclusions: IA is prevalent in medical undergraduates and has a negative impact on quality of sleep. Severity of IA predicts global sleep quality in the participants.","PeriodicalId":36181,"journal":{"name":"Archives of Mental Health","volume":"22 1","pages":"153 - 157"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42256763","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}
Varsha Sriperambudoori, Srilakshmi Pingali, N. Tondehal, A. Joopaka, Umashanker Molanguru
Background: Health-care workers around the world are extending support to contain the COVID-19 pandemic. This unprecedented situation has put the health-care system under tremendous pressure. One of the underrepresented and under addressed area is that of psychological stress experienced by doctors in this time of crisis. Aim: The aim of the study was to evaluate for the symptoms of depression, anxiety, and stress among resident doctors working at a COVID-19 tertiary care center and the factors associated with their mental health status. Materials and Methods: An online cross-sectional survey of resident doctors was conducted over a 10-day period from June 1 to 10, 2020, through e-mail using a 2-part questionnaire – 1st part included information about sociodemographic profile and factors affecting the mental status and the 2nd included questions from the Depression, Anxiety, Stress Scale-21 (DASS-21). The scoring cutoffs for the presence of depression, anxiety, and stress symptoms were >9, 7, and 14, respectively. The responses were analyzed using SPSS version 22.0 (IBM) with P value as significant below 0.05 and all tests were two tailed. Results: Four hundred and thirty six out of 620 residents completed the survey yielding a response rate of 70.3%. A considerable proportion had symptoms of depression 132 (30.3%), anxiety 179 (41.1%), and stress 102 (23.4%). Females, first-line workers, those with a past history, and family history of mental illness had statistically significant higher scores on all three subscales of DASS-21. The number of working hours showed a significant positive correlation with symptoms of anxiety (r = 0.138, P = 0.004) and stress (r = 0.108, P = 0.024). Conclusion: One-third of respondents reported experiencing negative emotional states currently, indicating pandemic's psychological impact on frontline health workers. There is a need for mental health interventions targeting frontline health workers who are a crucial workforce in lower middle economy like India and promote their overall mental well-being.
{"title":"An online cross-sectional survey of depression, anxiety, and stress among resident doctors working at a COVID-19 tertiary care center in India","authors":"Varsha Sriperambudoori, Srilakshmi Pingali, N. Tondehal, A. Joopaka, Umashanker Molanguru","doi":"10.4103/amh.amh_75_20","DOIUrl":"https://doi.org/10.4103/amh.amh_75_20","url":null,"abstract":"Background: Health-care workers around the world are extending support to contain the COVID-19 pandemic. This unprecedented situation has put the health-care system under tremendous pressure. One of the underrepresented and under addressed area is that of psychological stress experienced by doctors in this time of crisis. Aim: The aim of the study was to evaluate for the symptoms of depression, anxiety, and stress among resident doctors working at a COVID-19 tertiary care center and the factors associated with their mental health status. Materials and Methods: An online cross-sectional survey of resident doctors was conducted over a 10-day period from June 1 to 10, 2020, through e-mail using a 2-part questionnaire – 1st part included information about sociodemographic profile and factors affecting the mental status and the 2nd included questions from the Depression, Anxiety, Stress Scale-21 (DASS-21). The scoring cutoffs for the presence of depression, anxiety, and stress symptoms were >9, 7, and 14, respectively. The responses were analyzed using SPSS version 22.0 (IBM) with P value as significant below 0.05 and all tests were two tailed. Results: Four hundred and thirty six out of 620 residents completed the survey yielding a response rate of 70.3%. A considerable proportion had symptoms of depression 132 (30.3%), anxiety 179 (41.1%), and stress 102 (23.4%). Females, first-line workers, those with a past history, and family history of mental illness had statistically significant higher scores on all three subscales of DASS-21. The number of working hours showed a significant positive correlation with symptoms of anxiety (r = 0.138, P = 0.004) and stress (r = 0.108, P = 0.024). Conclusion: One-third of respondents reported experiencing negative emotional states currently, indicating pandemic's psychological impact on frontline health workers. There is a need for mental health interventions targeting frontline health workers who are a crucial workforce in lower middle economy like India and promote their overall mental well-being.","PeriodicalId":36181,"journal":{"name":"Archives of Mental Health","volume":"22 1","pages":"111 - 117"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46593575","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}
Background: This study aimed to estimate the prevalence and correlates of insomnia symptoms among older adults in India. Methods: The study included 72,262 individuals (45 years and older) from the cross-sectional 2017 to 2018 Longitudinal Ageing Study in India Wave 1. Results: The prevalence of insomnia symptoms was 12.7%, 13.2% among women and 11.9% among men. In the adjusted logistic regression analysis, food insecurity (adjusted odds ratio [AOR]: 1.41, 95% confidence interval [CI]: 1.25–1.59), feeling alone (AOR: 1.64, 95% CI: 1.46–1.83), having 3–5 discrimination experiences (AOR: 1.53, 95% CI: 1.32–1.78), having two or more chronic conditions (AOR: 1.65, 95% CI: 1.46–1.86), high functional disability (AOR: 1.80, 95% CI: 1.63–1.99), poor distant vision (AOR: 1.32, 95% CI: 1.17–1.49), poor near vision (AOR: 1.19, 95% CI: 1.07–1.33), edentulism (lost all teeth) (AOR: 1.28, 95% CI: 1.06–1.55), underweight (AOR: 1.11, 95% CI: 1.00–1.23), and pain (AOR: 1.71, 95% CI: 1.54–1.89) were positively associated with insomnia symptoms. High subjective socioeconomic status (AOR: 0.85, 95% CI: 0.76–0.96), urban residence (AOR: 0.90, 95% CI: 0.81–0.99), and medium social network (AOR: 0.87, 95% CI: 0.79–0.96) were negatively associated with insomnia symptoms. Conclusions: More than one in ten older adults in India had insomnia symptoms and several associated factors were identified.
{"title":"Prevalence and correlates of insomnia symptoms among older adults in India: Results of a national survey in 2017-2018","authors":"S. Pengpid, K. Peltzer","doi":"10.4103/amh.amh_19_21","DOIUrl":"https://doi.org/10.4103/amh.amh_19_21","url":null,"abstract":"Background: This study aimed to estimate the prevalence and correlates of insomnia symptoms among older adults in India. Methods: The study included 72,262 individuals (45 years and older) from the cross-sectional 2017 to 2018 Longitudinal Ageing Study in India Wave 1. Results: The prevalence of insomnia symptoms was 12.7%, 13.2% among women and 11.9% among men. In the adjusted logistic regression analysis, food insecurity (adjusted odds ratio [AOR]: 1.41, 95% confidence interval [CI]: 1.25–1.59), feeling alone (AOR: 1.64, 95% CI: 1.46–1.83), having 3–5 discrimination experiences (AOR: 1.53, 95% CI: 1.32–1.78), having two or more chronic conditions (AOR: 1.65, 95% CI: 1.46–1.86), high functional disability (AOR: 1.80, 95% CI: 1.63–1.99), poor distant vision (AOR: 1.32, 95% CI: 1.17–1.49), poor near vision (AOR: 1.19, 95% CI: 1.07–1.33), edentulism (lost all teeth) (AOR: 1.28, 95% CI: 1.06–1.55), underweight (AOR: 1.11, 95% CI: 1.00–1.23), and pain (AOR: 1.71, 95% CI: 1.54–1.89) were positively associated with insomnia symptoms. High subjective socioeconomic status (AOR: 0.85, 95% CI: 0.76–0.96), urban residence (AOR: 0.90, 95% CI: 0.81–0.99), and medium social network (AOR: 0.87, 95% CI: 0.79–0.96) were negatively associated with insomnia symptoms. Conclusions: More than one in ten older adults in India had insomnia symptoms and several associated factors were identified.","PeriodicalId":36181,"journal":{"name":"Archives of Mental Health","volume":"22 1","pages":"139 - 147"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44152965","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}
G. Miryala, Siva Anoop Yella, C. Kumar, LokesaraReddy Pabbathi, SaiNaveen Singagari
Background: Sleep disturbances are commonly seen in mental illnesses such as schizophrenia, bipolar affective disorder, depression, anxiety, and substance use disorders. Even though psychiatric symptoms are treated, sleep disturbances remain to be persisting in some groups of patients. Persistent sleep disturbances could lead to relapse of the disorder per se or could lead to cognitive dysfunction or impairment. Depending on the severity of insomnia, cognitive impairment can vary among remitted patients. Methodology: A total of 200 patients suffering from mental illnesses such as schizophrenia and bipolar affective disorder under remission are taken for the study. After obtaining the sociodemographic profile of the patients, insomnia severity is calculated using the Insomnia Severity Index (ISI) scale and cognitive impairment is assessed using the Montreal Cognitive Assessment (MoCA). ISI scores are compared ith MoCA scores and cognitive impairment is assessed in those patients using statistical analysis. Results: The mean age as found to be 32.08, the mean ISI score is 20.55, and the mean MoCA score is 23.15. ISI score as negatively correlated to MoCA score and age. MoCA score as positively correlated to age. Conclusions: Cognitive impairment, as observed on MoCA score, as more hen the insomnia severity is high and also ith increasing age. Correcting the underlying insomnia in remitted patients is very important in preventing cognitive impairment.
{"title":"A cross-sectional study of insomnia severity and cognitive dysfunction in bipolar disorder and schizophrenia patients under remission","authors":"G. Miryala, Siva Anoop Yella, C. Kumar, LokesaraReddy Pabbathi, SaiNaveen Singagari","doi":"10.4103/amh.amh_34_21","DOIUrl":"https://doi.org/10.4103/amh.amh_34_21","url":null,"abstract":"Background: Sleep disturbances are commonly seen in mental illnesses such as schizophrenia, bipolar affective disorder, depression, anxiety, and substance use disorders. Even though psychiatric symptoms are treated, sleep disturbances remain to be persisting in some groups of patients. Persistent sleep disturbances could lead to relapse of the disorder per se or could lead to cognitive dysfunction or impairment. Depending on the severity of insomnia, cognitive impairment can vary among remitted patients. Methodology: A total of 200 patients suffering from mental illnesses such as schizophrenia and bipolar affective disorder under remission are taken for the study. After obtaining the sociodemographic profile of the patients, insomnia severity is calculated using the Insomnia Severity Index (ISI) scale and cognitive impairment is assessed using the Montreal Cognitive Assessment (MoCA). ISI scores are compared ith MoCA scores and cognitive impairment is assessed in those patients using statistical analysis. Results: The mean age as found to be 32.08, the mean ISI score is 20.55, and the mean MoCA score is 23.15. ISI score as negatively correlated to MoCA score and age. MoCA score as positively correlated to age. Conclusions: Cognitive impairment, as observed on MoCA score, as more hen the insomnia severity is high and also ith increasing age. Correcting the underlying insomnia in remitted patients is very important in preventing cognitive impairment.","PeriodicalId":36181,"journal":{"name":"Archives of Mental Health","volume":"22 1","pages":"133 - 138"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48764143","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}
Carbamazepine has been well documented to be associated with Steven–Johnson Syndrome (SJS). The newer anti-epileptic oxcarbazepine has not been demonstrated to be associated with this rare side effect except in some case reports. We present a case of SJS caused due to use of oxcarbazepine in a patient of schizophrenia.
{"title":"Oxcarbazepine-induced Steven–Johnson syndrome","authors":"G. Godasi, R. Donthu, Raja Godasi","doi":"10.4103/amh.amh_55_20","DOIUrl":"https://doi.org/10.4103/amh.amh_55_20","url":null,"abstract":"Carbamazepine has been well documented to be associated with Steven–Johnson Syndrome (SJS). The newer anti-epileptic oxcarbazepine has not been demonstrated to be associated with this rare side effect except in some case reports. We present a case of SJS caused due to use of oxcarbazepine in a patient of schizophrenia.","PeriodicalId":36181,"journal":{"name":"Archives of Mental Health","volume":"22 1","pages":"171 - 173"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43037337","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}
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