Pub Date : 2022-10-01DOI: 10.1177/09731342231162198
A. Kılınç, C. Çam, A. Ünsal, Didem Arslantas¸
Background: Nomophobia, short for “no mobile phone phobia,” is defined as having an involuntary and unreasonable fear when the mobile device is unreachable or uncommunicable. Aims: The study aimed to evaluate nomophobia and loneliness levels of high school (HS) students from a rural region. Methods: This cross-sectional study was conducted between November 5 and December 28, 2018, on 850 HS students in Sivrihisar, Eskis¸ehir, Turkey. Nomophobia Questionnaire (NMP-Q) and UCLA Loneliness Scale were used. Mann-Whitney U, Kruskal-Wallis, Spearman Correlation analysis, and Multiple Linear Regression were performed. Results: In the study group, 429 (50.5%) were female. Their ages ranged from 13 to 19, and their mean age (standard deviation [SD]) was 15.66 (1.18) years. The mean score (SD) from NMP-Q was 54.92 (14.87), while the mean score (SD) from the UCLA loneliness scale was 13.95 (4.60). Multivariate analysis showed that being a female, having first smartphone use before the age of 13, having high daily smartphone usage, having a high frequency of checking phones, and having more friends on social media than in real life were associated with higher nomophobia levels (F = 28.424, P < .001, R² = 0.213). There was a positive weak correlation between nomophobia and loneliness levels (r = 0.353, P = .001). Conclusions: Factors such as phone usage habits and loneliness, which can be changed by providing education and creating appropriate environments in schools, are important determinants of nomophobia among HS students in rural areas, suggesting that interventions to combat nomophobia are possible.
背景:Nomophobia(无手机恐惧症)，简称“无手机恐惧症”，被定义为当移动设备无法接触或无法沟通时，一种无意识的、不合理的恐惧。目的:本研究旨在评估农村地区高中学生的无物恐惧症和孤独感水平。方法:本横断面研究于2018年11月5日至12月28日在土耳其埃斯基斯约希尔省Sivrihisar市的850名高中学生中进行。采用无恐惧症问卷(NMP-Q)和UCLA孤独感量表。采用Mann-Whitney U、Kruskal-Wallis、Spearman相关分析和多元线性回归分析。结果:研究组女性429例，占50.5%。年龄13 ~ 19岁，平均年龄(标准差[SD])为15.66(1.18)岁。NMP-Q量表平均得分为54.92分(14.87分)，UCLA孤独感量表平均得分为13.95分(4.60分)。多变量分析显示，女性、13岁前首次使用智能手机、每天使用智能手机的频率高、查看手机的频率高、社交媒体上的朋友比现实生活中的朋友多，与更高的无手机恐惧症水平相关(F = 28.424, P < 0.001, R²= 0.213)。无恐惧症与孤独水平呈弱正相关(r = 0.353, P = 0.001)。结论:手机使用习惯和孤独感等因素是农村高中学生无手机恐惧症的重要决定因素，这些因素可以通过提供教育和创造适当的学校环境来改变，这表明干预措施可以消除无手机恐惧症。
{"title":"Assessment of Nomophobia and Loneliness in Rural Turkish Adolescents: A Cross-Sectional Study","authors":"A. Kılınç, C. Çam, A. Ünsal, Didem Arslantas¸","doi":"10.1177/09731342231162198","DOIUrl":"https://doi.org/10.1177/09731342231162198","url":null,"abstract":"Background: Nomophobia, short for “no mobile phone phobia,” is defined as having an involuntary and unreasonable fear when the mobile device is unreachable or uncommunicable. Aims: The study aimed to evaluate nomophobia and loneliness levels of high school (HS) students from a rural region. Methods: This cross-sectional study was conducted between November 5 and December 28, 2018, on 850 HS students in Sivrihisar, Eskis¸ehir, Turkey. Nomophobia Questionnaire (NMP-Q) and UCLA Loneliness Scale were used. Mann-Whitney U, Kruskal-Wallis, Spearman Correlation analysis, and Multiple Linear Regression were performed. Results: In the study group, 429 (50.5%) were female. Their ages ranged from 13 to 19, and their mean age (standard deviation [SD]) was 15.66 (1.18) years. The mean score (SD) from NMP-Q was 54.92 (14.87), while the mean score (SD) from the UCLA loneliness scale was 13.95 (4.60). Multivariate analysis showed that being a female, having first smartphone use before the age of 13, having high daily smartphone usage, having a high frequency of checking phones, and having more friends on social media than in real life were associated with higher nomophobia levels (F = 28.424, P < .001, R² = 0.213). There was a positive weak correlation between nomophobia and loneliness levels (r = 0.353, P = .001). Conclusions: Factors such as phone usage habits and loneliness, which can be changed by providing education and creating appropriate environments in schools, are important determinants of nomophobia among HS students in rural areas, suggesting that interventions to combat nomophobia are possible.","PeriodicalId":42760,"journal":{"name":"Journal of Indian Association for Child and Adolescent Mental Health","volume":"18 1","pages":"290 - 297"},"PeriodicalIF":0.6,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46150162","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}
Pub Date : 2022-10-01DOI: 10.1177/09731342231166176
Alemsungla Aier, P. Pais, Vijaya Raman
Background: Nephrotic syndrome (NS) is one of the most commonly diagnosed kidney diseases in childhood, with a high relapse rate. Aim: This study was designed to assess emotional and behavioural problems, temperament, family environment, and evaluate the health-related quality of life in children with NS. Methods: This cross-sectional study was conducted at a tertiary care hospital in South India. A purposive sampling technique was used. A sample of 32 children between ages 6 and 12 years with NS—steroid-sensitive (infrequent relapsers, frequent relapsers, or those with steroid-dependent) and steroid-resistant—for more than 6 months duration and managed by the Pediatric Nephrology department were recruited. The control group of 30 healthy children was matched for age and gender. The assessment was conducted using the Strengths and Difficulties Questionnaire (SDQ), Pediatric Quality of Life Inventory™ (PedsQL 4.0), Malhotra Temperament Schedule, and Family Environment Scale. Data obtained was examined using descriptive and inferential statistics. Results: On the SDQ, 34.4% of children with NS indicated a total score within the clinical range. Children with NS had an overall lower score on the QOL scale (P < .003). It was found that the SRNS subtype had poor scores on SDQ (P < .023) and QOL (P < .017). The temperament of children with NS did not differ from those of healthy children. The families with NS scored lower on organization (P < .042) and control (P < .006) subscales. Conclusion: Children with NS have a risk of emotional and behavioural problems. It appears that children with NS have a poor quality of life. Families of children with NS were less organized and low in control. Findings indicate the need for routine psychological evaluation and intervention as they will impact the course and outcome of NS.
{"title":"Psychosocial Functioning and Health-Related Quality of Life in Children with Nephrotic Syndrome: Preliminary Findings","authors":"Alemsungla Aier, P. Pais, Vijaya Raman","doi":"10.1177/09731342231166176","DOIUrl":"https://doi.org/10.1177/09731342231166176","url":null,"abstract":"Background: Nephrotic syndrome (NS) is one of the most commonly diagnosed kidney diseases in childhood, with a high relapse rate. Aim: This study was designed to assess emotional and behavioural problems, temperament, family environment, and evaluate the health-related quality of life in children with NS. Methods: This cross-sectional study was conducted at a tertiary care hospital in South India. A purposive sampling technique was used. A sample of 32 children between ages 6 and 12 years with NS—steroid-sensitive (infrequent relapsers, frequent relapsers, or those with steroid-dependent) and steroid-resistant—for more than 6 months duration and managed by the Pediatric Nephrology department were recruited. The control group of 30 healthy children was matched for age and gender. The assessment was conducted using the Strengths and Difficulties Questionnaire (SDQ), Pediatric Quality of Life Inventory™ (PedsQL 4.0), Malhotra Temperament Schedule, and Family Environment Scale. Data obtained was examined using descriptive and inferential statistics. Results: On the SDQ, 34.4% of children with NS indicated a total score within the clinical range. Children with NS had an overall lower score on the QOL scale (P < .003). It was found that the SRNS subtype had poor scores on SDQ (P < .023) and QOL (P < .017). The temperament of children with NS did not differ from those of healthy children. The families with NS scored lower on organization (P < .042) and control (P < .006) subscales. Conclusion: Children with NS have a risk of emotional and behavioural problems. It appears that children with NS have a poor quality of life. Families of children with NS were less organized and low in control. Findings indicate the need for routine psychological evaluation and intervention as they will impact the course and outcome of NS.","PeriodicalId":42760,"journal":{"name":"Journal of Indian Association for Child and Adolescent Mental Health","volume":"18 1","pages":"306 - 314"},"PeriodicalIF":0.6,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48463677","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}
Pub Date : 2022-10-01DOI: 10.1177/09731342231166431
Nitin Gupta, N. Goyal, E. Sharma
Learning disorder (LD), one of the most common neurodevelopmental disorders, affects 3% to 10% of children. It is characterized by poor academic skills that are quantifiably below those expected for an individual’s chronological age (at least 1.5 standard deviation below the age-wise population mean). Significant interference with academic and/or occupational performance or with activities of daily living is observed. LD is confirmed with standardized achievement measures and comprehensive clinical assessments. Learning difficulties are usually noticed during school years; however, they may not manifest till later, whenever demands in academics exceed an individual’s capacity.
{"title":"Learning Disability Certification in India: Quo Vadis","authors":"Nitin Gupta, N. Goyal, E. Sharma","doi":"10.1177/09731342231166431","DOIUrl":"https://doi.org/10.1177/09731342231166431","url":null,"abstract":"Learning disorder (LD), one of the most common neurodevelopmental disorders, affects 3% to 10% of children. It is characterized by poor academic skills that are quantifiably below those expected for an individual’s chronological age (at least 1.5 standard deviation below the age-wise population mean). Significant interference with academic and/or occupational performance or with activities of daily living is observed. LD is confirmed with standardized achievement measures and comprehensive clinical assessments. Learning difficulties are usually noticed during school years; however, they may not manifest till later, whenever demands in academics exceed an individual’s capacity.","PeriodicalId":42760,"journal":{"name":"Journal of Indian Association for Child and Adolescent Mental Health","volume":"18 1","pages":"267 - 269"},"PeriodicalIF":0.6,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46711937","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}
Pub Date : 2022-10-01DOI: 10.1177/09731342231170695
T. Biswas, Ankit Sinha, Bandita Abhijita, Shree Mishra, S. Padhy
Pediatric acute-onset neuropsychiatric syndrome (PANS) is defined by abrupt emergence of obsessive–compulsive behaviours and/or food restriction with concurrent cognitive and behavioural symptoms. Symptoms of obsessive–compulsive disorder and eating disorder frequently overlap in such cases, clouding diagnostic certainty and hypothesized etiologic factors. This case illustrates an atypical eating disorder presentation, resulting from PANS wherein a meticulous ruling out of organic causes andtimely institution of specific serotonin reuptake inhibitor facilitated remission. Through this case report the authors highlight the need of awareness of other medical practitioners regarding the symptomatology and presentation of PANS so as to facilitate early intervention in a collaborative approach.
{"title":"Pediatric Acute Onset Neuropsychiatric Syndrome Presenting with Atypical Eating Disorder: A Case Report","authors":"T. Biswas, Ankit Sinha, Bandita Abhijita, Shree Mishra, S. Padhy","doi":"10.1177/09731342231170695","DOIUrl":"https://doi.org/10.1177/09731342231170695","url":null,"abstract":"Pediatric acute-onset neuropsychiatric syndrome (PANS) is defined by abrupt emergence of obsessive–compulsive behaviours and/or food restriction with concurrent cognitive and behavioural symptoms. Symptoms of obsessive–compulsive disorder and eating disorder frequently overlap in such cases, clouding diagnostic certainty and hypothesized etiologic factors. This case illustrates an atypical eating disorder presentation, resulting from PANS wherein a meticulous ruling out of organic causes andtimely institution of specific serotonin reuptake inhibitor facilitated remission. Through this case report the authors highlight the need of awareness of other medical practitioners regarding the symptomatology and presentation of PANS so as to facilitate early intervention in a collaborative approach.","PeriodicalId":42760,"journal":{"name":"Journal of Indian Association for Child and Adolescent Mental Health","volume":"18 1","pages":"364 - 366"},"PeriodicalIF":0.6,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42087353","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}
Pub Date : 2022-10-01DOI: 10.1177/09731342231156497
T. Panda, Kartik Singhai, N. Nebhinani, V. Pareek, Shreyance Jain
Oppositional defiant disorder (ODD) is often found to be comorbid with bipolar disorder (BD) in children and adolescents. Both disorders are characterized by chronic irritability, emotional dysregulation, and behavioral problems. These overlapping symptoms often lead to diagnostic difficulty. In addition, ODD-BD comorbidity also presents multiple therapeutic challenges. Here, we describe the case of an adolescent male, who presented with comorbid ODD and BD, along with multiple diagnostic and therapeutic challenges.
{"title":"Diagnostic and Therapeutic Challenges in an Adolescent with Comorbid Oppositional Defiant Disorder and Bipolar Disorder","authors":"T. Panda, Kartik Singhai, N. Nebhinani, V. Pareek, Shreyance Jain","doi":"10.1177/09731342231156497","DOIUrl":"https://doi.org/10.1177/09731342231156497","url":null,"abstract":"Oppositional defiant disorder (ODD) is often found to be comorbid with bipolar disorder (BD) in children and adolescents. Both disorders are characterized by chronic irritability, emotional dysregulation, and behavioral problems. These overlapping symptoms often lead to diagnostic difficulty. In addition, ODD-BD comorbidity also presents multiple therapeutic challenges. Here, we describe the case of an adolescent male, who presented with comorbid ODD and BD, along with multiple diagnostic and therapeutic challenges.","PeriodicalId":42760,"journal":{"name":"Journal of Indian Association for Child and Adolescent Mental Health","volume":"18 1","pages":"370 - 372"},"PeriodicalIF":0.6,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44707212","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}
Pub Date : 2022-10-01DOI: 10.1177/09731342221144877
Riya Semar, Neha Bakshi
Background and aim: Excessive screen time (ST) negatively impacts physical activity and eating behavior among children <5 years. There is a dearth of data on older Indian children; hence, the present study aimed to assess the effect of ST on eating behavior among older children. Methods: The present cross-sectional study purposively recruited 100 school-going children. E-questionnaire was prepared to gather information regarding the demographic profile and self-reported weight and height. For the assessment of ST, the SCREENS questionnaire was used. Eating behavior was assessed using the Children Eating Behavior Questionnaire, and for physical activity, the PAQ-C was used. The nutrition status of children was assessed using body mass index (BMI) for age cut-offs. Results: The results revealed that 52% of the children were using screens for > 4 hours per day excluding school-related activities and online classes. ST of children was directly proportional to the parent’s ST (P < .05). There was a negative correlation between ST and the physical activity of children (P < .01). A positive correlation was observed between ST and emotional overeating, desire to drink, slow eating, satiety responsiveness, food fussiness, and emotional undereating (P < .01). BMI was positively associated with ST and negatively associated with physical activity, though the results were not significant. Satiety responsiveness (a food-avoiding subscale) was negatively associated with BMI (P < .05). Conclusion: The present study concludes that excessive ST among 8 to 10 years old school-going children has been associated with physical inactivity and poor eating behavior which could lead to an increased risk of being overweight and obese.
{"title":"Correlation of Screen Time With Eating Behavior Among School-Going Children Aged 8 to 10 Years in East Delhi, India","authors":"Riya Semar, Neha Bakshi","doi":"10.1177/09731342221144877","DOIUrl":"https://doi.org/10.1177/09731342221144877","url":null,"abstract":"Background and aim: Excessive screen time (ST) negatively impacts physical activity and eating behavior among children <5 years. There is a dearth of data on older Indian children; hence, the present study aimed to assess the effect of ST on eating behavior among older children. Methods: The present cross-sectional study purposively recruited 100 school-going children. E-questionnaire was prepared to gather information regarding the demographic profile and self-reported weight and height. For the assessment of ST, the SCREENS questionnaire was used. Eating behavior was assessed using the Children Eating Behavior Questionnaire, and for physical activity, the PAQ-C was used. The nutrition status of children was assessed using body mass index (BMI) for age cut-offs. Results: The results revealed that 52% of the children were using screens for > 4 hours per day excluding school-related activities and online classes. ST of children was directly proportional to the parent’s ST (P < .05). There was a negative correlation between ST and the physical activity of children (P < .01). A positive correlation was observed between ST and emotional overeating, desire to drink, slow eating, satiety responsiveness, food fussiness, and emotional undereating (P < .01). BMI was positively associated with ST and negatively associated with physical activity, though the results were not significant. Satiety responsiveness (a food-avoiding subscale) was negatively associated with BMI (P < .05). Conclusion: The present study concludes that excessive ST among 8 to 10 years old school-going children has been associated with physical inactivity and poor eating behavior which could lead to an increased risk of being overweight and obese.","PeriodicalId":42760,"journal":{"name":"Journal of Indian Association for Child and Adolescent Mental Health","volume":"18 1","pages":"283 - 289"},"PeriodicalIF":0.6,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43688529","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}
Pub Date : 2022-10-01DOI: 10.1177/09731342231171305
P. Srinivasan, S. Rentala, Pragya Kumar
Background: Aggression and crime are connected and highly reported among juveniles in recent times as compared to adults, which ends up in delinquency. It is not just aggression that dominates but the associated impulsiveness also plays a vital role. This study was intended to assess impulsivity and aggression, and their relationship among male delinquent adolescents residing in observation homes. Methods: A quantitative research approach with the nonexperimental descriptive correlation design was adopted. One hundred and seventy-nine male delinquent adolescents residing in 2 observation homes in the state of Bihar, India, were selected by convenience sampling technique. The standardized Buss & Perry Aggression questionnaire, and Barratt Impulsiveness scale were used for collecting the data regarding impulsivity and aggression among male delinquent adolescents. Results: The data were analyzed with descriptive statistics for a description of sample characteristics, and research variables, inferential statistics such as Pearson correlation for correlation, t-test, and ANOVA for the association, and stepwise regression for predictors. Aggression and impulsivity were significantly correlated, there was a significant association of impulsivity with educational status and history of substance use, and the mother’s occupation, educational status, and substance use had predicted the impulsivity. Conclusion: The study concluded that impulsivity and aggression are measurable constructs among male delinquent adolescents, and both were found to be positively correlated. This study had provided initial evidence by filling the gap in the literature to understand the relationship between impulsivity and aggression among juvenile delinquents.
{"title":"Impulsivity and Aggression Among Male Delinquent Adolescents Residing in Observation Homes—A Descriptive Correlation Study from East India","authors":"P. Srinivasan, S. Rentala, Pragya Kumar","doi":"10.1177/09731342231171305","DOIUrl":"https://doi.org/10.1177/09731342231171305","url":null,"abstract":"Background: Aggression and crime are connected and highly reported among juveniles in recent times as compared to adults, which ends up in delinquency. It is not just aggression that dominates but the associated impulsiveness also plays a vital role. This study was intended to assess impulsivity and aggression, and their relationship among male delinquent adolescents residing in observation homes. Methods: A quantitative research approach with the nonexperimental descriptive correlation design was adopted. One hundred and seventy-nine male delinquent adolescents residing in 2 observation homes in the state of Bihar, India, were selected by convenience sampling technique. The standardized Buss & Perry Aggression questionnaire, and Barratt Impulsiveness scale were used for collecting the data regarding impulsivity and aggression among male delinquent adolescents. Results: The data were analyzed with descriptive statistics for a description of sample characteristics, and research variables, inferential statistics such as Pearson correlation for correlation, t-test, and ANOVA for the association, and stepwise regression for predictors. Aggression and impulsivity were significantly correlated, there was a significant association of impulsivity with educational status and history of substance use, and the mother’s occupation, educational status, and substance use had predicted the impulsivity. Conclusion: The study concluded that impulsivity and aggression are measurable constructs among male delinquent adolescents, and both were found to be positively correlated. This study had provided initial evidence by filling the gap in the literature to understand the relationship between impulsivity and aggression among juvenile delinquents.","PeriodicalId":42760,"journal":{"name":"Journal of Indian Association for Child and Adolescent Mental Health","volume":"18 1","pages":"327 - 336"},"PeriodicalIF":0.6,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46771123","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}
Pub Date : 2022-10-01DOI: 10.1177/09731342231169633
Mohd Ahsan, Rashmi Shukla
Conversion disorder is a psychiatric illness in which an affected person experiences signs and symptoms of voluntary motor or sensory dysfunction in absence of any underlying neurological or medical condition. According to recent studies, fewer people initially labelled with a diagnosis of conversion have subsequently been found to have an organic disorder. We report a case of 13-year-old female, with a provisional diagnosis of conversion disorder later on, after detailed evaluation came out to be a case of severe anemia. Patient was transferred to the Psychiatry Department in view of the possibility of conversion symptoms. Detailed assessment of routine blood work (complete blood count with general blood picture) yielded severe microcytic hypochromic anemia (hemoglobin = 4.1 gm/dL). The patient was advised accordingly and an urgent blood transfusion was advised. It is mandatory that before labelling someone as having conversion disorder, rule out all essential and possible organic etiologies which can explain the clinical presentation, as it can be life-threatening.
{"title":"Severe Microcytic Hypochromic Anemia Masquerading as Conversion Disorder: A Case Report","authors":"Mohd Ahsan, Rashmi Shukla","doi":"10.1177/09731342231169633","DOIUrl":"https://doi.org/10.1177/09731342231169633","url":null,"abstract":"Conversion disorder is a psychiatric illness in which an affected person experiences signs and symptoms of voluntary motor or sensory dysfunction in absence of any underlying neurological or medical condition. According to recent studies, fewer people initially labelled with a diagnosis of conversion have subsequently been found to have an organic disorder. We report a case of 13-year-old female, with a provisional diagnosis of conversion disorder later on, after detailed evaluation came out to be a case of severe anemia. Patient was transferred to the Psychiatry Department in view of the possibility of conversion symptoms. Detailed assessment of routine blood work (complete blood count with general blood picture) yielded severe microcytic hypochromic anemia (hemoglobin = 4.1 gm/dL). The patient was advised accordingly and an urgent blood transfusion was advised. It is mandatory that before labelling someone as having conversion disorder, rule out all essential and possible organic etiologies which can explain the clinical presentation, as it can be life-threatening.","PeriodicalId":42760,"journal":{"name":"Journal of Indian Association for Child and Adolescent Mental Health","volume":"18 1","pages":"367 - 369"},"PeriodicalIF":0.6,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44729530","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}
Pub Date : 2022-10-01DOI: 10.1177/09731342231162201
Deepak K. Gupta, N. Sengupta
Background: Mental disorders continue to be a concern for everyone as the prevalence rate of disorders varies from study to study and sample to sample. As most of the statistics come from Government setups in India, data from private psychiatric clinics/setups are missing. Aim: The current study puts forth the data from a private psychiatric child and adolescent center located in New Delhi, India. Method: The data from approximately 15 years (2004-2019) were extracted from the record files and analyzed for the most prevalent disorders among different age groups of children and adolescents. Results: ASD and ADHD were found to be most prevalent among others along with multiple diagnoses. Most of the patients who visited the setup were from Delhi NCR only.
{"title":"Clinical Profile of Patients Visiting a Private Child and Adolescent Psychiatric Clinic in Delhi","authors":"Deepak K. Gupta, N. Sengupta","doi":"10.1177/09731342231162201","DOIUrl":"https://doi.org/10.1177/09731342231162201","url":null,"abstract":"Background: Mental disorders continue to be a concern for everyone as the prevalence rate of disorders varies from study to study and sample to sample. As most of the statistics come from Government setups in India, data from private psychiatric clinics/setups are missing. Aim: The current study puts forth the data from a private psychiatric child and adolescent center located in New Delhi, India. Method: The data from approximately 15 years (2004-2019) were extracted from the record files and analyzed for the most prevalent disorders among different age groups of children and adolescents. Results: ASD and ADHD were found to be most prevalent among others along with multiple diagnoses. Most of the patients who visited the setup were from Delhi NCR only.","PeriodicalId":42760,"journal":{"name":"Journal of Indian Association for Child and Adolescent Mental Health","volume":"18 1","pages":"322 - 326"},"PeriodicalIF":0.6,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46995023","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}
Pub Date : 2022-10-01DOI: 10.1177/09731342231163391
B. Piko, Kosha Patel, Hedvig Kiss
Background: Although the concept of a slim body was first introduced in Western societies, body dissatisfaction and disordered eating became a globalized issue, and appeared in India and other Asian cultures as well. However, we know much less about the background variables in this region. Aim: To further examine potential risk and protective factors for disordered eating, we aimed to detect the role of online activity (smartphone addiction, time spent online), social anxiety and social support as well as Body Mass Index (BMI), academic performance, and sociodemographics in elevating the risk of disordered eating among a sample of Indian adolescents. Methods: This study employed 112 high school students (aged between 14–18 years; mean age = 16.01 years; SD = 1.08; 47.3% females) from a private high school located in Vadodara, India. Besides sociodemographics, weight and height (Body Mass Index, BMI), academic performance, and average screen time on weekdays/weekends) were asked. We used four different instruments for exploring the psychological variables: Eating Attitudes Test (EAT-26), Smartphone Addiction Scale – Short Version (SAS-SV), The Kutcher Generalized Social Anxiety Scale for Adolescents (K-GSADS-A), and Multidimensional Scale of Perceived Social Support (MSPSS). Results: Using a cut-off score of 20 points, 9.8% of the students were evaluated as being at risk for disordered eating. Besides time spent online on weekdays, smartphone addiction, social anxiety and avoidance, and higher BMI scores elevated the risk of disordered eating in bivariate logistic regressions, while social support served as a protection. In the final multivariate model, only two factors remained significant contributors: being online on weekdays (risk) and being online on weekends (protection). Conclusion: These findings highlight the different roles of Internet use in the risk of disordered eating (weekdays: risky, weekend: protective) among this sample of Indian adolescents which can be explained by a possible shift in students’ social connections (from peers to family) during the different period of the week.
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