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A Case Study of Idiopathic Infantile Dyskinesia and a Revisit to the Psychological Schools: Saving the Peter Out 特发性婴儿运动障碍的病例研究与心理学校的重访:拯救彼得
Pub Date : 2024-06-01 DOI: 10.1177/02537176241252957
Kumari Rina, Ayoleena Roy, Meenu, Anirban Ray
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引用次数: 0
India’s Silent Struggle: A Scoping Review on Postpartum Depression in the Land of a Billion Mothers 印度的无声斗争:十亿母亲之国的产后抑郁症范围综述
Pub Date : 2024-05-13 DOI: 10.1177/02537176241245773
Rajeev S. P., Gokul M. Nair, Krishna K. K., Chris Maria
Postpartum emotional issues, including postpartum blues, postpartum psychosis, and postpartum depression (PPD), affect many mothers worldwide. The prevalence of postpartum blues ranges from 300 to 750 per 1,000 mothers, while postpartum psychosis has a prevalence of 0.89–2.6 cases per 1,000 births. PPD affects 100–150 new mothers per 1,000 births, and its prevalence can go above 25% globally. Depression in mothers can have long-lasting impacts on children and the next generation, affecting their growth, development, and relationships. However, the condition of PPD is frequently misdiagnosed, and women who suffer from it do not receive treatment. There is a lack of solid systematic evidence that looks at the overall burden of PPD and the risk factors that are associated with it in India. The awareness of PPD is critical in managing the symptoms and seeking professional support, and studies are needed to evaluate and assess the situation in India. This study is a systematic literature review with a scoping review approach aimed at providing existing evidence on the awareness and prevalence of PPD in India. The search strategy for the electronic bibliographic search included a list of related terms and factors of awareness and prevalence of PPD. The search encompassed six prominent databases. The assessment tools used in studies from 2012 to 2023 study the factors using the Postpartum Depression Literacy Scale (PoDLiS) and the Edinburgh Postpartum Depression Scale, which measure the awareness and prevalence of PPD. The study found a significantly low volume of studies conducted in India to determine the prevalence of PPD. The materials or studies accessible are hospital-based research with a minimal number of samples. The reported prevalence rate of postpartum depression (PPD) in India varies across different studies, ranging from 4% to 48.5%. Among mothers who gave birth either naturally or by cesarean section in a hospital setting, one study reported the lowest prevalence rate (4%). The prevalence of PPD among women in India is estimated to be 18% based on the average score across all research. A study that evaluated the moms in the community found that PPD was prevalent in new mothers at a rate of 21.5%. There are three studies, in particular, that focus on how aware people are of PPD. Two studies found that 54% of the family members of postpartum moms and women undergoing tertiary pediatric care are aware of PPD. Many studies point to the lack of social support as a significant risk factor for mental health complications after delivery. History of depression, anxiety, adverse life events, partner abuse, low economic status, complications at childbirth, and a traumatic childbirth experience are some of the associated factors identified in the studies. Studies have also shown that women who undergo a cesarean section have a higher risk of developing PPD than those with a vaginal delivery.
产后情绪问题,包括产后忧郁症、产后精神病和产后抑郁症(PPD),影响着全世界的许多母亲。产后忧郁症的发病率为每千名母亲 300 到 750 例,而产后精神病的发病率为每千名新生儿 0.89 到 2.6 例。每 1,000 名新生儿中就有 100-150 名新妈妈患上 PPD,全球发病率可超过 25%。母亲抑郁会对孩子和下一代产生长期影响,影响他们的成长、发育和人际关系。然而,PPD 经常被误诊,患有这种疾病的妇女也得不到治疗。在印度,目前还缺乏可靠的系统性证据来研究 PPD 的总体负担以及与之相关的风险因素。对 PPD 的认识对于控制症状和寻求专业支持至关重要,因此需要开展研究来评估印度的情况。本研究是一项系统性文献综述,采用了范围界定方法,旨在提供有关印度对 PPD 的认识和患病率的现有证据。电子文献检索的搜索策略包括一份相关术语和因素清单,内容涉及PPD的认知度和流行率。搜索涵盖了六个著名的数据库。2012 年至 2023 年的研究中使用的评估工具是产后抑郁素养量表(PoDLiS)和爱丁堡产后抑郁量表(Edinburgh Postpartum Depression Scale),它们用于测量产后抑郁的认知度和患病率。研究发现,印度在确定产后抑郁症患病率方面开展的研究数量明显偏低。可获得的资料或研究都是基于医院的研究,样本数量极少。不同研究报告的印度产后抑郁症(PPD)患病率各不相同,从 4% 到 48.5% 不等。在医院自然分娩或剖腹产的母亲中,一项研究报告的患病率最低(4%)。根据所有研究的平均得分,印度妇女的 PPD 患病率估计为 18%。一项对社区妈妈进行评估的研究发现,PPD 在新妈妈中的流行率为 21.5%。有三项研究特别关注了人们对 PPD 的认识程度。有两项研究发现,54% 的产后妈妈和接受三级儿科护理的妇女的家庭成员了解 PPD。许多研究指出,缺乏社会支持是产后精神健康并发症的一个重要风险因素。抑郁史、焦虑、不良生活事件、伴侣虐待、经济地位低下、分娩并发症和创伤性分娩经历是研究中发现的一些相关因素。研究还表明,与阴道分娩的产妇相比,剖宫产的产妇患 PPD 的风险更高。
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引用次数: 0
Stressful Life Events in Impulsive and Non-impulsive Suicide Attempters: A Cross-sectional Study 冲动型和非冲动型自杀企图者的生活压力事件:横断面研究
Pub Date : 2024-05-05 DOI: 10.1177/02537176241240096
Supritha, Mruthyunjaya N., Abhay Maktar, Shashidhara H. L., Sandeep M. R.
Suicide is a significant public health issue, yet it can be avoided with prompt, evidence-based, and frequently inexpensive interventions. There are distinctions between the profiles of impulsive suicide attempters (ISA) and non-impulsive suicide attempters (NISA), and a significant number of suicide attempts are impulsive. A thorough multisectoral suicide prevention strategy is necessary for an effective national response. This observational cross-sectional study was conducted at a tertiary healthcare center in Karnataka. Sixty inpatients above the age of 18 years with an alleged history of suicide attempts were enrolled in the study. Their stressful life events in the past year were assessed using the Presumptive Stressful Life Events Scale (PSLES). Impulsive and non-impulsive attempters were considered based on the time gap between the suicidal ideation and the suicidal attempt with the presence or absence of plans regarding the act. They were compared using appropriate inferential statistical tests. The majority of the suicide attempts were impulsive (63.3%). The ISA and NISA did not differ in socio-demographic characteristics except for age and family type, with impulsive attempters being more common at younger ages than the non-impulsive attempters ( p = .02). The majority of ISA were from joint families (44.7%), while 72.7% of NISA were from nuclear households ( p = .04). Compared to ISA, NISA recollected a higher number of stressors. The ISA and NISA differ in aspects of age, family type, and stressors. Characteristic distinctions between ISA and NISA should be recognized and understood in order to design policies for suicide prevention and minimize morbidity and mortality. Exploring and addressing the stressors and helping patients to overcome them through better coping skills helps in suicide prevention.
自杀是一个重大的公共卫生问题,然而,通过及时、循证且通常成本低廉的干预措施,自杀是可以避免的。冲动型自杀企图者(ISA)和非冲动型自杀企图者(NISA)的特征是有区别的,而且相当多的自杀企图都是冲动型的。要在全国范围内采取有效的应对措施,就必须制定全面的多部门自杀预防战略。这项观察性横断面研究在卡纳塔克邦的一家三级医疗保健中心进行。60 名年龄在 18 岁以上、据称有过自杀未遂史的住院病人被纳入研究。研究人员使用推定生活压力事件量表(PSLES)对他们过去一年的生活压力事件进行了评估。根据自杀意念和自杀未遂之间的时间差,以及是否有自杀计划,将冲动型和非冲动型企图自杀者进行比较。通过适当的推理统计检验对两者进行比较。大多数自杀未遂者(63.3%)都是冲动型自杀。除了年龄和家庭类型外,ISA 和 NISA 在社会人口特征方面没有差异,冲动型自杀未遂者的年龄比非冲动型自杀未遂者更小 ( p = .02)。大多数 ISA 来自联合家庭(44.7%),而 72.7% 的 NISA 来自核心家庭 ( p = .04)。与 ISA 相比,NISA 回忆起的压力源更多。ISA 和 NISA 在年龄、家庭类型和压力源方面存在差异。应认识并理解 ISA 和 NISA 之间的特征区别,以便制定预防自杀的政策,最大限度地降低发病率和死亡率。探索和解决压力源,并通过更好的应对技巧帮助患者克服压力源,有助于预防自杀。
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引用次数: 0
Motor Skill Intervention in Autism: A Neglected Component 自闭症运动技能干预:被忽视的组成部分
Pub Date : 2024-05-02 DOI: 10.1177/02537176241247669
Athira N. D., Vanitha S. Rao, Nirupama Srikanth, Ashok M. V.
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引用次数: 0
Auditory Event-related Potentials for Word Stimuli in Kannada Language Among Native Kannada Speakers with Dementia 痴呆症卡纳达语母语者对卡纳达语单词刺激的听觉事件相关电位
Pub Date : 2024-04-08 DOI: 10.1177/02537176241234773
A. Srividya, Yamini B.K., P. T. Sivakumar
The P300 is a positive auditory event-related potential appearing around 300 msec post-oddball stimulus onset. Tone and monosyllabic stimuli have been widely used in P300 research, providing valuable insights into auditory perception, phoneme discrimination, language processing, and other cognitive processes. Bi-syllabic minimal pairs may be more challenging for some individuals because they require processing and discrimination of more complex phonemic structures. The aim of the study was to elicit and analyze the auditory event-related potentials for bi-syllabic word stimuli in the Kannada language among individuals with dementia. The prospective study was conducted at the Department of Speech Pathology and Audiology. Ten native Kannada language speakers (five male; and five female) diagnosed with dementia, aged 55–70 years, were the participants. The naturally produced and recorded CVCV (Consonant vowel consonant vowel) tokens (/ko:ti/ and /ko:thi/ pair; /a: me/ and /a:ne pair) in Kannada were used in the auditory oddball paradigm. The waveforms with positive peak for word (PPW) with clear morphology were used to obtain the latency and amplitude. Mean and Standard deviation (SD) value for the latency of the PPW was 545 ± 38 msec and the amplitude value of PPW was 2.5 ± 1.5 µV. The present study showed that when lengthier speech stimulus duration was used, the latency value of auditory event-related potential was higher. The study also showed that PPW is a reliable peak that could be used in the clinical population.
P300 是一种积极的听觉事件相关电位,出现在点球刺激开始后的 300 毫秒左右。音调和单音节刺激被广泛用于 P300 研究,为听觉感知、音素辨别、语言处理和其他认知过程提供了宝贵的见解。对某些人来说,双音节最小对可能更具挑战性,因为它们需要处理和辨别更复杂的音位结构。本研究旨在激发和分析痴呆症患者对卡纳达语双音节单词刺激的听觉事件相关电位。这项前瞻性研究在语言病理学和听力学系进行。十名母语为卡纳达语的患者(五名男性和五名女性)被诊断患有痴呆症,年龄在 55-70 岁之间。听觉奇数范式使用了自然产生和记录的坎纳达语 CVCV(辅音元音)标记(/ko:ti/ 和 /ko:thi/对;/a: me/ 和 /a:ne对)。我们使用形态清晰的单词正峰值(PPW)波形来获取潜伏期和振幅。PPW 的潜伏期平均值和标准差(SD)为 545 ± 38 毫秒,PPW 的振幅值为 2.5 ± 1.5 µV。本研究表明,当使用较长的语音刺激时,听觉事件相关电位的潜伏期值较高。研究还表明,PPW 是一个可靠的峰值,可用于临床人群。
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引用次数: 0
Assessment of Person with Mental Illness for Legal Guardian Appointment in India: A Case Report and a Viewpoint 印度为指定法定监护人而对精神病患者进行的评估:案例报告与观点
Pub Date : 2024-02-12 DOI: 10.1177/02537176241228036
B. S. C. Reddy, Shivanee Kumari, N. Manjunatha, C. Kumar, S. Math
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引用次数: 0
Recommendations for Electro-convulsive Therapy in Minors: Aligning with the Mental Health Care Act 2017 关于未成年人电惊厥治疗的建议:与《2017 年精神健康护理法》保持一致
Pub Date : 2024-02-12 DOI: 10.1177/02537176241227742
Eesha Sharma, Poornima Khadanga, Sherina Moktan, K. Vijaysagar, S. Arumugham, Preeti Sinha, J. Thirthalli
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引用次数: 0
Myoclonus Associated with Mirtazapine 与米氮平有关的肌阵挛
Pub Date : 2024-02-12 DOI: 10.1177/02537176241229515
Surabhi Sharma, Ravi Yadav, Dinesh Kataria
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引用次数: 0
Drug-related Offences in India: Observations and Insights from the Secondary Analysis of the Data from the National Crimes Record Bureau 印度的毒品犯罪:从对国家犯罪记录局数据的二次分析中得出的观察和见解
Pub Date : 2024-02-12 DOI: 10.1177/02537176241228415
Y. Balhara, Siddharth Sarkar, Akanksha Jayant Rajguru
People who use psychoactive substances that are illicit have increased chances of coming into contact with the law enforcement and criminal justice systems for different reasons. The problem statement in terms of the need for healthcare services for such people is yet to be defined and quantified in India. We used the data collected by the National Crimes Record Bureau for the years 1986 to 2021. We assessed the profile of offences registered under the Narcotic Drugs and Psychotropic Substances Act (NDPS), 1985 over the successive years in India. We also made comparisons between the offences for possession for personal use/consumption and for trafficking of narcotic drugs and psychotropic substances at the national level and at the level of states and union territories in the country. The percentage of these arrests, charge sheets and convictions as part of total Special and Local Laws (SLL) has increased over the years, showing a positive monotonic trend. A large percentage of those arrested were males. A higher percentage of females were arrested and charge-sheeted for trafficking than for personal use or consumption. The percentage of total persons arrested, charge-sheeted and convicted for possession of drugs for personal use/consumption was greater than that of those arrested for possession of drugs for trafficking for all years from 2017 to 2021. There were significant associations between gender and the types of offense. The highest rates of offences were reported from some north-western states, north-eastern states and Kerala. The findings help us make a strong argument in favour of strengthening the health sector response for people who use psychoactive substances and are in contact with the law enforcement and criminal justice systems in the country.
由于各种原因,使用非法精神活性物质的人与执法和刑事司法系统接触的机会越来越多。在印度,这类人对医疗保健服务的需求问题尚待界定和量化。我们使用了国家犯罪记录局收集的 1986 年至 2021 年的数据。我们评估了印度历年根据 1985 年《麻醉药品和精神药物法》(NDPS)登记的犯罪概况。我们还对全国以及各邦和中央直辖区的藏毒/自用罪和贩运麻醉药品和精神药物罪进行了比较。多年来,这些逮捕、起诉和定罪案件在《特别法》和《地方法》(SLL)案件中所占的比例不断上升,呈现出积极的单调趋势。被捕者中男性占很大比例。因贩运而被捕和被起诉的女性比例高于因个人使用或消费而被捕和被起诉的女性比例。在 2017 年至 2021 年的所有年份中,因藏毒自用/消费而被捕、被起诉和定罪的总人数比例均高于因藏毒贩毒而被捕的总人数比例。性别与犯罪类型之间存在明显关联。据报告,西北部一些邦、东北部各邦和喀拉拉邦的犯罪率最高。这些研究结果有助于我们提出强有力的论据,支持加强卫生部门对该国使用精神活性物质并与执法和刑事司法系统有接触的人群的应对措施。
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引用次数: 0
Drug-related Offences in India: Observations and Insights from the Secondary Analysis of the Data from the National Crimes Record Bureau 印度的毒品犯罪:从对国家犯罪记录局数据的二次分析中得出的观察和见解
Pub Date : 2024-02-12 DOI: 10.1177/02537176241228415
Y. Balhara, Siddharth Sarkar, Akanksha Jayant Rajguru
People who use psychoactive substances that are illicit have increased chances of coming into contact with the law enforcement and criminal justice systems for different reasons. The problem statement in terms of the need for healthcare services for such people is yet to be defined and quantified in India. We used the data collected by the National Crimes Record Bureau for the years 1986 to 2021. We assessed the profile of offences registered under the Narcotic Drugs and Psychotropic Substances Act (NDPS), 1985 over the successive years in India. We also made comparisons between the offences for possession for personal use/consumption and for trafficking of narcotic drugs and psychotropic substances at the national level and at the level of states and union territories in the country. The percentage of these arrests, charge sheets and convictions as part of total Special and Local Laws (SLL) has increased over the years, showing a positive monotonic trend. A large percentage of those arrested were males. A higher percentage of females were arrested and charge-sheeted for trafficking than for personal use or consumption. The percentage of total persons arrested, charge-sheeted and convicted for possession of drugs for personal use/consumption was greater than that of those arrested for possession of drugs for trafficking for all years from 2017 to 2021. There were significant associations between gender and the types of offense. The highest rates of offences were reported from some north-western states, north-eastern states and Kerala. The findings help us make a strong argument in favour of strengthening the health sector response for people who use psychoactive substances and are in contact with the law enforcement and criminal justice systems in the country.
由于各种原因,使用非法精神活性物质的人与执法和刑事司法系统接触的机会越来越多。在印度,这类人对医疗保健服务的需求问题尚待界定和量化。我们使用了国家犯罪记录局收集的 1986 年至 2021 年的数据。我们评估了印度历年根据 1985 年《麻醉药品和精神药物法》(NDPS)登记的犯罪概况。我们还对全国以及各邦和中央直辖区的藏毒/自用罪和贩运麻醉药品和精神药物罪进行了比较。多年来,这些逮捕、起诉和定罪案件在《特别法》和《地方法》(SLL)案件中所占的比例不断上升,呈现出积极的单调趋势。被捕者中男性占很大比例。因贩运而被捕和被起诉的女性比例高于因个人使用或消费而被捕和被起诉的女性比例。在 2017 年至 2021 年的所有年份中,因藏毒自用/消费而被捕、被起诉和定罪的总人数比例均高于因藏毒贩毒而被捕的总人数比例。性别与犯罪类型之间存在明显关联。据报告,西北部一些邦、东北部各邦和喀拉拉邦的犯罪率最高。这些研究结果有助于我们提出强有力的论据,支持加强卫生部门对该国使用精神活性物质并与执法和刑事司法系统有接触的人群的应对措施。
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引用次数: 0
期刊
Indian Journal of Psychological Medicine
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