C. Vasanthra, K. N. Anu, Sojan Antony, Thirumoorthy Ammapattian
{"title":"Dementia in South Indian Cinema – A Film Review","authors":"C. Vasanthra, K. N. Anu, Sojan Antony, Thirumoorthy Ammapattian","doi":"10.4103/ijsp.ijsp_81_23","DOIUrl":"https://doi.org/10.4103/ijsp.ijsp_81_23","url":null,"abstract":"","PeriodicalId":55693,"journal":{"name":"Indian Journal of Social Psychiatry","volume":" 635","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140989582","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 : 2024-05-11DOI: 10.4103/ijsp.ijsp_267_23
Hareesh Angothu, K. N. Nishanth
{"title":"State Initiated Insurance Coverages for Outpatient Therapies to Children with Autism Spectrum Disorders in India","authors":"Hareesh Angothu, K. N. Nishanth","doi":"10.4103/ijsp.ijsp_267_23","DOIUrl":"https://doi.org/10.4103/ijsp.ijsp_267_23","url":null,"abstract":"","PeriodicalId":55693,"journal":{"name":"Indian Journal of Social Psychiatry","volume":" 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140988199","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}
A. Aijaz, Naidana Partha Sarathy, Abbavaram Pavankumar
Depression is a common illness worldwide, with an estimated 300 million people affected at any time. Depression is different from usual mood fluctuations and short-lived, emotional response to challenges in everyday life. In India, most of the elderly live in the rural areas and the access to the health care facilities is meagre. The depressive symptoms are likely to be dismissed as “normal” by the older persons, their family members and even by health care providers. To estimate the level of depression among the geriatric population in a rural community. To study the association of socio-demographic profile with the levels of depression identified among them. It was an observational analytical cross-sectional study done over a period of 2 months (7th August 2018 to 7th October 2018). Study population includes the geriatric population of rural field practice area at a private medical college. A minimum sample of 210 was included in the study by systematic random sampling method. Questionnaire consists of two parts. Part-1 consists of socio demographic characteristics. Part II consists of GDS 15-point questionnaire. Out of the total 210, majority of subjects were less than 70 years of age (69 p.c). Prevalence of depression in the study was (33.8 p.c.). Depression was significantly high in financially dependent study subjects (56 p.c.). A significant relationship was observed between factors like Living status, Marital status, Education and levels of depression (p<0.05). There was high prevalence of depression among elderly population. It was associated with living alone, presently not married, illiteracy.
{"title":"An Analytical Study on Depression among the Geriatric Population of Rural Field Practice Area of Private Medical College in Andhra Pradesh State","authors":"A. Aijaz, Naidana Partha Sarathy, Abbavaram Pavankumar","doi":"10.4103/ijsp.ijsp_32_23","DOIUrl":"https://doi.org/10.4103/ijsp.ijsp_32_23","url":null,"abstract":"\u0000 \u0000 \u0000 Depression is a common illness worldwide, with an estimated 300 million people affected at any time. Depression is different from usual mood fluctuations and short-lived, emotional response to challenges in everyday life. In India, most of the elderly live in the rural areas and the access to the health care facilities is meagre. The depressive symptoms are likely to be dismissed as “normal” by the older persons, their family members and even by health care providers.\u0000 \u0000 \u0000 \u0000 To estimate the level of depression among the geriatric population in a rural community. To study the association of socio-demographic profile with the levels of depression identified among them.\u0000 \u0000 \u0000 \u0000 It was an observational analytical cross-sectional study done over a period of 2 months (7th August 2018 to 7th October 2018). Study population includes the geriatric population of rural field practice area at a private medical college. A minimum sample of 210 was included in the study by systematic random sampling method. Questionnaire consists of two parts. Part-1 consists of socio demographic characteristics. Part II consists of GDS 15-point questionnaire.\u0000 \u0000 \u0000 \u0000 Out of the total 210, majority of subjects were less than 70 years of age (69 p.c). Prevalence of depression in the study was (33.8 p.c.). Depression was significantly high in financially dependent study subjects (56 p.c.). A significant relationship was observed between factors like Living status, Marital status, Education and levels of depression (p<0.05).\u0000 \u0000 \u0000 \u0000 There was high prevalence of depression among elderly population. It was associated with living alone, presently not married, illiteracy.\u0000","PeriodicalId":55693,"journal":{"name":"Indian Journal of Social Psychiatry","volume":"5 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140988505","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 : 2024-05-11DOI: 10.4103/ijsp.ijsp_269_23
Nidhi Malhotra, B. Chavan, Nitin Gupta
Medical profession is highly demanding and stressful; however, only a few studies have examined the level of occupational stress in resident doctors. New Job Stress Scale (NJSS) and General Health Questionnaire (GHQ-12) were used to estimate occupational stress and psychological morbidity in resident doctors. Receiver operator characteristic analysis was used to estimate the cutoff on NJSS to screen for clinically significant stress. 60% of the resident doctors rated positive on GHQ-12. With a threshold of GHQ-12 as 3, the cutoff of NJSS with maximum Younden Index (0.48) was 63.5 (Sensitivity 65% and Specificity 84%); with 42.5% of resident doctors having a score higher that the cutoff value. A large number of resident doctors experience high levels of stress and psychological morbidity. NJSS can be used to screen resident doctors for clinically significant stress.
{"title":"Screening for Occupational Stress in Resident Doctors: A Preliminary Study","authors":"Nidhi Malhotra, B. Chavan, Nitin Gupta","doi":"10.4103/ijsp.ijsp_269_23","DOIUrl":"https://doi.org/10.4103/ijsp.ijsp_269_23","url":null,"abstract":"\u0000 \u0000 \u0000 Medical profession is highly demanding and stressful; however, only a few studies have examined the level of occupational stress in resident doctors.\u0000 \u0000 \u0000 \u0000 New Job Stress Scale (NJSS) and General Health Questionnaire (GHQ-12) were used to estimate occupational stress and psychological morbidity in resident doctors. Receiver operator characteristic analysis was used to estimate the cutoff on NJSS to screen for clinically significant stress.\u0000 \u0000 \u0000 \u0000 60% of the resident doctors rated positive on GHQ-12. With a threshold of GHQ-12 as 3, the cutoff of NJSS with maximum Younden Index (0.48) was 63.5 (Sensitivity 65% and Specificity 84%); with 42.5% of resident doctors having a score higher that the cutoff value.\u0000 \u0000 \u0000 \u0000 A large number of resident doctors experience high levels of stress and psychological morbidity. NJSS can be used to screen resident doctors for clinically significant stress.\u0000","PeriodicalId":55693,"journal":{"name":"Indian Journal of Social Psychiatry","volume":" 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140988761","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 : 2024-04-20DOI: 10.4103/ijsp.ijsp_154_23
Yashashri Vispute, Deoraj Sinha, Ami Pawar, A. Mane, S. Jaiswal
Child sexual abuse (CSA) has long-term deleterious effects on mental health. The prevalence of CSA is more in females than males. A lifetime diagnosis of anxiety, depression, eating disorders, posttraumatic stress disorder (PTSD), sleep disorders, and suicide attempts has been associated with a history of sexual abuse. Few studies have focused on the role of temperament and the relationship between psychiatric morbidity and sociodemographic variables. This study aimed to assess the relationship between psychiatric morbidity and sociodemographic variables in cases of CSA. After ethical approval, 168 consecutive survivors of an alleged history of child sexual assault brought by the police were enrolled after informed consent from legal guardians and assent from survivors. A specially designed semi-structured pro forma was used to collect data. Psychiatric morbidity was diagnosed using the Diagnostic and Statistical Manual of Mental Disorders-5. Scales assessing temperament, perceived social support and global functioning, were used. Seventy-seven percent of survivors in this study had psychiatric morbidity. Adjustment problems were more in children with slow-to-warm temperament. A positive family history of mental illness was significant in major depressive disorder (MDD) but not in PTSD. Those with a history of being assaulted multiple times (36 out of 42) had a higher chance of developing MDD. This study highlights that the adjustment problems were more in children with slow-to-warm temperament, highlighting the need for targeted and timely intervention in this subgroup of CSA survivors. This study shows an association between childhood environmental adverse event and development of psychiatric morbidity.
{"title":"Mental Health and Sociodemographic Correlates of Child Sexual Abuse","authors":"Yashashri Vispute, Deoraj Sinha, Ami Pawar, A. Mane, S. Jaiswal","doi":"10.4103/ijsp.ijsp_154_23","DOIUrl":"https://doi.org/10.4103/ijsp.ijsp_154_23","url":null,"abstract":"\u0000 \u0000 \u0000 Child sexual abuse (CSA) has long-term deleterious effects on mental health. The prevalence of CSA is more in females than males. A lifetime diagnosis of anxiety, depression, eating disorders, posttraumatic stress disorder (PTSD), sleep disorders, and suicide attempts has been associated with a history of sexual abuse. Few studies have focused on the role of temperament and the relationship between psychiatric morbidity and sociodemographic variables.\u0000 \u0000 \u0000 \u0000 This study aimed to assess the relationship between psychiatric morbidity and sociodemographic variables in cases of CSA.\u0000 \u0000 \u0000 \u0000 After ethical approval, 168 consecutive survivors of an alleged history of child sexual assault brought by the police were enrolled after informed consent from legal guardians and assent from survivors. A specially designed semi-structured pro forma was used to collect data. Psychiatric morbidity was diagnosed using the Diagnostic and Statistical Manual of Mental Disorders-5. Scales assessing temperament, perceived social support and global functioning, were used.\u0000 \u0000 \u0000 \u0000 Seventy-seven percent of survivors in this study had psychiatric morbidity. Adjustment problems were more in children with slow-to-warm temperament. A positive family history of mental illness was significant in major depressive disorder (MDD) but not in PTSD. Those with a history of being assaulted multiple times (36 out of 42) had a higher chance of developing MDD.\u0000 \u0000 \u0000 \u0000 This study highlights that the adjustment problems were more in children with slow-to-warm temperament, highlighting the need for targeted and timely intervention in this subgroup of CSA survivors. This study shows an association between childhood environmental adverse event and development of psychiatric morbidity.\u0000","PeriodicalId":55693,"journal":{"name":"Indian Journal of Social Psychiatry","volume":" 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140681574","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 : 2024-04-20DOI: 10.4103/ijsp.ijsp_241_21
Chinnadurai Periyasamy, Kavita V. Jangam
Psychiatric rehabilitation is to assist disabled people in developing the emotional, social, and cognitive skills required to live, learn, and work in the community with the least amount of professional assistance. The goal of the current case study revealed that support from family, friends, community, treating mental health professionals, and drug compliance contributes to the recovery. Many persons with mental illness will experience disability which becomes a barrier to regular follow-up. The needs of severely disabled people are often neglected or not met adequately by mental health professionals, family, and the community. They do not understand what is happening in the community and the home environment. Therefore, the current case study made an effort to know the actual situation of mentally disabled people in their home environment and evaluated psychiatric rehabilitation needs. A case study was presented in detail with findings of the home visit and the strengths and weaknesses of the home visit from a social work perspective. The case study concludes that community attitude; the economic burden was one of the leading causes of barriers to psychiatric rehabilitation in India.
{"title":"The Current Challenges in Psychiatric Community Rehabilitation: A Case Study","authors":"Chinnadurai Periyasamy, Kavita V. Jangam","doi":"10.4103/ijsp.ijsp_241_21","DOIUrl":"https://doi.org/10.4103/ijsp.ijsp_241_21","url":null,"abstract":"\u0000 Psychiatric rehabilitation is to assist disabled people in developing the emotional, social, and cognitive skills required to live, learn, and work in the community with the least amount of professional assistance. The goal of the current case study revealed that support from family, friends, community, treating mental health professionals, and drug compliance contributes to the recovery. Many persons with mental illness will experience disability which becomes a barrier to regular follow-up. The needs of severely disabled people are often neglected or not met adequately by mental health professionals, family, and the community. They do not understand what is happening in the community and the home environment. Therefore, the current case study made an effort to know the actual situation of mentally disabled people in their home environment and evaluated psychiatric rehabilitation needs. A case study was presented in detail with findings of the home visit and the strengths and weaknesses of the home visit from a social work perspective. The case study concludes that community attitude; the economic burden was one of the leading causes of barriers to psychiatric rehabilitation in India.","PeriodicalId":55693,"journal":{"name":"Indian Journal of Social Psychiatry","volume":"111 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140680867","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 : 2024-04-20DOI: 10.4103/ijsp.ijsp_121_21
P. Malhi, Bhavneet Bharti, Manjit Sidhu
The objective of the study is to examine the impact of school closures on recreational screen time, emotional, and behavioral functioning of school-going children and adolescents during the imposition of social containment measures and school closure in India. The survey utilized a Google Form that was sent to parents of children aged 6–14 years through e-mails and social media platforms. Parents were asked to report on the child’s duration of recreational screen time and whether the child’s overall behavioral functioning had changed since the school closures. The child’s emotional and behavioral functioning was assessed by the Strength and Difficulties Questionnaire (SDQ). The scores on the SDQ and screen time use were compared by overall parental behavioral rating to identify the areas of concerns for children whose functioning was reported to have worsened after the closing of schools. The mean recreational screen time was reported to be 2.65 h (standard deviation = 1.89). A significantly higher proportion of children whose behavior worsened after school closures, relative to those who improved or were same, had scores in the abnormal range of functioning on three of the subscales of SDQ including emotional problems (χ² = 29.03, P = 0.0001), hyperactivity/inattention (χ² = 24.67, P = 0.0001), conduct problems (χ² = 22.01, P = 0.0001), and overall total SDQ score (χ² = 41.20, P = 0.0001). Interventions should be aimed at encouraging outdoor physical activity while respecting government restrictions, healthy routines, pursuing hobbies, and promoting responsible use of electronic devices during the pandemic and crisis recovery period.
{"title":"School Closures and the Impact on Screen Time and Behavior during the Pandemic","authors":"P. Malhi, Bhavneet Bharti, Manjit Sidhu","doi":"10.4103/ijsp.ijsp_121_21","DOIUrl":"https://doi.org/10.4103/ijsp.ijsp_121_21","url":null,"abstract":"\u0000 \u0000 \u0000 The objective of the study is to examine the impact of school closures on recreational screen time, emotional, and behavioral functioning of school-going children and adolescents during the imposition of social containment measures and school closure in India.\u0000 \u0000 \u0000 \u0000 The survey utilized a Google Form that was sent to parents of children aged 6–14 years through e-mails and social media platforms. Parents were asked to report on the child’s duration of recreational screen time and whether the child’s overall behavioral functioning had changed since the school closures. The child’s emotional and behavioral functioning was assessed by the Strength and Difficulties Questionnaire (SDQ). The scores on the SDQ and screen time use were compared by overall parental behavioral rating to identify the areas of concerns for children whose functioning was reported to have worsened after the closing of schools.\u0000 \u0000 \u0000 \u0000 The mean recreational screen time was reported to be 2.65 h (standard deviation = 1.89). A significantly higher proportion of children whose behavior worsened after school closures, relative to those who improved or were same, had scores in the abnormal range of functioning on three of the subscales of SDQ including emotional problems (χ² = 29.03, P = 0.0001), hyperactivity/inattention (χ² = 24.67, P = 0.0001), conduct problems (χ² = 22.01, P = 0.0001), and overall total SDQ score (χ² = 41.20, P = 0.0001).\u0000 \u0000 \u0000 \u0000 Interventions should be aimed at encouraging outdoor physical activity while respecting government restrictions, healthy routines, pursuing hobbies, and promoting responsible use of electronic devices during the pandemic and crisis recovery period.\u0000","PeriodicalId":55693,"journal":{"name":"Indian Journal of Social Psychiatry","volume":"103 37","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140680417","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}
Sahil Jamal, Bandna Gupta, A. Nischal, A. Tripathi
Stigma is very common among patients and caregivers of patients with severe mental disorders; however, there is a lack of comparative study data between schizophrenia and bipolar affective disorder in the Indian setting. For this, caregivers of patients with schizophrenia (n = 50) or bipolar affective disorder (n = 50) were assessed on the Affiliate Stigma Scale (ASS). Patients with schizophrenia (n = 50) or bipolar affective disorder (n = 50) were assessed on the Internalized Stigma of Mental Illness Scale (ISMIS). Patients and caregivers of patients with schizophrenia have significantly higher mean scores on ISMIS and ASS, respectively, as compared to patients and caregivers of patients with bipolar affective disorder. This study suggests that patients with schizophrenia and their caregivers experience higher stigma than the caregivers of patients with bipolar affective disorder. Higher stigma is associated with higher psychological morbidity in the patients and caregivers. Therefore, clinicians managing patients with severe mental disorders must focus on stigma and psychological distress among the patients and caregivers and plan intervention strategies to reduce stigma.
{"title":"Comparative Study of Stigma and Its Correlates in Caregivers and Patients of Schizophrenia and Bipolar Affective Disorder","authors":"Sahil Jamal, Bandna Gupta, A. Nischal, A. Tripathi","doi":"10.4103/ijsp.ijsp_49_23","DOIUrl":"https://doi.org/10.4103/ijsp.ijsp_49_23","url":null,"abstract":"\u0000 \u0000 \u0000 Stigma is very common among patients and caregivers of patients with severe mental disorders; however, there is a lack of comparative study data between schizophrenia and bipolar affective disorder in the Indian setting.\u0000 \u0000 \u0000 \u0000 For this, caregivers of patients with schizophrenia (n = 50) or bipolar affective disorder (n = 50) were assessed on the Affiliate Stigma Scale (ASS). Patients with schizophrenia (n = 50) or bipolar affective disorder (n = 50) were assessed on the Internalized Stigma of Mental Illness Scale (ISMIS).\u0000 \u0000 \u0000 \u0000 Patients and caregivers of patients with schizophrenia have significantly higher mean scores on ISMIS and ASS, respectively, as compared to patients and caregivers of patients with bipolar affective disorder.\u0000 \u0000 \u0000 \u0000 This study suggests that patients with schizophrenia and their caregivers experience higher stigma than the caregivers of patients with bipolar affective disorder. Higher stigma is associated with higher psychological morbidity in the patients and caregivers. Therefore, clinicians managing patients with severe mental disorders must focus on stigma and psychological distress among the patients and caregivers and plan intervention strategies to reduce stigma.\u0000","PeriodicalId":55693,"journal":{"name":"Indian Journal of Social Psychiatry","volume":"114 33","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140680519","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 : 2024-04-20DOI: 10.4103/ijsp.ijsp_147_23
Sudhir Babu Sriramalu, A. R. Elangovan, Mohan K. Isaac, J. R. Kalyanasundaram
Treatment nonadherence comprises a combination of individual, family, social, treatment center, and illness-related factors. In this context, the present study aims to compare the clinical profile and the current status of persons with mental illness who have discontinued their treatment at a rural community mental health center (RCMHC) in India. The persons who discontinued treatment with a diagnosis category of severe mental disorders (SMDs), common mental disorders (CMDs), and substance use disorders (SUDs) who sought treatment at RCMHC are the study population. The present study has followed a comparative research design that compares the clinical profiles of SMDs, CMDs, and SUDs. A survey method of sampling was adopted. A semi-structured interview schedule, clinical global impression (CGI), and errors in drug adherence schedule were used as measures in the study. A home visit approach, telephone contacts, and collateral information were followed to collect the data. Out of the 80 respondents, only 16 (20.0%) reported improvement, and the remaining 16 (20.0%) are receiving treatment from various facilities. The rest of the 48 (60.0%) subjects were not on treatment despite being ill. The number of respondents who did not take their medication even for a day was 10 (12.5%), and another 34 (42.5%) subjects completely stopped their medication within a month. CGI-improvement highlights that nearly 47 (58.7%) respondents had shown much and very much improvement while they were on treatment. The CGI-severity of illness rating scale revealed that 54 (67.5%), i.e., nearly 2/3 of the respondents, were currently in the mild-to-extreme mentally ill category. Comprehensive psychosocial and community-based approaches will enhance treatment adherence in mental illness.
{"title":"Comparison of Clinical Profile and Current Status of the Treatment Nonadherent Persons with Mental Illness: A Study from a Rural Community Mental Health Center in India","authors":"Sudhir Babu Sriramalu, A. R. Elangovan, Mohan K. Isaac, J. R. Kalyanasundaram","doi":"10.4103/ijsp.ijsp_147_23","DOIUrl":"https://doi.org/10.4103/ijsp.ijsp_147_23","url":null,"abstract":"\u0000 \u0000 \u0000 Treatment nonadherence comprises a combination of individual, family, social, treatment center, and illness-related factors. In this context, the present study aims to compare the clinical profile and the current status of persons with mental illness who have discontinued their treatment at a rural community mental health center (RCMHC) in India.\u0000 \u0000 \u0000 \u0000 The persons who discontinued treatment with a diagnosis category of severe mental disorders (SMDs), common mental disorders (CMDs), and substance use disorders (SUDs) who sought treatment at RCMHC are the study population. The present study has followed a comparative research design that compares the clinical profiles of SMDs, CMDs, and SUDs. A survey method of sampling was adopted. A semi-structured interview schedule, clinical global impression (CGI), and errors in drug adherence schedule were used as measures in the study. A home visit approach, telephone contacts, and collateral information were followed to collect the data.\u0000 \u0000 \u0000 \u0000 Out of the 80 respondents, only 16 (20.0%) reported improvement, and the remaining 16 (20.0%) are receiving treatment from various facilities. The rest of the 48 (60.0%) subjects were not on treatment despite being ill. The number of respondents who did not take their medication even for a day was 10 (12.5%), and another 34 (42.5%) subjects completely stopped their medication within a month. CGI-improvement highlights that nearly 47 (58.7%) respondents had shown much and very much improvement while they were on treatment. The CGI-severity of illness rating scale revealed that 54 (67.5%), i.e., nearly 2/3 of the respondents, were currently in the mild-to-extreme mentally ill category.\u0000 \u0000 \u0000 \u0000 Comprehensive psychosocial and community-based approaches will enhance treatment adherence in mental illness.\u0000","PeriodicalId":55693,"journal":{"name":"Indian Journal of Social Psychiatry","volume":"10 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140680916","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":"Movie Review: To the Bone","authors":"Pavitra Shankar, Nitin Raut, Dinesh Kataria, Saloni Seth","doi":"10.4103/ijsp.ijsp_183_23","DOIUrl":"https://doi.org/10.4103/ijsp.ijsp_183_23","url":null,"abstract":"","PeriodicalId":55693,"journal":{"name":"Indian Journal of Social Psychiatry","volume":"8 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140681386","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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