Bipolar affective disorders are dimensional illnesses in which patients experience, during the long-term course of illness, fluctuating levels of severity of manic and depressive symptoms interspersed with symptom-free periods. It is a highly exhausting and relapsing psychiatric disorder associated with significant morbidity and comorbidity. The World Health Organization Disability Assessment Schedule (WHODAS) is an International Classification of Functioning-based multidimensional instrument that was developed for measuring disability. The present study aimed to check the correlation and inter-rater agreement amongst the patient, caregiver, and clinician-administered version of the WHODAS 2.0 among persons with bipolar affective disorder. The study was cross-sectional in nature. Thirty samples of patients with bipolar affective disorder as per ICD-10 criteria were selected using a consecutive sampling technique. Patients above 18 years of age with a total duration of illness of at least more than 2 years were included and used self, proxy, and interviewer-administered versions of WHODAS 2.0. The total score of WHODAS 2.0 shows that the interclass correlation coefficient between the patient and caregiver, caregiver and clinician, and patient and clinician was 0.655 (0.469–0.802), 0.599 (0.395–0.767), and 0.722 (0.586–0.820), respectively, indicative of moderate reliability. Caregivers showed a higher mean in cognition, 3.73 (3.13); mobility, 2.63 (1.73); and self-care, 0.867 (1.25), than other raters. Clinicians showed a higher mean (standard deviation) in getting along with people, 4.13 (1.69); life activities of the household, 5.46 (2.67); and participation in society, 10.70 (2.56), than other raters. People suffering from bipolar affective disorder are prone to disability albeit in the mild-to-moderate variety. The findings show that there was moderate reliability between the patient and caregiver, caregiver and clinician, and patient and clinician among the patient rated, caregiver rated on the overscore of WHODAS 2.0.
{"title":"Correlation and Inter-rater Agreement between Patient, Caregiver and Clinician-administrated Versions of WHODAS 2.0 among the Persons with Bipolar Affective Disorder: A Cross-sectional Study","authors":"F. Paul, Shikha Tyagi, Subhash Das","doi":"10.4103/ijsp.ijsp_2_23","DOIUrl":"https://doi.org/10.4103/ijsp.ijsp_2_23","url":null,"abstract":"Bipolar affective disorders are dimensional illnesses in which patients experience, during the long-term course of illness, fluctuating levels of severity of manic and depressive symptoms interspersed with symptom-free periods. It is a highly exhausting and relapsing psychiatric disorder associated with significant morbidity and comorbidity. The World Health Organization Disability Assessment Schedule (WHODAS) is an International Classification of Functioning-based multidimensional instrument that was developed for measuring disability. The present study aimed to check the correlation and inter-rater agreement amongst the patient, caregiver, and clinician-administered version of the WHODAS 2.0 among persons with bipolar affective disorder. The study was cross-sectional in nature. Thirty samples of patients with bipolar affective disorder as per ICD-10 criteria were selected using a consecutive sampling technique. Patients above 18 years of age with a total duration of illness of at least more than 2 years were included and used self, proxy, and interviewer-administered versions of WHODAS 2.0. The total score of WHODAS 2.0 shows that the interclass correlation coefficient between the patient and caregiver, caregiver and clinician, and patient and clinician was 0.655 (0.469–0.802), 0.599 (0.395–0.767), and 0.722 (0.586–0.820), respectively, indicative of moderate reliability. Caregivers showed a higher mean in cognition, 3.73 (3.13); mobility, 2.63 (1.73); and self-care, 0.867 (1.25), than other raters. Clinicians showed a higher mean (standard deviation) in getting along with people, 4.13 (1.69); life activities of the household, 5.46 (2.67); and participation in society, 10.70 (2.56), than other raters. People suffering from bipolar affective disorder are prone to disability albeit in the mild-to-moderate variety. The findings show that there was moderate reliability between the patient and caregiver, caregiver and clinician, and patient and clinician among the patient rated, caregiver rated on the overscore of WHODAS 2.0.","PeriodicalId":55693,"journal":{"name":"Indian Journal of Social Psychiatry","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139281003","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 : 2023-11-03DOI: 10.4103/ijsp.ijsp_270_22
Kashypi Garg, Subramaiah Nagendran
Abstract Background: User satisfaction in healthcare is an important measure of the quality of services provided to the patient and their carers. Since treatment of psychiatric patients requires long follow-up periods, and this long follow-up treatment patients depends on their initial experience with health service,therefor user satisfaction is of increasing importance in the mental health field. Aims and Objectives: Assess the user satisfaction and perceptions of the attitude of emergency health-care professionals (including paramedical staff and physicians of respective specialties) toward psychiatric and nonpsychiatric patients as experienced by the patients and carers. To compare the user satisfaction and perceived attitude of emergency staff in patients with psychiatric illness and nonpsychiatric illness. To determine the service users’ decision to revisit the same health-care facility in case of the same problem. Materials and Methods: This study was done in the hospital wing of a tertiary care teaching university hospital in northern India, and ethics approval was obtained from the institutional ethics committee patients’ sociodemographic details and psychiatric and other relevant medical history after obtaining informed consent. The psychiatric diagnosis was made according to the ICD-10. A self-report questionnaire, comprising 9 questions, and was designed to assess the perceived attitudes of health-care workers toward the patient of psychiatric illness. The questionnaire was designed in Hindi. Descriptive statistics for categorical variables were done. Inferential statistics were calculated using the Chi-square test. Results: Out of a total of 95 respondents, 69 patients were diagnosed with a psychiatric disorder and the remaining 26 patients had medical illness or other non-psychiatric disorders. Females were a majority in both groups. Our study majorly showed that service users perceived the attitudes of medical and paramedical staff in emergency units mostly as satisfactory or extremely satisfactory, as well as the majority of service users reported that they were satisfied with the reaction of emergency paramedical staff towards the emotional well-being of the patient. Conclusions: The major strengths of this study were the quantitative analysis of health workers’ attitudes toward patients with psychiatric illnesses, which showed user-rated satisfactory attitudes. There was less stigma and more of a positive impact noted. The semi-structured questionnaire was designed in the local language and tailored to cover topics such as emotional well-being and psychoeducation that can all affect the user experience.
{"title":"Are Health-care Professionals Meeting Patient’s Expectations? – A Comparative Study Done in Emergency Setup of a Teaching Hospital in North India","authors":"Kashypi Garg, Subramaiah Nagendran","doi":"10.4103/ijsp.ijsp_270_22","DOIUrl":"https://doi.org/10.4103/ijsp.ijsp_270_22","url":null,"abstract":"Abstract Background: User satisfaction in healthcare is an important measure of the quality of services provided to the patient and their carers. Since treatment of psychiatric patients requires long follow-up periods, and this long follow-up treatment patients depends on their initial experience with health service,therefor user satisfaction is of increasing importance in the mental health field. Aims and Objectives: Assess the user satisfaction and perceptions of the attitude of emergency health-care professionals (including paramedical staff and physicians of respective specialties) toward psychiatric and nonpsychiatric patients as experienced by the patients and carers. To compare the user satisfaction and perceived attitude of emergency staff in patients with psychiatric illness and nonpsychiatric illness. To determine the service users’ decision to revisit the same health-care facility in case of the same problem. Materials and Methods: This study was done in the hospital wing of a tertiary care teaching university hospital in northern India, and ethics approval was obtained from the institutional ethics committee patients’ sociodemographic details and psychiatric and other relevant medical history after obtaining informed consent. The psychiatric diagnosis was made according to the ICD-10. A self-report questionnaire, comprising 9 questions, and was designed to assess the perceived attitudes of health-care workers toward the patient of psychiatric illness. The questionnaire was designed in Hindi. Descriptive statistics for categorical variables were done. Inferential statistics were calculated using the Chi-square test. Results: Out of a total of 95 respondents, 69 patients were diagnosed with a psychiatric disorder and the remaining 26 patients had medical illness or other non-psychiatric disorders. Females were a majority in both groups. Our study majorly showed that service users perceived the attitudes of medical and paramedical staff in emergency units mostly as satisfactory or extremely satisfactory, as well as the majority of service users reported that they were satisfied with the reaction of emergency paramedical staff towards the emotional well-being of the patient. Conclusions: The major strengths of this study were the quantitative analysis of health workers’ attitudes toward patients with psychiatric illnesses, which showed user-rated satisfactory attitudes. There was less stigma and more of a positive impact noted. The semi-structured questionnaire was designed in the local language and tailored to cover topics such as emotional well-being and psychoeducation that can all affect the user experience.","PeriodicalId":55693,"journal":{"name":"Indian Journal of Social Psychiatry","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135874027","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}
Abstract Background: The current medical curriculum for both undergraduates and postgraduates is deficient as it does not address the relevant aspects resulting in incomplete training and avoidance of asking about sexual health in routine clinical practice. This research studied the existing knowledge and comfort while taking sexual history, as well as managing the sex-related problems in patients by the medical postgraduates. Methods: Two hundred medical residents were recruited in the study after informed consent and ethics approval. Residents in I/II/III years in clinical and nonclinical disciplines were enrolled after systematic sampling. A semi-structured pro forma was used to collect information on knowledge, comfort, and training in sexual health with the help of open and closed-ended questions. Results: All knew about menstrual and reproductive health, 70% had knowledge about anatomy and sexual response cycle, 40% about sexual dysfunctions or its treatment. 76% expressed no adequate training was given and 96% felt that the lectures on sexual medicine were less useful. Ninety-one percent wanted training using videotapes, role plays, and group discussions. Sixty-eight percent were comfortable talking about sexual problems to patients of the same sex and 27% to the opposite sex. Ninety-eight percent gave the inability to maintain privacy and confidentiality while sexual history taking in both outpatient and indoor settings. Conclusions: Our study has highlighted some of the existing lacunae in the current Indian educational system with regard to sexual health, the existing knowledge and comfort of the postgraduates. More studies and research should be conducted to support the evidence. Curriculum changes with importance to sexual health and increased training can further be considered.
{"title":"Study of Attitude and Knowledge toward Sexual Health among Postgraduate Medical Students","authors":"Neena S. Sawant, Rashmi Singh","doi":"10.4103/ijsp.ijsp_54_23","DOIUrl":"https://doi.org/10.4103/ijsp.ijsp_54_23","url":null,"abstract":"Abstract Background: The current medical curriculum for both undergraduates and postgraduates is deficient as it does not address the relevant aspects resulting in incomplete training and avoidance of asking about sexual health in routine clinical practice. This research studied the existing knowledge and comfort while taking sexual history, as well as managing the sex-related problems in patients by the medical postgraduates. Methods: Two hundred medical residents were recruited in the study after informed consent and ethics approval. Residents in I/II/III years in clinical and nonclinical disciplines were enrolled after systematic sampling. A semi-structured pro forma was used to collect information on knowledge, comfort, and training in sexual health with the help of open and closed-ended questions. Results: All knew about menstrual and reproductive health, 70% had knowledge about anatomy and sexual response cycle, 40% about sexual dysfunctions or its treatment. 76% expressed no adequate training was given and 96% felt that the lectures on sexual medicine were less useful. Ninety-one percent wanted training using videotapes, role plays, and group discussions. Sixty-eight percent were comfortable talking about sexual problems to patients of the same sex and 27% to the opposite sex. Ninety-eight percent gave the inability to maintain privacy and confidentiality while sexual history taking in both outpatient and indoor settings. Conclusions: Our study has highlighted some of the existing lacunae in the current Indian educational system with regard to sexual health, the existing knowledge and comfort of the postgraduates. More studies and research should be conducted to support the evidence. Curriculum changes with importance to sexual health and increased training can further be considered.","PeriodicalId":55693,"journal":{"name":"Indian Journal of Social Psychiatry","volume":"21 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135874691","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}
Abstract Introduction: Lockdown during the initial wave of the COVID-19 pandemic and isolation were discovered to have a negative psychological influence on the general population’s mental health and wellbeing. Aim: This study aims to Trace and compares the impact of the COVID-19 pandemic on mental health in terms of psychological well-being (PWB), distress and family functioning during the first and second wave. Materials and Methods: A convenient purposive sampling method was used to conduct an online survey during the first COVID wave (May 2020–July 2020) in India, and the same demographic group was re-contacted (March 2021–May 2021) during the second wave. The institute ethical committee was consulted in advance for approval, and participants’ digital consent was obtained. The first and second waves of the COVID-19 epidemic in India were evaluated using the PWB scale, the depression anxiety stress scale 21, and the brief family relationship scale. Results: Among all individuals, there was a 25.4%, 39.3%, and 30% prevalence of stress, anxiety, and depression, respectively in our study. Participant’s well-being and family relationships were negatively impacted by anxiety and depression. Older participants reported more favorable relationships and higher levels of well-being than younger participants did. Women scored significantly lower on psychological well-being measures and much higher on stress, anxiety, and depression measures than men. Conclusion: The first wave, which has contributed to a significant increase in psychiatric morbidity, affected the general population at a moderate intensity. The present study’s findings may be useful for developing policies, intervention programs, and offering psychosocial help to the community.
{"title":"Perceptible Experiences of General Population: Lesson Learnt Across First and Second Wave of Pandemic","authors":"Rajni Sharma, Krishan Kumar, Pooja Tyagi, Vikas Suri, Deepanshu Dhiman, Lokesh Saini, Jaivinder Yadav, Divyansh Sharma, Babita Ghai","doi":"10.4103/ijsp.ijsp_251_22","DOIUrl":"https://doi.org/10.4103/ijsp.ijsp_251_22","url":null,"abstract":"Abstract Introduction: Lockdown during the initial wave of the COVID-19 pandemic and isolation were discovered to have a negative psychological influence on the general population’s mental health and wellbeing. Aim: This study aims to Trace and compares the impact of the COVID-19 pandemic on mental health in terms of psychological well-being (PWB), distress and family functioning during the first and second wave. Materials and Methods: A convenient purposive sampling method was used to conduct an online survey during the first COVID wave (May 2020–July 2020) in India, and the same demographic group was re-contacted (March 2021–May 2021) during the second wave. The institute ethical committee was consulted in advance for approval, and participants’ digital consent was obtained. The first and second waves of the COVID-19 epidemic in India were evaluated using the PWB scale, the depression anxiety stress scale 21, and the brief family relationship scale. Results: Among all individuals, there was a 25.4%, 39.3%, and 30% prevalence of stress, anxiety, and depression, respectively in our study. Participant’s well-being and family relationships were negatively impacted by anxiety and depression. Older participants reported more favorable relationships and higher levels of well-being than younger participants did. Women scored significantly lower on psychological well-being measures and much higher on stress, anxiety, and depression measures than men. Conclusion: The first wave, which has contributed to a significant increase in psychiatric morbidity, affected the general population at a moderate intensity. The present study’s findings may be useful for developing policies, intervention programs, and offering psychosocial help to the community.","PeriodicalId":55693,"journal":{"name":"Indian Journal of Social Psychiatry","volume":"23 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135874023","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}
Abstract Background: Homosexuality and bisexuality have long been prevalent in all parts of the world including India. Many efforts have been put to destigmatize and to make the lives of these people better, and it is no longer considered pathological in the diagnostic systems. Still, they experience higher stigma, discrimination, marginalization, violence, and trauma throughout their lives. Thus, research is needed to evaluate the level of stress and how they cope with it. Objectives: The objectives were to study the sociodemographic profiles of the participants and to explore the stress-coping skills among lesbians, gays, and bisexuals. Methods: It was a cross-sectional descriptive study with a sample size of 50, including 18-year and older homosexual and bisexual participants, with the employment of a snowball sampling technique. A semi-structured sociodemographic pro forma, Klein Sexual Orientation Grid, Perceived Stress Scale (PSS), and Brief Coping with Problem Experienced scales were applied. Results: The mean age of participants was 23.620 ± 3.630. There were 36 (72%) gay, 8 (16%) lesbian, and 6 (12%) bisexual participants. On estimation of stress, 15 (30%) participants had low stress, 27 (54%) had moderate stress, and 8 (16%) participants had high levels of stress. Among coping strategies, the highest mean was for self-distraction (5.70 ± 1.51), followed by acceptance (5.32 ± 1.20). A significant positive correlation between the PSS scores was found with self-blame and avoidant coping strategies. Conclusion: People with homosexual and bisexual orientation are likely to experience higher levels of stress, so it becomes vital to have more research in this field.
{"title":"A Cross-sectional Study on the Perceived Stress and Coping Strategies and Their Correlation in the Homosexual and Bisexual Community in North-East India","authors":"L. Longna, Kunal Deb, Vishal Nagar, Rumelia Ray","doi":"10.4103/ijsp.ijsp_76_23","DOIUrl":"https://doi.org/10.4103/ijsp.ijsp_76_23","url":null,"abstract":"Abstract Background: Homosexuality and bisexuality have long been prevalent in all parts of the world including India. Many efforts have been put to destigmatize and to make the lives of these people better, and it is no longer considered pathological in the diagnostic systems. Still, they experience higher stigma, discrimination, marginalization, violence, and trauma throughout their lives. Thus, research is needed to evaluate the level of stress and how they cope with it. Objectives: The objectives were to study the sociodemographic profiles of the participants and to explore the stress-coping skills among lesbians, gays, and bisexuals. Methods: It was a cross-sectional descriptive study with a sample size of 50, including 18-year and older homosexual and bisexual participants, with the employment of a snowball sampling technique. A semi-structured sociodemographic pro forma, Klein Sexual Orientation Grid, Perceived Stress Scale (PSS), and Brief Coping with Problem Experienced scales were applied. Results: The mean age of participants was 23.620 ± 3.630. There were 36 (72%) gay, 8 (16%) lesbian, and 6 (12%) bisexual participants. On estimation of stress, 15 (30%) participants had low stress, 27 (54%) had moderate stress, and 8 (16%) participants had high levels of stress. Among coping strategies, the highest mean was for self-distraction (5.70 ± 1.51), followed by acceptance (5.32 ± 1.20). A significant positive correlation between the PSS scores was found with self-blame and avoidant coping strategies. Conclusion: People with homosexual and bisexual orientation are likely to experience higher levels of stress, so it becomes vital to have more research in this field.","PeriodicalId":55693,"journal":{"name":"Indian Journal of Social Psychiatry","volume":"21 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135874692","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}
Dimple Gupta, Akansha Bhardwaj, Rashmi Prakash, Nimmi A. Jose, Farishta Hannah D. Singh
Abstract Background: Nomophobia or “No Mobile Phone” phobia is the fear of being detached from one’s own mobile phone. Smartphones have been proven to have numerous advantages in recent times. However, on their excessive use, it can have physical, psychological, behavioral, social, and affective effects. Since the younger generation are the latest buyers of the mobile phones, and the under-25-year age group in professional colleges like medical colleges use mobile phones quite frequently, this study was conducted to find out the prevalence of nomophobia and its association with the coping styles and the perceived stress in undergraduate medical students of a medical college in New Delhi. Methodology: The study was a cross-sectional study conducted for 3 months (November 2022–January 2023) on M. B. B. S students. A total of 200 students were selected by purposive sampling. The data was collected using questionnaires. Nomophobia was assessed through Nomophobia Questionnaire. Coping and stress were assessed using Brief Cope and Perceived stress scales, respectively. Data were collected and analyzed using Microsoft Excel 2010 and SPSS software Version 21 (Statistical Package for the Social Sciences, IBM Corp, USA). Results: The study was conducted on a total of 197 students undergraduate MBBS students. The prevalence of nomophobia was found to be 99.5% which was higher among females (56%) than males (44%). Among the students with mild (24%) and moderate nomophobia (60%), problem-focused coping mechanism was the most commonly used coping mechanism. Those with severe nomophobia (15%) were found to lean more toward emotion focused followed by problem-focused coping mechanism. A statistically significant association was found between nomophobia and perceived stress. Conclusions: Smartphones have many benefits when used for their intended purpose but when used in a problematic way and excessively, they can cause various problems. The higher prevalence of nomophobia among medical students is an issue of concern and has possibly affected their mental health. Strategies are to be devised on a priority basis for minimizing nomophobia among the medical students.
背景:Nomophobia或“无手机恐惧症”是一种对远离自己手机的恐惧。近年来，智能手机已被证明具有许多优势。然而，如果过度使用，它会对身体、心理、行为、社会和情感产生影响。由于年轻一代是手机的最新购买者，而在医学院校等专业院校中，25岁以下的人群使用手机的频率较高，本研究旨在了解新德里某医学院本科医学生的手机恐惧症患病率及其与应对方式和感知压力的关系。研究方法:本研究是一项为期3个月(2022年11月至2023年1月)的横断面研究，对象为理学硕士学生。通过有目的的抽样，选取了200名学生。数据是通过问卷调查收集的。无恐惧症通过无恐惧症问卷进行评估。应对和压力分别采用Brief Cope和Perceived stress量表进行评估。数据收集和分析使用Microsoft Excel 2010和SPSS Version 21软件(Statistical Package for Social Sciences, IBM Corp, USA)。结果:本研究以197名MBBS本科生为研究对象。无手机恐惧症的患病率为99.5%，其中女性(56%)高于男性(44%)。在轻度(24%)和中度(60%)无恐惧症学生中，以问题为中心的应对机制是最常用的应对机制。研究发现，患有严重无手机恐惧症的人(15%)更倾向于以情绪为中心，其次是以问题为中心的应对机制。无手机恐惧症和感知压力之间存在统计学上的显著关联。结论:智能手机在用于其预期目的时有很多好处，但当以有问题的方式过度使用时，它们会导致各种问题。医学生中无恐惧症的高发是一个令人关注的问题，可能已经影响到他们的心理健康。将优先制定战略，尽量减少医学生的恐无症。
{"title":"Nomophobia and Its Association with Stress and Coping Styles among Undergraduate Students of a Medical College in New Delhi: A Brief Analysis","authors":"Dimple Gupta, Akansha Bhardwaj, Rashmi Prakash, Nimmi A. Jose, Farishta Hannah D. Singh","doi":"10.4103/ijsp.ijsp_75_23","DOIUrl":"https://doi.org/10.4103/ijsp.ijsp_75_23","url":null,"abstract":"Abstract Background: Nomophobia or “No Mobile Phone” phobia is the fear of being detached from one’s own mobile phone. Smartphones have been proven to have numerous advantages in recent times. However, on their excessive use, it can have physical, psychological, behavioral, social, and affective effects. Since the younger generation are the latest buyers of the mobile phones, and the under-25-year age group in professional colleges like medical colleges use mobile phones quite frequently, this study was conducted to find out the prevalence of nomophobia and its association with the coping styles and the perceived stress in undergraduate medical students of a medical college in New Delhi. Methodology: The study was a cross-sectional study conducted for 3 months (November 2022–January 2023) on M. B. B. S students. A total of 200 students were selected by purposive sampling. The data was collected using questionnaires. Nomophobia was assessed through Nomophobia Questionnaire. Coping and stress were assessed using Brief Cope and Perceived stress scales, respectively. Data were collected and analyzed using Microsoft Excel 2010 and SPSS software Version 21 (Statistical Package for the Social Sciences, IBM Corp, USA). Results: The study was conducted on a total of 197 students undergraduate MBBS students. The prevalence of nomophobia was found to be 99.5% which was higher among females (56%) than males (44%). Among the students with mild (24%) and moderate nomophobia (60%), problem-focused coping mechanism was the most commonly used coping mechanism. Those with severe nomophobia (15%) were found to lean more toward emotion focused followed by problem-focused coping mechanism. A statistically significant association was found between nomophobia and perceived stress. Conclusions: Smartphones have many benefits when used for their intended purpose but when used in a problematic way and excessively, they can cause various problems. The higher prevalence of nomophobia among medical students is an issue of concern and has possibly affected their mental health. Strategies are to be devised on a priority basis for minimizing nomophobia among the medical students.","PeriodicalId":55693,"journal":{"name":"Indian Journal of Social Psychiatry","volume":"23 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135874025","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 : 2023-11-03DOI: 10.4103/ijsp.ijsp_274_22
Neha Gill, Jasmin Garg, Rohit Garg
Abstract Background: Stigma perceived by persons affected with Coronavirus disease 2019 (COVID-19) and their family members has been reported in the literature. This study aimed to evaluate COVID-19-related public stigma in detail in a regional area of Punjab, North India. Materials and Methods: It was a cross-sectional, hospital-based, descriptive study. Four hundred and eighty-eight participants were recruited and administered Explanatory Model Interview Catalogue-Stigma Scale to measure public stigma against COVID-19. The data were analyzed using Mann–Whitney test and Spearman correlation coefficient. Results: >78.68% participants believed that people in their community avoided a person affected by COVID-19, 76.6% believed that COVID-19 caused problems for family. More than 70% participants responded that people refused to visit the home of an affected person and it created difficulties for an affected person to find work. Nearly 70% responded that people dislike buying food from an affected person. 60% participants responded that sufferers would have concerns related to disclosure of illness. On the positive side, majority participants responded that COVID-19 would not lead to difficulties in finding match for the sufferer’s marriage (57.8%) or relative’s marriage (80.3%) or would not lead to problems in ongoing marriage (61.7%). Nearly 60% also responded that people would not think less of themselves if a family member had COVID-19 and it would not cause shame and embarrassment in community (58.8%). Conclusion: Public stigma for COVID-19 was high in some forms (avoidance, disclosure concerns, difficulty in finding work, etc.) and low in some other forms (like marriage-related issues, shame, and embarrassment in community).
{"title":"An Exploratory Cross-sectional Study on Public Stigma against Coronavirus Disease 2019 from Punjab","authors":"Neha Gill, Jasmin Garg, Rohit Garg","doi":"10.4103/ijsp.ijsp_274_22","DOIUrl":"https://doi.org/10.4103/ijsp.ijsp_274_22","url":null,"abstract":"Abstract Background: Stigma perceived by persons affected with Coronavirus disease 2019 (COVID-19) and their family members has been reported in the literature. This study aimed to evaluate COVID-19-related public stigma in detail in a regional area of Punjab, North India. Materials and Methods: It was a cross-sectional, hospital-based, descriptive study. Four hundred and eighty-eight participants were recruited and administered Explanatory Model Interview Catalogue-Stigma Scale to measure public stigma against COVID-19. The data were analyzed using Mann–Whitney test and Spearman correlation coefficient. Results: >78.68% participants believed that people in their community avoided a person affected by COVID-19, 76.6% believed that COVID-19 caused problems for family. More than 70% participants responded that people refused to visit the home of an affected person and it created difficulties for an affected person to find work. Nearly 70% responded that people dislike buying food from an affected person. 60% participants responded that sufferers would have concerns related to disclosure of illness. On the positive side, majority participants responded that COVID-19 would not lead to difficulties in finding match for the sufferer’s marriage (57.8%) or relative’s marriage (80.3%) or would not lead to problems in ongoing marriage (61.7%). Nearly 60% also responded that people would not think less of themselves if a family member had COVID-19 and it would not cause shame and embarrassment in community (58.8%). Conclusion: Public stigma for COVID-19 was high in some forms (avoidance, disclosure concerns, difficulty in finding work, etc.) and low in some other forms (like marriage-related issues, shame, and embarrassment in community).","PeriodicalId":55693,"journal":{"name":"Indian Journal of Social Psychiatry","volume":"21 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135874693","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}
Abstract Introduction: Mental health-related problems among medical students were well-researched before the era of competency-based curricula. These problems were revealed to be widespread among college students who experienced greater effort-reward imbalance and over-commitment. Such research is insufficient in the Indian context. Aims: The present study aims to assess the prevalence of mental health problems (stress, anxiety, and depression), and their covariates among female medical undergraduate students. Methodology: A cross-sectional exploratory study was conducted from March 2022 to May 2022 on 364 female medical undergraduate students in a rural institution located in Northern India. A stratified random sampling technique was used. The study included a semi-structured sociodemographic with personal and psychological domains proforma along with a Perceived Stress Scale-10, Generalized Anxiety Disorder-7 questionnaire, Becks Depression Inventory-II, Medical Students Stressor Questionnaire, and brief-coping orientation to problems experienced to assess perceived stress, anxiety, depression, stressors, and coping mechanisms, respectively. The Chi-square test and backward multivariable logistic regression analyses were used to investigate the correlates of dependent variables. Results: Of 364, around 40.7%, 36.5%, and 17.9% of students were highly stressed, anxious, and moderate to severely depressed, respectively, with a mean age of 20.44 ± 1.88 years. The results indicate that poor sleep and irregular exercise patterns were significant covariates of mental health problems. Respondents with interpersonal- and intrapersonal-related stressors were found to have two times (adjusted odds ratio [AOR] = 2.632; confidence interval [CI] = 1.216–5.698; P < 0.05) and four times (AOR = 4.230; CI = 1.832–9.763; P < 0.001) higher odds of perceived stress and anxiety symptoms, respectively. A personal history and family history of psychiatric illness among participants influenced perceived stress by 211%–226% while drive- and desire-related stressors influenced depressive symptoms by more than three times (AOR = 3.719; 95% CI = 1.702–8.124; P < 0.001) Conclusions: Findings from the present study suggest that a large number of students are suffering from mental health issues. Modifiable factors such as poor sleep and irregular exercise patterns can be addressed through various wellness programs and group sessions. Various supportive and preventive measures along with scheduled psychological interventions can be adopted by the institution to address various stressors faced by the students.
{"title":"Covariates Associated with Mental Health Problems Faced by Undergraduate Medical Students Undergoing Competency-Based Medical Education at a Rural Institution in North India: A Cross-Sectional Exploratory Survey","authors":"Aakanksha Kharb, Sunny Garg, Akanksha Yadav, Ekta Yadav, Sumit Kumar","doi":"10.4103/ijsp.ijsp_278_22","DOIUrl":"https://doi.org/10.4103/ijsp.ijsp_278_22","url":null,"abstract":"Abstract Introduction: Mental health-related problems among medical students were well-researched before the era of competency-based curricula. These problems were revealed to be widespread among college students who experienced greater effort-reward imbalance and over-commitment. Such research is insufficient in the Indian context. Aims: The present study aims to assess the prevalence of mental health problems (stress, anxiety, and depression), and their covariates among female medical undergraduate students. Methodology: A cross-sectional exploratory study was conducted from March 2022 to May 2022 on 364 female medical undergraduate students in a rural institution located in Northern India. A stratified random sampling technique was used. The study included a semi-structured sociodemographic with personal and psychological domains proforma along with a Perceived Stress Scale-10, Generalized Anxiety Disorder-7 questionnaire, Becks Depression Inventory-II, Medical Students Stressor Questionnaire, and brief-coping orientation to problems experienced to assess perceived stress, anxiety, depression, stressors, and coping mechanisms, respectively. The Chi-square test and backward multivariable logistic regression analyses were used to investigate the correlates of dependent variables. Results: Of 364, around 40.7%, 36.5%, and 17.9% of students were highly stressed, anxious, and moderate to severely depressed, respectively, with a mean age of 20.44 ± 1.88 years. The results indicate that poor sleep and irregular exercise patterns were significant covariates of mental health problems. Respondents with interpersonal- and intrapersonal-related stressors were found to have two times (adjusted odds ratio [AOR] = 2.632; confidence interval [CI] = 1.216–5.698; P < 0.05) and four times (AOR = 4.230; CI = 1.832–9.763; P < 0.001) higher odds of perceived stress and anxiety symptoms, respectively. A personal history and family history of psychiatric illness among participants influenced perceived stress by 211%–226% while drive- and desire-related stressors influenced depressive symptoms by more than three times (AOR = 3.719; 95% CI = 1.702–8.124; P < 0.001) Conclusions: Findings from the present study suggest that a large number of students are suffering from mental health issues. Modifiable factors such as poor sleep and irregular exercise patterns can be addressed through various wellness programs and group sessions. Various supportive and preventive measures along with scheduled psychological interventions can be adopted by the institution to address various stressors faced by the students.","PeriodicalId":55693,"journal":{"name":"Indian Journal of Social Psychiatry","volume":"23 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135874026","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}
Hadik Al Jouhar Kunnath, Kartik Singhai, Sivakumar Thanapal
Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India Address for correspondence: Dr. Kartik Singhai, Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India. E-mail: [email protected]
{"title":"Single Father with Intellectual Disability: Portrayal in Movies and Implications for the Indian Context","authors":"Hadik Al Jouhar Kunnath, Kartik Singhai, Sivakumar Thanapal","doi":"10.4103/ijsp.ijsp_72_22","DOIUrl":"https://doi.org/10.4103/ijsp.ijsp_72_22","url":null,"abstract":"Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India Address for correspondence: Dr. Kartik Singhai, Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India. E-mail: [email protected]","PeriodicalId":55693,"journal":{"name":"Indian Journal of Social Psychiatry","volume":"23 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135874024","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 : 2023-10-30DOI: 10.4103/ijsp.ijsp_239_22
Shipra Singh
Abstract Defining normalcy in psychiatry is difficult. It depends on numerous factors such as social and cultural and may even vary for the same individual at different points in time. The dilemma arises when the behavior of person changes, but could not be classified as a disorder. Here, we describe the case of a young male, who became excessively inclined to religion. He presented with social withdrawal and frequent absenteeism from college. No clear affective or psychotic symptoms could be elicited. In consequent visits, he mentioned a recent interest in watching videos of religious leaders to understand “Allah” better. He started reading Quraan and following practices, unlike earlier. No psychiatric diagnosis could be made, thus appeared the issue of management. An eclectic model of therapy was used, with some success. To conclude, psychiatry is an enigmatic branch with obscure boundaries and gray areas. The involvement of religion is one such instance, which makes diagnosis and management challenging for the therapist. There is a need for adequate training pertaining to cultural knowledge and religious or spiritual context to psychiatry trainees, helping to attain confidence in better handling such issues.
{"title":"Religious Beliefs and Indeterminate Boundaries of Psychiatry","authors":"Shipra Singh","doi":"10.4103/ijsp.ijsp_239_22","DOIUrl":"https://doi.org/10.4103/ijsp.ijsp_239_22","url":null,"abstract":"Abstract Defining normalcy in psychiatry is difficult. It depends on numerous factors such as social and cultural and may even vary for the same individual at different points in time. The dilemma arises when the behavior of person changes, but could not be classified as a disorder. Here, we describe the case of a young male, who became excessively inclined to religion. He presented with social withdrawal and frequent absenteeism from college. No clear affective or psychotic symptoms could be elicited. In consequent visits, he mentioned a recent interest in watching videos of religious leaders to understand “Allah” better. He started reading Quraan and following practices, unlike earlier. No psychiatric diagnosis could be made, thus appeared the issue of management. An eclectic model of therapy was used, with some success. To conclude, psychiatry is an enigmatic branch with obscure boundaries and gray areas. The involvement of religion is one such instance, which makes diagnosis and management challenging for the therapist. There is a need for adequate training pertaining to cultural knowledge and religious or spiritual context to psychiatry trainees, helping to attain confidence in better handling such issues.","PeriodicalId":55693,"journal":{"name":"Indian Journal of Social Psychiatry","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136068739","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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