Pub Date : 2023-10-30DOI: 10.4103/ijsp.ijsp_105_23
Sibsankar Mal, Grace Bahalen Mundu
{"title":"Unpacking the Uniqueness: What Makes a Systematic Review of Transgender Issues Unique?","authors":"Sibsankar Mal, Grace Bahalen Mundu","doi":"10.4103/ijsp.ijsp_105_23","DOIUrl":"https://doi.org/10.4103/ijsp.ijsp_105_23","url":null,"abstract":"","PeriodicalId":55693,"journal":{"name":"Indian Journal of Social Psychiatry","volume":"55 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":"136070679","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_171_21
Nellai K. Chithra, Nandhini Bojappen, Bhavika Vajawat, Naveen Manohar Pai, Guru S. Gowda, Sydney Moirangthem, Channaveerachari Naveen Kumar, Suresh Bada Math
Abstract Cannabis is one of the oldest psychoactive substances in India and worldwide. Many developed countries like Canada, Netherlands and few states of the USA have legalized the use of recreational cannabis. However, In India, the recreational use of cannabis and its various forms such as ganja, charas, hashish, and its combination is legally prohibited. There have been several discussions and public interest litigations in India regarding the legalization of recreational cannabis use and its benefits. With this background, this article addresses the various implications of legalizing recreational use of cannabis, a multibillion dollar market and its impact on mental health, physical health, social, cultural, economic, and legal aspects with the lessons learnt from other countries that have already legalized recreational cannabis use. It also discusses whether India is prepared for the legalization of recreational cannabis, given the current criminal justice and healthcare systems. The authors conclude that, India is perhaps not enough prepared to legalize cannabis for recreational use. India’s existing criminal justice and healthcare systems are overburdened, finding it challenging to control medicinal use, which is often the first contact point for cannabis-related concerns.
{"title":"Legalization of Recreational Cannabis: Is India Ready for it?","authors":"Nellai K. Chithra, Nandhini Bojappen, Bhavika Vajawat, Naveen Manohar Pai, Guru S. Gowda, Sydney Moirangthem, Channaveerachari Naveen Kumar, Suresh Bada Math","doi":"10.4103/ijsp.ijsp_171_21","DOIUrl":"https://doi.org/10.4103/ijsp.ijsp_171_21","url":null,"abstract":"Abstract Cannabis is one of the oldest psychoactive substances in India and worldwide. Many developed countries like Canada, Netherlands and few states of the USA have legalized the use of recreational cannabis. However, In India, the recreational use of cannabis and its various forms such as ganja, charas, hashish, and its combination is legally prohibited. There have been several discussions and public interest litigations in India regarding the legalization of recreational cannabis use and its benefits. With this background, this article addresses the various implications of legalizing recreational use of cannabis, a multibillion dollar market and its impact on mental health, physical health, social, cultural, economic, and legal aspects with the lessons learnt from other countries that have already legalized recreational cannabis use. It also discusses whether India is prepared for the legalization of recreational cannabis, given the current criminal justice and healthcare systems. The authors conclude that, India is perhaps not enough prepared to legalize cannabis for recreational use. India’s existing criminal justice and healthcare systems are overburdened, finding it challenging to control medicinal use, which is often the first contact point for cannabis-related concerns.","PeriodicalId":55693,"journal":{"name":"Indian Journal of Social Psychiatry","volume":"64 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136068728","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_255_21
Rini Gogoi, Arif Ali
Abstract Background: Children of parents with a mental illness (COPMI) are at greater risk of psychological and physical ill-health, increased behavioral and developmental difficulties, educational underachievement and lower competency than their peers compared to children of healthy parents. The aim of this study was to find resilience, Social Connectedness, mental health status and quality of life (QoL) in COPMI. Materials and Methods: Cross sectional Analytical study was used in the present study. Thirty COPMI with age group of 11–18 years of age, either of the biological parents was diagnosed with severe mental illness (Schizophrenia and Bipolar affective disorder according to international classification of diseases-10) were selected. Socio-demographic data sheet, Connor-Davidson Resilience Scale, KIDSCREEN-27 (QoL), Social Connectedness Scale, Strength and Difficulties Questionnaire (SDQ) were administered. Results: The finding shows that 33.3% of COMPI had low level of resilience and a stronger sense of social connectedness (M = 78.63, standard deviation [SD] = 6.83). Psychological wellbeing (M = 20.77, SD = 2.68) was higher than other domains of QoL, followed by autonomy and parents (M = 18.46, SD = 3.43), school environment (M = 14.56, SD = 2.87), physical wellbeing (M = 14.43, SD = 1.88), and peer and social support (M = 10.87, SD = 2.08). The finding shows that in the total difficulty score (SDQ), 26.7% falls under normal category while 73.3% have abnormal scores. Total Difficulties score (SDQ) has a significant negative correlation with QoL [r=-0.520, P = 0.01] and Social Connectedness (r = ‑ 0.478, P = 0.01). Conclusion: The study highlighted the risk of developing emotional and behavioral problems among COPMI. Resilience based intervention is required at school and community level for mental health promotion among children.
{"title":"Resilience, Social Connectedness, Mental Health Status and Quality of Life in Children of Parents with Mental Illness","authors":"Rini Gogoi, Arif Ali","doi":"10.4103/ijsp.ijsp_255_21","DOIUrl":"https://doi.org/10.4103/ijsp.ijsp_255_21","url":null,"abstract":"Abstract Background: Children of parents with a mental illness (COPMI) are at greater risk of psychological and physical ill-health, increased behavioral and developmental difficulties, educational underachievement and lower competency than their peers compared to children of healthy parents. The aim of this study was to find resilience, Social Connectedness, mental health status and quality of life (QoL) in COPMI. Materials and Methods: Cross sectional Analytical study was used in the present study. Thirty COPMI with age group of 11–18 years of age, either of the biological parents was diagnosed with severe mental illness (Schizophrenia and Bipolar affective disorder according to international classification of diseases-10) were selected. Socio-demographic data sheet, Connor-Davidson Resilience Scale, KIDSCREEN-27 (QoL), Social Connectedness Scale, Strength and Difficulties Questionnaire (SDQ) were administered. Results: The finding shows that 33.3% of COMPI had low level of resilience and a stronger sense of social connectedness (M = 78.63, standard deviation [SD] = 6.83). Psychological wellbeing (M = 20.77, SD = 2.68) was higher than other domains of QoL, followed by autonomy and parents (M = 18.46, SD = 3.43), school environment (M = 14.56, SD = 2.87), physical wellbeing (M = 14.43, SD = 1.88), and peer and social support (M = 10.87, SD = 2.08). The finding shows that in the total difficulty score (SDQ), 26.7% falls under normal category while 73.3% have abnormal scores. Total Difficulties score (SDQ) has a significant negative correlation with QoL [r=-0.520, P = 0.01] and Social Connectedness (r = ‑ 0.478, P = 0.01). Conclusion: The study highlighted the risk of developing emotional and behavioral problems among COPMI. Resilience based intervention is required at school and community level for mental health promotion among children.","PeriodicalId":55693,"journal":{"name":"Indian Journal of Social Psychiatry","volume":"131 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":"136069649","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 : 2023-10-01DOI: 10.4103/ijsp.ijsp_276_23
Harneet Kaur, T. Sivakumar, S. Manikappa, S. Sarkar
{"title":"The conundrum of geriatric public mental health in India: Initiatives and the road ahead","authors":"Harneet Kaur, T. Sivakumar, S. Manikappa, S. Sarkar","doi":"10.4103/ijsp.ijsp_276_23","DOIUrl":"https://doi.org/10.4103/ijsp.ijsp_276_23","url":null,"abstract":"","PeriodicalId":55693,"journal":{"name":"Indian Journal of Social Psychiatry","volume":"204 1","pages":"312 - 315"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139330451","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 : 2023-10-01DOI: 10.4103/ijsp.ijsp_271_21
Harshal Sathe, Sally John, P. Gupta, Priyanka Yadav
Background: The assessment of disability is an integral part of the management of patients with schizophrenia. The Indian Disability Evaluation and Assessment Scale (IDEAS) is a government-recommended tool used for the assessment and certification of disability in mental illnesses. The literature on the psychometric properties such as reliability and validity of IDEAS for the assessment of disability in schizophrenia patients is relatively scant. Materials and Methods: This was a cross-sectional, observational, descriptive study done in a tertiary health care center catering the rural patients in central India. A hundred male and female treatment-seeking schizophrenia patients, who were in symptom remission, were purposively included in the study. Apart from sociodemographic profile and severity assessment, the disability levels of the patients were assessed using IDEAS as well as the World Health Organisation Disability Assessment Scale version 2.0 (WHODAS 2.0). Results: The mean age of the patients included in the study was 36.6 (±9.11) years. Among the four disability domains in the IDEAS, maximum disability was seen in the work domain, whereas self-care was the least affected domain. Males had a higher disability in work, whereas in the individuals belonging to joint families and rural backgrounds, self-care was significantly affected. Pearson correlation test implied that IDEAS showed good internal consistency (Cronbach's alpha = 0.892) and concurrent validity with the WHODAS 2.0 in the assessment of disability in the study participants. Conclusion: IDEAS is a reliable and valid instrument for the measurement of disability in severe mental illnesses such as schizophrenia.
{"title":"Psychometric Properties of Indian Disability Evaluation and Assessment Scale in the Patients of Schizophrenia","authors":"Harshal Sathe, Sally John, P. Gupta, Priyanka Yadav","doi":"10.4103/ijsp.ijsp_271_21","DOIUrl":"https://doi.org/10.4103/ijsp.ijsp_271_21","url":null,"abstract":"Background: The assessment of disability is an integral part of the management of patients with schizophrenia. The Indian Disability Evaluation and Assessment Scale (IDEAS) is a government-recommended tool used for the assessment and certification of disability in mental illnesses. The literature on the psychometric properties such as reliability and validity of IDEAS for the assessment of disability in schizophrenia patients is relatively scant. Materials and Methods: This was a cross-sectional, observational, descriptive study done in a tertiary health care center catering the rural patients in central India. A hundred male and female treatment-seeking schizophrenia patients, who were in symptom remission, were purposively included in the study. Apart from sociodemographic profile and severity assessment, the disability levels of the patients were assessed using IDEAS as well as the World Health Organisation Disability Assessment Scale version 2.0 (WHODAS 2.0). Results: The mean age of the patients included in the study was 36.6 (±9.11) years. Among the four disability domains in the IDEAS, maximum disability was seen in the work domain, whereas self-care was the least affected domain. Males had a higher disability in work, whereas in the individuals belonging to joint families and rural backgrounds, self-care was significantly affected. Pearson correlation test implied that IDEAS showed good internal consistency (Cronbach's alpha = 0.892) and concurrent validity with the WHODAS 2.0 in the assessment of disability in the study participants. Conclusion: IDEAS is a reliable and valid instrument for the measurement of disability in severe mental illnesses such as schizophrenia.","PeriodicalId":55693,"journal":{"name":"Indian Journal of Social Psychiatry","volume":"1 1","pages":"364 - 369"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70767107","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 : 2023-10-01DOI: 10.4103/ijsp.ijsp_271_23
P. Sharan
Suicide management is attended with ethical dilemmas. Philosophical positions like respect for life (which generally accords with the theological position), autonomy, duty to others, and utilitarianism; as well as legal requirements provide a context for ethical decision making. Ethical principles involved are duty to others, autonomy (including informed consent and confidentiality), beneficence and non-maleficence. The application of these principles are considered in various clinical situations related to acute care (advanced directives, withdrawal of or withholding life-sustaining treatments, surrogate decision makers, informed consent, no-suicide contracts, involuntary hospitalization) as well as long-term care in mental health settings (acutely and chronically suicidal patients, patients with suicidal behavior who are not in a suicidal crisis, and therapeutic relationship). Organizational issues (legal statutes, institutional preparedness) and cultural issues (family ties, religiosity) relevant to ethics related to suicidality are also discussed. It is emphasized that professional bodies should appreciate the difficulties faced by health-care professionals in the ethical decision making related to suicide and develop instruments to support them.
{"title":"Ethical challenges in clinical care of suicidal patients","authors":"P. Sharan","doi":"10.4103/ijsp.ijsp_271_23","DOIUrl":"https://doi.org/10.4103/ijsp.ijsp_271_23","url":null,"abstract":"Suicide management is attended with ethical dilemmas. Philosophical positions like respect for life (which generally accords with the theological position), autonomy, duty to others, and utilitarianism; as well as legal requirements provide a context for ethical decision making. Ethical principles involved are duty to others, autonomy (including informed consent and confidentiality), beneficence and non-maleficence. The application of these principles are considered in various clinical situations related to acute care (advanced directives, withdrawal of or withholding life-sustaining treatments, surrogate decision makers, informed consent, no-suicide contracts, involuntary hospitalization) as well as long-term care in mental health settings (acutely and chronically suicidal patients, patients with suicidal behavior who are not in a suicidal crisis, and therapeutic relationship). Organizational issues (legal statutes, institutional preparedness) and cultural issues (family ties, religiosity) relevant to ethics related to suicidality are also discussed. It is emphasized that professional bodies should appreciate the difficulties faced by health-care professionals in the ethical decision making related to suicide and develop instruments to support them.","PeriodicalId":55693,"journal":{"name":"Indian Journal of Social Psychiatry","volume":"46 1","pages":"319 - 324"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139328618","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 : 2023-10-01DOI: 10.4103/ijsp.ijsp_262_20
M. Shah, M. Margoob, F. R. Bhat, M. Dar
Background: Seasonal affective disorder (SAD) or SAD is a type of recurring major depression having a seasonal pattern of onset and termination of mood episodes. Even though SAD can occur during the summer season, but the winter pattern is most commonly recognized. The prevalence of SAD varies with the climate and latitude of regions. In this study, we aimed to study the clinical profile of SAD among Kashmiri patients. Materials and Methods: It was a cross-sectional study among fifty patients attending an outpatient clinic of a tertiary care hospital in Kashmir, North India. Patients were diagnosed with SAD as per the diagnostic and statistical manual, 5th version, and were assessed for the clinical pattern of winter depression; months of September to May. Results: Patients were predominantly females (72%), in the age group of 20–30 years (36%), and were married (64%). Depressive mood (96%) and anxious mood (74%) were the most common mood symptoms. Decreased energy and decreased libido were present in 82% and 70% of patients. November to late April was the period when the majority of the patients had depressive symptoms (32%). In 44% of the patients, symptoms were most severe in late February. Conclusion: Females predominated the study group while the commonest age group was 20–30 years. Low/anxious mood and reduction in energy were the most common features. The onset of symptoms was in the months of September-December and remission in the months of March-May.
{"title":"Pattern of winter depression among Kashmiri patients","authors":"M. Shah, M. Margoob, F. R. Bhat, M. Dar","doi":"10.4103/ijsp.ijsp_262_20","DOIUrl":"https://doi.org/10.4103/ijsp.ijsp_262_20","url":null,"abstract":"Background: Seasonal affective disorder (SAD) or SAD is a type of recurring major depression having a seasonal pattern of onset and termination of mood episodes. Even though SAD can occur during the summer season, but the winter pattern is most commonly recognized. The prevalence of SAD varies with the climate and latitude of regions. In this study, we aimed to study the clinical profile of SAD among Kashmiri patients. Materials and Methods: It was a cross-sectional study among fifty patients attending an outpatient clinic of a tertiary care hospital in Kashmir, North India. Patients were diagnosed with SAD as per the diagnostic and statistical manual, 5th version, and were assessed for the clinical pattern of winter depression; months of September to May. Results: Patients were predominantly females (72%), in the age group of 20–30 years (36%), and were married (64%). Depressive mood (96%) and anxious mood (74%) were the most common mood symptoms. Decreased energy and decreased libido were present in 82% and 70% of patients. November to late April was the period when the majority of the patients had depressive symptoms (32%). In 44% of the patients, symptoms were most severe in late February. Conclusion: Females predominated the study group while the commonest age group was 20–30 years. Low/anxious mood and reduction in energy were the most common features. The onset of symptoms was in the months of September-December and remission in the months of March-May.","PeriodicalId":55693,"journal":{"name":"Indian Journal of Social Psychiatry","volume":"37 1","pages":"332 - 336"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139329151","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 : 2023-10-01DOI: 10.4103/ijsp.ijsp_280_23
Rachna Bhargava, Prosenjit Ghosh, Aditya Somani, H. Khurana
{"title":"Empowering families in the management of childhood and adolescent psychiatric problems using a public mental health paradigm","authors":"Rachna Bhargava, Prosenjit Ghosh, Aditya Somani, H. Khurana","doi":"10.4103/ijsp.ijsp_280_23","DOIUrl":"https://doi.org/10.4103/ijsp.ijsp_280_23","url":null,"abstract":"","PeriodicalId":55693,"journal":{"name":"Indian Journal of Social Psychiatry","volume":"5 1","pages":"316 - 318"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139325259","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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