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Pentazocine Dependence in a Female Patient with Tubercular Meningitis 女性结核性脑膜炎患者对五唑嗪的依赖性
Q4 Medicine Pub Date : 2023-08-14 DOI: 10.4103/ijsp.ijsp_66_23
H. Kaur, H. Singh
Pentazocine abuse is relatively uncommon and even rarely seen in Indian females. It is often associated with multiple dermatological sequelae due to the repetitive local trauma at the injection site and the local effects of the drug. While managing opioid dependence, pathways of care vary a lot, thus deeming the multilevel screening at the level of general practitioners, pharmacists, mental health professionals, and other specialties, rather crucial. This one step can lead to a significant reduction in the treatment gap of opioid dependence. Here, we present a case of a female who started self-injecting a combination of pentazocine and promethazine (Phenergan) posttubercular meningitis recovery for her persistent postmeningitic headache.
滥用五唑嗪的情况相对少见,甚至很少在印度女性身上看到。由于注射部位的反复局部创伤和药物的局部作用,它通常与多种皮肤病后遗症有关。在管理阿片类药物依赖的同时,护理途径差异很大,因此认为全科医生、药剂师、心理健康专业人员和其他专业的多层次筛查相当重要。这一步可以显著缩小阿片类药物依赖的治疗差距。在这里,我们介绍了一个女性的病例,她开始自我注射五唑嗪和异丙嗪(Phenergan)的组合治疗她持续的脑膜后头痛。
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引用次数: 0
Anguish and Languish Experienced by Parents of Children with Special Needs through the Pandemic 疫情期间有特殊需求儿童父母的痛苦和语言
Q4 Medicine Pub Date : 2023-08-14 DOI: 10.4103/ijsp.ijsp_286_21
Sharanya Anil, Apoorva Sriram, Shruti Hari
The COVID-19 pandemic has significantly impacted life globally. The lockdown-imposed restrictions have negatively impacted a host of sectors, specifically with respect to India, but more so among marginalized communities of children with special needs (CSN) and their primary caregivers whose struggles have been left unnoticed. This article attempts to elucidate the numerous challenges that primary caregivers of this overlooked section of society have endured and its repercussions on their mental and emotional well-being. We further propound the experiences from the pandemic necessitates novel guidelines and make recommendations to support CSN and their caregivers in the advent of another massive crisis.
新冠肺炎大流行对全球生活产生了重大影响。封锁实施的限制对许多部门产生了负面影响,特别是在印度,但在边缘化的有特殊需求儿童社区及其主要照顾者中更是如此,他们的挣扎被忽视了。本文试图阐明这一被忽视的社会阶层的主要照顾者所面临的众多挑战及其对他们心理和情感健康的影响。我们进一步提出,新冠疫情的经验需要新的指导方针,并提出建议,以支持CSN及其护理人员应对另一场大规模危机。
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引用次数: 0
A Study of Emergency Room Presentations of Suicidal Behavior Cases during the COVID-19 Pandemic 新冠肺炎大流行期间急诊室自杀行为表现的研究
Q4 Medicine Pub Date : 2023-08-14 DOI: 10.4103/ijsp.ijsp_88_22
Vinutha Ravishankar, Thejus Suresh, S. Komal, Chandrashekar Hongally
COVID-19 illness and the measures taken to contain its spread have had a serious impact on mental health. An increase in the emergency room (ER) presentations of suicidal behavior cases could reflect the extent of the psychological distress in the community. To estimate the prevalence of ER presentations of suicidal behavior cases during the COVID-19 pandemic. Retrospective review of registers and 305 case files of suicidal behavior registered during the period of April 1, 2019–March 30, 2020 (prepandemic) and compared to the April 1, 2020–March 30, 2021 (during the pandemic). Data were collected in a semi-structured pro forma prepared for this purpose. Data were tabulated, and statistical analysis was performed. There was a decrease in the total number of medico-legal cases (MLCs) presenting to ER during the pandemic period (N1 = 584 vs. N2 = 387). However, there was a proportionate increase in the cases of suicidal behavior observed during the pandemic compared to the prepandemic period (35.2% vs. 29.5%). 55.4% of compound consumption and 45.7% of hanging cases had interpersonal conflicts as precipitating factors during the pandemic period. There was an increase noted in poisoning by tablet consumption by 8.3% during the pandemic period. To conclude, our study showed a decrease in the number of total MLCs during the pandemic. However, there was a proportionate increase in the cases of suicidal behavior during the pandemic compared to the prepandemic period. Poisoning was seen to be the most common method of suicidal behavior. Interpersonal conflicts were the most common reported precipitating factor.
新冠肺炎疾病和为遏制其传播而采取的措施对心理健康产生了严重影响。急诊室(ER)自杀行为病例的增加可能反映了社区心理困扰的程度。估计新冠肺炎大流行期间自杀行为病例的ER表现的患病率。对2019年4月1日至2020年3月30日(疫情前)期间登记的自杀行为登记册和305份病例档案进行回顾性审查,并与2020年4月31日至2021年3月31日(疫情期间)进行比较。数据收集在为此目的编制的半结构化形式中。将数据制成表格,并进行统计分析。在疫情期间,急诊室的医疗法律案件总数有所下降(N1=584,N2=387)。然而,与疫情前相比,在疫情期间观察到的自杀行为的案例有相应的增加(35.2%对29.5%)。在疫情期间,55.4%的复合消费和45.7%的悬案都有人际冲突作为诱发因素。在新冠疫情期间,药片中毒增加了8.3%。总之,我们的研究表明,在疫情期间,MLC总数有所下降。然而,与疫情前相比,疫情期间自杀行为的病例有相应的增加。中毒被认为是自杀行为中最常见的方法。人际冲突是最常见的诱因。
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引用次数: 0
Forgiveness as a Therapeutic Construct 宽恕是一种治疗结构
Q4 Medicine Pub Date : 2023-07-21 DOI: 10.4103/ijsp.ijsp_59_22
L. Daniel, Swarnali Bose, N. Goyal
Despite the evidence of having physical and mental health benefits of practicing forgiveness, resistance among therapists is evident, probably due to the lack of a coherent theoretical grounding in the understanding of forgiveness. Hence, to encourage the practice of forgiveness in clinical settings, more rigorous studies should be planned along with re-conceptualization of existing models of forgiveness by taking account of variables such as personality and other contextual factors. The purpose of this article is to explore the concept of forgiveness as a therapeutic construct and to discuss the benefits and limitations of practicing forgiveness in therapeutic settings.
尽管有证据表明实践宽恕对身心健康有好处,但治疗师之间的抵制是显而易见的,这可能是由于对宽恕的理解缺乏连贯的理论基础。因此,为了鼓励在临床环境中进行宽恕,应计划进行更严格的研究,同时通过考虑个性和其他情境因素等变量,重新概念化现有的宽恕模型。本文的目的是探索宽恕作为一种治疗结构的概念,并讨论在治疗环境中实践宽恕的好处和局限性。
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引用次数: 0
Extent and Severity of Internet Addiction in Persons with Common Mental Disorders 常见精神障碍患者网络成瘾的程度和严重程度
Q4 Medicine Pub Date : 2023-07-21 DOI: 10.4103/ijsp.ijsp_192_22
A. Sidana, Sonali Aggarwal, Arshdeep Jhalli, Kampila Kardam
There is a scarcity of literature about Internet addiction (IA) in common mental disorders (CMDs) such as depression, anxiety, obsessive-compulsive disorder, and substance use disorders. Early identification of IA in CMDs can help in better management of both disorders. To assess the extent and severity of IA in persons with CMDs. This was a cross-sectional, single-group, exploratory study conducted at the Department of Psychiatry of tertiary care teaching hospital in North India. Patients aged 18 years and above and diagnosed with CMDs (Neurotic and stress-related disorders, Depressive Disorder, and substance use disorder) as per the ICD-11 criteria were included in the study after taking written informed consent. The severity of CMDs was assessed on Hamilton Anxiety Rating Scale (HAM-A), Hamilton Depression Rating Scale (HAM-D), Yale-Brown Obsessive-compulsive Scale, Severity of Alcohol Dependence Questionnaire and Severity of Opioid Dependence Questionnaire. The level of IA was assessed using Young’s IA Test. A total of 150 patients diagnosed with CMDs were included. Males were slightly more than females (56% v/s 44%), most were younger than 40 years of age (55.3%), married (66.7%) and from urban (65.3%) background. Out of 150, 84 (56%) had depressive disorder, 45 (30%) had anxiety disorder, 15 (10%) had OCD and only 6 (4%) had substance use disorders. 69 (46%) participants had IA (36 mild and 33 moderate) and none had severe IA. A significant association was found between IA and CMDs (P < 0.05). Age, marital status, and type of residence were independent predictors or risk factors for IA. The index study concludes that there is a strong association between CMDs and IA. About half of persons with CMDs have IA.
关于网络成瘾(IA)在抑郁症、焦虑症、强迫症和物质使用障碍等常见精神障碍(cmd)中的研究文献很少。早期识别慢性阻塞性肺病患者的IA有助于更好地管理这两种疾病。评估慢性阻塞性肺病患者IA的程度和严重程度。这是一项横断面、单组、探索性研究,在印度北部三级护理教学医院精神科进行。年龄在18岁及以上,根据ICD-11标准诊断为CMDs(神经症和压力相关障碍、抑郁症和物质使用障碍)的患者在获得书面知情同意书后纳入研究。采用汉密尔顿焦虑量表(HAM-A)、汉密尔顿抑郁量表(HAM-D)、耶鲁-布朗强迫症量表、酒精依赖严重程度问卷和阿片类药物依赖严重程度问卷对慢性阻塞性肺病的严重程度进行评估。采用Young 's IA测试评估IA水平。共纳入了150例诊断为慢性阻塞性肺病的患者。男性略高于女性(56% vs . 44%),大多数年龄在40岁以下(55.3%),已婚(66.7%),城市背景(65.3%)。在150人中,84人(56%)患有抑郁症,45人(30%)患有焦虑症,15人(10%)患有强迫症,只有6人(4%)患有物质使用障碍。69名(46%)参与者患有IA(36名轻度和33名中度),没有人患有严重IA。IA与CMDs有显著相关性(P < 0.05)。年龄、婚姻状况和居住类型是IA的独立预测因素或危险因素。该指数研究得出结论,CMDs和IA之间存在很强的相关性。大约一半患有慢性阻塞性肺病的人患有内源性疾病。
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引用次数: 0
Telepsychology
Q4 Medicine Pub Date : 2023-07-21 DOI: 10.4103/ijsp.ijsp_57_21
Susmita Halder, Shinjini Samajdar
Telepsychology is a new perspective of professional help for mental health. Increased use of technology became a preferred medium to provide mental health services and made it easier to reach the larger population. In the underserved regions, the services of mental health have been reached to manage and prevent mental disorders. It requires proficiency, competency, and encouragement to improve skills and services. The purpose of the article is to explore and identify the scope and to link the concept with application and challenges in different mental health conditions.
远程心理学是心理健康专业帮助的新视角。更多地使用技术成为提供心理健康服务的首选媒介,并使其更容易接触到更多的人口。在服务不足的地区,已提供精神卫生服务,以管理和预防精神障碍。它需要熟练程度、能力和鼓励来提高技能和服务。本文的目的是探讨和确定其范围,并将这一概念与在不同心理健康状况下的应用和挑战联系起来。
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引用次数: 0
Suicidal Behavior Prevalence and Sociodemographic Determinants Among Delhi College Students 德里大学生自杀行为流行率及社会人口学决定因素
Q4 Medicine Pub Date : 2023-07-21 DOI: 10.4103/ijsp.ijsp_209_22
Vijay Kumar Gangipogu, Vineeta Chaudhary, K. Saraswathy, Sonal Jain
The high burden of suicide among young adults is a matter of grave concern worldwide. Yet only a few studies from India have attempted to explore the region-specific prevalence and determinants of suicidal behavior. Considering this research gap, the present study was undertaken to capture the prevalence and sociodemographic determinants of suicidal behavior among college-going young adults residing in Delhi. This cross-sectional study was carried out among 272 (59.20% females) college-going young adults (aged 18–30 years) of Delhi. Data on sociodemographic variables were captured through a pretested and modified interview schedule. Screening for suicidal behavior was done using the Suicide Behavior Questionnaire-Revised. Statistical analysis was performed using SPSS version 22. Suicidal behavior was present in 18.01% of the studied participants. The prevalence of suicidal behavior was significantly higher among females (21.73%) than among males (12.61%) (P < 0.05), suggesting females are at a higher risk than males. Other sociodemographic variables (age, education level, state of origin, social category, religion, and family income) were not found to be associated with suicidal behavior except for the social category, where participants belonging to reserved castes were found to be at relatively lower risk of having suicidal behavior than those belonging to the unreserved category. The prevalence of suicidal behavior among the participants is quite high. Region-specific data on suicide-related behavior is important for averting completed suicides and preventing devastating outcomes among young adults.
年轻人自杀的沉重负担是全世界严重关切的问题。然而,只有少数来自印度的研究试图探索特定地区自杀行为的流行率和决定因素。考虑到这一研究差距,本研究旨在了解居住在德里的上大学年轻人自杀行为的流行率和社会人口学决定因素。这项横断面研究是在德里272名(59.20%的女性)上大学的年轻人(18-30岁)中进行的。社会人口统计变量的数据是通过预先测试和修改的访谈时间表获取的。自杀行为筛查采用自杀行为调查表修订版。使用SPSS版本22进行统计分析。18.01%的受试者存在自杀行为。女性自杀行为的发生率(21.73%)显著高于男性(12.61%)(P<0.05),表明女性的自杀风险高于男性。其他社会人口统计学变量(年龄、教育水平、原籍国、社会类别、宗教和家庭收入)与自杀行为无关,但社会类别除外,在社会类别中,属于保留种姓的参与者发生自杀行为的风险相对较低。参与者中自杀行为的发生率相当高。关于自杀相关行为的特定地区数据对于避免年轻人完全自杀和预防毁灭性后果很重要。
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引用次数: 0
Intimate Partner Violence among Women with Somatoform Disorders 躯体形式障碍妇女中的亲密伴侣暴力
Q4 Medicine Pub Date : 2023-07-21 DOI: 10.4103/ijsp.ijsp_188_21
Shruti K. Nair, Sushma Nataraj, Veena A. Satyanarayana, G. Desai
Somatoform disorders and medically unexplained symptoms are reported to be common in women and associated with significant disability. Studies have shown that women experiencing Intimate Partner Violence are more likely to report somatic symptoms. This systematic review aims to evaluate the prevalence and clinical correlates of IPV in women presenting with MUS and somatoform disorders. We searched MEDLINE, PsycINFO, Web of Science, Scopus and Gray literature via Google scholar. We included studies which gave data on prevalence of Intimate Partner Violence in women with somatoform disorders and medically unexplained symptoms from 2000 to 2020. The Inclusion criteria for this review were women between 18-59 years of age with a diagnosis of somatoform disorders or medically unexplained symptoms and outcome measure taken as prevalence of IPV. A total of 157 articles were screened of which 2 articles were taken for data extraction. The two studies included for data extraction were not suitable for prevalence estimates. There appeared to be no uniformity in identifying medically unexplained symptoms and Intimate Partner Violence. This systematic review shows an appalling gap in research in women with medically unexplained symptoms. It also brings out the need to have an uniform assessment and evaluation of medically unexplained symptoms and Intimate Partner Violence.
据报道,躯体形式的疾病和医学上无法解释的症状在妇女中很常见,并与严重的残疾有关。研究表明,遭受亲密伴侣暴力的妇女更有可能报告身体症状。本系统综述旨在评估患有MUS和躯体形式疾病的女性中IPV的患病率和临床相关性。我们通过谷歌scholar检索MEDLINE, PsycINFO, Web of Science, Scopus和Gray文献。我们纳入了一些研究,这些研究提供了2000年至2020年患有躯体形式障碍和医学上无法解释的症状的妇女中亲密伴侣暴力发生率的数据。本综述的纳入标准是年龄在18-59岁之间,诊断为躯体形式疾病或医学上无法解释的症状,并以IPV患病率作为结局指标的女性。共筛选157篇文章,选取2篇文章进行数据提取。纳入数据提取的两项研究不适合用于患病率估计。在确定医学上无法解释的症状和亲密伴侣暴力方面似乎没有统一的办法。这一系统综述显示,在对具有医学上无法解释的症状的妇女进行研究方面存在令人震惊的差距。报告还指出,有必要对医学上无法解释的症状和亲密伴侣暴力行为进行统一的评估和评价。
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引用次数: 0
The Trip - A Journey toward the Rehabilitation 旅行-康复之旅
Q4 Medicine Pub Date : 2023-07-21 DOI: 10.4103/ijsp.ijsp_34_22
P. Srikanth, V. Lydia
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引用次数: 0
Integrating Grief Counseling in Responses to Disasters and Epidemics 将悲伤咨询融入灾害和流行病应对中
Q4 Medicine Pub Date : 2023-07-21 DOI: 10.4103/ijsp.ijsp_78_22
C. Ramamurthy, S. Juvva
The COVID-19 pandemic, like other disasters and pandemics that have preceded it, has forced us to deal with the aftermath of preventable deaths, alongside despair and grief, which may impact us for many years to come. It has also reinforced the need to develop better protocols that deal with the physicality of disaster and pandemic situations, alongside the emotional aftermath brought on due grief and loss. There is an urgent need for a comprehensive grief response that will be far reaching and inclusive and can be integrated in all responses to disasters and pandemics. The objective of the study is to advocate the development of a protocol that has grief counseling at the center of all responses in disaster/pandemic management. It also suggests some recommendations for mainstreaming grief counseling within the current Psychological First Aid that is followed during disasters and pandemics situations.
新冠肺炎大流行与此前发生的其他灾难和大流行一样,迫使我们应对可预防死亡的后果,以及绝望和悲伤,这可能会在未来许多年影响我们。它还加强了制定更好的协议的必要性,以应对灾难和疫情的物理性,以及因悲痛和损失而带来的情感后果。迫切需要一种全面的悲痛应对措施,这种措施将具有深远的影响和包容性,并可纳入应对灾害和流行病的所有措施中。该研究的目的是倡导制定一项协议,将悲伤咨询作为灾害/疫情管理中所有应对措施的中心。它还提出了一些建议,将悲伤咨询纳入当前心理急救的主流,在灾难和流行病情况下应遵循这些建议。
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引用次数: 0
期刊
Indian Journal of Social Psychiatry
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